What is Canavan disease?
Glossary »
Canavan disease (CD) is a relatively rare, but always fatal,
inherited, degenerative brain disorder that primarily affects children
of eastern and central European Jewish (Ashkenazi)
descent, which includes about 90 percent of the Jews in America. It is
estimated that one in 40 Ashkenazi Jews is a carrier
of the Canavan gene.
The disorder was named for Myrtelle Canavan, the researcher
who first described the disease in 1931.
Currently, there is no cure for the disease, which usually
becomes apparent when the infant is three to nine months old. Symptoms
vary, but generally include rapidly increasing head circumference, lack
of head control, reduced visual responsiveness and abnormal muscle tone
such as stiffness or floppiness.
| Symptoms |
- Rapidly increasing head circumference
- Lack of head control
- Reduced visual responsiveness
- Abnormal muscle tone
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Children with Canavan disease cannot crawl, walk, sit or
talk. Over time they may suffer seizures, become paralyzed, mentally retarded
or blind and have trouble swallowing. Although hearing usually remains
a functioning sense, deafness may also result. Most children do not live
past age 10.
Canavan disease, like the more well-known Tay-Sachs disease,
is one of a number of genetic disorders affecting Ashkenazi Jews at high
frequency.
Information about some of these other Jewish genetic disorders
(including Bloom syndrome; Familial Dysautonomia; Fanconi Anemia (Type
C); Gaucher disease; Mucolipidosis IV; Niemann-Pick disease; Tay-Sachs
disease) can be accessed through the websites of the National Foundation
for Jewish Genetic Diseases, Inc. (www.nfjgd.org)
and the National Tay-Sachs & Allied Diseases, Inc. (www.ntsad.org).
What several of these disorders have in common with Canavan
disease is the lack of an essential enzyme that can lead to the abnormal
accumulation of certain substances in the cells, causing cellular damage
that results in the degeneration of various functions.
Canavan disease is classified as one of the leukodystrophies—a
group of inherited neurological disorders that affect the growth of the
myelin sheath, the "white matter" of
the brain that serves as an insulator to protect nerves.
Canavan disease is caused by a deficiency of the enzyme,
aspartoacylase (ASPA), which
leads to the buildup of N-acetylaspartic
acid (NAA) in the brain.
The accumulated NAA causes a chemical imbalance that destroys
the myelin, making the "white matter" spongy and resulting in Canavan
disease’s incapacitating symptoms.
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