Case2 Flashcards
understand and differentiated LSDs
1
Q
explain the process of intracellular vesicular trafficking
A
- exocytosis
- N vs O linked
- er->golgi-> extracellular (olink) or cytosolic(Nlinked)
- endocytosis
- endosome
- early
- late
- endosome
2
Q
explain how lysosomal enzymes are delivered into lysosomes
A
N-linked oligosaccharide processing
- protein/oligosacchardie synthesis begins in the ER
- oliosaccharide is built on dolichol one sugar at a time by glycosyltransferases
- oligosaccharide brach is consrtucterd and attached to amide nitrogen of and asparganine of protein by
- oligosaccharides are added and trimmed, then moved to golgi
- processing by the removal of specific mannosyl and glucosyl residues as the glycoprotein moves through the rER.
- golgi further trims and addition of further monsacchardies
- sugar moeities ar completed in the golgi with mannoses and fucoses
- N-linked glycoproteins are phorylated on carbon 6 of one or more mannsyl residues, via UDP-GlcNAc (phosphotransferase).
- leaving to the targeted area
- receptors, located in the golgi membrane, bind the mannose 6-phosphate residues of these proteins, which are then packeged into vesicles and sent to the lysosomes.
3
Q
list structural differences between different types of oligosaccharides
A
oligosaccharide (glycan) is the component of glycoprotein. These are enzymatically attached to protein linkage
Two types of linkages
- Olinked
- attached to the hydroxyl group of S and T
- example
- ABO groups
- terminal glycan is GalNAc, blood group=A
- Terminal glycan is Galactose,bloodgroup=B
- neither Gal or GalNAc ins blood group=o
- ABO groups
- Nlinked
- attached to the amide group of the (asparganinge)
- Branched structure
- mannose rich or complex
4
Q
recognize LSD based on enzyme assays
- disease
- dificiency
- assays
- urine,plasma,fibroblasts and leukocytes
A
- mucopolysaccharidoses- hurler and hunter
- deficiency
- inability to degrade GAG
- subtypes
- hunter
- lack iduronate sulfatase
- removes sulfer from iduronic sugar on GAG(DS or KS)
- less severe than mucopolysaccharidosis
- lack iduronate sulfatase
- hurler
- lack a-liduronidase
- rate limiting step,removes iduronic sugar group from GAG
- mirrors mucopolylipidosis
- lack a-liduronidase
- hunter
- metabolites
- plasma
- higher GAGs
- fibroblast
- peripheral leukocytes
- urine
- GAGs present
- plasma
- deficiency
- sphingolipidoses
- deficiency
- inability to degrade plasma membrane sphigolipids
- metabolites
- plasma
- higher number of sphingolipids
- fibroblast
- peripheral leukocytes
- plasma
- deficiency
- pompe disease
- deficiency
- inability to degrade glycogen
- metabolites
- fatty liver
- build up of glycogen in the liver
- enzyme screening leads to lack of function in assay
- fatty liver
- deficiency
- mucopolipidosis 2
- deficiency
- inability to phosphorylate mannose in the in the golgi
- metabolites
- plasma
- elevated enzymes
- fibroblast
- decreased enzyme levels
- peripheral leukocytes
- enzymes are normal except “N-acetylglucosamine-1-phosphotransferase”
- urine
- oligosaccharides present in urine
- plasma
- deficiency
5
Q
Differentiate single lysosomal enzyme deficiencues from a complex lysosomal disease
A
- simple
- one enzyme is affected
- example
- hunter, hurler
- complex
- multiple enzymes are affected
- example
- ML2
6
Q
what enzymes are present in lysosomes
A
- hydrolases
- sulfases
3.