L3 - Lysosomal Storage Disease Flashcards
Features of LSD?
- Rare, 1/8000 live births
- Death in childhood
- Store material in lysosome due to defects in substrate degradation
Features of the lysosome
- 70 hydrolytic enzymes
- low pH (4)
- Enzymes trafficked to it via M6P receptor pathway
- Material trafficked by endocytosis or autophagy
What problem does the neuron create for endocytosis?
Trafficking problem in that lysosomes not present at synapse
What is M6P?
Mannose-6-phosphate group added to hydrolases destined for lysosome
What are the steps in the M6P pathway?
- Added to hydrolases through Golgi
- Recognised by M6PRs and deliver to late endosome
- Low pH causes dissociation
What are the general cellular phenotypes of LSD?
Swollen Accumulation of ageing pigment Defects in autophagy Appearance of meganeurites Excessjve synaptogenesis
What are the features of mucopolysaccharides?
High rigidity
Lubricator
Component of cell membranes
Mutation causes defective metabolism and accumulation of GAGs
What does MPS stand for and what is it?
Mucopolysaccharidoses
Accumulation of secondary storage substrates
Features of Sanfilippo Syndrome (MPS III)
Cannot break down Heparan sulphate
Most common MPS
What are the symptoms of Sanfilippo Syndrome?
Hyperactivity
Speech delay
Mental retardation
Bone defects
How can you screen for Sanfilippo Syndrome?
GAGs in urine
What is mucolipidosis-II also known as?
I-Cell disease or Psuedo-Hurler
What are the symptoms and occurrence of I-Cell disease?
Developmental delay, death early
1/640000 live births
What is the genetic defect of I-Cell disease?
N-acetylglucosaminyl-1-phosphotransferase
What are the internal symptoms of I-Cell disease?
I = Inclusion so stored material is mucolipds, MPS and schingolipids