What are Lysosomal Storage Diseases?

Lysosomal Storage Diseases
Impact of the accumulation of undegraded proteins in lysosomal storage diseases. Images include brain scans showing: a atrophy with enlarged Virchow–Robin spaces and ventricles, b communicating hydrocephalus, and c spinal cord compression at the cervical junctions. Other images show d corneal clouding, e larynx thickening, f valvular alterations due to the accumulation of undegraded substrates, and g–i dysostosis multiplex of back bone, hand and long bones. Personalised medicine in paediatrics: individualising treatment in children with rare neurological diseases. Scarpa M, Ceci A, Tomanin R, Mincarone P, Begley D - The EPMA journal (2011). Not Altered. CC.

Lysosomal storage diseases are a group of over 70 rare inherited metabolic disorders that result from defects in lysosomal function.

Examples of lysosomal storage diseases include:

  • Glycoogenosis
  • Sulfatidoses
  • Mucopolysaccharidoses
  • Mucopolysaccharidoses
  • Mucolipidoses
  • Fucosidosis
  • Mannosidosis
  • Aspartglycosaminuria
  • Wolman disease
  • Acid phosphate deficiency
DiseaseEnzyme DeficiencyMajor Accumulation Metabolites
GlycogenosisType 2 – Pompe disease Α-1,4-Glucosidase (lysosomal glucosidase)Glycogen
Sphingolipidoses Gm1 gangliosidosis  Type 1 – infantile, generalized  Type 1 – juvenile Gm2 gangliosidosis  Tay-Sachs disease Sandhoff disease  Gm2 gangliosidosis variant AB  Gm1 ganglioside β-galactosidase       Hexaminidase, α subunit Hexaminidase, β subunit Ganglioside activator protein  Gm1 ganglioside, galactose-containing oligosaccharides     Gm2 ganglioside Gm2 ganglioside, globoside Gm2 ganglioside  
Sulfatidoses Metachromatic leukodystrophy Multiple sulfatase deficiency   Krabbe disease Fabry disease Gaucher disease Niemann-Pick disease  Arylsulfatase A Arylsulfatase A, B, C, steroid sulfatase; iduronate sulfatase; heparin N-sulfatase Galactocerebrosidase (galactosylceramidase) α-galactosidase A Glucocerebrosidase Sphingomyelinase  Cerebroside sulfate Sulfatide, steroid sulfate, heparin sulfate, dermatan sulfate Galactocerebroside, psychosine Ceramide trihexoside Glucocerebroside Sphingomyelin
Mucopolysaccharidoses Hurler syndrome Hunter syndrome  α-l-iduronidase Iduronate-2-sulfatase  Heparan sulfate, dermatan sulfate Heparan sulfate, dermatan sulfate
Mucolipidoses I-cell disease and pseudo-Hurler polydystrophy  Deficiency of phosphorylating enzymes essential for the formation of mannose-6-phosphate recognition marker; acid hydrolases lacking the recognition marker cannot be targeted to the lysosomes but are secreted extracellulary  Mucopolysaccharide, glycolipid
Other diseases of complex carbohydrates Fucosidosis   Mannosidosis   Aspartylglycosaminuria    α-Fucosidase   α-Mannosidase   Aspartylglycosamine amide hydrolase    Fucose-containing sphingolipids and glycoprotein fragments Mannose-containing oligosaccharides Aspartyl-2-deaxy-2-acetamido-glycosylamine
Other lysosomal storage disease Wolman disease Acid phosphate deficiencyAcid lipaseLysosomal acid phosphate  Cholesterol esters, triglycerides Phosphate esters