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Table 1 Lysosomal storage disorders

From: Lysosomal storage disorders: Molecular basis and laboratory testing

OMIM

Disease

Defective protein

Main storage

materials

Preliminary

test

Gene

symbol

MIM

ID

Diagnostic

test

Mucopolysaccharidoses (MPSs)

       

607014

607015 607016

MPS I (Hurler, Scheie,

Hurler/Scheie)

α-Iduronidase

Dermatan sulphate,

heparan sulphate

GAGs (U)

IDUA

252800

BGT, MGT

309900

MPS II (Hunter)

Iduronate sulphatase

Dermatan sulphate,

heparan sulphate

GAGs (U)

IDS

309900

BGT, MGT

252900

MPS III A (Sanfilippo A)

Heparan sulphamidase

Heparan sulphate

GAGs (U)

SGSH

605270

BGT, MGT

252920

MPS III B (Sanfilippo B)

Acetyl α-glucosaminidase

Heparan sulphate

GAGs (U)

NAGLU

609701

BGT, MGT

252930

MPS III C (Sanfilippo C)

Acetyl CoA: α-glucosaminide

N-acetyltransferase

Heparan sulphate

GAGs (U)

HGSNAT

610453

BGT, MGT

252940

MPS III D (Sanfilippo D)

N-acetyl

glucosamine-6-sulphatase

Heparan sulphate

GAGs (U)

GNS

607664

BGT, MGT

253000

MPS IVA (Morquio A)

Acetyl

galactosamine-6-sulphatase

Keratan sulphate,

chondroiotin

6-sulphate

GAGs (U)

GALNS

612222

BGT, MGT

253010

MPS IV B (Morquio B)

β-Galactosidase

Keratan sulphate

GAGs (U)

GLB1

611458

BGT, MGT

253200

MPS VI

(Maroteaux-Lamy)

Acetyl galactosamine

4-sulphatase (arylsulphatase B)

Dermatan sulphate

GAGs (U)

ARSB

611542

BGT, MGT

253220

MPS VII (Sly)

β-Glucuronidase

Dermatan sulphate,

heparan sulphate,

chondroiotin

6-sulphate

GAGs (U)

GUSB

611499

BGT, MGT

601492

MPS IX (Natowicz)

Hyaluronidase

Hyluronan

-

HYAL1

607071

BGT, MGT

Sphingolipidoses

       

301500

Fabry

α-Galactosidase A

Globotriasylceramide

-

GLA

300644

BGT, MGT

228000

Farber

Acid ceramidase

Ceramide

-

ASAH1

613468

BGT, MGT

230500 230600

230650

Gangliosidosis GM1

(Types I, II, III)

GM1-β-galactosidase

GM1 ganglioside,

Keratan sulphate,

oligos, glycolipids

Oligos (U)

GLB1

611458

BGT, MGT

272800

Gangliosidosis GM2,

Tay-Sachs

β-Hexosaminidase A

GM2 ganglioside,

oligos, glycolipids

-

HEXA

606869

BGT, MGT

268800

Gangliosidosis GM2,

Sandhoff

β-Hexosaminidase A + B

GM2 ganglioside,

oligos

-

HEXAB

606873

BGT, MGT

230800

230900 231000

Gaucher

(Types I, II, III)

Glucosylceramidase

Glucosylceramide

Chito+(S)

GBA

606463

BGT, MGT

245200

Krabbe

β-Galactosylceramidase

Galactosylceramide

-

GALC

606890

BGT, MGT

250100

Metachromatic

leucodystrophy

Arylsulphatase A

Sulphatides

Sulphatides

(U)

ARSA

607574

BGT, MGT

257200 607616

Niemann-Pick

(type A, type B)

Sphingomyelinase

Sphingomyelin

-

SMPD1

607608

BGT, MGT

Olygosaccharidoses (glycoproteinoses)

       

208400

Aspartylglicosaminuria

Glycosylasparaginase

Aspartylglucosamine

Oligos (U)

AGA

613228

BGT, MGT

230000

Fucosidosis

α-Fucosidase

Glycoproteins,

glycolipids,

Fucoside-rich oligos

Oligos (U)

FUCA1

612280

BGT, MGT

248500

α-Mannosidosis

α-Mannosidase

Mannose-rich oligos

Oligos (U)

MAN2B1

609458

BGT, MGT

248510

β-Mannosidosis

β-Mannosidase

Man(β1 → 4)GlnNAc

Oligos (U)

MANBA

609489

BGT, MGT

609241

Schindler

N-acetylgalactosaminidase

Sialylated/

asialoglycopeptides,

glycolipids

Oligos (U)

NAGA

104170

BGT, MGT

256550

Sialidosis

Neuraminidase

Oligos, glycopeptides

Bound SA (U),

Oligos (U)

NEU1

608272

BGT, MGT

Glycogenoses

       

232300

Glycogenosis II/Pompe

α1,4-glucosidase (acid maltase)

Glycogen

CK (S)

GAA

606800

BGT, MGT

Lipidoses

       

278000

Wolman/CESD

Acid lipase

Cholesterol esters

-

LIPA

613497

BGT, MGT

Non-enzymatic lysosomal protein defect

       

272750

Gangliosidosis GM2,

activator defect

GM2 activator protein

GM2 ganglioside,

oligos

-

GM2A

613109

MGT

249900

Metachromatic

leucodystrophy

Saposin B

Sulphatides

Sulphatides

(U)

PSAP

176801

MGT

611722

Krabbe

Saposin A

Galactosylceramide

-

PSAP

176801

MGT

610539

Gaucher

Saposin C

Glucosylceramide

-

PSAP

176801

MGT

Transmembrane protein defect

       

Transporters

       

269920

604369

Sialic acid storage

disease; infantile form

(ISSD) and adult form

(Salla)

Sialin

Sialic acid

Free SA (U)

SLC17A5

604322

MGT

219800

Cystinosis

Cystinosin

Cystine

-

CTNS

606272

MGT

257220

Niemann-Pick Type C1

Niemann-Pick type 1 (NPC1)

Cholesterol and

sphingolipids

Chito+(S)

NPC1

607623

Filipin test,

MGT

607625

Niemann-Pick, Type C2

Niemann-Pick type 2 (NPC2)

Cholesterol and

sphingolipids

Chito+(S)

NPC2

601015

Filipin test,

MGT

Structural Proteins

       

300257

Danon

Lysosome-associated

membrane protein 2

Cytoplasmatic debris

and glycogen

-

LAMP2

309060

MGT

252650

Mucolipidosis IV

Mucolipin

Lipids

-

MCOLN1

605248

MGT

Lysosomal enzyme protection defect

       

256540

Galactosialidosis

Protective protein cathepsin A

(PPCA)

Sialyloligosaccharides

Bound SA (U),

Oligos (U)

CTSA

613111

BGTa, MGT

Post-translational processing defect

       

272200

Multiple sulphatase

deficiency

Multiple sulphatase

Sulphatides,

glycolipids, GAGs

Sulphatides (U),

GAGs (U)

SUMF1

607939

BGTb, MGT

Trafficking defect in lysosomal enzymes

       

252500

252600

Mucolipidosis IIα/β,

IIIα/β

GlcNAc-1-P transferase

Oligos, GAGs, lipids

Oligos (U)

GNPTAB

607840

BGTc, MGT

232605

Mucolipidosis IIIγ

GlcNAc-1-P transferase

Oligos, GAGs, lipids

Oligos (U)

GNPTG

607838

BGTc, MGT

Polypeptide degradation defect

       

265800

Pycnodysostosis

Cathepsin K

Bone proteins

X-ray

CTSK

601105

MGT

Neuronal ceroid lipofuscinoses (NCLs)

       

256730

NCL 1

Palmitoyl protein thioesterase

(PPT1)

Saposins A and D

Ultrastructure

PPT1

600722

BGT, MGT

204500

NCL 2

Tripeptidyl peptidase 1 (TPP1)

Subunit c of ATP

synthase

Ultrastructure

TPP1

607998

BGT, MGT

204200

NCL 3

CLN3, lysosomal

transmembrane protein

Subunit c of ATP

synthase

Ultrastructure

CLN3

607042

MGT

256731

NCL 5

CLN5, soluble lysosomal

protein

Subunit c of ATP

synthase

Ultrastructure

CLN5

608102

MGT

601780

NCL 6

CLN6, transmembrane protein

of ER

Subunit c of ATP

synthase

Ultrastructure

CLN6

606725

MGT

610951

NCL 7

CLC7, lysosomal chloride

channel

Subunit c of ATP

synthase

Ultrastructure

MFSD8

611124

MGT

600143

NCL 8

CLN8, transmembrane protein

of endoplasmic reticulum

Subunit c of ATP

synthase

Ultrastructure

CLN8

607837

MGT

610127

NCL 10

Cathepsin D

Saposins A and D

Ultrastructure

CTSD

116840

MGT

  1. Abbreviations: CK, creatine kinase; CLN, with expansion; GAGs, glysosaminoglycans; GLcNAc-1-P, with expansion; Oligos, oligosaccharides; S, serum; SA, sialic acid; U, urine; Chito, chitotriosidase
  2. aDefect of β-galactosidase and neuraminidase and/or cathepsin A
  3. bDecrease in some lysosomal and non-lysosomal sulphatases
  4. cSome lysosomal hydrolase activities increased in plasma and decreased in cultured fibroblasts
  5. †Note that 5-7 per cent of the population have a recessively inherited defect in the chitotriosidase gene, which leads to false-negative values [11].