Lecture 5 Flashcards

(42 cards)

1
Q

What type of diseases are lysosomal storage diseases?

A

Autosomal recessive diseases, around 45, and one X linked

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2
Q

What causes the diseases?

A

Defects in substrate degradation in the lysosome, trafficking to the lysosome and biogenesis of the lysosome. Build up of substrate leads to swollen lysosomes.

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3
Q

What is a lysosome?

A

Subcellular electron dense organelle, filled with 70 hydrolytic enzymes, enough to break down all biological macromolecules, low pH (~4), membrane bound, destination for material from endocytosis and autophagy. Enzymes are trafficked to lysosome via M6P receptor pathway

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4
Q

Which cell types have additional burden on their lysosomes?

A

Professional phagocytes; macrophages and neturophils

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5
Q

How is endocytosis different in the nervous system?

A

Endocytosis that occurs in synapse and the axon requires the cargo to be carried back up to the cell body where the lysosomes are

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6
Q

Oultine the M6P pathway

A

Mannose-6-phosphate group added via N-linked oligosaccharides as they moved through cis-golgi. M6P recognised by M6P-receptor in trans-golgi and delivers them to the late endosome. Lower pH causes dissociation. M6PR are trafficked back to trans-golgi for re-use. M6P also stops the hydrolyases from working before in the lysosome.

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7
Q

What is the general cellular phenotype?

A

Swollen, multilamellar, osmiophilic endomsomes/ lysosomes. Accumulation of lipofuscin/ceroid. Excessive synaptogenesis/dendritogenesis. Shrinkage of the CNS. Mistrafficking of cholesterol

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8
Q

How can lipofuscin be seen?

A

Autofluorescence

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9
Q

What are mucopolysaccharides?

A

Long unbranched structures containing disaccharide units. High viscosity and rigidity. Excellent lubricators and shock absorbers. Important component of cell membranes.

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10
Q

What is the phenotype of Sanfilippo syndrome?

A

Four types, but all have an inability to breakdown heparan sulphate. Mental retardation, joint stiffness, coarse features, death in middle teens.

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11
Q

What is the most common Mucopolysaccaridosis?

A

Sanfilippo Syndrome

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12
Q

How is Sanfilippo syndrome diagnosed?

A

GAGs in urine

WBC enzyme assay or plasma enzyme assay

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13
Q

Why is the activity of mutated hydrolyases of lysosomal storage diseases zero, even though the mutations are not complete function knock outs?

A

The mutation causes misfolding, so even though the enzyme could function if it reached to lysosome, it is degraded via ERAD long before this happens.

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14
Q

How can the ERAD system be overcome?

A

Chaperone therapy, provides sugar or mimetic that the enzyme usually encounters and causes the enzyme to fold more accurately and hence avoid ERAD

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15
Q

What are the symptoms of Mucolipidosis-II?

A

Developmental delay, psychomotor deterioration, dysmorphia, death in early childhood.

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16
Q

What causes Mucolipidosis-II?

A

Loss of N-acetylglucosaminyl-1-phosphotransferase. Involved in adding phosphate group to mannose-6, and hence delivering hydrolyases to the lysosome

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17
Q

Which population shows a high occurrence of Mucolipidosis-IV?

A

Ashkenazim Jewish population - 1/90 to 1/100

18
Q

How has this high incidence been explained, in theory?

A

Being heterozygous confers an immunity to tuberculosis, a balancing mutation, as the tuberculosis bacterium resides in the lysosome (never proven)

19
Q

What are the symptoms of Mucolipidosis-IV?

A

Psychomotor retardationk, corneal opacity, retinal degeneration, iron deficiency and improper stomach pH

20
Q

What causes Mucolipidosis-IV?

A

Defect in Mucolipin-1, a TRP channel involved in Fe2+ efflux from the lysosome

21
Q

Which tissue type are sphingolipids a major component of?

Name three

A

Neural Tissue
Ceramide
Sphyingomyelin
Glycoshingolipids

22
Q

What roles do sphingolipids play?

A

Trafficking, apoptosis, proliferation and stress

23
Q

What are sphingolipids tightly associated with?

24
Q

Where are sphingolipids trafficked?

A

Down from membrane during endocytosis, then recycled back to membrane vis the trans-golgi network. Very few make it to the lysosome

25
What type of LSD is Tay Sachs an example of? How was it first seen?
Sphingolipidoses | Red spot in retina
26
What is the incidence in the Ashkenazim jews?
1/27 to 1/30 are carriers
27
What is the cause of Tray Sachs?
Defect in hexosaminidase A; increased storage of GM2 ganglioside.
28
What is the related disease?
Sandhoff diseasel; defect in hexosaminidase B instead
29
What treatments exist for Tray Sachs and Sandoff disease?
Enzyme replacement therapy and substrate reduction therapy
30
Outline exzyme replacement therapy
Inject HexA with the Mannose-6-P attached to transport to lysosome. However, hard to get into brain, across blood brain barrier. Can ameliorate symptoms slightly.
31
Outline substrate reduction therapy
Give immunosugar which inhibits the enzyme that makes GM2 ganglioside and reduce the concentration of GM2 ganglioside and hence there is less to accumulate and cause lyosomal swelling
32
What are the symptoms of Niemann-Pick disease?
Enlarged liver, spleen and lymph nodes, darkening of skin, neurologic impairment.
33
What is the genetic cause for the three types of Niemann-Pick?
Both A and B caused by mutation in sphingomyelinase, C caused by mutation in NPCL1
34
Why was drosophila useful in understanding Niemann-Pick?
As drosophila cannot make their own cholesterol and get it all from the diet it was possible to see that the Niemann-Pick mutants could not get the cholesterol from the diet as it was all sequestered in their lysosomes
35
How many forms of Batten disease exist?
9 forms; depending on age of onset - but symptoms all the same
36
What is the incidence of Batton disease?
1/8000 live births; most common neurodegeneration
37
What are the symptoms of Batton disease?
Visual defects, seizures, echolalia, eventual loss of sight, speech and motor skills, early death after blindness and dementia
38
What is the storage material in Batten disease?
Lipofuscin and subunit C of mitochondrial ATP synthase
39
What is the phenotype of Batten disease?
Multilamellar inclusions, selective brain cell death (glia mediated), infiltration of neuronal tissue with antibodies (defective blood brain barrier)
40
Which loci is mutated in Batten disease?
CLN genes; 1-8 and 10-14
41
What treatments are being used to treat LSD due to membrane proteins?
Bone marrow therapy; produce antibodies against these proteins. Neuronal stem cells
42
Which model organisms are used to study lyososomal storage diseases?
``` Sheep Sheepdogs Mice Zebrafish Drosophila C. Elegans Yeast ```