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Glycosphingolipid disorders of the brain.
[gm1 gangliosidosis]
Glycosphingolipids
,
comprising
a
ceramide
lipid
backbone
linked
to
one
/
more
saccharides
,
are
particularly
abundant
on
the
outer
leaflet
of
the
eukaryotic
plasma
membrane
and
play
a
role
in
a
wide
variety
of
essential
cellular
processes
.
Biosynthesis
and
subsequently
degradation
of
these
lipids
is
tightly
regulated
via
the
involvement
of
numerous
enzymes
,
and
failure
of
an
enzyme
to
participate
in
the
metabolism
results
in
storage
of
the
enzyme
's
substrate
,
giving
rise
to
a
lysosomal
storage
disease
.
The
characteristics
,
severity
and
onset
of
the
disease
are
dependent
on
the
enzyme
deficient
and
the
residual
activity
.
Most
lysosomal
storage
disorders
found
thus
far
are
caused
by
a
defect
in
the
catabolic
activity
of
a
hydrolase
,
causing
progressive
accumulation
of
its
substrate
,
predominantly
in
the
lysosome
.
Storage
of
gangliosides
,
sialic
acid
containing
glycosphingolipids
,
mostly
found
in
the
central
nervous
system
,
is
a
hallmark
of
neuronopathic
forms
of
the
disease
,
that
include
GM
1
and
GM
2
gangliosidoses
,
Gaucher
type
II
and
III
and
Niemann-
Pick
C
.
Models
for
these
diseases
have
provided
valuable
insight
into
the
disease
pathology
and
potential
treatment
methods
.
Treatment
of
these
rare
but
severe
disorders
proves
challenging
due
to
restricted
access
of
therapeutics
through
the
blood
-
brain
barrier
.
However
,
recent
advances
in
enzyme
replacement
,
bone
marrow
transplantation
,
gene
transfer
,
substrate
reduction
and
chaperon-mediated
therapy
provide
great
potential
in
treating
these
devastating
disorders
.
Diseases
Validation
Diseases presenting
"numerous enzymes"
symptom
gm1 gangliosidosis
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