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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
"wide variety"
symptom
alexander disease
allergic bronchopulmonary aspergillosis
cadasil
erythropoietic protoporphyria
esophageal carcinoma
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
junctional epidermolysis bullosa
lamellar ichthyosis
lymphangioleiomyomatosis
oral submucous fibrosis
pleomorphic liposarcoma
proteus syndrome
severe combined immunodeficiency
x-linked adrenoleukodystrophy
zellweger syndrome
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