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Mucopolysaccharidosis
Das MAHE
Usha
Madhuri
Nandhini
Outline
Lysosomal storage diseases
Introduction to LSDs
Classification of LSDs
Mucopolysaccharidosis
Introduction
Classification
Management of MPS
LYSOSOMES
 Cell organelles that is present in the cell
 Lysosomes contains hydrolytic enzymes which helps in
breakdown and use of fats and cholesterol in the body
 This are also known as the suicidal bags.
 Lysosome disease is a condition that affects many
parts of the body
 This disorder lipase deficiency is an inherited
 This accumulation of lipids leads to several health
problems, including an enlarged liver and spleen
Lysosomal storage diseases
 Lysosomal storage disease is a group of disorders that
affect specific enzymes.
 Lysosomal storage accumulation usually caused by the
lysosomal disfunction usually deficiency of single enzyme
required for metabolism of lipid
eg: Mucopolysacchrides , glycoprotein etc.
 Lysosomal storage disease are more than 50 it may classify
 The precise mechanisms underlying this degeneration are
incompletely defined.
 The pattern of neuronal degeneration in subtypes of
lysosomal storage diseases
Classification
 Mucopolysaccharidosis (variable nervous system involvement)
 Mucolipidoses (originally considered an MPS)
 Glyco proteinoses
 Glycogen storage
 Sphingolipidoses
 Lipid storage disorders
 Multiple enzyme defects
 Transport defects
 Batten Disease
Mucopolysaccharidosis
 Long unbranched polysaccharides consisting of a
repeating disaccharide unit.
 Mucopolysaccharidosis are a Hereditary disorder.
 This diseases caused by mutations of genes coding
for lysosomal enzymes.
 This is needed to degrade glycosaminoglycans
(GAGs) (acid mucopolysaccharides).
 Long-chain complex carbohydrate. The major
GAGs are:
1. Chondroitin -4- sulfate
2. Heparan sulfate
3. Dermatan sulfate
4. Keratan sulfate
5. Hyaluronan
Glycosaminoglycans (GAGs)
Major constituents of the ground
substance of connective tissue, as
well as nuclear and cell
membranes
Mucopolysaccharidosis
Molecular Basis Of Mpsi (Hurler)
 Mucopolysaccharidosis typeI(MPSI) also called
Hurler syndrome.
 The IDUA gene are mutation.
 an inherited metabolic disorder cause by a
enzyme alpha--L--iduronidase.
 This enzyme main property in breakdown long
chains of sugar molecules called
Glycosaminoglycans(GAGs).
 As a result ,these molecules accumulate in the
body, causing numerous health Problems.
 If untreated, children with mps1 usually die
before the age of 10.
Mucopolysaccharidosis
INCIDENCE
Approximately 1 in 100,000 to 1 in 200,000 individuals
are affected with MPS1 worldwide.
MPS1 affects individuals may increased risk for specific
populations.
INHERITANCE PATTERN
MPS1 is inherited in an autosomal recessive manner.
The mother and father are both found to be MPS1
carriers.
Hunter disease (MPS II)
 GAG builds up in cells throughout the body due to
a deficiency or absence of the enzyme iduronate-2-
sulfatase (IDS).
 the breakdown of dermatan sulfate and heparan sulfate
requires the lysosomal enzyme IDS.
 The IDS gene are mutation.
 The gene encoding IDS is mapped to Xq28. Point
mutations of the IDS gene have been detected in about
80% of patients with MPS II.
 Is an X-linked disorder caused by the deficiency of
iduronate-2-sulfatase (IDS)
Mucopolysaccharidosis
INCIDENCE
incidence among males of approximately 1 in 130,000
male live births.
MPS  affects individuals may increased risk for specific in
male populations.
INHERITANCE PATTERN
MPS  is inherited in an X-linked recessive inheritance
manner.
The mother less in carrier and father are more in found to
be IDS carriers.
Symptoms
 By one year of age signs and symptoms of
the disorder become apparent.
 Affected systems include skeletal,
neurologic, cardiovascular, hearing,
digestive, vision and respiratory.
 Symptoms can be severe including joint
deformities, deafness, blindness and
significant developmental regression.
Management of MPS
 Hematopoietic stem cell transplantation results in significant clinical
improvement of somatic disease in MPS I and II.
 Enzyme replacement using recombinant enzymes is approved for patients
with MPS I and MPS II.
There is no cure for MPS.
The goal of management is to decrease the severity of symptoms and increase
lifespan through bone marrow transplant, hematopoietic stem cell transplant
(HSCT) before age 2, and enzyme replacement therapy.
Summary
Lysosomes contains hydrolytic enzymes which helps in the digestion of cell.
Lysosomal storage disease is a group of disorders that affect specific
enzymes.
Mucopolysaccharidoses are a Hereditary disorder.
Mucopolysaccharidosis

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Mucopolysaccharidosis

  • 2. Outline Lysosomal storage diseases Introduction to LSDs Classification of LSDs Mucopolysaccharidosis Introduction Classification Management of MPS
  • 3. LYSOSOMES Cell organelles that is present in the cell Lysosomes contains hydrolytic enzymes which helps in breakdown and use of fats and cholesterol in the body This are also known as the suicidal bags. Lysosome disease is a condition that affects many parts of the body This disorder lipase deficiency is an inherited This accumulation of lipids leads to several health problems, including an enlarged liver and spleen
  • 4. Lysosomal storage diseases Lysosomal storage disease is a group of disorders that affect specific enzymes. Lysosomal storage accumulation usually caused by the lysosomal disfunction usually deficiency of single enzyme required for metabolism of lipid eg: Mucopolysacchrides , glycoprotein etc. Lysosomal storage disease are more than 50 it may classify The precise mechanisms underlying this degeneration are incompletely defined. The pattern of neuronal degeneration in subtypes of lysosomal storage diseases
  • 5. Classification Mucopolysaccharidosis (variable nervous system involvement) Mucolipidoses (originally considered an MPS) Glyco proteinoses Glycogen storage Sphingolipidoses Lipid storage disorders Multiple enzyme defects Transport defects Batten Disease
  • 6. Mucopolysaccharidosis Long unbranched polysaccharides consisting of a repeating disaccharide unit. Mucopolysaccharidosis are a Hereditary disorder. This diseases caused by mutations of genes coding for lysosomal enzymes. This is needed to degrade glycosaminoglycans (GAGs) (acid mucopolysaccharides). Long-chain complex carbohydrate. The major GAGs are: 1. Chondroitin -4- sulfate 2. Heparan sulfate 3. Dermatan sulfate 4. Keratan sulfate 5. Hyaluronan Glycosaminoglycans (GAGs) Major constituents of the ground substance of connective tissue, as well as nuclear and cell membranes
  • 8. Molecular Basis Of Mpsi (Hurler) Mucopolysaccharidosis typeI(MPSI) also called Hurler syndrome. The IDUA gene are mutation. an inherited metabolic disorder cause by a enzyme alpha--L--iduronidase. This enzyme main property in breakdown long chains of sugar molecules called Glycosaminoglycans(GAGs). As a result ,these molecules accumulate in the body, causing numerous health Problems. If untreated, children with mps1 usually die before the age of 10.
  • 10. INCIDENCE Approximately 1 in 100,000 to 1 in 200,000 individuals are affected with MPS1 worldwide. MPS1 affects individuals may increased risk for specific populations. INHERITANCE PATTERN MPS1 is inherited in an autosomal recessive manner. The mother and father are both found to be MPS1 carriers.
  • 11. Hunter disease (MPS II) GAG builds up in cells throughout the body due to a deficiency or absence of the enzyme iduronate-2- sulfatase (IDS). the breakdown of dermatan sulfate and heparan sulfate requires the lysosomal enzyme IDS. The IDS gene are mutation. The gene encoding IDS is mapped to Xq28. Point mutations of the IDS gene have been detected in about 80% of patients with MPS II. Is an X-linked disorder caused by the deficiency of iduronate-2-sulfatase (IDS)
  • 13. INCIDENCE incidence among males of approximately 1 in 130,000 male live births. MPS affects individuals may increased risk for specific in male populations. INHERITANCE PATTERN MPS is inherited in an X-linked recessive inheritance manner. The mother less in carrier and father are more in found to be IDS carriers.
  • 14. Symptoms By one year of age signs and symptoms of the disorder become apparent. Affected systems include skeletal, neurologic, cardiovascular, hearing, digestive, vision and respiratory. Symptoms can be severe including joint deformities, deafness, blindness and significant developmental regression.
  • 15. Management of MPS Hematopoietic stem cell transplantation results in significant clinical improvement of somatic disease in MPS I and II. Enzyme replacement using recombinant enzymes is approved for patients with MPS I and MPS II. There is no cure for MPS. The goal of management is to decrease the severity of symptoms and increase lifespan through bone marrow transplant, hematopoietic stem cell transplant (HSCT) before age 2, and enzyme replacement therapy.
  • 16. Summary Lysosomes contains hydrolytic enzymes which helps in the digestion of cell. Lysosomal storage disease is a group of disorders that affect specific enzymes. Mucopolysaccharidoses are a Hereditary disorder.