Monday, August 12, 2013

I-Cell Diasease

ConditionsDiseases List

I-Cell Disease/Mucolipidosis II

Improper sending of organelle enzymes outside the cell
  • Frequency

Fundamentals:

  • LOCALIZATION: Defects in lysosomal enzyme targeting
    • Significant def in GLCNac-1-phosphotrasferase

LOC:

Causes:

1)Genetic:

  • Autosomal recessive
    • Frameshift/chain termination mutations in the GNPTAB gene
      • "Eight unique mutations"

2)Pathogenic:

3)Biochemical:

  • Deficiency of GLCNAc-1-phosphotrasferase

4)Anatomical:

Route Of Transmission ROT:

Pathogenesis:

1)Genetic:

2)Pathogenic:

3)Biochemical:

  • Enzyme is unable to properly transfer GLCNac-Phosphate to a high mannose oligosaccharide of proteins - absent Mannose Phosphorylation
    • Golgi apparatus sends lysosomal enzymes outside cell instead of the lysosome
      • Meaning the cell miscommunicated the address label of the enzyme
  • Accumulation of glycoproteins and glycolipids without a means to hydrolize them = PROBLEM

4)Anatomical:

  • Lysosomal hydrolaes are sent to the blood
    • Denatured by the pH of the blood = enzymes become harmless

Symptoms:

  • Dense inclusion bodies (I-Cells)
  • High levels of lysosomal enzymes in plasma and other body fluids
  • Severe psychomotor retardation
  • Skeletal abnormalities
  • Coarse facial features
  • Restricted joint movement
  • Present at birth and progress until death (5-8 yo)

Diagnosis:

Treatment:

Prevention:

Additional Information: