PMID- 2768266 OWN - NLM STAT- MEDLINE DCOM- 19891012 LR - 20210210 IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 264 IP - 26 DP - 1989 Sep 15 TI - Defective lysosomal egress of free sialic acid (N-acetylneuraminic acid) in fibroblasts of patients with infantile free sialic acid storage disease. PG - 15316-22 AB - Egress of free NeuAc from normal lysosome-rich granular fractions was assessed at NeuAc concentrations of up to 221 pmol/hexosaminidase unit, achieved by exposure of growing fibroblasts to 40-125 nM N-acetylmannosamine for up to 7 days. The normal velocity of NeuAc egress increased with NeuAc loading and with temperature, exhibiting a Q10 of 2.4, characteristic of carrier-mediated transport. Fibroblasts cultured from five patients with infantile free sialic acid storage disease (ISSD) contained approximately 139 nmol of free NeuAc/mg of whole cell protein, or 100 times the normal level. Differential centrifugation, as well as density gradient analysis using 25% Percoll, showed that the stored NeuAc cosedimented with the lysosomal enzyme beta-hexosaminidase. The velocity of appearance of free NeuAc outside ISSD granular fractions was negligible, even at initial loading levels of up to 3500 pmol/hexosaminidase unit. The lack of egress from ISSD granular fractions was found for both endogenous and N-acetylmannosamine-derived NeuAc. Fibroblasts from ISSD parents did not accumulate excess free NeuAc and did not display a velocity of NeuAc egress significantly different from normal. The defect in ISSD, like that in Salla disease, appears to be an impairment of carrier-mediated transport of free NeuAc across the lysosomal membrane. Clinical and biochemical differences between Salla disease and ISSD may reflect differences in the amount of residual NeuAc transport capacity. FAU - Tietze, F AU - Tietze F AD - Laboratory of Molecular and Cell Biology, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland 20892. FAU - Seppala, R AU - Seppala R FAU - Renlund, M AU - Renlund M FAU - Hopwood, J J AU - Hopwood JJ FAU - Harper, G S AU - Harper GS FAU - Thomas, G H AU - Thomas GH FAU - Gahl, W A AU - Gahl WA LA - eng GR - 10981/PHS HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 0 (Sialic Acids) RN - GZP2782OP0 (N-Acetylneuraminic Acid) SB - IM MH - Carbohydrate Metabolism, Inborn Errors/genetics/*metabolism MH - Cell Fractionation/methods MH - Cells, Cultured MH - Centrifugation, Density Gradient/methods MH - Fibroblasts/metabolism MH - Genetic Carrier Screening MH - Humans MH - Infant MH - Kinetics MH - Lysosomes/*metabolism/ultrastructure MH - N-Acetylneuraminic Acid MH - Reference Values MH - Sialic Acids/*metabolism EDAT- 1989/09/15 00:00 MHDA- 1989/09/15 00:01 CRDT- 1989/09/15 00:00 PHST- 1989/09/15 00:00 [pubmed] PHST- 1989/09/15 00:01 [medline] PHST- 1989/09/15 00:00 [entrez] AID - S0021-9258(19)84828-7 [pii] PST - ppublish SO - J Biol Chem. 1989 Sep 15;264(26):15316-22.