In the vast world of genetic diseases, lysosomal storage diseases are a group of special genetic metabolic diseases, which are caused by defects in lysosomal function.Lysosomes are bag-like structures in cells that contain enzymes that can digest large molecules and pass their fragments to other parts of the cell for recycling.However, when a key enzyme is missing or fails to function properly due to mutations, large molecules accumulate in the cells, eventually leading to cell death.
"When the lysosome cannot function properly, excess products that are intended to be decomposed and recovered will accumulate in the cells."
According to the data, lysosomal storage diseases are mainly caused by the lack of single enzymes, which are crucial to the metabolism of lipids, glycoproteins or mucopolysaccharides.Although the incidence of various diseases is relatively low, and individual incidence rates are usually below 1:100,000, as a whole, the incidence rates are about 1:5,000 to 1:10,000.Most of these diseases exist in the form of autosomal recessive inheritance, such as Neiman-Pick disease type C, and a few are X-link recessive inheritance, such as Fabry disease and Hunter syndrome.
Lysosomal storage diseases can be classified into different types according to the nature of the main storage substances.These categories include:
"Lysosomes are known as the center of cell recovery because they can process unnecessary materials and convert them into substances that are available to cells."
The symptoms of these lysosomal storage diseases range from mild to severe, specifically manifested in developmental delay, dysfunction, epilepsy, dementia, deafness or blindness.Many patients are accompanied by hepatosplenomegaly, lung and heart problems, and abnormal bone growth.
At present, most patients usually undergo enzyme testing first, which is the most effective way to diagnose lysosomal storage diseases.Mutation analysis may be performed in some families with known pathogenic mutations.However, to date, treatments for these diseases remain relatively limited and are primarily targeted at symptoms such as bone marrow transplantation and enzyme replacement therapy (ERT) have been used in some cases and have been partially successful.
"Experimental gene therapy is expected to provide the possibility of cure in the future."
In addition, substrate reduction therapy based on reducing the production of storage materials and companion therapy for stabilizing defective enzymes are also being evaluated.Recently, studies have shown that amoxol can increase the activity of the lysosomal enzyme glucose esterase, which may have potential therapeutic effects on Ghoscher's disease and Backinson's disease.
In 1881, Ty-Sax disease was the first lysosomal storage disease to be described; in 1882, Gaucher disease followed closely.From the late 1950s to the early 1960s, the famous scientist DeDuf and his colleagues used cell isolation technology, cytology research and biochemical analysis to establish lysosomes as organelles for digesting and recycling macromolecules in cells. This scientific breakthrough finally made We understand the physiological basis of lysosomal storage diseases.
These early studies not only advanced the boundaries of science, but also gave us an unprecedented in-depth understanding of the nature of many rare genetic diseases, which inspired later researchers.Under this context, we can’t help but think about how future lysosome research will affect our views and treatment methods for genetic diseases with the development of technology?