Pathogenic cascades in lysosomal disease-Why so complex?

Pathogenic cascades in lysosomal disease-Why so complex?
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DOI:
10.1007/s10545-008-1040-5
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发表时间:
2009-04
影响因子:
4.2
通讯作者:
Walkley, S. U.
Walkley, S. U.
中科院分区:
医学2区
文献类型:
--
作者:
Walkley, S. U.

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Lysosomal disease represents a large group of more than 50 clinically recognized conditions resulting from inborn errors of metabolism affecting the organelle known as the lysosome.The lysosome is an integral part of the larger endosomal/lysosomal system, and is closely allied with the ubiquitin-proteosomal and autophagosomal systems, which together comprise essential cell machinery for substrate degradation and recycling, homeostatic control, as well as signaling. More than two-thirds of lysosomal diseases affect the brain, with neurons appearing particularly vulnerable to lysosomal compromise and showing diverse consequences ranging from specific axonal and dendritic abnormalities to neuron death. While failure of lysosomal function characteristically leads to lysosomal storage, new studies argue that lysosomal diseases may also be appropriately viewed as “states of deficiency” rather than simply overabundance (storage). Interference with signaling events and salvage processing normally controlled by the endosomal/lysosomal system may represent key mechanisms accounting for the inherent complexity of lysosomal disorders. Analysis of lysosomal disease pathogenesis provides a unique window through which to observe the importance of the greater lysosomal system for normal cell health.
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