2018
DOI: 10.1016/j.bcmd.2017.04.001
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A rare form of Gaucher disease resulting from saposin C deficiency

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Cited by 28 publications
(26 citation statements)
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“…The specific importance of SapA for mediating GALC activity in vivo is highlighted by two key observations: clinical data has identified that a mutation in SapA causes Krabbe disease despite normal GALC activity 17 , and a transgenic mouse with defective SapA develops a phenotype resembling late-onset Krabbe disease 18 . In support of this specificity, mutations that result in defective SapC cause Gaucher disease, not Krabbe disease 19 21 . However, in vitro studies of saposin-mediated degradation of galactosphingolipids have shown that both SapA and SapC can stimulate GALC activity 32 , 33 .…”
Section: Discussionmentioning
confidence: 95%
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“…The specific importance of SapA for mediating GALC activity in vivo is highlighted by two key observations: clinical data has identified that a mutation in SapA causes Krabbe disease despite normal GALC activity 17 , and a transgenic mouse with defective SapA develops a phenotype resembling late-onset Krabbe disease 18 . In support of this specificity, mutations that result in defective SapC cause Gaucher disease, not Krabbe disease 19 21 . However, in vitro studies of saposin-mediated degradation of galactosphingolipids have shown that both SapA and SapC can stimulate GALC activity 32 , 33 .…”
Section: Discussionmentioning
confidence: 95%
“…Importantly, mutation of the GALC-associated saposin SapA can also cause Krabbe disease 17 , 18 . Similarly, Gaucher disease is caused by loss of glucocerebrosidase activity and also by loss of SapC, highlighting the critical role of saposins in sphingolipid processing 19 21 .
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Section: Introductionmentioning
confidence: 99%
“…For example, in vitro assays have identified that SapC and SapA are both able to enhance the activity of β-galactosylceramidase (GALC) to promote degradation of the galactosphingolipids 60,61 . However, this does not reflect the specificity of saposins in whole organisms as loss of SapA causes Krabbe disease, similar to that of loss of GALC, while mutations in SapC do not 20,21,[23][24][25] . Why these in vitro assays do not recapitulate the specificity of saposins in a whole organism remains unclear but may suggest a non-specific detergentlike effect of saposins when present at relatively high concentrations.…”
Section: Discussionmentioning
confidence: 97%
“…The saposins can exist in a "closed" monomeric, globular conformation or, at low pH, adopt a more "open" conformation, forming higher-order oligomers enclosing a hydrophobic cavity into which lipid acyl chains can be buried [14][15][16][17][18][19] . Each saposin functions in conjunction with specific hydrolases to facilitate the degradation of different glycosphingolipids and the loss of saposin function phenotypically resembles the loss of the associated hydrolases [20][21][22][23][24][25] . There are two proposed mechanisms for how saposins assist in lipid presentation to hydrolases: the "solubiliser" model, whereby saposins encapsulate lipids within a hydrophobic oligomeric complex for presentation to soluble enzymes, and the "liftase" model, where saposins bind directly to membranes destabilising them allowing membrane-associated hydrolases access to lipid substrates.…”
Section: Introductionmentioning
confidence: 99%
“…12 A patient heterozygous for PSAP c.1133C > G (p. Pro378Arg) and deletion of exon 2 to 7 presented with hepatosplenomegaly, thrombocytopenia, and anemia. 13 Herein, we present the first reported case from India of an acute neuronopathic Gaucher-like disorder caused by homozygosity for a novel mutation in the PSAP gene.…”
Section: Introductionmentioning
confidence: 98%