“…Even when a primary defi ciency in a lysosomal glycohydrolase, activator protein, or saposin directly involved in the degradation of GM2 or GM3 ( 52 ) is not present, the accumulation of GM2/GM3 appears to occur, at least in part, in the endosomal/lysosomal system ( 26,29,30,34,53 ) and/or in lipid rafts ( 24,27,33 ). As well as for defi ciencies in catabolic proteins not directly involved in degradation of these gangliosides, defects in traffi cking of gangliosides from endosomes to the Golgi apparatus ( 53,54 ) or from late endosomes to lysosomes ( 55,56 ) also observed in some lysosomal storage diseases can produce similar accumulation. In chronic diseases, such ganglioside accumulation is typically detected in neurons ( 29,30,34,57 ) and, in some cases, in activated microglia ( 51 ).…”