2011
DOI: 10.1167/iovs.11-7377
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Large Proteoglycan Complexes and Disturbed Collagen Architecture in the Corneal Extracellular Matrix of Mucopolysaccharidosis Type VII (Sly Syndrome)

Abstract: Cellular changes in the MPS VII cornea resemble those in other MPS. However, the wide range of collagen fibril diameters throughout the stroma and the extensive matrix presence of supranormal-sized PG structures appear to be unique features of this disorder. The findings suggest that the accumulation of stromal chondroitin-, dermatan-, and heparan-sulfate glycosaminoglycans in the absence of β-glucuronidase-mediated degradation can modulate collagen fibrillogenesis.

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Cited by 21 publications
(15 citation statements)
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“…This suggests that the higher order collagen structure is disrupted in the MPS VII MV, which is a likely explanation for the abnormal signal with picrosirius red. This is consistent with the finding that the collagen structure was abnormal in the cornea of animals and patients with MPS [35-36]. …”
Section: Discussionsupporting
confidence: 92%
“…This suggests that the higher order collagen structure is disrupted in the MPS VII MV, which is a likely explanation for the abnormal signal with picrosirius red. This is consistent with the finding that the collagen structure was abnormal in the cornea of animals and patients with MPS [35-36]. …”
Section: Discussionsupporting
confidence: 92%
“…The secondary consequences of interruption of recycling of dermatan and dermatan sul fate revealed in corneas of patients with MPS I and cats with MPS I and VI are probably the cause of prominent alterations in size and arrangement of collagen molecules that result in cloudy cornea [131]. Large complexes of proteases disturb the collagen architecture in corneal extracellular matrix in MPS VII [132]. Corneal trans parency depends on uniform diameter and regular spac ing and arrangement of collagen fibrils within the stroma [133].…”
Section: Interruption Of Glycoprotein and Glycosaminoglycan Metabolismentioning
confidence: 99%
“…Finally, numerous studies concerning PG molecules have been conducted in order to explain corneal opacification which can result from abnormal GAG accumulation and dysregulation of the fibrillar order in this tissue. A significant elongation of PG filaments in addition to their various size changed their architecture and arrangement in MPS I [97,98], IVA [100] and VII [76], in relation to the findings of a normal cornea. Increased amounts of these molecules were also found in the cornea of a 16-year-old patient with MPS VI [117] and in the interphotoreceptor matrix of MPS VII affected animals [118].…”
Section: Pg Expression In Lsdsmentioning
confidence: 88%