M2M--Sphingolipid Diseases

Generalized Gangliosidosis (defective enzyme)

beta-galactosidase

Generalized Gangliosidosis (substrate)

Ganglioside GM1

Generalized Gangliosidosis (symptoms)

intellectual disability, liver enlargement, skeletal involvement

Tay-Sachs disease (defective enzyme)

beta-Hexosaminidase A

Tay-Sachs disease (substrate)

Ganglioside GM2 (in brain and liver)

Tay-Sachs disease (symptoms)

Progressive neurodegeneration, cherry red spot on macula, developmental delay, exaggerated startle response to loud noises, intellectual disability, death bt 2-3 y/o

Sandhoff-Jatzkewitz Disease (defective enzyme)

BOTH beta-hexoaminadase A and B

Sandhoff-Jatzkewitz Disease (substrate)

Ganglioside GM2 and globiosides (in brain and liver)

Sandhoff-Jatzkewitz Disease (Sx)

Sim to Tay Sachs but more rapid

Fabry disease (defective enzyme)

alpha-galactosidase

Fabry disease (substrate)

ceramide trihexoside

Fabry disease (Sx)

Skin rash (angiokeratomas), cardiovascular/renal disease, pain in extremities

Gaucher disease (defective enzyme)

beta-glucocerebrosidase

Gaucher disease (substrate)

Glucocerebroside

Gaucher disease (sx)

Liver, spleen enlargement, erosion of long bones and pelvis, mental retardation in infantss

Niemann-Pick disease (deficient enzyme)

Sphingomyelinase

Niemann-Pick disease (substrate)

Sphingomyelin

Niemann-Pick disease (sx)

Progressive neurodegeneration, liver AND spleen enlargement, intellectual disability, cherry red spot on macula

Metachromatic leukodystrophy (defective enzyme)

Arylsulfatase A

Metachromatic leukodystrophy (substrate)

Cerebroside sulfate

Metachromatic leukodystrophy (sx)

Intellectual disability, nerves stained yellow-brown with violet dye, dementia, cnetral and peripheral demyelination with ataxia

Krabbe disease (substrate)

galactocerebroside

Krabbe disease (defective enzyme)

Galactocerebrosidase

Krabbe disease (sx)

peripheral neuropathy, developmental delay, optic atrophy, absence of myelin