Trends in Cell Biology
Volume 10, Issue 11, 1 November 2000, Pages 459-462
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Jamming the endosomal system: lipid rafts and lysosomal storage diseases

https://doi.org/10.1016/S0962-8924(00)01847-XGet rights and content

Abstract

Some lysosomal storage diseases result from the accumulation of lipids in degradative compartments of the endocytic pathway. Particularly striking is the example of the Niemann–Pick (NP) syndrome. NP syndromes types A and B are characterized by the accumulation of sphingomyelin, whereas cholesterol typically accumulates in NP type C. These two different lipids, sphingomyelin and cholesterol, are normal constituents of specific lipid microdomains called rafts. Because accumulation of raft lipids is observed not only in NP diseases but also in many other lipidoses, we forward the hypothesis that lysosomal storage diseases can be caused by the accumulation of lipid rafts in late endosomes/lysosomes.

Section snippets

Lysobisphosphatidic acid-rich membranes of late endosomes

One lipid that is enriched in late endosomes is lysobisphosphatidic acid (LBPA), which is a characteristic molecule of this degradative organelle in the endocytic pathway15. LBPA is localized to the complex system of membranes present in the lumen of late endosomes and is an abundant constituent of these membranes (4–17 mole percent)15. A unique property of LBPA is that the lipid is a poor substrate for phospholipases and hence is resistant to lysosomal enzyme degradation16. The lipid is

Lipid storage diseases

A relatively large subgroup of lysosomal storage diseases are caused by the accumulation of lipids in late endosomes or lysosomes21., 22.. The Niemann–Pick (NP) syndrome, which is now known to have more than one cause23., 24., is of particular interest; NP types A and B are characterized by sphingomyelin accumulation, whereas cholesterol typically accumulates in the third form, NPC. In NPC, accumulation of cholesterol in degradative compartments of the endocytic pathway is apparently due to a

A unified working hypothesis

These findings led us to formulate a model for the normal handling of lipid rafts in the endocytic pathway, which might serve to clarify some of the problems associated with lipid storage diseases. The basis of our postulate is that the amounts of raft lipids tolerated by late endosomes are limited. In some cell types, with a high hydrolytic capacity, sphingolipids might be transported to late endosomes and then be rapidly degraded after incorporation into LBPA-internal membranes, where the

Perspectives

Beyond the striking similarities in raft lipid redistribution in lipid storage diseases, great variations are observed in the types of affected tissues and in the clinical pictures. These variations might be caused by cell-type-specific expression of sphingolipids, as well as by differences in the residual activity of an affected enzyme (threshold theory), which might lead to an adult (high residual activity) or infantile (low residual activity) onset of the disease (discussed in Ref. 22).

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