Abstract

The mucopolysaccharidoses (MPSs) are a group of inherited disorders caused by specific enzyme deficiencies in the degradation of glycosaminoglycans (GAGs) (formerly known as mucopolysaccharides). Enzyme deficiencies result in the accumulation of GAGs in lysosomes of various tissues and in the excessive excretion of partially degraded GAGs in the urine. The GAGs that are stored and excreted in the urine include dermatan sulfate, heparan sulfate, keratan sulfate, and chondroitin 4/6 sulfates. Clinical manifestations of the MPSs depend on the specific enzyme deficiency, the end organ affected, and the accumulation of GAGs in the affected organs. Specific degradative lysosomal enzyme deficiencies and gene defects have been identified for all of the MPSs. Currently, treatment for some of the disorders includes hematopoietic stem cell transplant and enzyme replacement therapy.

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