Abstract
A N-acetylglucosamine-1-phosphotransferase is involved in synthesis of a common phosphorylated recognition marker in lysosomal enzymes. Absence of this enzyme in liver, spleen, kidney and brain of two patients with I-cell disease is now reported. In these organs activities of lysosomal enzymes are close to normal. In contrast, in fibroblasts the absence of N-acetylglucosamine-1-phosphotransferase and of the common recognition marker are known to result in a severe intracellular deficiency of lysosomal enzymes. It is proposed that in certain organs the transport of lysosomal enzymes into lysosomes is mediated by alternative systems, which recognize structural features other than the phosphorylated recognition marker.
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