The rapidly evolving view of lysosomal storage diseases
Open accessAbstract
Lysosomal storage diseases are a group of metabolic disorders caused by deficiencies of several components of lysosomal function. Most commonly affected are lysosomal hydrolases, which are involved in the breakdown and recycling of a variety of complex molecules and cellular structures. The understanding of lysosomal biology has progressively improved over time. Lysosomes are no longer viewed as organelles exclusively involved in catabolic pathways, but rather as highly dynamic elements of the autophagic‐lysosomal pathway, involved in multiple cellular functions, including signaling, and able to adapt to environmental stimuli. This refined vision of lysosomes has substantially impacted on our understanding of the pathophysiology of lysosomal disorders. It is now clear that substrate accumulation triggers complex pathogenetic cascades that are responsible for disease pathology, such as aberrant vesicle trafficking, impairment of autophagy, dysregulation of signaling pathways, abnormalities of calcium homeostasis, and mitochondrial dysfunction. Novel technologies, in most cases based on high‐throughput approaches, have significantly contributed to the characterization of lysosomal biology or lysosomal dysfunction and have the potential to facilitate diagnostic processes, and to enable the identification of new therapeutic targets.
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Cathepsin D knockout mice accumulate Ab in addition to lipofuscin.
“As an example, cathepsin D knockout mice accumulate Ab in addition to lipofuscin, and Alzheimer’s pathology has been observed in postmortem tissues from several NCL patients.125–127”
From The lysosome and proteostatic stress at the intersection of pediatric neurological disorders and adult neurodegenerative diseases (2025) · cites this paper as [126]
The Secondary storage section (page unavailable) reports amyloid-β accumulation in lysosomal storage diseases generally. It does not say that cathepsin D knockout mice accumulate amyloid-β or lipofuscin; searches for cathepsin D and lipofuscin found no passage establishing that specific finding. (LLM, conf=0.79)
Experimental — accuracy not yet measuredAlzheimer's pathology has been observed in postmortem tissues from several NCL patients.
“As an example, cathepsin D knockout mice accumulate Ab in addition to lipofuscin, and Alzheimer’s pathology has been observed in postmortem tissues from several NCL patients.125–127”
From The lysosome and proteostatic stress at the intersection of pediatric neurological disorders and adult neurodegenerative diseases (2025) · cites this paper as [126]
The Secondary storage section links lysosomal storage diseases broadly to proteins associated with Alzheimer’s disease, but does not report Alzheimer’s pathology in postmortem tissue from NCL patients. Searches for postmortem NCL tissue and Alzheimer’s pathology found no passage addressing that observation in our copy. (LLM, conf=0.73)
Experimental — accuracy not yet measured
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Primary cilia-mediated regulation of microglial secretion in Alzheimer’s disease
Yeo, S., Jang, J., Jung, H. J., Lee, H., & Choe, Y. (2023) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2023.1250335 · Cited by 18 · see citing works
Lane-Donovan, C., Paredes, M., & Kao, A. W. (2025) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2025.102854 · Cited by 3 · see citing works
- Authors
- Parenti, G., Medina, D. L., & Ballabio, A.
- Affiliations
- Federico II University Hospital (IT)
- Baylor College of Medicine (US)
- Corresponding author
- Ballabio, Andrea
- Venue
- EMBO Molecular Medicine
- Published
- 2021-01-18
- Volume
- 13
- Issue
- 2
- Pages
- e12836-e12836
- ISSN
- 1757-4676 (ISSN-L)
- 1757-4684
- PMC
- PMC7863408
- OpenAlex
- W3124638407
- Cited by
- 230
- References
- 13
- Citations by year
- 2026: 28 · 2025: 48 · 2024: 44 · 2023: 40 · 2022: 48 · 2021: 21 · 2020: 1
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- EMBO Molecular Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fondazione Telethon (TGM16CB6)
- H2020 European Research Council (694282)
- National Institutes of Health (R01‐NS078072)
- Associazione Italiana per la Ricerca sul Cancro
- Associazione Italiana Rett
- Topics
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Health Sciences › Medicine › Rheumatology › Glycogen Storage Diseases and Myoclonus
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Keywords
- lysosomal storage disease, lysosomes, lysosomal enzymes, autophagy, substrate accumulation, vesicle trafficking, calcium homeostasis, mitochondrial dysfunction, signaling pathways, high-throughput screening, diagnostic technologies, therapeutic target
- MeSH terms
- Autophagy, Humans, Lysosomes, Metabolic Diseases, Lysosomal Storage Diseases
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