I-cell disease: deficiency of extracellular hydrolase phosphorylation

The content of ³²P-phosphorylated residues of purified extracellular N-acetyl-β-hexosaminidase obtained from the fibroblasts of I-cell disease patients was compared to that of control cells hydrolase. The analyses indicated a 60-fold decrease of the radioactivity per unit enzyme activity in the hydrolase synthesized by the patient's fibroblasts compared to the normal enzyme. Electrofocusing demonstrated again a marked decrease in the ³²P-content of the I-cell hydrolase while the control enzyme showed the presence of radioactivity in both isozymes, namely hexosaminidase A and hexosaminidase B. Most of the radioactivity could be removed from the hydrolase following incubation with alkaline phosphatase, thus indicating its phosphoester linkage.Since phosphorylated sugar residues on lysosomal enzymes function as recognition marker for their transport to the lysosomal compartment and for their specific uptake by fibroblasts, the deficiency of phosphorylated residues on the I-cell hydrolase explains the low intracellular and high extracellular lysosomal enzyme levels observed in this disease.