Mental retardation in mucopolysaccharidoses correlates with high molecular weight urinary heparan sulphate derived

G V Coppa1, O Gabrielli1, L Zampini1

  • 1Pediatric Division, Department of Clinical Sciences, Polytechnic University of the Marche, Ospedali Riuniti, Presidio Salesi, Ancona, Italy.

Insights

Severe mucopolysaccharidoses (MPS) with high molecular weight heparan sulfate (HS) accumulation correlate with mental retardation. Low molecular weight HS fragments and other GAGs do not impact cognitive function in MPS patients.

Area of Science:

  • Biochemistry
  • Genetics
  • Neurology

Background:

  • Mucopolysaccharidoses (MPS) are a group of genetic disorders characterized by the accumulation of glycosaminoglycans (GAGs).
  • Mental retardation is a common feature in severe forms of MPS I, II, and III, but absent in MPS IV and VI.
  • Heparan sulfate (HS) accumulation is linked to cognitive impairment in affected MPS patients.

Purpose of the Study:

  • To investigate the correlation between urinary HS-derived glucosamine (GlcN) levels and mental retardation in MPS patients.
  • To determine if the molecular weight of accumulated HS fragments influences cognitive outcomes.

Main Methods:

  • Analysis of urinary HS composition (high vs. low molecular weight) in 44 MPS patients and 83 healthy controls.
  • Correlation of HS-GlcN levels and molecular weight with the presence and severity of mental retardation.

Main Results:

  • Healthy individuals excrete low molecular weight HS fragments.
  • MPS patients excrete high molecular weight HS polymers and fragments of varying lengths.
  • A positive correlation was found between high molecular weight HS accumulation and mental retardation in severe MPS forms.

Conclusions:

  • High molecular weight HS accumulation is associated with mental retardation in MPS.
  • Low molecular weight HS fragments and other GAGs do not appear to affect central nervous system development in MPS.

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