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Profiling of Permethylated Mucin O-glycans Using Matrix-assisted Laser Desorption/Ionization Time-of-flight Mass Spectrometry
Published on: June 20, 2025
[Mucopolysaccharidosis: clinical features, diagnosis and management]
Jorge Luis Suarez-Guerrero1, Pedro José Iván Gómez Higuera2, Juan Sebastian Arias Flórez2
1UIS-HUS, Grupo de investigación en Genética Humana, Facultad de Salud, Universidad Industrial de Santander, Bucaramanga, Colombia.
Abstract:
The mucopolysaccharidoses (MPS) are a group of rare (orphan) diseases, characterised by a deficiency of enzymes involved in the metabolism of glycosaminoglycans (GAGs) at lysosomal level. When there is a deficiency of a particular enzyme there is an accumulation of GAGs in the cells resulting in progressive cellular damage, which can affect multiple organ systems and lead to organ failure. Diagnosis is based on knowledge of the clinical manifestations, performing biochemical analyses to identify the type of GAG that is accumulating, and confirm the type of disorder with the corresponding enzymatic determination. Their identification is essential to initiate early treatment, taking into account that multidisciplinary management and enzyme replacement therapy is available for MPS I (Hurler syndrome), MPS II (Hunter syndrome), MPS IV (Morquio syndrome), and MPS VI (Maroteaux-Lamy syndrome. In this review, an analysis is made of each of these syndromes, as well as their diagnosis and treatment.
Insights
Mucopolysaccharidoses (MPS) are rare genetic disorders caused by enzyme deficiencies leading to cellular damage. Early diagnosis and multidisciplinary management, including enzyme replacement therapy, are crucial for treating specific MPS types.
Area of Science:
- Biochemistry
- Genetics
- Rare Diseases
Background:
- Mucopolysaccharidoses (MPS) are a group of rare genetic disorders.
- Characterized by enzyme deficiencies in lysosomal glycosaminoglycan (GAG) metabolism.
- Leads to progressive cellular damage and potential organ failure.
Purpose of the Study:
- To review the diagnosis and treatment of specific mucopolysaccharidoses.
- To highlight the importance of early identification for timely intervention.
- To discuss available management strategies for MPS.
Main Methods:
- Review of clinical manifestations for diagnosis.
- Biochemical analyses to identify accumulating GAGs.
- Enzymatic determination to confirm specific MPS subtypes.
Main Results:
- Diagnosis relies on clinical presentation, GAG accumulation, and enzyme deficiencies.
- Multidisciplinary management is essential for MPS patients.
- Enzyme replacement therapy is available for MPS I, II, IV, and VI.
Conclusions:
- Early diagnosis of MPS is critical for effective treatment initiation.
- Comprehensive management strategies improve patient outcomes.
- Targeted therapies offer hope for individuals with specific MPS types.
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