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1.
Eur J Pharmacol ; 427(2): 91-6, 2001 Sep 14.
Article in English | MEDLINE | ID: mdl-11557259

ABSTRACT

2-Phosphonomethyl pentanedioic acid (2-PMPA) is a potent and selective inhibitor of glutamate carboxypeptidase II (NAALADase), and has shown robust neuroprotective activity in both in vitro and in vivo models of ischemia. In the brain, glutamate carboxypeptidase II (GCPII) (EC3.4.17.21) hydrolyzes the neuropeptide N-acetylaspartylglutamate (NAAG) to glutamate and N-acetylaspartate. We report the development and characterization of a [(3)H]2-PMPA binding assay. [(3)H]2-PMPA binding was dependent on protein concentration, saturable, and displaceable. The association (k(on)) and dissociation (k(off)) rate constants were 3x10(6) M(-1) s(-1) and 0.01 s(-1), respectively. The dissociation equilibrium constant (K(d)) determined from the ratio of the rate constants (K(d)=k(off)/k(on)) was 1 nM. Scatchard analysis revealed one binding site with K(d)=2 nM and B(max)=0.7 pmol/mg. Binding exhibited similar pharmacological properties to GCPII enzyme activity, including chloride dependency, cobalt stimulation and inhibition by phosphate and quisqualate. The binding of [(3)H]2-PMPA also showed tissue specificity in that tissues previously reported to be devoid of GCPII enzymatic activity were devoid of [(3)H]2-PMPA binding. [(3)H]2-PMPA binding represents an additional probe for the study of GCPII activity, and may be useful as a high throughput screening assay.


Subject(s)
Antigens, Surface , Brain/metabolism , Carboxypeptidases/metabolism , Membranes/metabolism , Organophosphorus Compounds/metabolism , Animals , Binding, Competitive/drug effects , Carboxypeptidases/antagonists & inhibitors , Dose-Response Relationship, Drug , Glutamate Carboxypeptidase II , Humans , Kidney/metabolism , Liver/metabolism , Male , Organophosphorus Compounds/pharmacology , Prostate/metabolism , Rats , Spinal Cord/metabolism , Time Factors , Tritium
2.
Prostate ; 45(4): 350-4, 2000 Dec 01.
Article in English | MEDLINE | ID: mdl-11102961

ABSTRACT

BACKGROUND: Prostate-specific membrane antigen (PSMA) is a glutamate carboxypeptidase that cleaves terminal carboxy glutamates from both the neuronal dipeptide N-acetylaspartylglutamate (NAAG) and gamma-linked folate polyglutamate. The prostate enzyme has activity in both the membrane and cytosolic fractions termed PSMA and PSMA', respectively. METHODS: Using a NAAG hydrolytic radioenzymatic assay, we quantitated the enzymatic activity of PSMA and PSMA' in normal, benign prostatic hyperplasia (BPH), and prostate cancer (PC) tissues from radical prostatectomies. PSMA enzyme activity was evaluated in each tissue type and expressed per milligram protein and epithelial cell content. RESULTS: PSMA and PSMA' enzyme activities were significantly elevated in prostate cancer when compared to normal prostate tissue and BPH. Ratios of PSMA to PSMA' were also decreased in BPH as compared to cancerous and normal tissue. CONCLUSIONS: Prostate carcinogenesis is associated with an elevation in PSMA and PSMA' enzyme activity. In contrast, no such enhancement in PSMA activity is observed with benign neoplastic changes in BPH. Thus, the enhancement observed in prostate cancer is not simply related to a generalized prostatic hyperplasia, but is specific to its malignancy.


Subject(s)
Antigens, Surface , Carboxypeptidases/metabolism , Prostatic Neoplasms/enzymology , Cell Membrane/enzymology , Cytosol/enzymology , Dipeptides/metabolism , Glutamate Carboxypeptidase II , Humans , Male , Prostate/enzymology , Prostatectomy , Prostatic Hyperplasia/enzymology , Prostatic Neoplasms/surgery
3.
Prostate ; 44(1): 55-60, 2000 Jun 15.
Article in English | MEDLINE | ID: mdl-10861758

ABSTRACT

BACKGROUND: The polysulfonated napthlyurea suramin has shown significant antitumor activity in patients with hormone-refractory metastatic prostate cancer. The mechanism by which suramin exerts this effect is unknown. In 1993, prostate-specific membrane antigen (PSM) was identified as a prostate biomarker that is elevated in hormone-refractory and metastatic prostate cancer. PSM is a glutamate exocarboxypeptidase capable of cleaving the terminal alpha-linked glutamate from the dipeptide N-acetyl-aspartyl-glutamate (NAAG) and the gamma-linked glutamates from folate polyglutamate. METHODS: Using a NAAG hydrolytic radioenzymatic assay, we tested whether suramin had any effect on the enzymatic activity of PSM. RESULTS: We demonstrate that suramin potently inhibits the enzymatic activity of PSM with a K(i) = 15 nM and 68 nM for the membrane-associated and soluble forms of PSM, respectively. In addition, we show that suramin inhibition of PSM enzyme activity displays the kinetics of a classic competitive inhibitor. CONCLUSIONS: This is one of the most potent activities described for suramin to date and may represent a portion of its pharmacologic and/or toxicological mechanism of action.


Subject(s)
Antigens, Surface , Antineoplastic Agents/pharmacology , Carboxypeptidases/antagonists & inhibitors , Prostatic Neoplasms/enzymology , Suramin/pharmacology , Carboxypeptidases/metabolism , Chromatography, Ion Exchange , Dipeptides/chemistry , Dose-Response Relationship, Drug , Glutamate Carboxypeptidase II , Humans , Male , Phosphates/chemistry , Prostatic Neoplasms/drug therapy , Quisqualic Acid/chemistry , Scintillation Counting , Tumor Cells, Cultured
4.
Prostate ; 39(1): 28-35, 1999 Apr 01.
Article in English | MEDLINE | ID: mdl-10221263

ABSTRACT

BACKGROUND: The prostate cancer marker prostate-specific membrane antigen (PSM) is highly homologous to the brain enzyme N-acetylated alpha-linked acidic dipeptidase (NAALADase). NAALADase is known to cleave terminal carboxy glutamates from both the neuronal peptide N-acetylaspartylglutamate (NAAG) and folate polyglutamate. In this report, we compare the NAAG hydrolyzing activity of NAALADase and the prostate enzyme PSM. METHODS: Using a NAAG hydrolytic radioenzymatic assay, we compared the pharmacological and kinetic properties of the brain and prostate enzymes. RESULTS: Eight normal prostate tissues from different species exhibited NAAG hydrolyzing activity. Among 14 cancer cell lines examined, activity was observed in human LNCaP, PC-82, and rat Dunning G and AT-1 cells. Brain exhibited membrane-localized activity exclusively, while the prostate enzyme had activity in both membrane and cytosolic fractions. The only observed pharmacological difference was the sensitivity to their putative substrates, folate polyglutamate and NAAG. Kinetically, the soluble form of the prostate enzyme had two catalytic sites, while the membrane-bound form exhibited single site kinetics with a lower Vmax than the brain enzyme, which may suggest a less active hydrolase in the prostate. CONCLUSIONS: The brain enzyme NAALADase and the prostate enzyme PSM are remarkably similar. The importance of the differences in substrate specificities and kinetic parameters remains to be elucidated.


Subject(s)
Antigens, Neoplasm/metabolism , Antigens, Surface , Brain/enzymology , Carboxypeptidases/metabolism , Prostatic Neoplasms/enzymology , Animals , Glutamate Carboxypeptidase II , Humans , Kinetics , Male , Rats , Rats, Sprague-Dawley , Tumor Cells, Cultured
5.
Drug Alcohol Depend ; 48(1): 43-50, 1997 Oct 25.
Article in English | MEDLINE | ID: mdl-9330920

ABSTRACT

The addictive and euphorogenic properties of cocaine are thought to result from inhibition of the dopamine transporter (DAT). Recent evidence suggests that dopamine and cocaine bind to distinct sites on the transporter protein. Therefore it should be possible to design drugs which specifically inhibit cocaine recognition by the DAT while permitting the transporter to maintain its function of accumulating dopamine. One way to monitor such activity is to compare the inhibition constants of test agents for inhibition of radiolabelled dopamine uptake (Kiuptake) and inhibition of the binding of a cocaine ligand such as [3H]2 beta-carbomethoxy-3 beta-3 beta-(fluorophenyl)tropane (CFT; Kibind) and select for compounds with Kiuptake/Kibind ratios greater than unity. Because others have shown that compounds can exhibit Kiuptake/Kibind ratios greater than unity when the assays are performed under non-identical conditions, we have established these assays under identical conditions of time, temperature and buffer using a Chinese hamster ovary (CHO) cell line which stably expresses the human DAT. Kinetic and saturation analyses were performed on both assay and over 200 structurally diverse compounds were screened. Using identical assay parameters, several series of compounds having Kiuptake/Kibind ratios significantly greater than unity were identified. Such compounds include local anesthetics (procaine, dibucaine, tolperisone, dyclonine, diperodone), antipsychotic agents (10-(diethylaminopropionyl)phenothiazine), antidepressants (desipramine, imipramine, protriptyline), a diuretic (5-N-methyl-N-isobutyl-amilioride), an anticholinergic agent (prindinol), a PKC inhibitor (H-8), a calcium channel antagonist (loperamide) and an antimalarial compound (chloroquine). To our knowledge, even though these compounds exhibit low binding affinities (3-24 microM), they represent some of the most cocaine site-selective compounds identified to date using identical assay parameters.


Subject(s)
Carrier Proteins/antagonists & inhibitors , Cocaine/analogs & derivatives , Cocaine/antagonists & inhibitors , Dopamine/metabolism , Membrane Glycoproteins , Membrane Transport Proteins , Nerve Tissue Proteins , Animals , Binding, Competitive/drug effects , CHO Cells , Cocaine/pharmacokinetics , Cricetinae , Dopamine Plasma Membrane Transport Proteins , Dopamine Uptake Inhibitors/pharmacokinetics , Humans , Radioligand Assay , Structure-Activity Relationship
6.
J Med Chem ; 36(21): 3073-6, 1993 Oct 15.
Article in English | MEDLINE | ID: mdl-7901415

ABSTRACT

Enantiomers of several N-substituted 5,6,7,8,9,10-hexahydro-7,10-iminocyclohept[b]indoles were obtained by the resolution of 2-fluoro-5,6,7,8,9,10-hexahydro-7,10-iminocyclohept[b]indole and 5,6,7,8,9,10-hexahydro-7,10-iminocyclohept[b]indole followed by N-alkylation. These, as well as the racemates, were evaluated for their affinity for the 5-HT2 and D2 receptors. Those compounds possessing the 7S,10R stereochemistry were consistently recognized by the 5-HT2 and D2 receptors as the eutomer. 2-Fluoro-11-[4-(4-fluorophenyl)-4-oxobutyl]-5,6,7,8,9,10-hexahydro-7S,10 R- iminocyclohept[b]indole [(7S,10R)-8] had the highest affinity for the 5-HT2 receptor (Ki = 0.80 nM), while its distomer (7R,10S)-8 was the most selective member of this class of bridged gamma-carbolines (D2/5-HT2 = 562). Incorporation of a benzoyl or isosteric benzisoxazole moiety tethered by a four-carbon spacer to a bridged gamma-carboline nucleus, possessing the 7S,10R absolute configuration, produced high affinity ligands for the 5-HT2 and D2 receptors.


Subject(s)
Antipsychotic Agents/chemical synthesis , Antipsychotic Agents/pharmacology , Indoles/chemical synthesis , Indoles/pharmacology , Receptors, Dopamine D2/drug effects , Receptors, Serotonin/drug effects , Antipsychotic Agents/chemistry , Chromatography, High Pressure Liquid , Crystallography, X-Ray , Drug Design , Indoles/chemistry , Receptors, Dopamine D2/metabolism , Receptors, Serotonin/metabolism , Stereoisomerism
7.
J Med Chem ; 36(10): 1488-95, 1993 May 14.
Article in English | MEDLINE | ID: mdl-8496917

ABSTRACT

A series of 5,6,7,8,9,10-hexahydro-7,10-iminocyclohept[b]indoles and 6,7,8,9,10,11-hexahydro-7,11-imino-5H-cyclooct[b]indoles was prepared. Structural modifications of the lead compound, 11-[4-(4-fluorobenzoyl)propyl]-5,6,7,8,9,10-hexahydro-7,10- iminocyclohept[b]indole (5, Ki = 0.82 nM vs [3H]ketanserin) enabled the identification of the functionality necessary for high affinity at serotonin 5-HT2 and dopamine D2 receptors in ligand binding studies. The indole ring, as well as the benzoyl or isosteric benzisoxazole moiety, were essential for high affinity. Variations of the length of the side chains resulted in ligands having either selective affinity for the 5-HT2 receptor or a combination of 5-HT2 and D2 affinity. In vivo binding studies were performed on selected members in this series. The most potent member, 2-fluoro-11-[4-(4-fluorobenzoyl)butyl]-5,6,7,8,9,10-hexahydro-7,10- iminocyclohept[b]indole (36) had an ED50 of < 1 mg/kg at the 5-HT2 and D2 receptors following oral administration.


Subject(s)
Bridged-Ring Compounds/chemical synthesis , Carbolines/chemical synthesis , Receptors, Dopamine D2/metabolism , Receptors, Serotonin/metabolism , Animals , Binding Sites , Bridged-Ring Compounds/chemistry , Bridged-Ring Compounds/metabolism , Carbolines/chemistry , Carbolines/metabolism , Male , Mice , Structure-Activity Relationship
8.
Biochim Biophys Acta ; 1096(1): 41-6, 1990 Nov 14.
Article in English | MEDLINE | ID: mdl-2125233

ABSTRACT

Prostaglandin E2 synthesis and eicosanoid biosynthetic enzyme activities (arachidonyl CoA synthetase, cyclooxygenase and phospholipase A2) were measured in dermal fibroblasts from patients with metabolic disorders of peroxisomal origin and compared to those from normal subjects and patients with other metabolic disorders of lipid metabolism. Basal- as well as interleukin 1-stimulated prostaglandin E2 syntheses were higher in fibroblasts from patients with X-linked adrenoleukodystrophy, the Zellweger cerebrohepatorenal syndrome and rhizomelic chondrodysplasia punctata than in normals. Basal cyclooxygenase and phospholipase A2 activities were elevated in most of the peroxisomal disease cells. Cells from patients with adrenomyeloneuropathy, however, had significantly lower cytokine-stimulated cyclooxygenase and phospholipase A2 activities than normals, as well as lower prostaglandin E2 synthesis in response to interleukin 1. The peroxisomal disease lines exhibited dose-response curves to interleukin 1 similar to controls. Receptor-binding analysis indicated that cells from patients with rhizomelic chondrodysplasia punctata expressed 5-times fewer interleukin 1 receptors than normals and the other disease lines. Exaggerated arachidonic acid metabolism in response to interleukin 1 suggests that cells from patients with peroxisomal enzyme defects may be useful in elucidating pathways for arachidonate release and eicosanoid synthesis.


Subject(s)
Adrenoleukodystrophy/metabolism , Chondrodysplasia Punctata/metabolism , Dinoprostone/biosynthesis , Fibroblasts/metabolism , Interleukin-1/pharmacology , Zellweger Syndrome/metabolism , Cells, Cultured , Coenzyme A Ligases/metabolism , Fibroblasts/drug effects , Fibroblasts/enzymology , Humans , Phospholipases A/metabolism , Phospholipases A2 , Prostaglandin-Endoperoxide Synthases/metabolism
9.
J Cell Physiol ; 141(1): 85-9, 1989 Oct.
Article in English | MEDLINE | ID: mdl-2550484

ABSTRACT

Tumor necrosis factor stimulated prostaglandin E2 synthesis in Swiss 3T3 fibroblasts. Interleukin 1 also stimulated prostaglandin synthesis. Simultaneous addition of tumor necrosis factor and interleukin 1 synergistically stimulated prostaglandin synthesis, even when both growth factors were added at what would be supramaximal concentrations by themselves. Several small peptides and nonpeptides rapidly stimulate prostaglandin synthesis in these cells. Pretreatment with tumor necrosis factor synergistically enhanced prostaglandin synthesis in response to bradykinin, bombesin, thrombin, norepinephrine, and platelet-activating factor. Thus, tumor necrosis factor stimulates prostaglandin synthesis and greatly amplifies prostaglandin synthesis in response to other agonists. This finding may have significance in chronic inflammatory diseases such as rheumatoid arthritis in which several hormones and growth factors may synergistically augment eicosanoid synthesis.


Subject(s)
Arachidonic Acids/metabolism , Bradykinin/pharmacology , Dinoprostone/biosynthesis , Interleukin-1/pharmacology , Tumor Necrosis Factor-alpha/pharmacology , Animals , Arachidonic Acid , Bombesin/pharmacology , Cell Line , Dexamethasone/pharmacology , Mice , Norepinephrine/pharmacology , Phospholipases A/metabolism , Platelet Activating Factor/pharmacology , Prostaglandin-Endoperoxide Synthases/metabolism , Receptors, Cell Surface/physiology , Thrombin/pharmacology
10.
Biochim Biophys Acta ; 1004(2): 245-51, 1989 Aug 08.
Article in English | MEDLINE | ID: mdl-2526656

ABSTRACT

We have characterised ceramidase activity in extracts of human spleen from control subjects and from patients with Gaucher disease. In Triton X-100 extracts of control spleens, a broad pH optimum of pH 3.5-5.0 was found; no ceramidase activity was detectable at neutral or alkaline pH. About 45-60% of acid ceramidase could be extracted from spleen without detergents, but for complete extraction, Triton X-100 was required. For the radiolabelled substrate oleoylsphingosine, a Km of 0.22 +/- 0.09 mM and a Vmax of 57 +/- 11 nmol/h per mg protein was calculated in spleen from a control subject. Flat-bed isoelectric focussing in the presence of Triton X-100 revealed a pI of 6.0-7.0 for acid ceramidase; similar values were found for sphingomyelinase and glucerebrosidase. HPLC-gel filtration indicated that in the presence of Triton X-100, acid ceramidase has an Mr of about 100 kDa. In the absence of detergents, the enzyme forms high-molecular-weight aggregates. Similar aggregation behaviour was observed for sphingomyelinase, while the elution of beta-hexosaminidase was not affected by detergents. The elution profile of glucocerebrosidase was only slightly altered by Triton X-100. There was no difference in the properties of acid ceramidase present in spleen from control subjects and from patients with type I Gaucher disease.


Subject(s)
Amidohydrolases/metabolism , Gaucher Disease/enzymology , Spleen/enzymology , Acid Ceramidase , Cell Membrane/enzymology , Ceramidases , Chromatography, High Pressure Liquid , Glucosylceramidase/metabolism , Humans , Hydrogen-Ion Concentration , Isoelectric Focusing , Isoelectric Point , Kinetics , Molecular Weight , Octoxynol , Polyethylene Glycols , beta-Glucosidase/metabolism , beta-N-Acetylhexosaminidases/metabolism
11.
Agents Actions ; 27(3-4): 258-60, 1989 Jun.
Article in English | MEDLINE | ID: mdl-2801307

ABSTRACT

We examined bradykinin's effects on macrophages and fibroblasts, two cell types important in the pathogenesis of chronic inflammation. Bradykinin stimulated release of proteins of 18 kDa from macrophages. These proteins caused increased thymocyte proliferation (interleukin 1, IL-1) and completely inhibited lipoprotein lipase (tumor necrosis factor, TNF). When fibroblasts were incubated with bradykinin, PGE2 synthesis was stimulated. Pretreatment with IL-1 or TNF dramatically amplified bradykinin-stimulated PGE2 synthesis. Thus, bradykinin is involved in a positive feedback loop in which bradykinin activates macrophages to release potent inflammatory cytokines; these in turn amplify responsiveness of bradykinin target tissues.


Subject(s)
Inflammation/physiopathology , Kallikreins/physiology , Kininogens/physiology , Kinins/physiology , Chronic Disease , Fibroblasts/metabolism , Humans , In Vitro Techniques , Interleukin-1/biosynthesis , Macrophages/metabolism , Tumor Necrosis Factor-alpha/biosynthesis
12.
FEBS Lett ; 247(2): 189-92, 1989 Apr 24.
Article in English | MEDLINE | ID: mdl-2541011

ABSTRACT

Bradykinin and related kinins have been implicated in the initiation and maintenance of inflammation. Cytokines appear to be the primary mediators of many inflammatory diseases. The potential ability of bradykinin to stimulate release of tumor necrosis factor and interleukin-1 from macrophages was examined. Bradykinin stimulated release of both cytokines from P388-D1 and RAW264.7 murine macrophages. Studies with selective agonists and antagonists suggest that cytokine release is mediated by a B1 kinin receptor.


Subject(s)
Bradykinin/pharmacology , Interleukin-1/metabolism , Macrophages/metabolism , Tumor Necrosis Factor-alpha/metabolism , Animals , Bradykinin/analogs & derivatives , Cell Line , Lipoprotein Lipase/antagonists & inhibitors , Mice , Prostaglandins E/biosynthesis , Receptors, Bradykinin , Receptors, Neurotransmitter/physiology
13.
Brain Res ; 225(2): 413-20, 1981 Nov 30.
Article in English | MEDLINE | ID: mdl-7306797

ABSTRACT

Triethyl tin (TET), when injected intraperitoneally, failed to produce the typical intramyelinic edema in the spinal cord of quaking mice with two different genetic backgrounds (B6C3H-qk and BTBRTF/Nev-qk), while control littermates and normal C57BL/6J mice were susceptible, as expected. The only prominent change in the quaking mice was the presence of spherical vacuoles containing floccular electron-dense materials, some of which were clearly within the oligodendroglial perikarya and the inner and outer tongues. They are likely to represent degenerative responses. Consistent with the lack of edema, no increase in the water content was found in the quaking spinal cord following TET injection. Although the presence of numerous interlamellar tight junctions in quaking CNS myelin may mechanically restrict formation of the intralamellar vacuoles, the unique changes in the oligodendroglia and the lack of edema fluid accumulation suggest more fundamental metabolic abnormality that renders the quaking CNS resistant to the triethyl tin-induced edema.


Subject(s)
Myelin Sheath/ultrastructure , Organoids/ultrastructure , Trialkyltin Compounds/pharmacology , Triethyltin Compounds/pharmacology , Vacuoles/ultrastructure , Animals , Brain/drug effects , Brain/ultrastructure , Cell Membrane/drug effects , Cell Membrane/ultrastructure , Mice , Mice, Inbred Strains , Mice, Quaking , Myelin Sheath/drug effects , Vacuoles/drug effects
14.
Brain Res ; 221(2): 441-5, 1981 Sep 28.
Article in English | MEDLINE | ID: mdl-7284782

ABSTRACT

Intraperitoneal injection of triethyl tin (TET) sulfate, 5 or 10 mg/kg body weight did not induce intramyelinic edema without altering water content in quaking mice while in C57BL/6J and littermate control mice, water content was increased and typical intramyelinic edema was induced following TET injection. Even among control mice, however, there were some strain differences in the histological severity of the edema, which were in precise agreement with the quantitative alterations in water content. These observations suggest that CNS myelin in quaking may differ qualitatively from that in controls and the mode of response to TET is under genetic control.


Subject(s)
Edema/physiopathology , Spinal Cord/pathology , Trialkyltin Compounds/pharmacology , Triethyltin Compounds/pharmacology , Animals , Drug Resistance , Edema/chemically induced , Mice , Mice, Inbred Strains , Mice, Quaking , Species Specificity , Spinal Cord/drug effects
15.
Ann Neurol ; 4(1): 26-36, 1978 Jul.
Article in English | MEDLINE | ID: mdl-100045

ABSTRACT

The activity of N-acetyl galactosamine-6-sulfate sulfatase was studied for the first time in the liver and brain of a patient with a clinically typical case of Morquio syndrome with keratosulfaturia. As has been demonstrated in the fibroblasts of patients with this syndrome, this enzymatic activity was markedly decreased in both organs. Neuropathological examination revealed moderately swollen neurons containing PAS-positive, coarse globular inclusions in the cerebral cortex, Ammon's horn, basal ganglia, and thalamic nuclei. Ultrastructurally, the inclusions consisted of stacked, straight or loose, wavy membranes of various lengths, often associated with pale or moderately electron dense homogeneous "lipid droplets." These ultrastructural features of the inclusions were closely similar to the granulomembranous bodies of Hurler syndrome and the inclusions described in type B of the Sanfilippo syndrome. Unlike those mucopolysaccharidoses, however, no abnormalities were found in the gangliosides in the brain of the patient with Morquio syndrome.


Subject(s)
Mucopolysaccharidosis IV/pathology , Adolescent , Brain/ultrastructure , Child , Chondroitinsulfatases/metabolism , Humans , Lipids/analysis , Liver/enzymology , Male , Mucopolysaccharidosis IV/enzymology , Neurons/ultrastructure
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