RT Book, Section A1 Giugliani, Roberto A1 Vairo, Filippo A1 Beck, Michael A1 Wraith, Ed A1 Cowan, Tina A1 Grabowski, Gregory A2 Sarafoglou, Kyriakie A2 Hoffmann, Georg F. A2 Roth, Karl S. SR Print(0) ID 1140323679 T1 Lysosomal Disorders T2 Pediatric Endocrinology and Inborn Errors of Metabolism, 2e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071773140 LK accesspediatrics.mhmedical.com/content.aspx?aid=1140323679 RD 2024/04/18 AB The lysosomes, named after a Greek term that means “digestive bodies,” were discovered in 1955 by De Duve.1 They are spherical organelles, contained by a single-layer membrane, that are present in all nucleated cells and are important for degradation of macromolecules and homeostasis of the cell. Lysosomes also play an important role in the processes of phagocytosis and antigen presentation, which are necessary for regulation of inflammation and control of autoimmunity. The lysosome–endosomal system is intimately involved in regulation of autophagy, apoptosis, and cell death. An integral part of the intracellular recycling process, lysosomes contain hydrolytic enzymes that digest cell components and degrade complex cellular substrates such as glycoproteins, mucopolysaccharides (glycosaminoglycans), oligosaccharides, and lipids into simpler components during normal cellular turnover. A block in the degradation of these substrates leads to abnormal accumulation of complex macromolecules within lysosomes (Figure 45-1).