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Lysosomes in Normal Cells & the Disease
Process
Introduction
Based upon appearance alone, the lysosome is one of the simplest
cellular organelles. Basically it is a bag of digestive enzymes.
But looks can be deceiving. This group of lysosomal enzymes is
capable of digesting essentially every type of biological molecule.
For this reason, the lysosome was originally considered to be
only involved in digesting materials that the cell ingested through
phagocytosis or pinocytosis. With more research it became clear
the lysosome has many more cellular responsibilities. This was
dramatically emphasized when it was shown that the absence of
a single lysosomal enzyme in humans can lead to serious abnormalities,
dementia and death.
A newly formed lysosome that has not yet been engaged in
any cellular activity is called a primary lysosome; all others
are generally classed as secondary lysosomes (e.g., digestive
vacuole, residual vacuole, autophagic vacuole, etc.)
A single biomembrane surrounds enzyme-rich matrix
Matrix varies in density: it is relatively homogeneous in
primary lysosomes; in secondary lysosomes the matrix contains
various inclusions (e.g., partially digested organelles or bacteria,
etc.)
Matrix consists of many different hydrolytic enzymes
Enzymes can digest every cell component
Acid Phosphatase = classic,
marker enzyme; used to demonstrate the presence of lysosomes in
animal tissues

Lysosomal Biogenesis: The Formation
of Lysosomes
Lysosomal enzymes are synthesized on the rough endoplasmic reticulum
(rer) and packaged into prelysosomal vesicles by the Golgi.
Rough Endoplasmic Reticulum: Stacks or Singles
Golgi
The enzymes are glycosylated in the rough endoplasmic reticulum
and a mannose group is phosphorylated in the Golgi to target them
to lysosomal vesicles as discussed in a future lecture. In the
classic view of lysosomal biogenesis, prelysosomal vesicles that
bud directly from the Golgi fuse to form mature, primary lysosomes.
Recently it has been shown there are different routes to forming
lysosomes. For example, the formation of late endosomes by the
fusion of vesicles (early endosomes) from the cell membrane with
vesicles from the trans-Golgi network can lead to lysosome formation.
It is clear our understanding of the details of endosomal events
and lysosome biogenesis are still in their infancy (Mullins &
Bonifacino, 2001. BioEssays 23: 333-343). The topics of endosome
formation and lysosomal digestion are again addressed in our lecture
on receptor-mediated endocytosis.
The Lysosomal Enzymes
The following picture shows the diversity of lysosomes enzymes
that are capable of digesting almost all biological molecules.
The amounts and types of each lysosomal enzyme will vary
with the cell type and with its physiological state. For example,
the human sperm contains a unique protease called acrosin in
a single, specialized lysosome called the acrosome. This and
other acrosomal enzymes are used to penetrate the zona pellucida
of the egg during fertilization.
It is likely that different lysosomes contain varying
amounts of the different lysosomal enzymes in any cell type.
Lysosomes & Cell Function
The next diagram is a composite showing essentially all of the
known functions of lysosomes. We've divided these up into 6 functional
groups that are summarized below. These are not the only functions
of lysosomes as new responsibilities for this organelle are being
discovered including metal ion homeostasis and cell membrane repair.

Digestion
of Ingested Materials - - Cells ingest
materials by various endocytotic means including the classic
phagocytosis ("cell eating") and pinocytosis ("cell drinking").
Inside the cell, the material that is taken up is enclosed in
an endosome (phagosome or pinosome, respectively). Inside the cell the endosome fuses with a primary lysosome to
form a digestive vacuole. In the digestive vacuole the hydrolases
of the lysosome will act on the ingested material to break it
down. After digestion is complete, the vacuole is called a residual
vacuole because it is full of residual, indigestible components.
The contents of the residual vacuole are released outside of
the cell by exocytosis.
Cell
Death - Lysosomes mediate events in the
controlled or programmed death of cells called apoptosis. This
is discussed below. They also come into play during necrosis,
the pathologic death of cells and tissues. For example, meat
becomes tenderized after the death of the animal because the
lysosomes break down releasing their enzymes into the muscle
causing the digestion of the contractile and other muscle proteins.
Autophagy
- The survival of cells requires that cellular constituents
are constantly turning over. New molecules and structures are
made while old unnecessary or worn out components are removed.
During starvation, cells use autophagy to break down cellular
components to provide energy for their survival. In the case
of organelles, the mitochondrion, for example, is separated
from other cellular constituents by an isolation membrane to
become an autophagosome. The autophagosome fuses with primary
lysosomes to form an autophagic vacuole within which the mitochondrion
is digested. The resulting residual vacuole is exocytosed.
The following picture shows the sequence of events in digesting a mitochodria.
It is still not known whether the double-membrane isolation membrane that forms the autophagic vacuole is formed de novo or from existing membrane structures such as the endoplasmic reticulum (for more see: Juhasz & Neufeld, 2006. Autophagy: A 40 year search for a missing membrane source. PLoS Biology 4: 0161-0164.)
Molecular
Turnover - In this situation, molecules
are digested by lysosomal enzymes. The exact ways in which the
different types of molecular turnover occur are under active
investigation. But this process removes old, abnormal or unnecessary
molecules allowing cells to alter their physiology or behaviour.
Some of the molecules enter the digestive pathway via receptor
mediated endocytosis as mentioned below and discussed in detail
in a future lecture.
Extracellular
Functions - Lysosomal enzymes have responsibilities
that lie outside of the cell as well. For example they can digest
extracellular components or modify the cell surface. For example,
high levels of secretion of glycosidases are linked to some
of the changes in cell adhesion molecules that underlie the
behaviour of some cancer cells.
Receptor-Mediated
Endocytosis - Lysosomes play an important
role in the uptake and modification of critical molecules such
as cholesterol. They also mediate events of receptor recycling
and the shutting down of events of cell communication. This
sequence of events involves a receptor binding to its ligand
followed by their uptake into coated vesicles. The coated vesicle
is uncoated prior to fusing with lysosomes. The events that
unfold vary with the type of endocytotic event and are detailed
in the lecture on receptor mediated endocytosis.
Why doesn't the lysosome digest itself?
Since the lysosome is full of digestive enzymes that can digest essentially all cellular components, why doesn't the lysosome digest itself? This is because the inner leaflet of the lysosomal membrane is coated with an extensive glycocalyx (like that present in the intestinal epithelium to prevent its digestion; see lecture on "The Cell Membrane"). The integral and peripheral membrane proteins on the inner surface are highly N-glycosylated glycoproteins containing poly-lactosamine which prevents access by the digestive enzymes. For a review on how lyosomes digest other membranes but not their own see: Kolter & Sandhoff, 2005. Principles of membrane digestion...Ann. Rev. Cell Dev. Biol. 21: 81-103. The figure below shows the expression of GFP-LC3 (LC3 is a marker protein for autophagy) in mouse heart muscle cells revealing the presence of autophagosomes.
Apoptosis: Controlled Cell Death
Apoptosis is dealt with in more detail in several other courses including "Human Development, BIO380". Here's the URL for the lecture in which apoptosis is discussed: http://www.utm.utoronto.ca/~w3bio380/lecture3.htm
Cell death is an important phenomenon
Normal event in development of brain (neurons), ovaries
(ova), hands
Mediated by specific signalling pathways that lead to
activation of "Death Genes"
Specific characteristics are evident: blebbing of membrane,
laddering of DNA, etc.
Lysosomes & Cell Death in Normal
Development
The controlled killing of cells is an essential process that occurs
during embryonic development as well as during our day to day
lives. One classic example of programmed cell death is digit formation.
Lysosomes "kill" cells between digits
Process of controlled cell death is called "Apoptosis"
Ducks have no lysosomal activity between digits of toes
= webbed feet; chickens have activity = no web
Lack of apoptosis in humans can lead to webbed fingers
called syndactyly as shown in the next figure
Lysosomes in the Disease Process
Silicosis & Asbestosis
Cancer (secreted lysosomal
enzymes alter cell surface)
Abnormalities of Mucopolysaccharide
Metabolism
Rheumatoid Arthritis (secretion
of high levels of lysosomal enzymes digest extracellular matrix)
Occupational Diseases: Silicosis
Material made of Silica: Rose
quartz, glass, digital watches, onyx, porcelain, beach sand,
agate
Inhaled silica (silicon dioxide) dust enters lungs
Macrophage ingest & dust enter 2o lysosomes
Can't be digested
Lysis & release of enzymes
Sets up inflammatory response in lung tissue
Can lead to Tuberculosis and failure of respiratory system
Abnormalities of Mucopolysaccharide
Metabolism
Over 2 dozen types
Genetic Defect = Absence of 1 Enzyme (e.g., alpha-fucosidase, alpha-mannosidase, etc.)
Tay Sachs Disease, Hurler's Syndrome, Gargoylism, etc.
Often called Glycosphingolipid (GSL) lysosomal storage
diseases: because they involve problems with digestion of GSLs
Detection: Amniocentesis & enzyme analysis or genetic
screening
Possible Medical Intervention: Genetic Engineering; Pharmacological;
Enzyme replacement therapy
Background to Tay Sachs: Glycosphingolipids
Glycosphingolipids are commonly found at the surfaces of eukaryotic cells. They are comprised of a ceramide moiety that inserts in the cell membrane plus an oligosaccharide chain. As can be seen in the picture below the ceramide portion consists of fatty acid chains like the phospholipids discussed in the lecture on cell membrane structure. Attached to these are sugar moieties (sialic acid residues) that orient to the outside of the cell. When the cell membrane components are recycled, normal digestion occurs by the stepwise removal of monosaccharides producing fatty acid chains that can be released from the lysosome.
Tay Sachs Disease
Occurrence in Jewish People of Ashkenazic (Central European)
Descent
Due to missing Hexosaminidase A (also called N-Acetylglucosaminidase
A)-an enzyme that removes acetylglucosamine residues from polysaccharides
Neurologic Disease: Build up in secondary lysosomes constrict
nerve axons
Leads to blindness, dementia & paralysis
Evident by 6 mo.; Death 2-5 years of age
Quebec: Lineage with similar disease; different gene defect
Let's look in a bit more detail about how the loss of the single
Hexosaminidase A enzyme can have such a devastating effect.
In normal cells the turnover of ganglioside GM2 occurs regularly.
Once inside digestive vacuoles the normal complement of enzymes
breaks it down and the contents of the residual vacuole are exocytosed.
In Tay Sachs, the absence of Hexosaminidase A prevents complete
digestion of the ganglioside GM2 because acetylglucosamine residues
cannot be cleaved off. This results in the inability of the residual
vacuoles to be exocytosed. Thus they continue to accumulate in
the cytoplasm of the cell causing it to swell up. We'll look at
this issue in more detail when we discuss the topic of protein
targetting in cells.
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