Dermatan sulfate

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Structure of dermatan sulfate

Dermatan sulfate is a type of glycosaminoglycan (GAG), which is a long, unbranched polysaccharide composed of repeating disaccharide units. It is a critical component of the extracellular matrix in various tissues and plays a significant role in cell signaling, tissue repair, and coagulation.

Structure

Dermatan sulfate is composed of repeating disaccharide units of iduronic acid and N-acetylgalactosamine. The iduronic acid residues can be variably sulfated, which contributes to the diversity of dermatan sulfate's biological functions. The presence of iduronic acid distinguishes dermatan sulfate from other glycosaminoglycans such as chondroitin sulfate, which contains glucuronic acid instead.

Function

Dermatan sulfate is involved in a variety of biological processes:

Clinical significance

Abnormalities in dermatan sulfate metabolism can lead to various mucopolysaccharidoses, a group of lysosomal storage disorders. For example, mucopolysaccharidosis type I (Hurler syndrome) and mucopolysaccharidosis type II (Hunter syndrome) are characterized by the accumulation of dermatan sulfate and other glycosaminoglycans due to enzyme deficiencies.

Biosynthesis

The biosynthesis of dermatan sulfate occurs in the Golgi apparatus of cells. It involves the polymerization of the disaccharide units followed by the epimerization of glucuronic acid to iduronic acid and subsequent sulfation. The enzymes responsible for these modifications include glycosyltransferases, epimerases, and sulfotransferases.

Degradation

Dermatan sulfate is degraded in the lysosome by a series of lysosomal enzymes. Deficiencies in these enzymes can lead to the accumulation of dermatan sulfate in tissues, contributing to the pathophysiology of mucopolysaccharidoses.

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Contributors: Prab R. Tumpati, MD