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Biochemistry · Lipid metabolism: Farber disease
Sample itemAn infant has a hoarse cry, painful swollen joints, subcutaneous nodules and progressive neurological decline. Tissues show lysosomal accumulation of ceramide. Which enzyme is deficient?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Acid ceramidase
Farber disease is a lysosomal storage disorder caused by deficiency of acid ceramidase, which splits ceramide into sphingosine and a fatty acid. The ceramide accumulates in joints, subcutaneous tissue, the larynx and the nervous system. The other enzymes act on sphingomyelin, glucosylceramide and galactosylceramide.
Option by option
A. Acid sphingomyelinase
Acid sphingomyelinase deficiency causes Niemann-Pick disease with sphingomyelin storage.
B. Glucocerebrosidase
Glucocerebrosidase deficiency causes Gaucher disease with glucosylceramide storage.
C. Galactocerebrosidase
Galactocerebrosidase deficiency causes Krabbe disease with galactosylceramide storage.
D. Acid ceramidase (correct)
Correct. Acid ceramidase deficiency causes ceramide storage with joint nodules, hoarseness and neurological decline.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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