Diseases & Conditions


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Cholesteryl Ester Storage Disease


Synonyms of Cholesteryl Ester Storage Disease
  • acid cholesteryl ester hydrolase deficiency, type 2
  • CESD
  • cholesterol ester hydrolase deficiency

Disorder Subdivisions



    General Discussion
    Cholesteryl ester storage disease (CESD) is a rare genetic disorder characterized by subtotal defect of an enzyme known as lysosomal acid lipase (LIPA or LAL). This enzyme is essential for hydrolysis of triglycerides and cholesteryl esters in lysosomes. CESD is caused by mutations in the lysosomal acid lipase (LIPA) gene. The disorder is inherited as an autosomal recessive trait. Deficiency of the LIPA enzyme causes lipids storage in tissues and organs of the body potentially causing a variety of symptoms. In the liver the consequences are hepatomegaly due to hepatic steatosis and fibrosis that can lead to micronodular cirrhosis. Some individuals may not be diagnosed with CESD until adulthood.

    While mutations causing Wolman disease produce an enzyme with no residual activity or no enzyme at all, CESD-causing mutations encode for LAL which retains some enzyme activity Genetic and biochemical evidence that CESD and Wolman disease are distinguished by residual lysosomal acid lipase activity. CESD belongs to a group of diseases known as lysosomal storage disorders. Lysosomes are particles bound in membranes within cells that break down certain fats and carbohydrates. Defective lysosomal enzymes associated with CESD leads to the accumulation of certain fatty substances (mucolipids) and certain complex carbohydrates (mucopolysaccharides) within the cells of many tissues of the body.

    Organizations related to Cholesteryl Ester Storage Disease
    • American Liver Foundation
      75 Maiden Lane
      New York NY 10038
      Phone #: 212-668-1000
      800 #: 800-465-4837
      e-mail: info@liverfoundation.org
      Home page: http://www.liverfoundation.org
    • CLIMB (Children Living with Inherited Metabolic Diseases)
      Climb Building
      Crewe Intl CW2 6BG
      Phone #: +44- 87-0 7700 325
      800 #: --
      e-mail: info@climb.org.uk
      Home page: http://www.CLIMB.org.uk
    • Hide & Seek Foundation for Lysosomal Disease Research
      4123 Lankershim Blvd.
      North Hollywood CA 91602-2828
      Phone #: 818-762-8621
      800 #: N/A
      e-mail: info@hideandseek.org
      Home page: http://www.hideandseek.org
    • Lysosomal Diseases New Zealand
      125 Cuba St
      Lower Hutt City Intl 6008
      Phone #: 64 -4 5-66 7707
      800 #: N/A
      e-mail: john.forman@xtra.co.nz
      Home page: http://www.ldnz.org.nz
    • National Tay-Sachs and Allied Diseases Association, Inc.
      2001 Beacon Street
      Brighton MA 02135
      Phone #: 617-277-4463
      800 #: 800-906-8723
      e-mail: info@ntsad.org
      Home page: http://www.NTSAD.org
    • Vaincre Les Maladies Lysosomales
      2 ter avenue de Fance
      Massy None 91300
      Phone #: 01 -69 -75 40 30
      800 #: --
      e-mail: accueil@vml-asso.org
      Home page: http://www.vml-asso.org



    For a Complete Report

    This is an abstract of a report from the National Organization for Rare Disorders, Inc. ? (NORD). A copy of the complete report can be obtained for a small fee by visiting the NORD website. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational treatments (if available), and references from medical literature. For a full-text version of this topic, see http://www.rarediseases.org/search/rdblist.html