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Lysosomal Acid Lipase Deficiency — Research Summary
Printed from RareWays (rareways.org) on 26 September 2026
For general awareness only. Not medical advice. Discuss all care options with your healthcare team.
5 Most Recent Research Articles
- 1.
Exploring the Role of Positive Selective Sites in Enhancing Structural Stability and Functional Efficiency of Human Lipase A.
Mahmood Hamida et al. — Proteins (21 September 2026)
https://pubmed.ncbi.nlm.nih.gov/42768761/
- 2.
How to diagnose patients with lysosomal acid lipase deficiency – the added value of preschool screening for familial hypercholesterolemia – an expert opinion
Željko Reiner — Liječnički vjesnik (4 September 2026)
https://doi.org/10.26800/lv-148-7-8-6
- 3.
Early-Onset Wolman Disease in an Infant with Novel Compound Heterozygous LIPA Variants.
Zhu Tingting et al. — Clinical laboratory (1 September 2026)
https://pubmed.ncbi.nlm.nih.gov/42733995/
- 4.
Lipid profile in pediatric and adult patients with lysosomal acid lipase deficiency treated with sebelipase alfa: longitudinal evidence from the International LAL-D Registry.
Wilson Don P et al. — Atherosclerosis (5 August 2026)
https://pubmed.ncbi.nlm.nih.gov/42617290/
- 5.
LYSOSOMAL ACID LIPASE DEFICIENCY IMPAIRS DENDRITIC CELL METABOLISM AND ANTIGEN-PRESENTATION CAPACITY
C Garavaglia et al. — Atherosclerosis (1 August 2026)
https://doi.org/10.1016/j.atherosclerosis.2026.121739
Clinical Trials — Australian Sites
Ask your doctor whether you or your child may be eligible for any of these trials. Each has its ID and full eligibility criteria at the link shown.
- 1.
Safety and Efficacy Study of Sebelipase Alfa in Participants With Lysosomal Acid Lipase Deficiency
NCT02112994 — Completed — Phase 2 — Alexion Pharmaceuticals, Inc.
Ages 8 Months and over
https://clinicaltrials.gov/study/NCT02112994
- 2.
Acid Lipase Replacement Investigating Safety and Efficacy (ARISE) in Participants With Lysosomal Acid Lipase Deficiency
NCT01757184 — Completed — Phase 3 — Alexion Pharmaceuticals, Inc.
Ages 4 and over
https://clinicaltrials.gov/study/NCT01757184
Source: RareWays research directory. Data from PubMed, Europe PMC, OpenAlex, ClinicalTrials.gov.
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Lysosomal Acid Lipase Deficiency
Lysosomal acid lipase deficiency is a rare inherited condition in which an enzyme needed to break down fats inside cells is missing or faulty. Fatty material builds up in the liver, spleen, gut and blood vessels, causing liver disease and abnormal cholesterol levels. The severe infantile form is known as Wolman disease. Care includes enzyme replacement therapy, lipid-lowering medicines and nutritional support.
Most Recent Research
Lysosomal acid lipase (LAL), encoded by the LIPA gene, is essential for lipid metabolism, and its deficiency causes Wolman disease and cholesteryl ester storage disease. Understanding the structural determinants of LAL stability and function is crucial for protein engineering and therapeutic development. We integrated evolutionary analysis with computational structural biology to identify and characterize functionally important residues in human LAL. Using codon-based models with Bayesian empirical Bayes methods on 11 primate orthologs, we identified two positively selected sites, L197 and C232 (cutoff posterior probability ≥ 95%). Site C232, located in the functionally critical lid region controlling substrate access, was selected for comprehensive in silico mutagenesis. FoldX stability calculations across all 19 amino acid substitutions revealed six stabilizing mutations, with C232L showing the strongest effect (ΔΔG = -3.06 kcal/mol). Molecular docking with the lipase inhibitor orlistat showed enhanced binding affinity for C232L (-7.40 kcal/mol) compared to wild type (-6.47 kcal/mol). Molecular dynamics simulations (100 ns) demonstrated that C232L maintained superior structural stability with reduced RMSD (0.28-0.35 nm vs. 0.45-0.60 nm for wild type) and decreased lid region flexibility. Principal component analysis revealed more constrained conformational sampling, while free energy landscape analysis indicated a single, well-defined energy minimum for C232L. MMPBSA calculations confirmed stronger binding energetics (-199.45 ± 15.42 kJ/mol) driven by enhanced van der Waals and electrostatic interactions. Our results demonstrate that positive selection at C232 has tuned lid dynamics to optimize orlistat binding. The C232L substitution represents a promising target for experimental protein engineering to enhance LAL stability for therapeutic applications.
Common Questions
What is Lysosomal Acid Lipase Deficiency?
Lysosomal acid lipase deficiency is a rare inherited condition in which an enzyme needed to break down fats inside cells is missing or faulty. Fatty material builds up in the liver, spleen, gut and blood vessels, causing liver disease and abnormal cholesterol levels. The severe infantile form is known as Wolman disease. Care includes enzyme replacement therapy, lipid-lowering medicines and nutritional support.
How many clinical trials are available for Lysosomal Acid Lipase Deficiency?
RareWays currently indexes 10 clinical trials for Lysosomal Acid Lipase Deficiency, of which 1 is actively recruiting. Trial availability changes as new studies are registered — check the trials tab for current status.
Where does the research data for Lysosomal Acid Lipase Deficiency come from?
RareWays aggregates research from PubMed, Europe PMC, OpenAlex, and ClinicalTrials.gov. Data is refreshed automatically every day. All articles and trials link directly to their original sources.
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