Sialic acid and glucuronic acid are monocarboxylated monosaccharides,
which are normally present in sugar side chains of glycoproteins,
glycolipids, and glycosaminoglycans. After degradation of these compounds
in lysosomes, the free monosaccharides are released from the lysosome by a
specific membrane transport system. This transport system is deficient in
the human hereditary lysosomal sialic acid storage diseases (Salla disease
and infantile sialic acid storage disease, OMIM 269920). The lysosomal
sialic acid transporter from rat liver has now been purified to apparent
homogeneity in a reconstitutively active form by a combination of
hydroxyapatite, lectin, and ion exchange chromatography. A 57-kDa protein
correlated with transport activity. The transporter recognized
structurally different types of acidic monosaccharides, like sialic acid,
glucuronic acid, and iduronic acid. Transport of glucuronic acid was
inhibited by a number of aliphatic monocarboxylates (i.e. lactate