IDUA substrates Defective IDUA does not hydrolyse Lido Absence of alpha-L-iduronidase (IDUA, MIM:252800), the enzyme responsible for the removal of non-reducing terminal alpha-L-iduronide (Lido) residues during the lysosomal degradation of heparan sulphate (HS) and dermatan sulfate (DS) is the cause of MPS I disorders (MIM:607014). The nonsense mutations, W402X and Q70X and the rarer P553R account for approximately 50% of all MPS I alleles in patients with predominantly European origins (Scott et al. 1992, Bunge et al. 1994, Scott et al. 1992b). There are, however, considerable differences in the frequency of these mutations in patients from Norway and Finland when compared with other Eurpoean countries. In Scandinavia, W402X and Q70X account for 17% and 62% of the MPSI alleles, respectively, while in the other European countries W402X is about 2.5 times more frequent (48%) than Q70X (19%). Authored: Jassal, B, 2012-04-26 Defective IDUA does not hydrolyse the alpha-L-iduronisidic linkage in HS or DS Edited: Jassal, B, 2012-04-26 Pubmed1301196 Pubmed1301941 Pubmed7951228 Reactome Database ID Release 432206299 Reactome, http://www.reactome.org ReactomeREACT_147696 Reviewed: Alves, Sandra, 2012-08-27 Reviewed: Coutinho, Maria, 2012-08-27