“…While commonly regarded as a gangliosidoses type LSD, β-galactosidase deficiency more accurately should be considered a broad spectrum oligosaccharidoses since, in addition to glycolipids, a substantial number of soluble N-linked glycans also accumulate in GM1 gangliosidosis. These disease-related oligosaccharides were detected in both affected tissues such as brain [3] and liver [[4], [5], [6]] as well as in biological fluids such as urine [[7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18]] and amniotic fluid [17,19]. The discovery of these additional storage metabolites is consistent with the role of β-galactosidase in removing β-linked galactose from the NRE of oligosaccharides moieties found not only in gangliosides but in other glycoconjugates such as glycoproteins and keratan sulfate proteoglycans (Fig.…”