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Lysosomal cystine refers to the amino acid cystine that accumulates within lysosomes as a result of protein degradation. Under normal conditions, it is exported to the cytoplasm by cystinosin. Its roles include amino acid recycling, redox homeostasis, and metabolic adaptation during fasting. Its accumulation due to cystinosin deficiency causes cystinosis.
Cysteamine depletes intralysosomal free-cystine via thiol-disulfide exchange reactions with accumulated free-cystine.
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