Gene for one of the hydrolytic enzymes of the lysosome may be not functional
Accumulation of the component that cannot be digested
Tay-Sachs disease: lipase is missing, leading to accumulation of lipids in the brain
Inclusion-cell disease (I-cell disease): almost all lysosomal enzymes are missing due to defective sorting to lysosomes (they are secreted), leading to inclusions of undigested substrates in the cell, with multi-organ disfunctions
1. Localized weakening of cell wall → turgor-driven expansion and enlargement
2. Uptake of water into an expanding vacuole. The cytosol is eventually confined to a thin peripheral layer, which is connected to the nuclear region by strands of cytosol stabilized by bundles of actin filaments