The lysosome-associated membrane protein (LAMP-I) is elevated in the cells and plasma from lysosomal storage disorder-affected individuals; however, the mechanism of this elevation is not well defined. In this study we have investigated the synthesis, glycoprocessing, trafficking, and turnover of LAMP-I in human skin fibroblasts from Pompe disease patients and control individuals, There were similar levels of LAMP-1 synthesis in both cell types, but glycoprocessing was retarded in Pompe (T-1/2 = 25 min) compared to control (T-1/2 = 17 min) fibroblasts. There was also a marked delay in trafficking of LAMP-1 to lysosomes of Pompe (T-1/2 = 200 min) compared to control (T-1/2 = 100 min) cells. A proportion of newly synthesized LAMP-1 (5.4% in Pompe and 8.5% in controls) was trafficked out of the cell (T-1/2 = 3.5 h in controls) and, although significantly smaller than the lysosomal form, still had a transmembrane domain and cytoplasmic tail, In contrast, a soluble lysosomal pool of LAMP-1 had no tail sequence, suggesting that it had been clipped from the membrane, In turnover studies, LAMP-1 was more stable in Pompe (T-1/2 = 4.9 days) compared to control (T-1/2 = 1.6 days) cells, implying either reduced proteolysis or lysosomal function, in Pompe cells. These results indicate altered traffic and turnover of LAMP-1 in storage disorders and identify different intracellular and extracellular pools of soluble LAMP-1, suggesting alternative trafficking pathways. (C) 1999 Academie Press.