Table S2. Mutation Effects Predicted by the Structural 3D Analysis Mutation§ c.592C>T p.P198S Description and possible effect Residue P159 stands on the protein surface in the middle of helix H2 of domain III. The mutation, introducing a polar residue on the protein surface, would probably interfere with the correct coupling of GBA with the protein partners (P159S) c.680A>T p.N227I (N188I) c.820G>A p.E274K (E235K) c.850C>A p.P284T (P245T) c.1052G>C p.W351S (W312S) c.1215C>A p.S405R (S366R) R3-1 c.1260G>C p.W420C (W381C) N188 belongs to a loop connecting strand 3 to H3, keeping it folded by forming hydrogen bonds with the neighbouring loop 240-255 positioned close to the active site cleft. The replacement with a hydrophobic isoleucine (N188I) is likely to impact upon the correct substrate positioning. In addition the introduction of a big, hydrophobic aminoacid on the protein surface may cause a local misfolding that in turn could lead to the disruption of the interaction between GBA and its protein partners Residue E235 is directly involved in catalysis. Thus the change of an acidic residue (D) to a basic one (K) is predicted to destroy the catalytic activity. Residue P245, is located within the loop 240-255, positioned close to the active site cleft. The replacement of proline with a threonine, besides adding some plasticity, would introduce a polar residue in a region that is mainly hydrophobic, destabilizing the normal shape of the active site cavity W312 residue lays at the entrance of the active site cavity. In particular, the analysis predicted that this aromatic residue may form a stacking interaction with the guanidine group of the residue R285. Comparing the structures of the apo-enzyme to the one of the protein bound to N-butyl-deoxynojirimycin (NB-DNJ), a chemical chaperone for GBA, a large displacement of the fragment His 311 – Ala 320 occurs in the presence of NB-DNJ, suggesting that the presence of W312 and Y313 in this loop is related to a mechanism of substrate recognition and/or recruitment and that the mutation W312S is sufficient to destroy this mechanism. Residue S366, is located in the alpha helix VII close to the active site cleft. The presence of a large and ramified side chain of the arginine at this position may destabilize the local fold. Indeed, Ser 366 is hydrogen bound to W378 promoting stabilization of the beta-sheet encompassing the active site cleft thus correctly positioning it. Besides the lack of this hydrogen bond, the mutation of S366R would cause steric collision of the longer arginine side chain with residues L314, W312, N370. W381 residue one of seven aromatic side chains flanking the active-site pocket (19). The introduction of a cysteine in this position not only might affect catalytic activity, but also might cause a conformational change by creating a new disulphide bridges. In fact, the in silico analysis predicted that the newly introduced C in position 381 could form a disulphide bridge with C18, completely destroying GBA structure. Residues N188 and G265 are located on the same region of the protein surface separated by ca. 20 Å. Both mutations may interfere with the c.680A>G;c.910G>C interaction between GBA and other proteins. The replacement of an asparagine with a serine, a very similar aminoacid in terms of polarity p.N227S;p.G304R and size, would have a mild impact on GBA structure. The G265R mutation introduces a long, ramified and charged side chain in place of (N188S;G265R) an hydrogen atom, probably inducing a steric hindrance and the loss of local main chain plasticity. E326 residue is located on the protein surface and would be involved c.1093G>A;c.1255G>A directly in the interaction between the enzyme and Sap-C. Mutation E326K may interfere with the correct coupling of GBA with protein p.E365K;p.D419N partners. Residue N380 is located in the proximity of the W381 residue one of seven aromatic side chains flanking the active-site pocket. The N380D mutation may lead to conformational changes perturbing the (E326K;D380N) active-site pocket. §Traditional amino acid residue numbering, which excludes the first 39 aminoacids of the leader sequence, has been provided in parentheses and designed without the prefix “p.”