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Glycosphingolipid lysosomal storage diseases: therapy and pathogenesis
M Jeyakumar1, T D Butters, R A Dwek
1Glycobiology Institute, Department of Biochemistry, University of Oxford, Oxford, UK.
Insights
Mouse models reveal insights into the pathogenesis of glycosphingolipidoses, a group of paediatric neurodegenerative diseases caused by enzyme defects in glycosphingolipid (GSL) breakdown. These models aid in developing new therapeutic strategies.
Area of Science:
- Biochemistry
- Neuroscience
- Genetics
Background:
- Paediatric neurodegenerative diseases, known as glycosphingolipidoses, stem from genetic defects in glycosphingolipid (GSL) metabolism.
- These disorders involve lysosomal accumulation of GSL substrates, particularly impacting the central nervous system (CNS).
- Current understanding of disease mechanisms and therapeutic options for these conditions remains limited.
Purpose of the Study:
- To review the insights gained from mouse models regarding the pathogenesis of glycosphingolipidoses.
- To discuss the progress in evaluating experimental therapies for these neurodegenerative disorders using animal models.
Main Methods:
- Utilizing genetically engineered mouse models that mimic human glycosphingolipidoses.
- Analyzing lysosomal storage, GSL substrate accumulation, and neuroinflammation in affected mouse models.
- Evaluating the efficacy of various experimental therapeutic interventions in these mouse models.
Main Results:
- Mouse models have elucidated key pathogenic pathways, including GSL accumulation and subsequent neurodegeneration.
- These models demonstrate the utility of studying enzyme deficiencies in GSL catabolism.
- Progress has been made in assessing the potential of novel therapeutic approaches, such as enzyme replacement and gene therapy, in preclinical settings.
Conclusions:
- Mouse models are invaluable tools for understanding the complex pathogenesis of paediatric glycosphingolipidoses.
- These models are crucial for advancing the development and preclinical evaluation of effective therapies for these devastating neurodegenerative diseases.
Abstract:
Paediatric neurodegenerative diseases are frequently caused by inborn errors in glycosphingolipid (GSL) catabolism and are collectively termed the glycosphingolipidoses. GSL catabolism occurs in the lysosome and a defect in an enzyme involved in GSL degradation leads to the lysosomal storage of its substrate(s). GSLs are abundantly expressed in the central nervous system (CNS) and the disorders frequently have a progressive neurodegenerative course. Our understanding of pathogenesis in these diseases is incomplete and currently few options exist for therapy. In this review we discuss how mouse models of these disorders are providing insights into pathogenesis and also leading to progress in evaluating experimental therapies.
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