Electrocardiographic and other cardiac anomalies in beta-glucuronidase-null mice corrected by nonablative neonatal

A J T Schuldt1, T J Hampton, V Chu

  • 1The Jackson Laboratory, Bar Harbor, ME 04609, USA.

Insights

Neonatal bone marrow transplantation prevents severe cardiac disease in a mouse model of lysosomal storage disease (LSD). This approach offers a promising, non-toxic treatment for preventing cardiovascular issues in patients with mucopolysaccharidosis type VII.

Area of Science:

  • Biomedical Science
  • Genetics
  • Cardiology

Background:

  • Lysosomal storage diseases (LSDs) cause significant cardiovascular problems, often treated with risky interventions.
  • Current therapies like valve replacement and bone marrow transplantation carry high risks for debilitated patients.
  • Enzyme replacement therapy shows limited long-term efficacy for cardiac LSD.

Purpose of the Study:

  • To investigate the efficacy of early, non-myeloablative bone marrow (BM) transplantation in preventing cardiac manifestations of LSD.
  • To evaluate the long-term engraftment and therapeutic effects of BM transplantation in a mouse model of mucopolysaccharidosis type VII (MPSVII).

Main Methods:

  • Utilized beta-glucuronidase (GUSB) null mice, a model for MPSVII (Sly syndrome).
  • Administered intravenous BM transplantation to neonatal MPSVII mice without myeloablative pretreatment.
  • Assessed GUSB+ donor cell presence, enzyme levels, cardiac function via electrocardiography, and tissue storage post-transplantation.

Main Results:

  • BM recipients showed sustained GUSB+ donor cell engraftment in blood and heart up to 11 months.
  • Significantly reduced beta-hexosamindase levels in treated MPSVII hearts (P = 0.001).
  • Normalized heart rate, PR, PQ, and QRS intervals; reduced tissue storage in various cardiac structures; normalized heart/body weight ratio.

Conclusions:

  • Neonatal BM transplantation without toxic pretreatment can prevent severe cardiovascular manifestations in MPSVII mice.
  • This strategy offers a potential therapeutic avenue for LSD, mitigating life-threatening cardiac complications.
  • Further research is needed to understand the mechanisms behind ECG normalization despite residual myocyte storage.

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