Globotriaosylceramide induces oxidative stress and up-regulates cell adhesion molecule expression in Fabry disease

Jin-Song Shen1, Xing-Li Meng, David F Moore

  • 1Developmental and Metabolic Neurology Branch, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.

Insights

Globotriaosylceramide (Gb(3)) accumulation in Fabry disease causes oxidative stress and increases cell adhesion molecules in vascular endothelial cells. Reducing Gb(3) levels lessens these effects, offering therapeutic insights.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Genetics

Background:

  • Fabry disease is an X-linked vasculopathy due to alpha-galactosidase A deficiency.
  • This deficiency leads to globotriaosylceramide (Gb(3)) accumulation in cells.
  • The precise role of Gb(3) in disease pathogenesis remains unclear.

Purpose of the Study:

  • To investigate the hypothesis that Gb(3) accumulation in vascular endothelium contributes to oxidative stress and cell adhesion molecule expression.
  • To explore the direct impact of Gb(3) on endothelial cells.

Main Methods:

  • Loading cultured vascular endothelial cells with Gb(3).
  • Measuring reactive oxygen species (ROS) production and cell adhesion molecule expression (ICAM-1, VCAM-1, E-selectin).
  • Treating cells with inhibitors of glycosphingolipid synthase or alpha-galactosidase A to reduce Gb(3).
  • Comparing ROS generation in endothelial cells exposed to plasma from Fabry patients versus controls.

Main Results:

  • Gb(3) loading increased intracellular ROS production and adhesion molecule expression in a dose-dependent manner.
  • Reducing endogenous Gb(3) decreased adhesion molecule expression.
  • Fabry patient plasma significantly increased endothelial cell ROS generation, independent of intracellular Gb(3) levels.

Conclusions:

  • Excess intracellular Gb(3) directly induces oxidative stress and up-regulates cell adhesion molecules in vascular endothelial cells.
  • Plasma factors in Fabry disease may also contribute to endothelial oxidative stress.