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In Vitro Enzyme Measurement to Test Pharmacological Chaperone Responsiveness in Fabry and Pompe Disease
Published on: December 20, 2017
Defects in calcium homeostasis and mitochondria can be reversed in Pompe disease
Jeong-A Lim1, Lishu Li, Or Kakhlon
1a Laboratory of Muscle Stem Cells and Gene Regulation; National Institute of Arthritis and Musculoskeletal and Skin Diseases ; National Institutes of Health; Bethesda ; MD USA.
Abstract:
Mitochondria-induced oxidative stress and flawed autophagy are common features of neurodegenerative and lysosomal storage diseases (LSDs). Although defective autophagy is particularly prominent in Pompe disease, mitochondrial function has escaped examination in this typical LSD. We have found multiple mitochondrial defects in mouse and human models of Pompe disease, a life-threatening cardiac and skeletal muscle myopathy: a profound dysregulation of Ca(2+) homeostasis, mitochondrial Ca(2+) overload, an increase in reactive oxygen species, a decrease in mitochondrial membrane potential, an increase in caspase-independent apoptosis, as well as a decreased oxygen consumption and ATP production of mitochondria. In addition, gene expression studies revealed a striking upregulation of the β 1 subunit of L-type Ca(2+) channel in Pompe muscle cells. This study provides strong evidence that disturbance of Ca(2+) homeostasis and mitochondrial abnormalities in Pompe disease represent early changes in a complex pathogenetic cascade leading from a deficiency of a single lysosomal enzyme to severe and hard-to-treat autophagic myopathy. Remarkably, L-type Ca(2+)channel blockers, commonly used to treat other maladies, reversed these defects, indicating that a similar approach can be beneficial to the plethora of lysosomal and neurodegenerative disorders.
Insights
Mitochondrial dysfunction and calcium imbalance are key in Pompe disease, a lysosomal storage disorder. Blocking L-type calcium channels may offer a therapeutic strategy for Pompe and other related neurological diseases.
Area of Science:
- Biochemistry
- Cell Biology
- Genetics
Background:
- Mitochondrial dysfunction and impaired autophagy are hallmarks of neurodegenerative and lysosomal storage diseases (LSDs).
- While defective autophagy is recognized in Pompe disease, mitochondrial function remains understudied in this LSD.
- Pompe disease is a severe myopathy affecting cardiac and skeletal muscles.
Purpose of the Study:
- To investigate mitochondrial function in mouse and human models of Pompe disease.
- To explore the role of calcium homeostasis and L-type calcium channels in Pompe disease pathogenesis.
- To identify potential therapeutic targets for Pompe disease and related disorders.
Main Methods:
- Analysis of mitochondrial function markers (e.g., reactive oxygen species, membrane potential, ATP production) in Pompe disease models.
- Assessment of calcium (Ca2+) homeostasis and L-type calcium channel expression.
- Gene expression studies in affected muscle cells.
Main Results:
- Pompe disease models exhibit significant mitochondrial defects, including calcium overload, increased reactive oxygen species, and reduced ATP production.
- Dysregulated calcium homeostasis and increased L-type Ca2+ channel subunit β1 expression were observed.
- Caspase-independent apoptosis and decreased oxygen consumption were noted.
Conclusions:
- Mitochondrial abnormalities and disturbed calcium homeostasis are early pathogenic events in Pompe disease.
- L-type calcium channel blockers effectively reversed mitochondrial defects in Pompe models.
- Targeting calcium channels could be a promising therapeutic approach for LSDs and neurodegenerative diseases.
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