Increased Alveolar Heparan Sulphate and Reduced Pulmonary Surfactant Amount and Function in the Mucopolysaccharidosis

Tamara L Paget1, Emma J Parkinson-Lawrence1, Paul J Trim2

  • 1Mechanisms in Cell Biology and Disease Group, UniSA Clinical and Health Sciences, University of South Australia, Adelaide, SA 5000, Australia.

Cells
|April 30, 2021
PubMed

Insights

Mucopolysaccharidosis IIIA (MPS IIIA) impairs lung function due to altered pulmonary surfactant. This study reveals biochemical and biophysical changes in surfactant, impacting respiratory health in MPS IIIA mice.

Area of Science:

  • Biochemistry
  • Pulmonary Medicine
  • Lysosomal Storage Diseases

Background:

  • Mucopolysaccharidosis IIIA (MPS IIIA) is a genetic disorder causing neurological and skeletal issues.
  • Respiratory dysfunction is a significant cause of mortality in MPS IIIA patients.
  • Pulmonary surfactant's role in MPS IIIA lung function has not been previously studied.

Purpose of the Study:

  • To investigate the biochemical and biophysical properties of pulmonary surfactant in MPS IIIA.
  • To assess the impact of MPS IIIA on surfactant composition and function.

Main Methods:

  • Analysis of heparan sulphate, lipids, and surfactant proteins in lung tissue and bronchoalveolar lavage fluid (BALF) from MPS IIIA and healthy mice.
  • Measurement of surfactant activity using captive bubble surfactometry.
  • Quantification of mRNA and protein levels for surfactant proteins.

Main Results:

  • Increased heparan sulphate, ganglioside GM3, and bis(monoacylglycero)phosphate in MPS IIIA lung tissue.
  • Altered heparan sulphate, bis(monoacylglycero)phosphate, and cholesteryl esters in MPS IIIA BALF.
  • Reduced surfactant protein (SP-A, SP-C, SP-D) expression and altered surfactant biophysical properties (increased surface tension, compressibility, hysteresis) in MPS IIIA mice.

Conclusions:

  • Biochemical alterations in pulmonary surfactant components are present in MPS IIIA.
  • Impaired surfactant biophysical function contributes to respiratory compromise in MPS IIIA.
  • These surfactant changes are likely detrimental to lung function in MPS IIIA patients.

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