Chloroquine corrects enlarged lysosomes in FIG4 null cells and reduces neurodegeneration in Fig4 null mice

Guy M Lenk1, Miriam H Meisler2

  • 1Department of Human Genetics, University of Michigan, Ann Arbor, MI 48109-5618, United States of America.

Insights

Chloroquine treatment corrects enlarged lysosomes in cells lacking FIG4 and improves symptoms in a mouse model of FIG4 deficiency. This suggests chloroquine may benefit rare genetic disorders caused by FIG4 mutations.

Area of Science:

  • Cell Biology
  • Genetics
  • Pharmacology

Background:

  • Loss-of-function mutations in FIG4 disrupt phosphoinositide biosynthesis, leading to rare genetic disorders like Yunis-Varón Syndrome and Charcot-Marie-Tooth Disease Type 4 J.
  • FIG4 deficiency causes enlarged, hyperacidic lysosomes due to impaired ion channel regulation and increased osmotic pressure.

Purpose of the Study:

  • To investigate the therapeutic potential of chloroquine, an FDA-approved drug, in mitigating the cellular and in vivo phenotypes associated with FIG4 deficiency.

Main Methods:

  • Evaluated chloroquine's effects on FIG4-deficient cell cultures.
  • Administered chloroquine in drinking water to a mouse model of FIG4 deficiency.
  • Assessed lysosomal morphology, pH, growth, mobility, neurological degeneration, and survival rates.

Main Results:

  • Chloroquine treatment normalized enlarged lysosomes in FIG4-null cells.
  • In FIG4-null mice, chloroquine slowed disease progression, significantly improving growth and mobility.
  • Median survival of treated mice increased from 4 to 8 weeks, with reduced spongiform degeneration.

Conclusions:

  • Chloroquine effectively corrects lysosomal abnormalities in vitro and ameliorates FIG4 deficiency phenotypes in vivo.
  • The findings suggest chloroquine could be a potential therapeutic agent for complete and partial FIG4 loss-of-function disorders, including Charcot-Marie-Tooth Type 4 J.