Ataxia with giant axonopathy in Acbd5-deficient mice halted by adeno-associated virus gene therapy

Luis Granadeiro1,2, Violeta Enríquez Zarralanga1, Ricardo Rosa1

  • 1Neurolipid Biology, Instituto de Investigação e Inovação em Saúde da Universidade do Porto - i3S and Instituto de Biologia Molecular e Celular - IBMC, 4200-135 Porto, Portugal.

PubMed

Insights

Acyl-CoA binding domain containing 5 (ACBD5) mutations cause very long chain fatty acid (VLCFA) accumulation, leading to severe neurological and retinal diseases. A new Acbd5 mutant mouse model effectively recapitulates these human disorders, aiding research into VLCFA-related conditions.

Area of Science:

  • Biochemistry
  • Neuroscience
  • Genetics

Background:

  • Acyl-CoA binding domain containing 5 (ACBD5) is crucial for very long chain fatty acid (VLCFA) metabolism and peroxisomal β-oxidation.
  • ACBD5 mutations result in VLCFA accumulation, causing retinal dystrophy, ataxia, psychomotor delay, and leukodystrophy in humans.

Purpose of the Study:

  • To generate and characterize a mouse model mimicking human ACBD5-related disorders.
  • To investigate the neuropathological mechanisms underlying VLCFA accumulation.
  • To evaluate potential therapeutic interventions for VLCFA-related diseases.

Main Methods:

  • CRISPR/Cas9 gene editing to create an Acbd5 Gly357* mutant mouse allele.
  • Phenotypic analysis including locomotion, reflexes, survival, and histopathology (retina, cerebellum, CNS).
  • Lipidomic and proteomic analyses, in vitro neuronal studies, and adeno-associated virus (AAV)-mediated gene therapy.

Main Results:

  • Acbd5 Gly357* mice exhibited reduced survival, impaired motor function, photoreceptor loss, demyelination, Purkinje cell loss, and giant axonopathy.
  • Lipidomic studies confirmed widespread lipid dysregulation due to VLCFA accumulation.
  • VLCFA exposure in neurons led to cytoskeletal deregulation, reduced actin dynamics, and increased filopodia; AAV gene delivery improved phenotypes and myelination.

Conclusions:

  • The Acbd5 Gly357* mouse model accurately recapitulates key features of human ACBD5-related disorders.
  • This model facilitates understanding of VLCFA-induced neuropathology, including cytoskeletal defects.
  • The study demonstrates the therapeutic potential of gene delivery for VLCFA-related leukodystrophies.

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