Heparan sulfate binding protein treatment ameliorates neuropathology and behavioral abnormalities in

Serenella Anzilotti1, Melania Scarcella2, Mariangela Ciampa2

  • 1Department of Human Sciences and Quality of Life Promotion, San Raffaele University, Rome, Italy.

Cell Death Discovery
|August 1, 2025
PubMed

Insights

Mucopolysaccharidosis IIIB (MPS IIIB) is a rare neurodegenerative disease. Recombinant NK1 protein shows promise in treating MPS IIIB by reducing brain pathology and improving behavior in mouse models.

Area of Science:

  • Biochemistry
  • Neuroscience
  • Genetics

Background:

  • Mucopolysaccharidosis IIIB (MPS IIIB) is a lysosomal storage disease caused by NAGLU deficiency, leading to heparan sulfate accumulation and neurodegeneration.
  • Current treatments for MPS IIIB are lacking, necessitating the development of novel therapeutic strategies.
  • Heparan sulfate (HS) accumulation disrupts cellular functions, contributing to the progressive neurological decline observed in MPS IIIB patients.

Purpose of the Study:

  • To evaluate the therapeutic potential of recombinant NK1 protein in a mouse model of MPS IIIB.
  • To investigate the effects of NK1 on HS storage, lysosomal dysfunction, autophagy, and neuroinflammation in the MPS IIIB brain.
  • To assess the impact of NK1 treatment on cognitive and motor functions in MPS IIIB mice.

Main Methods:

  • Treatment of Naglu-/- mice (MPS IIIB model) with recombinant NK1 protein.
  • Histopathological analysis of brain tissue to assess HS storage, lysosomal markers, and neuroinflammation.
  • Behavioral testing including open field, object recognition, and T-maze tests to evaluate cognitive and motor functions.

Main Results:

  • Recombinant NK1 treatment significantly reduced HS storage in the cortex and hippocampus of Naglu-/- mice.
  • NK1 administration ameliorated lysosomal dysfunction, autophagy imbalance, and neuroinflammation in the MPS IIIB mouse brain.
  • Cognitive behavior and motor activity were notably improved in NK1-treated Naglu-/- mice.

Conclusions:

  • Recombinant NK1 protein demonstrates significant therapeutic efficacy in ameliorating neuropathology and functional deficits in an MPS IIIB mouse model.
  • NK1 treatment offers a promising therapeutic strategy for MPS IIIB by targeting key pathological mechanisms.
  • These findings suggest NK1's potential application in treating other lysosomal storage diseases affecting the central nervous system.