Engineered GM1 Intersects Between Mitochondrial and Synaptic Pathways to Ameliorate ALS Pathology

Federica Pilotto1,2, Tristan Dellazizzo Toth3,4, Silvano Bond3,4

  • 1Institut Neuromyogène, Pathophysiology and genetics of the neuron and muscle, Inserm U1315, CNRS, Université Claude Bernard Lyon I, Lyon, France.

Insights

Amyotrophic Lateral Sclerosis (ALS) involves motor neuron degeneration. A new nanoliposome formulation of GM1 ganglioside, Talineuren (TLN), shows promise by restoring cellular functions and counteracting deficits in ALS mouse models.

Area of Science:

  • Neuroscience
  • Genetics
  • Biochemistry

Background:

  • Amyotrophic Lateral Sclerosis (ALS) is a fatal neurodegenerative disease characterized by motor neuron loss.
  • Genetic heterogeneity in ALS presents challenges for developing effective treatments.
  • Identifying conserved molecular pathways is crucial for advancing ALS therapeutics.

Purpose of the Study:

  • To investigate conserved pathogenic mechanisms in C9ORF72-linked ALS using a cross-species proteomic approach.
  • To evaluate the neuroprotective potential of GM1 ganglioside and its nanoliposome formulation, Talineuren (TLN), in ALS models.

Main Methods:

  • Proteomic analysis of human iPSC-derived motor neurons and mouse spinal cords with C9ORF72 mutations.
  • Assessment of synaptic vesicle release, endoplasmic reticulum (ER) and mitochondrial stress responses.
  • Pharmacokinetic evaluation and therapeutic efficacy testing of Talineuren (TLN) in C9ORF72 and SOD1-G93A mouse models.

Main Results:

  • Conserved disruptions in synaptic vesicle release, ER, and mitochondrial stress were identified as key ALS mechanisms.
  • Disease progression correlated with protein aggregate accumulation and oxidative stress.
  • Talineuren (TLN) improved mitochondrial function, alleviated ER stress, prevented protein aggregation, and restored proteostasis.
  • Talineuren (TLN) counteracted behavioral deficits in ALS mouse models.

Conclusions:

  • Cellular disruptions, including ER and mitochondrial dysfunction, play a central role in ALS pathogenesis.
  • Talineuren (TLN), a bioavailable formulation of GM1 ganglioside, demonstrates significant neuroprotective effects.
  • Talineuren (TLN) represents a promising therapeutic candidate for ALS treatment.