Enzyme replacement therapy for murine mucopolysaccharidosis type VII leads to improvements in behavior and auditory

L H O'Connor1, L C Erway, C A Vogler

  • 1Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

Insights

Early enzyme replacement therapy for Mucopolysaccharidosis type VII (MPS VII; Sly syndrome) in mice improved cognitive function and hearing. This treatment prevented learning, memory, and auditory deficits, offering a promising therapeutic approach.

Area of Science:

  • Biochemistry
  • Genetics
  • Neuroscience

Background:

  • Mucopolysaccharidosis type VII (MPS VII; Sly syndrome) is a lysosomal storage disease characterized by neurological and auditory deficits.
  • Previous treatments like bone marrow transplantation and gene therapy have not corrected neuronal storage or behavioral abnormalities in MPS VII mouse models.
  • Intravenous recombinant beta-glucuronidase at birth showed promise in reducing pathological evidence of MPS VII in mice.

Purpose of the Study:

  • To investigate the efficacy of early-initiated enzyme replacement therapy (ERT) using recombinant beta-glucuronidase in a murine model of MPS VII.
  • To assess the impact of ERT on behavioral performance and auditory function in MPS VII mice.

Main Methods:

  • MPS VII mice received intravenous injections of recombinant beta-glucuronidase starting at birth.
  • Behavioral testing was conducted using the Morris Water Maze to evaluate learning and memory.
  • Auditory function was assessed to determine the extent of hearing loss improvement.

Main Results:

  • Enzyme-treated MPS VII mice exhibited performance in the Morris Water Maze comparable to normal mice and significantly better than mock-treated MPS VII mice.
  • Auditory function in treated MPS VII mice was dramatically improved, becoming indistinguishable from that of normal mice.
  • ERT initiated at birth prevented learning, memory, and hearing deficits in the MPS VII mouse model.

Conclusions:

  • Early initiation of enzyme replacement therapy with recombinant beta-glucuronidase can prevent or ameliorate learning, memory, and hearing deficits in MPS VII mice.
  • These findings provide functional evidence supporting the biochemical and histopathological improvements observed with ERT in MPS VII.
  • This study highlights the potential of early ERT as a therapeutic strategy for Sly syndrome.

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