High-dose enzyme replacement therapy in murine Hurler syndrome

Mucopolysaccharidosis type I (MPS I) is an autosomal recessive disease that is systemic, including progressive neurodegeneration, mental retardation and death before the age of 10years. MPS I results from deficiency of α-l-iduronidase (IDUA) in lysosomes and subsequent accumulation of glycosaminogly...

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Veröffentlicht in:Molecular genetics and metabolism 2014-02, Vol.111 (2), p.116-122
Hauptverfasser: Ou, Li, Herzog, Tyler, Koniar, Brenda L., Gunther, Roland, Whitley, Chester B.
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container_issue 2
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container_title Molecular genetics and metabolism
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creator Ou, Li
Herzog, Tyler
Koniar, Brenda L.
Gunther, Roland
Whitley, Chester B.
description Mucopolysaccharidosis type I (MPS I) is an autosomal recessive disease that is systemic, including progressive neurodegeneration, mental retardation and death before the age of 10years. MPS I results from deficiency of α-l-iduronidase (IDUA) in lysosomes and subsequent accumulation of glycosaminoglycans (GAG). Clinical enzyme replacement therapy (ERT) with intravenous laronidase reverses some aspects of MPS I disease (e.g., hepatomegaly, splenomegaly, glycosaminoglycanuria) and ameliorates others (e.g., pulmonary function, cardiac disease, arthropathy, exercise tolerance). However, neurologic benefits are thought to be negligible because the blood–brain barrier (BBB) blocks enzyme from reaching the central nervous system (CNS). We considered the possibility that a very high dose of intravenous laronidase might be able to traverse the BBB in small quantities, and provide some metabolic correction in the brain. To address this question, high-dose laronidase was administered (11.6mg/kg, once per week, 4weeks) to adult MPS I mice. IDUA enzyme activity in the cortex of treated mice increased to 97% of that in wild type mice (p
doi_str_mv 10.1016/j.ymgme.2013.09.008
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MPS I results from deficiency of α-l-iduronidase (IDUA) in lysosomes and subsequent accumulation of glycosaminoglycans (GAG). Clinical enzyme replacement therapy (ERT) with intravenous laronidase reverses some aspects of MPS I disease (e.g., hepatomegaly, splenomegaly, glycosaminoglycanuria) and ameliorates others (e.g., pulmonary function, cardiac disease, arthropathy, exercise tolerance). However, neurologic benefits are thought to be negligible because the blood–brain barrier (BBB) blocks enzyme from reaching the central nervous system (CNS). We considered the possibility that a very high dose of intravenous laronidase might be able to traverse the BBB in small quantities, and provide some metabolic correction in the brain. To address this question, high-dose laronidase was administered (11.6mg/kg, once per week, 4weeks) to adult MPS I mice. IDUA enzyme activity in the cortex of treated mice increased to 97% of that in wild type mice (p&lt;0.01). GAG levels in cortex were reduced by 63% of that from untreated MPS I mice (p&lt;0.05). Further, immunohistochemical analysis showed that treatment reduced secondary GM3-ganglioside accumulation in treated MPS I mice. Water T-maze tests showed that the learning abnormality in MPS I mice was reduced (p&lt;0.0001). In summary, repeated, high-dose ERT facilitated laronidase transit across the BBB, reduced GAG accumulation within the CNS, and rescued cognitive impairment. •We conducted high-dose ERT in MPS I mice.•High-dose ERT leads to enzyme activity increase in the CNS.•High-dose ERT leads to GAG accumulation reduction in the CNS.•High-dose ERT leads to neurological improvements.</description><identifier>ISSN: 1096-7192</identifier><identifier>EISSN: 1096-7206</identifier><identifier>DOI: 10.1016/j.ymgme.2013.09.008</identifier><identifier>PMID: 24100243</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Blood-Brain Barrier - metabolism ; Blood–brain-barrier ; Brain - drug effects ; Brain - metabolism ; Brain - pathology ; Capillary Permeability ; Cognition - drug effects ; Disease Models, Animal ; Drug Administration Schedule ; Drug Dosage Calculations ; Enzyme Replacement Therapy ; Glycosaminoglycans - metabolism ; High dose ; Humans ; Hurler syndrome ; Iduronidase - blood ; Iduronidase - deficiency ; Iduronidase - pharmacokinetics ; Iduronidase - pharmacology ; Maze Learning - drug effects ; Mice ; Mice, Transgenic ; Mucopolysaccharidosis I ; Mucopolysaccharidosis I - enzymology ; Mucopolysaccharidosis I - pathology ; Mucopolysaccharidosis I - psychology ; Mucopolysaccharidosis I - therapy ; Recombinant Proteins - pharmacokinetics ; Recombinant Proteins - pharmacology</subject><ispartof>Molecular genetics and metabolism, 2014-02, Vol.111 (2), p.116-122</ispartof><rights>2013 Elsevier Inc.</rights><rights>2013.</rights><rights>2013 Elsevier Inc. 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MPS I results from deficiency of α-l-iduronidase (IDUA) in lysosomes and subsequent accumulation of glycosaminoglycans (GAG). Clinical enzyme replacement therapy (ERT) with intravenous laronidase reverses some aspects of MPS I disease (e.g., hepatomegaly, splenomegaly, glycosaminoglycanuria) and ameliorates others (e.g., pulmonary function, cardiac disease, arthropathy, exercise tolerance). However, neurologic benefits are thought to be negligible because the blood–brain barrier (BBB) blocks enzyme from reaching the central nervous system (CNS). We considered the possibility that a very high dose of intravenous laronidase might be able to traverse the BBB in small quantities, and provide some metabolic correction in the brain. To address this question, high-dose laronidase was administered (11.6mg/kg, once per week, 4weeks) to adult MPS I mice. IDUA enzyme activity in the cortex of treated mice increased to 97% of that in wild type mice (p&lt;0.01). GAG levels in cortex were reduced by 63% of that from untreated MPS I mice (p&lt;0.05). Further, immunohistochemical analysis showed that treatment reduced secondary GM3-ganglioside accumulation in treated MPS I mice. Water T-maze tests showed that the learning abnormality in MPS I mice was reduced (p&lt;0.0001). 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Herzog, Tyler ; Koniar, Brenda L. ; Gunther, Roland ; Whitley, Chester B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-4c5ea90e5fb6cccd188f28c24a1f72e180ecc46fff3f91423668f773d797c9a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Animals</topic><topic>Blood-Brain Barrier - metabolism</topic><topic>Blood–brain-barrier</topic><topic>Brain - drug effects</topic><topic>Brain - metabolism</topic><topic>Brain - pathology</topic><topic>Capillary Permeability</topic><topic>Cognition - drug effects</topic><topic>Disease Models, Animal</topic><topic>Drug Administration Schedule</topic><topic>Drug Dosage Calculations</topic><topic>Enzyme Replacement Therapy</topic><topic>Glycosaminoglycans - metabolism</topic><topic>High dose</topic><topic>Humans</topic><topic>Hurler syndrome</topic><topic>Iduronidase - blood</topic><topic>Iduronidase - deficiency</topic><topic>Iduronidase - pharmacokinetics</topic><topic>Iduronidase - pharmacology</topic><topic>Maze Learning - drug effects</topic><topic>Mice</topic><topic>Mice, Transgenic</topic><topic>Mucopolysaccharidosis I</topic><topic>Mucopolysaccharidosis I - enzymology</topic><topic>Mucopolysaccharidosis I - pathology</topic><topic>Mucopolysaccharidosis I - psychology</topic><topic>Mucopolysaccharidosis I - therapy</topic><topic>Recombinant Proteins - pharmacokinetics</topic><topic>Recombinant Proteins - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ou, Li</creatorcontrib><creatorcontrib>Herzog, Tyler</creatorcontrib><creatorcontrib>Koniar, Brenda L.</creatorcontrib><creatorcontrib>Gunther, Roland</creatorcontrib><creatorcontrib>Whitley, Chester B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Molecular genetics and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ou, Li</au><au>Herzog, Tyler</au><au>Koniar, Brenda L.</au><au>Gunther, Roland</au><au>Whitley, Chester B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High-dose enzyme replacement therapy in murine Hurler syndrome</atitle><jtitle>Molecular genetics and metabolism</jtitle><addtitle>Mol Genet Metab</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>111</volume><issue>2</issue><spage>116</spage><epage>122</epage><pages>116-122</pages><issn>1096-7192</issn><eissn>1096-7206</eissn><abstract>Mucopolysaccharidosis type I (MPS I) is an autosomal recessive disease that is systemic, including progressive neurodegeneration, mental retardation and death before the age of 10years. 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ispartof Molecular genetics and metabolism, 2014-02, Vol.111 (2), p.116-122
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Animals
Blood-Brain Barrier - metabolism
Blood–brain-barrier
Brain - drug effects
Brain - metabolism
Brain - pathology
Capillary Permeability
Cognition - drug effects
Disease Models, Animal
Drug Administration Schedule
Drug Dosage Calculations
Enzyme Replacement Therapy
Glycosaminoglycans - metabolism
High dose
Humans
Hurler syndrome
Iduronidase - blood
Iduronidase - deficiency
Iduronidase - pharmacokinetics
Iduronidase - pharmacology
Maze Learning - drug effects
Mice
Mice, Transgenic
Mucopolysaccharidosis I
Mucopolysaccharidosis I - enzymology
Mucopolysaccharidosis I - pathology
Mucopolysaccharidosis I - psychology
Mucopolysaccharidosis I - therapy
Recombinant Proteins - pharmacokinetics
Recombinant Proteins - pharmacology
title High-dose enzyme replacement therapy in murine Hurler syndrome
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