Evaluation of antihypertensive drugs in combination with enzyme replacement therapy in mice with Pompe disease

Pompe disease is caused by the deficiency of lysosomal acid α-glucosidase (GAA) leading to progressive myopathy. Enzyme replacement therapy (ERT) with recombinant human (rh) GAA has limitations, including inefficient uptake of rhGAA in skeletal muscle linked to low cation-independent mannose-6-phosp...

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Veröffentlicht in:Molecular genetics and metabolism 2020-02, Vol.129 (2), p.73-79
Hauptverfasser: Han, Sang-oh, Haynes, Alexina C., Li, Songtao, Abraham, Dennis M., Kishnani, Priya S., Steet, Richard, Koeberl, Dwight D.
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container_end_page 79
container_issue 2
container_start_page 73
container_title Molecular genetics and metabolism
container_volume 129
creator Han, Sang-oh
Haynes, Alexina C.
Li, Songtao
Abraham, Dennis M.
Kishnani, Priya S.
Steet, Richard
Koeberl, Dwight D.
description Pompe disease is caused by the deficiency of lysosomal acid α-glucosidase (GAA) leading to progressive myopathy. Enzyme replacement therapy (ERT) with recombinant human (rh) GAA has limitations, including inefficient uptake of rhGAA in skeletal muscle linked to low cation-independent mannose-6-phosphate receptor (CI-MPR) expression. To test the hypothesis that antihypertensive agents causing muscle hypertrophy by increasing insulin-like growth factor 1 expression can increase CI-MPR-mediated uptake of recombinant enzyme with therapeutic effects in skeletal muscle. Three such agents were evaluated in mice with Pompe disease (carvedilol, losartan, and propranolol), either with or without concurrent ERT. Carvedilol, a selective β-blocker, increased muscle strength but reduced biochemical correction from ERT. Administration of drugs alone had minimal effect, with the exception of losartan that increased glycogen storage and mortality either by itself or in combination with ERT. The β-blocker carvedilol had beneficial effects during ERT in mice with Pompe disease, in comparison with propranolol or losartan. Caution is warranted when prescribing antihypertensive drugs in Pompe disease.
doi_str_mv 10.1016/j.ymgme.2019.10.005
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Enzyme replacement therapy (ERT) with recombinant human (rh) GAA has limitations, including inefficient uptake of rhGAA in skeletal muscle linked to low cation-independent mannose-6-phosphate receptor (CI-MPR) expression. To test the hypothesis that antihypertensive agents causing muscle hypertrophy by increasing insulin-like growth factor 1 expression can increase CI-MPR-mediated uptake of recombinant enzyme with therapeutic effects in skeletal muscle. Three such agents were evaluated in mice with Pompe disease (carvedilol, losartan, and propranolol), either with or without concurrent ERT. Carvedilol, a selective β-blocker, increased muscle strength but reduced biochemical correction from ERT. Administration of drugs alone had minimal effect, with the exception of losartan that increased glycogen storage and mortality either by itself or in combination with ERT. 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subjects Acid alpha-glucosidase
Acid maltase
alpha-Glucosidases - genetics
Animals
Antihypertensive Agents - therapeutic use
Disease Models, Animal
Drug Therapy, Combination
Enzyme Replacement Therapy
Female
Glycogen storage disease type II
Glycogen Storage Disease Type II - drug therapy
Insulin-Like Growth Factor I - genetics
Male
Mannose-6-phosphate receptor
Mice
Mice, Knockout
Muscle, Skeletal - drug effects
Muscle, Skeletal - pathology
title Evaluation of antihypertensive drugs in combination with enzyme replacement therapy in mice with Pompe disease
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