Bone marrow transplantation increases sulfatase activity in somatic tissues in a multiple sulfatase deficiency mouse model.


Journal

Communications medicine
ISSN: 2730-664X
Titre abrégé: Commun Med (Lond)
Pays: England
ID NLM: 9918250414506676

Informations de publication

Date de publication:
25 Oct 2024
Historique:
received: 28 10 2023
accepted: 16 10 2024
medline: 25 10 2024
pubmed: 25 10 2024
entrez: 25 10 2024
Statut: epublish

Résumé

Multiple Sulfatase Deficiency (MSD) is an ultra-rare autosomal recessive disorder characterized by deficient enzymatic activity of all known sulfatases. MSD patients frequently carry two loss of function mutations in the SUMF1 gene, encoding a formylglycine-generating enzyme (FGE) that activates 17 different sulfatases. MSD patients show common features of other lysosomal diseases like mucopolysaccharidosis and metachromatic leukodystrophy, including neurologic impairments, developmental delay, and visceromegaly. There are currently no approved therapies for MSD patients. Hematopoietic stem cell transplant (HSCT) has been applied with success in the treatment of certain lysosomal diseases. In HSCT, donor-derived myeloid cells are a continuous source of active sulfatase enzymes that can be taken up by sulfatase-deficient host cells. Thus, HSCT could be a potential approach for the treatment of MSD. To test this hypothesis, we used a clinically relevant mouse model for MSD, B6-Sumf1 After 10 months post-transplant, flow cytometric analysis shows an average of 90% of circulating leukocytes of donor origin (Sumf1 Our results indicate that HSCT could be a suitable approach to treat MSD-pathology affecting peripheral organs, however that benefit to CNS pathology might be limited. Multiple Sulfatase Deficiency (MSD) is a rare genetic disorder caused by loss-of-function variations in the SUMF1 gene. This deficiency results in the accumulation of toxic compounds, leading to developmental delays and neurological impairments. In a bone marrow transplant (BMT), donor cells are infused into the patient and secrete active proteins that can help remove those toxic compounds. We carried out BMT in a mouse model for MSD and saw beneficial effects on peripheral organs, such as the liver and heart, but less change in neurological symptoms. Our results will be useful for the design of potential cell therapy approaches that could be used clinically to treat MSD.

Sections du résumé

BACKGROUND BACKGROUND
Multiple Sulfatase Deficiency (MSD) is an ultra-rare autosomal recessive disorder characterized by deficient enzymatic activity of all known sulfatases. MSD patients frequently carry two loss of function mutations in the SUMF1 gene, encoding a formylglycine-generating enzyme (FGE) that activates 17 different sulfatases. MSD patients show common features of other lysosomal diseases like mucopolysaccharidosis and metachromatic leukodystrophy, including neurologic impairments, developmental delay, and visceromegaly. There are currently no approved therapies for MSD patients. Hematopoietic stem cell transplant (HSCT) has been applied with success in the treatment of certain lysosomal diseases. In HSCT, donor-derived myeloid cells are a continuous source of active sulfatase enzymes that can be taken up by sulfatase-deficient host cells. Thus, HSCT could be a potential approach for the treatment of MSD.
METHODS METHODS
To test this hypothesis, we used a clinically relevant mouse model for MSD, B6-Sumf1
RESULTS RESULTS
After 10 months post-transplant, flow cytometric analysis shows an average of 90% of circulating leukocytes of donor origin (Sumf1
CONCLUSIONS CONCLUSIONS
Our results indicate that HSCT could be a suitable approach to treat MSD-pathology affecting peripheral organs, however that benefit to CNS pathology might be limited.
Multiple Sulfatase Deficiency (MSD) is a rare genetic disorder caused by loss-of-function variations in the SUMF1 gene. This deficiency results in the accumulation of toxic compounds, leading to developmental delays and neurological impairments. In a bone marrow transplant (BMT), donor cells are infused into the patient and secrete active proteins that can help remove those toxic compounds. We carried out BMT in a mouse model for MSD and saw beneficial effects on peripheral organs, such as the liver and heart, but less change in neurological symptoms. Our results will be useful for the design of potential cell therapy approaches that could be used clinically to treat MSD.

Autres résumés

Type: plain-language-summary (eng)
Multiple Sulfatase Deficiency (MSD) is a rare genetic disorder caused by loss-of-function variations in the SUMF1 gene. This deficiency results in the accumulation of toxic compounds, leading to developmental delays and neurological impairments. In a bone marrow transplant (BMT), donor cells are infused into the patient and secrete active proteins that can help remove those toxic compounds. We carried out BMT in a mouse model for MSD and saw beneficial effects on peripheral organs, such as the liver and heart, but less change in neurological symptoms. Our results will be useful for the design of potential cell therapy approaches that could be used clinically to treat MSD.

Identifiants

pubmed: 39448727
doi: 10.1038/s43856-024-00648-y
pii: 10.1038/s43856-024-00648-y
doi:

Types de publication

Journal Article

Langues

eng

Pagination

215

Informations de copyright

© 2024. The Author(s).

Références

Adang, L. A. et al. Natural history of multiple sulfatase deficiency: retrospective phenotyping and functional variant analysis to characterize an ultra-rare disease. J. Inherit. Metab. Dis. 43, 1298–1309 (2020).
doi: 10.1002/jimd.12298 pubmed: 32749716 pmcid: 7693296
Schlotawa, L., Adang, L. A., Radhakrishnan, K. & Ahrens-Nicklas, R. C. Multiple sulfatase deficiency: a disease comprising mucopolysaccharidosis, sphingolipidosis, and more caused by a defect in posttranslational modification. Int. J. Mol, Sci. 21, 3448 (2020).
Cosma, M. P. et al. The multiple sulfatase deficiency gene encodes an essential and limiting factor for the activity of sulfatases. Cell 113, 445–456 (2003).
doi: 10.1016/S0092-8674(03)00348-9 pubmed: 12757706
Dierks, T. et al. Multiple sulfatase deficiency is caused by mutations in the gene encoding the human Cα-formylglycine generating enzyme. Cell 113, 435–444 (2003).
doi: 10.1016/S0092-8674(03)00347-7 pubmed: 12757705
Diez-Roux, G. & Ballabio, A. Sulfatases and human disease. Annu. Rev. Genom. Hum. Genet. 6, 355–379 (2005).
doi: 10.1146/annurev.genom.6.080604.162334
Parenti, G., Meroni, G. & Ballabio, A. The sulfatase gene family. Curr. Opin. Genet. Dev. 7, 386–391 (1997).
doi: 10.1016/S0959-437X(97)80153-0 pubmed: 9229115
Dierks, T. et al. Molecular basis of multiple sulfatase deficiency, mucolipidosis II/III and Niemann–Pick C1 disease — Lysosomal storage disorders caused by defects of non-lysosomal proteins. Biochim. et. Biophys. Acta (BBA) Mol. Cell Res. 1793, 710–725 (2009).
doi: 10.1016/j.bbamcr.2008.11.015
Settembre, C. et al. Systemic inflammation and neurodegeneration in a mouse model of multiple sulfatase deficiency. Proc. Natl Acad. Sci. USA 104, 4506–4511 (2007).
doi: 10.1073/pnas.0700382104 pubmed: 17360554 pmcid: 1810506
Cappuccio, G., Alagia, M. & Brunetti-Pierri, N. A systematic cross-sectional survey of multiple sulfatase deficiency. Mol. Genet Metab. 130, 283–288 (2020).
doi: 10.1016/j.ymgme.2020.06.005 pubmed: 32620537
Annunziata, I., Bouchè, V., Lombardi, A., Settembre, C. & Ballabio, A. Multiple sulfatase deficiency is due to hypomorphic mutations of the SUMF1 gene. Hum. Mutat. 28, 928 (2007).
doi: 10.1002/humu.9504 pubmed: 17657823
Hopwood, J. J. & Ballabio, A. Multiple sulfatase deficiency and the nature of the sulfatase family. in The Online Metabolic and Molecular Bases of Inherited Disease (eds. Valle, D. L., Antonarakis, S., Ballabio, A., Beaudet, A.L. & Mitchell, G. A.) (McGraw-Hill Education, 2019).
Fratantoni, J. C., Hall, C. W. & Neufeld, E. F. Hurler and Hunter syndromes: mutual correction of the defect in cultured fibroblasts. Science 162, 570–572 (1968).
doi: 10.1126/science.162.3853.570 pubmed: 4236721
Hasilik, A., Klein, U., Waheed, A., Strecker, G. & von Figura, K. Phosphorylated oligosaccharides in lysosomal enzymes: identification of alpha-N-acetylglucosamine(1)phospho(6)mannose diester groups. Proc. Natl Acad. Sci. USA 77, 7074–7078 (1980).
doi: 10.1073/pnas.77.12.7074 pubmed: 6938953 pmcid: 350443
Orchard, P. J. et al. Hematopoietic cell therapy for metabolic disease. J. Pediatr. 151, 340–346 (2007).
doi: 10.1016/j.jpeds.2007.04.054 pubmed: 17889065
Biffi, A. Hematopoietic stem cell gene therapy for storage disease: current and new indications. Mol. Ther. 25, 1155–1162 (2017).
doi: 10.1016/j.ymthe.2017.03.025 pubmed: 28389320 pmcid: 5417839
Capotondo, A. et al. Brain conditioning is instrumental for successful microglia reconstitution following hematopoietic stem cell transplantation. Proc. Natl Acad. Sci. USA 109, 15018–15023 (2012).
doi: 10.1073/pnas.1205858109 pubmed: 22923692 pmcid: 3443128
Rigante, D., Cipolla, C., Basile, U., Gulli, F. & Savastano, M. C. Overview of immune abnormalities in lysosomal storage disorders. Immunol. Lett. 188, 79–85 (2017).
doi: 10.1016/j.imlet.2017.07.004 pubmed: 28687233
Wada, R., Tifft, C. J. & Proia, R. L. Microglial activation precedes acute neurodegeneration in Sandhoff disease and is suppressed by bone marrow transplantation. Proc. Natl Acad. Sci. USA 97, 10954–10959 (2000).
doi: 10.1073/pnas.97.20.10954 pubmed: 11005868 pmcid: 27130
de Ru, M. H. et al. Enzyme replacement therapy and/or hematopoietic stem cell transplantation at diagnosis in patients with mucopolysaccharidosis type I: results of a European consensus procedure. Orphanet J. Rare Dis. 6, 55 (2011).
doi: 10.1186/1750-1172-6-55 pubmed: 21831279 pmcid: 3170181
Hobbs, J. R. et al. Reversal of clinical features of Hurler’s disease and biochemical improvement after treatment by bone-marrow transplantation. Lancet 2, 709–712 (1981).
doi: 10.1016/S0140-6736(81)91046-1 pubmed: 6116856
Kunin-Batson, A. S. et al. Long-term cognitive and functional outcomes in children with Mucopolysaccharidosis (MPS)-IH (Hurler Syndrome) treated with hematopoietic cell transplantation. JIMD Rep. 29, 95–102 (2016).
doi: 10.1007/8904_2015_521 pubmed: 26825088 pmcid: 5059216
Pillai, N. R. et al. Evaluation of the effectiveness of hematopoietic stem cell transplantation in multiple sulfatase deficiency. Mol. Genet. Metab. 132, S87 (2021).
doi: 10.1016/j.ymgme.2020.12.207
Sorrentino, N. C. et al. New mouse models with hypomorphic SUMF1 variants mimic attenuated forms of multiple sulfatase deficiency. J. Inherit. Metabol. Dis. 46, 335–347 (2022).
Mercier, F. E., Sykes, D. B. & Scadden, D. T. Single targeted exon mutation creates a true congenic mouse for competitive hematopoietic stem cell transplantation: the C57BL/6-CD45.1STEM Mouse. Stem Cell Rep. 6, 985–992 (2016).
doi: 10.1016/j.stemcr.2016.04.010
Wolf, D. A. et al. Increased longevity and metabolic correction following syngeneic BMT in a murine model of mucopolysaccharidosis type I. Bone Marrow Transplant. 47, 1235–1240 (2012).
doi: 10.1038/bmt.2011.239 pubmed: 22179554
Mirzaian, M., Kramer, G. & Poorthuis, B. J. H. M. Quantification of sulfatides and lysosulfatides in tissues and body fluids by liquid chromatography-tandem mass spectrometry [S]. J. Lipid Res. 56, 936–943 (2015).
doi: 10.1194/jlr.M057232 pubmed: 25632048 pmcid: 4373750
Blomqvist, M., Gieselmann, V. & Månsson, J.-E. Accumulation of lysosulfatide in the brain of arylsulfatase A-deficient mice. Lipids Health Dis. 10, 28 (2011).
doi: 10.1186/1476-511X-10-28 pubmed: 21299873 pmcid: 3041674
Lapidot, T., Dar, A. & Kollet, O. How do stem cells find their way home? Blood 106, 1901–1910 (2005).
doi: 10.1182/blood-2005-04-1417 pubmed: 15890683
Xingxuan, He, H. Schuchman, E. & Simonaro, C. A new fluorescent method to detect sulfamidase activity in blood, tissue extracts and dried blood spots. J. Inborn Errors Metab. Screening 9, e20200021 (2021).
Lier, J., Streit, W. J. & Bechmann, I. Beyond activation: characterizing microglial functional phenotypes. Cells 10, 2236 (2021).
Ahrens-Nicklas, R. et al. Complex care of individuals with multiple sulfatase deficiency: Clinical cases and consensus statement. Mol. Genet Metab. 123, 337–346 (2018).
doi: 10.1016/j.ymgme.2018.01.005 pubmed: 29397290 pmcid: 6856873
Aldenhoven, M. et al. Long-term outcome of Hurler syndrome patients after hematopoietic cell transplantation: an international multicenter study. Blood 125, 2164–2172 (2015).
doi: 10.1182/blood-2014-11-608075 pubmed: 25624320
Mynarek, M. et al. Allogeneic hematopoietic SCT for alpha-mannosidosis: an analysis of 17 patients. Bone Marrow Transpl. 47, 352–359 (2012).
doi: 10.1038/bmt.2011.99
Turbeville, S. et al. Clinical outcomes following hematopoietic stem cell transplantation for the treatment of mucopolysaccharidosis VI. Mol. Genet Metab. 102, 111–115 (2011).
doi: 10.1016/j.ymgme.2010.09.010 pubmed: 20980181
Welling, L. et al. Early umbilical cord blood-derived stem cell transplantation does not prevent neurological deterioration in mucopolysaccharidosis type III. JIMD Rep. 18, 63–68 (2015).
doi: 10.1007/8904_2014_350 pubmed: 25256447
Lund, T. C. et al. Outcomes after hematopoietic stem cell transplantation for children with I-cell disease. Biol. Blood Marrow Transpl. 20, 1847–1851 (2014).
doi: 10.1016/j.bbmt.2014.06.019
Solders, M. et al. Hematopoietic SCT: a useful treatment for late metachromatic leukodystrophy. Bone Marrow Transpl. 49, 1046–1051 (2014).
doi: 10.1038/bmt.2014.93
Selvanathan, A. et al. Effectiveness of early hematopoietic stem cell transplantation in preventing neurocognitive decline in mucopolysaccharidosis Type II: a case series. JIMD Rep. 41, 81–89 (2018).
doi: 10.1007/8904_2018_104 pubmed: 29671225 pmcid: 6122046

Auteurs

Maximiliano Presa (M)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA.

Vi Pham (V)

Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Division of Human Genetics, Department of Pediatrics, Metabolic Disease Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Somdatta Ray (S)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA.

Pierre-Alexandre Piec (PA)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA.

Jennifer Ryan (J)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA.

Timothy Billings (T)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA.

Harold Coombs (H)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA.

Lars Schlotawa (L)

Department of Pediatrics and Adolescent Medicine, University Medical Center Goettingen, Goettingen, Germany.
Fraunhofer Institute for Translational Medicine and Pharmacology - Tranlational Neuroinflammation and Automated Microscopy, Goettingen, Germany.

Troy Lund (T)

Division of Hematology-Oncology and Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA.

Rebecca C Ahrens-Nicklas (RC)

Department of Genetics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Division of Human Genetics, Department of Pediatrics, Metabolic Disease Program, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

Cathleen Lutz (C)

Rare Disease Translational Center, The Jackson Laboratory, Bar Harbor, ME, USA. Cat.Lutz@jax.org.

Classifications MeSH