Abstract

Mucopolysaccharide diseases (MPS) are caused by deficiency of glycosaminoglycan (GAG) degrading enzymes, leading to GAG accumulation. Neurodegenerative MPS diseases exhibit cognitive decline, behavioural problems and shortened lifespan. We have characterised neuropathological changes in mouse models of MPSI, IIIA and IIIB to provide a better understanding of these events.Wild-type (WT), MPSI, IIIA and IIIB mouse brains were analysed at 4 and 9 months of age. Quantitative immunohistochemistry showed significantly increased lysosomal compartment, GM2 ganglioside storage, neuroinflammation, decreased and mislocalised synaptic vesicle associated membrane protein, (VAMP2), and decreased post-synaptic protein, Homer-1, in layers II/III-VI of the primary motor, somatosensory and parietal cortex. Total heparan sulphate (HS), was significantly elevated, and abnormally N-, 6-O and 2-O sulphated compared to WT, potentially altering HS-dependent cellular functions. Neuroinflammation was confirmed by significantly increased MCP-1, MIP-1α, IL-1α, using cytometric bead arrays. An overall genotype effect was seen in all parameters tested except for synaptophysin staining, neuronal cell number and cortical thickness which were not significantly different from WT. MPSIIIA and IIIB showed significantly more pronounced pathology than MPSI in lysosomal storage, astrocytosis, microgliosis and the percentage of 2-O sulphation of HS. We also observed significant time progression of all genotypes from 4–9 months in lysosomal storage, astrocytosis, microgliosis and synaptic disorganisation but not GM2 gangliosidosis. Individual genotype*time differences were disparate, with significant progression from 4 to 9 months only seen for MPSIIIB with lysosomal storage, MPSI with astrocytocis and MPSIIIA with microgliosis as well as neuronal loss. Transmission electron microscopy of MPS brains revealed dystrophic axons, axonal storage, and extensive lipid and lysosomal storage. These data lend novel insight to MPS neuropathology, suggesting that MPSIIIA and IIIB have more pronounced neuropathology than MPSI, yet all are still progressive, at least in some aspects of neuropathology, from 4–9 months.

Highlights

  • The series of pathogenic events that cause severe neurodegeneration and death in the mucopolysaccharide (MPS) diseases is still not fully understood

  • Lysosomal compartment size becomes progressively larger in brains from MPSI, MPSIIIA to MPSIIIB mice

  • Two way ANOVA for genotype versus time revealed a significant genotype effect, with LAMP2 staining in MPSIIIB significantly increased over MPSIIIA (p,0.001), MPSI (p,0.001) and WT (p,0.001), MPSIIIA significantly increased over both MPSI (p,0.03) and WT (p,0.001) and MPSI significantly increased over WT (p,0.001; Figure 1C)

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Summary

Introduction

The series of pathogenic events that cause severe neurodegeneration and death in the mucopolysaccharide (MPS) diseases is still not fully understood Amongst this complex set of diseases, MPSI (Hurler), IIIA and IIIB (Sanfilippo) are inherited neurodegenerative lysosomal storage disorders (LSD) caused by deficiency of the glycosaminoglycan (GAG) degrading enzymes aiduronidase (IDUA), N-sulphoglucosamine sulphohydrolase (SGSH) or a-N-acetylglucosaminidase (NAGLU) respectively. This deficiency leads to storage of GAGs in all cells of the body causing multisystem disease, with specific phenotypes exhibited depending upon the type of GAG stored. Substrate reduction therapy (SRT), using high doses of the isoflavone genistein aglycone, has shown very promising results in a mouse model of MPSIIIB [7,8]

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