AI Article Synopsis

  • Lysosomal storage diseases (LSDs) present serious systemic and central nervous system symptoms, with current treatments offering limited effectiveness, particularly for neurological issues.
  • Recent research shows that recombinant human heat shock protein 70 (HSP70) enhances the function of sphingolipid-degrading enzymes and reverses lysosomal damage in cells from patients with various LSDs.
  • HSP70 also improves conditions in animal models of LSDs by reducing harmful lipid accumulation and alleviating neurological symptoms, indicating potential for heat shock protein therapies in clinical settings.

Article Abstract

Lysosomal storage diseases (LSDs) often manifest with severe systemic and central nervous system (CNS) symptoms. The existing treatment options are limited and have no or only modest efficacy against neurological manifestations of disease. We demonstrate that recombinant human heat shock protein 70 (HSP70) improves the binding of several sphingolipid-degrading enzymes to their essential cofactor bis(monoacyl)glycerophosphate in vitro. HSP70 treatment reversed lysosomal pathology in primary fibroblasts from 14 patients with eight different LSDs. HSP70 penetrated effectively into murine tissues including the CNS and inhibited glycosphingolipid accumulation in murine models of Fabry disease (Gla(-/-)), Sandhoff disease (Hexb(-/-)), and Niemann-Pick disease type C (Npc1(-/-)) and attenuated a wide spectrum of disease-associated neurological symptoms in Hexb(-/-) and Npc1(-/-) mice. Oral administration of arimoclomol, a small-molecule coinducer of HSPs that is currently in clinical trials for Niemann-Pick disease type C (NPC), recapitulated the effects of recombinant human HSP70, suggesting that heat shock protein-based therapies merit clinical evaluation for treating LSDs.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821533PMC
http://dx.doi.org/10.1126/scitranslmed.aad9823DOI Listing

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