0A-S4-4

 

NEUROGENETIC DISEASES: PATHOGENESIS AND TREATMENT

Suzuki Y

Nasu Institute for Development Disabilities, Clinical Research Center, International University of Health and Welfare, Otawara, Japan

 

At present little is known about the pathogenesis of tissue-specific expression of mutant genes causing neurogenetic diseases. The use of animal models is indispensable to clarify the missing link between molecular events and phenotypic expression. We have generated a β-galactosidase-deficient knockout mouse for research in pathogenesis and therapeutic trial of β-galactosidase deficiency disorders. Furthermore various human mutant β-galactosidase genes were introduced into knockout mice, achieving transgenic over-expression of phenotype-specific mutations. These knockout-transgenic animals can serve as an authentic model of each phenotypic of humanβ-galactosidase deficiency disorders. The animals expressing wild-type human gene showed a complete correction pf the enzyme activity. On the other hand, we have found that some low molecular compounds that inhibit α-galactosidase can restore residual activities of some mutant enzymes (Fan, Ishii, Asano, Suzuki: Nature Genet, 1999). We have applied this procedure to b-galactosidase deficiency disorders, to human and mouse fibroblasts, using galactose analogs for restoration of the enzyme activity. Among the compounds we tried, 1-deoxygalactonojirimycin, N-(butyl)-deoxygalactonojirimycin, and a new compound GalX, inhibited at high concentrations and restored at low concentrations the residual enzyme activity. GalX had the most remarkable effect. We expect that these compounds with a molecular structure similar to galactose will be used for a new molecular therapy of brain disease in GM1-gangliosidosis with some specific gene mutations. This new approach may be extended also to other lysosomal storage diseases with severe brain pathology, and possibly further to neurogenetic diseases of other types in future.