PMID- 11133779 OWN - NLM STAT- MEDLINE DCOM- 20010215 LR - 20210216 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 97 IP - 1 DP - 2001 Jan 1 TI - Enhanced survival in Sandhoff disease mice receiving a combination of substrate deprivation therapy and bone marrow transplantation. PG - 327-9 AB - Sandhoff disease is a lysosomal storage disorder characterized by G(M2) ganglioside accumulation in the central nervous system (CNS) and periphery. It results from mutations in the HEXB gene, causing a deficiency in beta-hexosaminidase. Bone marrow transplantation (BMT), which augments enzyme levels, and substrate deprivation (using the glycosphingolipid biosynthesis inhibitor N-butyldeoxynojirimycin [NB-DNJ]) independently have been shown to extend life expectancy in a mouse model of Sandhoff disease. The efficacy of combining these 2 therapies was evaluated. Sandhoff disease mice treated with BMT and NB-DNJ survived significantly longer than those treated with BMT or NB-DNJ alone. When the mice were subdivided into 2 groups on the basis of their donor bone marrow-derived CNS enzyme levels, the high enzyme group exhibited a greater degree of synergy (25%) than the group as a whole (13%). Combination therapy may therefore be the strategy of choice for treating the infantile onset disease variants. FAU - Jeyakumar, M AU - Jeyakumar M AD - Glycobiology Institute, Department of Biochemistry, University of Oxford, Oxford, United Kingdom. FAU - Norflus, F AU - Norflus F FAU - Tifft, C J AU - Tifft CJ FAU - Cortina-Borja, M AU - Cortina-Borja M FAU - Butters, T D AU - Butters TD FAU - Proia, R L AU - Proia RL FAU - Perry, V H AU - Perry VH FAU - Dwek, R A AU - Dwek RA FAU - Platt, F M AU - Platt FM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Enzyme Inhibitors) RN - 0 (Glycosphingolipids) RN - 19130-96-2 (1-Deoxynojirimycin) RN - ADN3S497AZ (miglustat) RN - EC 3.2.1.52 (Hexosaminidase B) RN - EC 3.2.1.52 (beta-N-Acetylhexosaminidases) SB - IM MH - 1-Deoxynojirimycin/*analogs & derivatives/*therapeutic use MH - Animals MH - *Bone Marrow Transplantation MH - Brain/metabolism MH - Diagnostic Techniques, Neurological MH - Disease Models, Animal MH - Enzyme Inhibitors/therapeutic use MH - Glycosphingolipids/metabolism MH - Hexosaminidase B MH - Mice MH - Sandhoff Disease/*therapy MH - Spinal Cord/metabolism MH - Survival Rate MH - beta-N-Acetylhexosaminidases/metabolism EDAT- 2001/01/03 11:00 MHDA- 2001/03/03 10:01 CRDT- 2001/01/03 11:00 PHST- 2001/01/03 11:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2001/01/03 11:00 [entrez] AID - S0006-4971(20)48145-5 [pii] AID - 10.1182/blood.v97.1.327 [doi] PST - ppublish SO - Blood. 2001 Jan 1;97(1):327-9. doi: 10.1182/blood.v97.1.327.