PMID- 22704978 OWN - NLM STAT- MEDLINE DCOM- 20130129 LR - 20211021 IS - 1096-7206 (Electronic) IS - 1096-7192 (Print) IS - 1096-7192 (Linking) VI - 107 IP - 1-2 DP - 2012 Sep TI - Intravenous high-dose enzyme replacement therapy with recombinant palmitoyl-protein thioesterase reduces visceral lysosomal storage and modestly prolongs survival in a preclinical mouse model of infantile neuronal ceroid lipofuscinosis. PG - 213-21 LID - S1096-7192(12)00198-9 [pii] LID - 10.1016/j.ymgme.2012.05.009 [doi] AB - PPT1-related neuronal ceroid lipofuscinosis (NCL) is a lysosomal storage disorder caused by deficiency in a soluble lysosomal enzyme, palmitoyl-protein thioesterase-1 (PPT1). Enzyme replacement therapy (ERT) has not been previously examined in a preclinical animal model. Homozygous PPT1 knockout mice reproduce the known features of the disease, developing signs of motor dysfunction at 5 months of age and death by around 8 months. In the current study, PPT1 knockout mice were treated with purified recombinant PPT1 (0.3 mg, corresponding to 12 mg/kg or 180 U/kg for a 25 g mouse) administered intravenously weekly either 1) from birth; or 2) beginning at 8 weeks of age. The treatment was surprisingly well tolerated and neither anaphylaxis nor antibody formation was observed. In mice treated from birth, survival increased from 236 to 271 days (p<0.001) and the onset of motor deterioration was similarly delayed. In mice treated beginning at 8 weeks, no increases in survival or motor performance were seen. An improvement in neuropathology in the thalamus was seen at 3 months in mice treated from birth, and although this improvement persisted it was attenuated by 7 months. Outside the central nervous system, substantial clearance of autofluorescent storage material in many tissues was observed. Macrophages in spleen, liver and intestine were especially markedly improved, as were acinar cells of the pancreas and tubular cells of the kidney. These findings suggest that ERT may be an option for addressing visceral storage as part of a comprehensive approach to PPT1-related NCL, but more effective delivery methods to target the brain are needed. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Hu, Jie AU - Hu J AD - Hamon Center for Therapeutic Oncology Research, University of Texas Southwestern Medical Center, Dallas, TX 75390-8593, USA. FAU - Lu, Jui-Yun AU - Lu JY FAU - Wong, Andrew M S AU - Wong AM FAU - Hynan, Linda S AU - Hynan LS FAU - Birnbaum, Shari G AU - Birnbaum SG FAU - Yilmaz, Denis S AU - Yilmaz DS FAU - Streit, Barbara M AU - Streit BM FAU - Lenartowicz, Ewelina M AU - Lenartowicz EM FAU - Thompson, Thomas C M AU - Thompson TC FAU - Cooper, Jonathan D AU - Cooper JD FAU - Hofmann, Sandra L AU - Hofmann SL LA - eng GR - R01 NS036867/NS/NINDS NIH HHS/United States GR - R37 NS036867/NS/NINDS NIH HHS/United States GR - NS036867/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120522 PL - United States TA - Mol Genet Metab JT - Molecular genetics and metabolism JID - 9805456 RN - 0 (Recombinant Proteins) RN - EC 3.1.2.- (Thiolester Hydrolases) RN - EC 3.1.2.22 (palmitoyl-protein thioesterase) SB - IM MH - Animals MH - Brain/metabolism/pathology MH - Disease Models, Animal MH - *Enzyme Replacement Therapy MH - Female MH - Humans MH - Lysosomes/drug effects/metabolism MH - Male MH - Mice MH - Mice, Knockout MH - Motor Activity/drug effects MH - Neuronal Ceroid-Lipofuscinoses/*drug therapy/*mortality MH - Recombinant Proteins/*administration & dosage MH - Rotarod Performance Test MH - Thiolester Hydrolases/*administration & dosage/adverse effects MH - Viscera/drug effects/metabolism/pathology PMC - PMC3444630 MID - NIHMS379947 EDAT- 2012/06/19 06:00 MHDA- 2013/01/30 06:00 PMCR- 2013/09/01 CRDT- 2012/06/19 06:00 PHST- 2012/05/01 00:00 [received] PHST- 2012/05/16 00:00 [revised] PHST- 2012/05/16 00:00 [accepted] PHST- 2012/06/19 06:00 [entrez] PHST- 2012/06/19 06:00 [pubmed] PHST- 2013/01/30 06:00 [medline] PHST- 2013/09/01 00:00 [pmc-release] AID - S1096-7192(12)00198-9 [pii] AID - 10.1016/j.ymgme.2012.05.009 [doi] PST - ppublish SO - Mol Genet Metab. 2012 Sep;107(1-2):213-21. doi: 10.1016/j.ymgme.2012.05.009. Epub 2012 May 22.