PMID- 23747979 OWN - NLM STAT- MEDLINE DCOM- 20131126 LR - 20211021 IS - 0006-3002 (Print) IS - 0006-3002 (Linking) VI - 1832 IP - 11 DP - 2013 Nov TI - Pathogenesis and therapies for infantile neuronal ceroid lipofuscinosis (infantile CLN1 disease). PG - 1906-9 LID - S0925-4439(13)00188-9 [pii] LID - 10.1016/j.bbadis.2013.05.026 [doi] AB - The neuronal ceroid lipofuscinoses (NCL, Batten disease) are a group of inherited neurodegenerative diseases. Infantile neuronal ceroid lipofuscinosis (INCL, infantile Batten disease, or infantile CLN1 disease) is caused by a deficiency in the soluble lysosomal enzyme palmitoyl protein thioesterase-1 (PPT1) and has the earliest onset and fastest progression of all the NCLs. Several therapeutic strategies including enzyme replacement, gene therapy, stem cell-mediated therapy, and small molecule drugs have resulted in minimal to modest improvements in the murine model of PPT1-deficiency. However, more recent studies using various combinations of these approaches have shown more promising results; in some instances more than doubling the lifespan of PPT1-deficient mice. These combination therapies that target different pathogenic mechanisms may offer the hope of treating this profoundly neurodegenerative disorder. Similar approaches may be useful when treating other forms of NCL caused by deficiencies in soluble lysosomal proteins. Different therapeutic targets will need to be identified and novel strategies developed in order to effectively treat forms of NCL caused by deficiencies in integral membrane proteins such as juvenile neuronal ceroid lipofuscinosis. Finally, the challenge with all of the NCLs will lie in early diagnosis, improving the efficacy of the treatments, and effectively translating them into the clinic. This article is part of a Special Issue entitled: The Neuronal Ceroid Lipofuscinoses or Batten Disease. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Hawkins-Salsbury, Jacqueline A AU - Hawkins-Salsbury JA AD - Washington University School of Medicine, Department of Internal Medicine, Box 8007, 660 South Euclid Avenue, St. Louis, MO 63110, USA. FAU - Cooper, Jonathan D AU - Cooper JD FAU - Sands, Mark S AU - Sands MS LA - eng GR - R01 NS043205/NS/NINDS NIH HHS/United States GR - R21 NS041930/NS/NINDS NIH HHS/United States PT - Journal Article PT - Review DEP - 20130606 PL - Netherlands TA - Biochim Biophys Acta JT - Biochimica et biophysica acta JID - 0217513 RN - 0 (Membrane Proteins) SB - IM MH - Animals MH - Disease Models, Animal MH - Humans MH - Membrane Proteins/*genetics MH - Mice MH - Mutation/*genetics MH - Neuronal Ceroid-Lipofuscinoses/genetics/*pathology/*therapy MH - Phenotype PMC - PMC4573397 MID - NIHMS500477 OTO - NOTNLM OT - Batten disease OT - Gene therapy OT - Lysosomal storage disease OT - Neurodegeneration OT - Neuroinflammation OT - Neuronal ceroid lipofuscinosis EDAT- 2013/06/12 06:00 MHDA- 2013/12/16 06:00 PMCR- 2015/09/17 CRDT- 2013/06/11 06:00 PHST- 2013/04/16 00:00 [received] PHST- 2013/05/08 00:00 [revised] PHST- 2013/05/09 00:00 [accepted] PHST- 2013/06/11 06:00 [entrez] PHST- 2013/06/12 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PHST- 2015/09/17 00:00 [pmc-release] AID - S0925-4439(13)00188-9 [pii] AID - 10.1016/j.bbadis.2013.05.026 [doi] PST - ppublish SO - Biochim Biophys Acta. 2013 Nov;1832(11):1906-9. doi: 10.1016/j.bbadis.2013.05.026. Epub 2013 Jun 6.