PMID- 32864536 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211002 IS - 2468-8673 (Electronic) IS - 2468-8673 (Linking) VI - 17 DP - 2020 Oct TI - Wolfram Syndrome: a Monogenic Model to Study Diabetes Mellitus and Neurodegeneration. PG - 115-123 LID - 10.1016/j.cophys.2020.07.009 [doi] AB - Wolfram syndrome (WS) is a rare, progressive disorder characterized by childhood-onset diabetes mellitus, optic nerve atrophy, hearing loss, diabetes insipidus, and neurodegeneration. Currently, there is no effective treatment for WS, and patients typically die between 30 and 40 years of age. WS is primarily caused by autosomal recessive mutations in the Wolfram syndrome 1 (WFS1) gene (OMIM 222300), which encodes for wolframin (WFS1). This disorder is therefore a valuable monogenic model for prevalent diseases, particularly diabetes mellitus and neurodegeneration. Whereas reduced survival and secretion are known cellular impairments causing WS, the underlying molecular pathways and the physiological function of WFS1 remain incompletely described. Here, we characterize WFS1 as a regulator of intracellular calcium homeostasis, review our current understanding of the disease mechanism of WS, and discuss candidate treatment approaches. These insights will facilitate identification of new therapeutic strategies not only for WS but also for diabetes mellitus and neurodegeneration. FAU - Fischer, Tom T AU - Fischer TT AUID- ORCID: 0000-0002-2138-9102 AD - Department of Pharmacology, Yale University, New Haven, CT-06520, USA. AD - Institute of Pharmacology, University of Heidelberg, Germany. FAU - Ehrlich, Barbara E AU - Ehrlich BE AUID- ORCID: 0000-0001-9657-9704 AD - Department of Pharmacology, Yale University, New Haven, CT-06520, USA. AD - Department of Molecular Physiology, Yale University, New Haven, CT-06520, USA. LA - eng GR - P01 DK057751/DK/NIDDK NIH HHS/United States GR - UL1 TR001863/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20200715 PL - England TA - Curr Opin Physiol JT - Current opinion in physiology JID - 101715200 PMC - PMC7451204 MID - NIHMS1612505 OTO - NOTNLM OT - Orphan disease OT - WFS1 OT - ibudilast OT - intracellular calcium signaling OT - neurodevelopment OT - pancreatic beta-cells COIS- Competing interests B.E.E is a founder of Osmol Therapeutics, a company that is targeting NCS1 for therapeutic purposes. EDAT- 2020/08/31 06:00 MHDA- 2020/08/31 06:01 PMCR- 2021/10/01 CRDT- 2020/09/01 06:00 PHST- 2020/09/01 06:00 [entrez] PHST- 2020/08/31 06:00 [pubmed] PHST- 2020/08/31 06:01 [medline] PHST- 2021/10/01 00:00 [pmc-release] AID - 10.1016/j.cophys.2020.07.009 [doi] PST - ppublish SO - Curr Opin Physiol. 2020 Oct;17:115-123. doi: 10.1016/j.cophys.2020.07.009. Epub 2020 Jul 15.