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. 1998 Apr 1;101(7):1394–1400. doi: 10.1172/JCI1773

Enzyme replacement therapy for murine mucopolysaccharidosis type VII leads to improvements in behavior and auditory function.

L H O'Connor 1, L C Erway 1, C A Vogler 1, W S Sly 1, A Nicholes 1, J Grubb 1, S W Holmberg 1, B Levy 1, M S Sands 1
PMCID: PMC508717  PMID: 9525982

Abstract

Mucopolysaccharidosis type VII (MPS VII; Sly syndrome) is one of a group of lysosomal storage diseases that share many clinical features, including mental retardation and hearing loss. Lysosomal storage in neurons of the brain and the associated behavioral abnormalities characteristic of a murine model of MPS VII have not been shown to be corrected by either bone marrow transplantation or gene therapy. However, intravenous injections of recombinant beta-glucuronidase initiated at birth reduce the pathological evidence of disease in MPS VII mice. In this study we present evidence that enzyme replacement initiated at birth improved the behavioral performance and reduced hearing loss in MPS VII mice. Enzyme-treated MPS VII mice performed similarly to normal mice and significantly better than mock- treated MPS VII mice in every phase of the Morris Water Maze test. In addition, the auditory function of treated MPS VII mice was dramatically improved, and was indistinguishable from normal mice. These data indicate that some of the learning, memory, and hearing deficits can be prevented in MPS VII mice if enzyme replacement therapy is initiated early in life. These data also provide functional correlates to the biochemical and histopathological improvements observed after enzyme replacement therapy.

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Selected References

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  1. Barton N. W., Brady R. O., Dambrosia J. M., Di Bisceglie A. M., Doppelt S. H., Hill S. C., Mankin H. J., Murray G. J., Parker R. I., Argoff C. E. Replacement therapy for inherited enzyme deficiency--macrophage-targeted glucocerebrosidase for Gaucher's disease. N Engl J Med. 1991 May 23;324(21):1464–1470. doi: 10.1056/NEJM199105233242104. [DOI] [PubMed] [Google Scholar]
  2. Bastedo L., Sands M. S., Lambert D. T., Pisa M. A., Birkenmeier E., Chang P. L. Behavioral consequences of bone marrow transplantation in the treatment of murine mucopolysaccharidosis type VII. J Clin Invest. 1994 Sep;94(3):1180–1186. doi: 10.1172/JCI117434. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Berry C. L., Vogler C., Galvin N. J., Birkenmeier E. H., Sly W. S. Pathology of the ear in murine mucopolysaccharidosis type VII. Morphologic correlates of hearing loss. Lab Invest. 1994 Sep;71(3):438–445. [PubMed] [Google Scholar]
  4. Beutler E., Kay A., Saven A., Garver P., Thurston D., Dawson A., Rosenbloom B. Enzyme replacement therapy for Gaucher disease. Blood. 1991 Sep 1;78(5):1183–1189. [PubMed] [Google Scholar]
  5. Bielicki J., Hopwood J. J., Wilson P. J., Anson D. S. Recombinant human iduronate-2-sulphatase: correction of mucopolysaccharidosis-type II fibroblasts and characterization of the purified enzyme. Biochem J. 1993 Jan 1;289(Pt 1):241–246. doi: 10.1042/bj2890241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Birkenmeier E. H., Barker J. E., Vogler C. A., Kyle J. W., Sly W. S., Gwynn B., Levy B., Pegors C. Increased life span and correction of metabolic defects in murine mucopolysaccharidosis type VII after syngeneic bone marrow transplantation. Blood. 1991 Dec 1;78(11):3081–3092. [PubMed] [Google Scholar]
  7. Birkenmeier E. H., Davisson M. T., Beamer W. G., Ganschow R. E., Vogler C. A., Gwynn B., Lyford K. A., Maltais L. M., Wawrzyniak C. J. Murine mucopolysaccharidosis type VII. Characterization of a mouse with beta-glucuronidase deficiency. J Clin Invest. 1989 Apr;83(4):1258–1266. doi: 10.1172/JCI114010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Chang P. L., Lambert D. T., Pisa M. A. Behavioural abnormalities in a murine model of a human lysosomal storage disease. Neuroreport. 1993 May;4(5):507–510. doi: 10.1097/00001756-199305000-00011. [DOI] [PubMed] [Google Scholar]
  9. Crawley A. C., Brooks D. A., Muller V. J., Petersen B. A., Isaac E. L., Bielicki J., King B. M., Boulter C. D., Moore A. J., Fazzalari N. L. Enzyme replacement therapy in a feline model of Maroteaux-Lamy syndrome. J Clin Invest. 1996 Apr 15;97(8):1864–1873. doi: 10.1172/JCI118617. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Fuller M., Van der Ploeg A., Reuser A. J., Anson D. S., Hopwood J. J. Isolation and characterisation of a recombinant, precursor form of lysosomal acid alpha-glucosidase. Eur J Biochem. 1995 Dec 15;234(3):903–909. doi: 10.1111/j.1432-1033.1995.903_a.x. [DOI] [PubMed] [Google Scholar]
  11. Hoogerbrugge P. M., Suzuki K., Suzuki K., Poorthuis B. J., Kobayashi T., Wagemaker G., van Bekkum D. W. Donor-derived cells in the central nervous system of twitcher mice after bone marrow transplantation. Science. 1988 Feb 26;239(4843):1035–1038. doi: 10.1126/science.3278379. [DOI] [PubMed] [Google Scholar]
  12. Jain S., Drendel W. B., Chen Z. W., Mathews F. S., Sly W. S., Grubb J. H. Structure of human beta-glucuronidase reveals candidate lysosomal targeting and active-site motifs. Nat Struct Biol. 1996 Apr;3(4):375–381. doi: 10.1038/nsb0496-375. [DOI] [PubMed] [Google Scholar]
  13. Kolb B., Sutherland R. J., Whishaw I. Q. A comparison of the contributions of the frontal and parietal association cortex to spatial localization in rats. Behav Neurosci. 1983 Feb;97(1):13–27. doi: 10.1037//0735-7044.97.1.13. [DOI] [PubMed] [Google Scholar]
  14. Kornfeld S. Structure and function of the mannose 6-phosphate/insulinlike growth factor II receptors. Annu Rev Biochem. 1992;61:307–330. doi: 10.1146/annurev.bi.61.070192.001515. [DOI] [PubMed] [Google Scholar]
  15. Krivit W., Lockman L. A., Watkins P. A., Hirsch J., Shapiro E. G. The future for treatment by bone marrow transplantation for adrenoleukodystrophy, metachromatic leukodystrophy, globoid cell leukodystrophy and Hurler syndrome. J Inherit Metab Dis. 1995;18(4):398–412. doi: 10.1007/BF00710052. [DOI] [PubMed] [Google Scholar]
  16. Kyle J. W., Birkenmeier E. H., Gwynn B., Vogler C., Hoppe P. C., Hoffmann J. W., Sly W. S. Correction of murine mucopolysaccharidosis VII by a human beta-glucuronidase transgene. Proc Natl Acad Sci U S A. 1990 May;87(10):3914–3918. doi: 10.1073/pnas.87.10.3914. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Li T., Davidson B. L. Phenotype correction in retinal pigment epithelium in murine mucopolysaccharidosis VII by adenovirus-mediated gene transfer. Proc Natl Acad Sci U S A. 1995 Aug 15;92(17):7700–7704. doi: 10.1073/pnas.92.17.7700. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Maréchal V., Naffakh N., Danos O., Heard J. M. Disappearance of lysosomal storage in spleen and liver of mucopolysaccharidosis VII mice after transplantation of genetically modified bone marrow cells. Blood. 1993 Aug 15;82(4):1358–1365. [PubMed] [Google Scholar]
  19. Morris R. Developments of a water-maze procedure for studying spatial learning in the rat. J Neurosci Methods. 1984 May;11(1):47–60. doi: 10.1016/0165-0270(84)90007-4. [DOI] [PubMed] [Google Scholar]
  20. Moullier P., Bohl D., Heard J. M., Danos O. Correction of lysosomal storage in the liver and spleen of MPS VII mice by implantation of genetically modified skin fibroblasts. Nat Genet. 1993 Jun;4(2):154–159. doi: 10.1038/ng0693-154. [DOI] [PubMed] [Google Scholar]
  21. Sands M. S., Barker J. E., Vogler C., Levy B., Gwynn B., Galvin N., Sly W. S., Birkenmeier E. Treatment of murine mucopolysaccharidosis type VII by syngeneic bone marrow transplantation in neonates. Lab Invest. 1993 Jun;68(6):676–686. [PubMed] [Google Scholar]
  22. Sands M. S., Birkenmeier E. H. A single-base-pair deletion in the beta-glucuronidase gene accounts for the phenotype of murine mucopolysaccharidosis type VII. Proc Natl Acad Sci U S A. 1993 Jul 15;90(14):6567–6571. doi: 10.1073/pnas.90.14.6567. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Sands M. S., Erway L. C., Vogler C., Sly W. S., Birkenmeier E. H. Syngeneic bone marrow transplantation reduces the hearing loss associated with murine mucopolysaccharidosis type VII. Blood. 1995 Sep 1;86(5):2033–2040. [PubMed] [Google Scholar]
  24. Sands M. S., Vogler C., Kyle J. W., Grubb J. H., Levy B., Galvin N., Sly W. S., Birkenmeier E. H. Enzyme replacement therapy for murine mucopolysaccharidosis type VII. J Clin Invest. 1994 Jun;93(6):2324–2331. doi: 10.1172/JCI117237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Sands M. S., Vogler C., Torrey A., Levy B., Gwynn B., Grubb J., Sly W. S., Birkenmeier E. H. Murine mucopolysaccharidosis type VII: long term therapeutic effects of enzyme replacement and enzyme replacement followed by bone marrow transplantation. J Clin Invest. 1997 Apr 1;99(7):1596–1605. doi: 10.1172/JCI119322. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Shull R. M., Hastings N. E., Selcer R. R., Jones J. B., Smith J. R., Cullen W. C., Constantopoulos G. Bone marrow transplantation in canine mucopolysaccharidosis I. Effects within the central nervous system. J Clin Invest. 1987 Feb;79(2):435–443. doi: 10.1172/JCI112830. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Shull R. M., Kakkis E. D., McEntee M. F., Kania S. A., Jonas A. J., Neufeld E. F. Enzyme replacement in a canine model of Hurler syndrome. Proc Natl Acad Sci U S A. 1994 Dec 20;91(26):12937–12941. doi: 10.1073/pnas.91.26.12937. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Sly W. S., Quinton B. A., McAlister W. H., Rimoin D. L. Beta glucuronidase deficiency: report of clinical, radiologic, and biochemical features of a new mucopolysaccharidosis. J Pediatr. 1973 Feb;82(2):249–257. doi: 10.1016/s0022-3476(73)80162-3. [DOI] [PubMed] [Google Scholar]
  29. Snyder E. Y., Taylor R. M., Wolfe J. H. Neural progenitor cell engraftment corrects lysosomal storage throughout the MPS VII mouse brain. Nature. 1995 Mar 23;374(6520):367–370. doi: 10.1038/374367a0. [DOI] [PubMed] [Google Scholar]
  30. Taylor R. M., Farrow B. R., Stewart G. J., Healy P. J. Enzyme replacement in nervous tissue after allogeneic bone-marrow transplantation for fucosidosis in dogs. Lancet. 1986 Oct 4;2(8510):772–774. doi: 10.1016/s0140-6736(86)90299-0. [DOI] [PubMed] [Google Scholar]
  31. Taylor R. M., Wolfe J. H. Decreased lysosomal storage in the adult MPS VII mouse brain in the vicinity of grafts of retroviral vector-corrected fibroblasts secreting high levels of beta-glucuronidase. Nat Med. 1997 Jul;3(7):771–774. doi: 10.1038/nm0797-771. [DOI] [PubMed] [Google Scholar]
  32. Unger E. G., Durrant J., Anson D. S., Hopwood J. J. Recombinant alpha-L-iduronidase: characterization of the purified enzyme and correction of mucopolysaccharidosis type I fibroblasts. Biochem J. 1994 Nov 15;304(Pt 1):43–49. doi: 10.1042/bj3040043. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Vogler C., Birkenmeier E. H., Sly W. S., Levy B., Pegors C., Kyle J. W., Beamer W. G. A murine model of mucopolysaccharidosis VII. Gross and microscopic findings in beta-glucuronidase-deficient mice. Am J Pathol. 1990 Jan;136(1):207–217. [PMC free article] [PubMed] [Google Scholar]
  34. Vogler C., Sands M. S., Levy B., Galvin N., Birkenmeier E. H., Sly W. S. Enzyme replacement with recombinant beta-glucuronidase in murine mucopolysaccharidosis type VII: impact of therapy during the first six weeks of life on subsequent lysosomal storage, growth, and survival. Pediatr Res. 1996 Jun;39(6):1050–1054. doi: 10.1203/00006450-199606000-00019. [DOI] [PubMed] [Google Scholar]
  35. Vogler C., Sands M., Higgins A., Levy B., Grubb J., Birkenmeier E. H., Sly W. S. Enzyme replacement with recombinant beta-glucuronidase in the newborn mucopolysaccharidosis type VII mouse. Pediatr Res. 1993 Dec;34(6):837–840. doi: 10.1203/00006450-199312000-00028. [DOI] [PubMed] [Google Scholar]
  36. Walkley S. U., Thrall M. A., Dobrenis K., Huang M., March P. A., Siegel D. A., Wurzelmann S. Bone marrow transplantation corrects the enzyme defect in neurons of the central nervous system in a lysosomal storage disease. Proc Natl Acad Sci U S A. 1994 Apr 12;91(8):2970–2974. doi: 10.1073/pnas.91.8.2970. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Whitley C. B., Belani K. G., Chang P. N., Summers C. G., Blazar B. R., Tsai M. Y., Latchaw R. E., Ramsay N. K., Kersey J. H. Long-term outcome of Hurler syndrome following bone marrow transplantation. Am J Med Genet. 1993 Apr 15;46(2):209–218. doi: 10.1002/ajmg.1320460222. [DOI] [PubMed] [Google Scholar]
  38. Wolfe J. H., Sands M. S., Barker J. E., Gwynn B., Rowe L. B., Vogler C. A., Birkenmeier E. H. Reversal of pathology in murine mucopolysaccharidosis type VII by somatic cell gene transfer. Nature. 1992 Dec 24;360(6406):749–753. doi: 10.1038/360749a0. [DOI] [PubMed] [Google Scholar]
  39. Yeager A. M., Brennan S., Tiffany C., Moser H. W., Santos G. W. Prolonged survival and remyelination after hematopoietic cell transplantation in the twitcher mouse. Science. 1984 Sep 7;225(4666):1052–1054. doi: 10.1126/science.6382609. [DOI] [PubMed] [Google Scholar]

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