Neumann Harald
Neural Regeneration Unit, Institute of Reconstructive Neurobiology, University of Bonn, and LIFE & BRAIN Center and Hertie Foundation, Bonn, Germany.
J Clin Invest. 2006 Nov;116(11):2857-60. doi: 10.1172/JCI30230.
Metachromatic leukodystrophy (MLD) is a lysosomal storage disease caused by deficiency of the enzyme arylsulfatase A (ARSA). MLD is characterized by progressive demyelination and neurological deficits. Treatment of MLD is still a challenge due to the fact that the blood-brain barrier is a major obstacle for most therapeutic substances. In this issue of the JCI, Biffi et al. report that genetically modified hematopoietic precursor cells transduced to overexpress ARSA and transplanted into mice with a targeted disruption of the murine Arsa gene (Arsa(-/-) mice) migrated into the CNS and cross-corrected brain ARSA deficiency (see the related article beginning on page 3070). Microglia served as a cellular vehicle to effectively deliver the enzyme to other brain cells while hepatocytes overexpressing ARSA increased plasma ARSA levels but failed to deliver ARSA into the CNS.
异染性脑白质营养不良(MLD)是一种由芳基硫酸酯酶A(ARSA)缺乏引起的溶酶体贮积病。MLD的特征是进行性脱髓鞘和神经功能缺损。由于血脑屏障是大多数治疗物质的主要障碍,MLD的治疗仍然是一个挑战。在本期《临床研究杂志》中,比菲等人报告称,经基因改造的造血前体细胞被转导以过表达ARSA,并移植到具有鼠源Arsa基因靶向破坏的小鼠(Arsa(-/-)小鼠)体内,这些细胞迁移到中枢神经系统并交叉纠正了脑内ARSA缺乏(见第3070页开始的相关文章)。小胶质细胞作为一种细胞载体,有效地将该酶传递给其他脑细胞,而过表达ARSA的肝细胞增加了血浆ARSA水平,但未能将ARSA传递到中枢神经系统。