Duran Jordi, Gruart Agnès, García-Rocha Mar, Delgado-García José M, Guinovart Joan J
Institute for Research in Biomedicine (IRB Barcelona), Barcelona 08028, Spain Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barcelona 08017, Spain.
Division of Neurosciences, Pablo de Olavide University, Seville 41013, Spain.
Hum Mol Genet. 2014 Jun 15;23(12):3147-56. doi: 10.1093/hmg/ddu024. Epub 2014 Jan 22.
Lafora disease is a fatal neurodegenerative condition characterized by the accumulation of abnormal glycogen inclusions known as Lafora bodies. It is an autosomal recessive disorder caused by mutations in either the laforin or malin gene. To study whether glycogen is primarily responsible for the neurodegeneration in Lafora disease, we generated malin knockout mice with impaired (totally or partially) glycogen synthesis. These animals did not show the increase in markers of neurodegeneration, the impairments in electrophysiological properties of hippocampal synapses, nor the susceptibility to kainate-induced epilepsy seen in the malin knockout model. Interestingly, the autophagy impairment that has been described in malin knockout animals was also rescued in this double knockout model. Conversely, two other mouse models in which glycogen is over-accumulated in the brain independently of the lack of malin showed impairment in autophagy. Our findings reveal that glycogen accumulation accounts for the neurodegeneration and functional consequences seen in the malin knockout model, as well as the impaired autophagy. These results identify the regulation of glycogen synthesis as a key target for the treatment of Lafora disease.
拉福拉病是一种致命的神经退行性疾病,其特征是异常糖原包涵体(即拉福拉小体)的积累。它是一种常染色体隐性疾病,由拉福林基因或malin基因的突变引起。为了研究糖原是否是拉福拉病神经退行性变的主要原因,我们培育了糖原合成受损(完全或部分受损)的malin基因敲除小鼠。这些动物并未表现出神经退行性变标志物增加、海马突触电生理特性受损,也没有表现出在malin基因敲除模型中所见到的对红藻氨酸诱导癫痫的易感性。有趣的是,在malin基因敲除动物中所描述的自噬损伤在这种双基因敲除模型中也得到了挽救。相反,另外两种大脑中糖原过度积累且与malin缺失无关的小鼠模型表现出自噬损伤。我们的研究结果表明,糖原积累是malin基因敲除模型中所见神经退行性变和功能后果以及自噬受损的原因。这些结果确定糖原合成的调节是治疗拉福拉病的关键靶点。