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葡糖脑苷脂合成酶抑制剂威格司他在 GBA 相关神经核蛋白病模型中的临床前药理学研究。

Preclinical pharmacology of glucosylceramide synthase inhibitor venglustat in a GBA-related synucleinopathy model.

机构信息

Rare and Neurologic Diseases, Sanofi, 49 New York Avenue, Framingham, MA, 01701, USA.

Genomic Medicine Unit, Sanofi, Framingham, MA, 01701, USA.

出版信息

Sci Rep. 2021 Oct 22;11(1):20945. doi: 10.1038/s41598-021-00404-5.


DOI:10.1038/s41598-021-00404-5
PMID:34686711
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8536659/
Abstract

Mutations in GBA, the gene encoding the lysosomal enzyme glucocerebrosidase (GCase), represent the greatest genetic risk factor for developing synucleinopathies including Parkinson's disease (PD). Additionally, PD patients harboring a mutant GBA allele present with an earlier disease onset and an accelerated disease progression of both motor and non-motor symptoms. Preclinical studies in mouse models of synucleinopathy suggest that modulation of the sphingolipid metabolism pathway via inhibition of glucosylceramide synthase (GCS) using a CNS-penetrant small molecule may be a potential treatment for synucleinopathies. Here, we aim to alleviate the lipid storage burden by inhibiting the de novo synthesis of the primary glycosphingolipid substrate of GCase, glucosylceramide (GlcCer). We have previously shown that systemic GCS inhibition reduced GlcCer and glucosylsphingosine (GlcSph) accumulation, slowed α-synuclein buildup in the hippocampus, and improved cognitive deficits. Here, we studied the efficacy of a brain-penetrant clinical candidate GCS inhibitor, venglustat, in mouse models of GBA-related synucleinopathy, including a heterozygous Gba mouse model which more closely replicates the typical GBA-PD patient genotype. Collectively, these data support the rationale for modulation of GCase-related sphingolipid metabolism as a therapeutic strategy for treating GBA-related synucleinopathies.

摘要

GBA 基因突变是导致包括帕金森病(PD)在内的神经核蛋白病的最大遗传风险因素。此外,携带突变 GBA 等位基因的 PD 患者发病更早,运动和非运动症状的疾病进展速度也更快。神经核蛋白病的小鼠模型的临床前研究表明,通过抑制鞘氨醇代谢途径来调节神经细胞穿透小分子葡糖脑苷脂合成酶(GCS)可能是治疗神经核蛋白病的一种潜在治疗方法。在这里,我们旨在通过抑制 GCase 的主要糖脂底物葡萄糖脑苷脂(GlcCer)的从头合成来减轻脂质储存负担。我们之前已经表明,全身性 GCS 抑制可减少 GlcCer 和葡萄糖神经酰胺(GlcSph)的积累,减缓海马体中α-突触核蛋白的积累,并改善认知缺陷。在这里,我们研究了一种脑穿透性临床候选 GCS 抑制剂 venglustat 在 GBA 相关神经核蛋白病小鼠模型中的疗效,包括更接近典型 GBA-PD 患者基因型的杂合 Gba 小鼠模型。总的来说,这些数据支持调节 GCase 相关鞘脂代谢作为治疗 GBA 相关神经核蛋白病的治疗策略的原理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/2b4f128c08a7/41598_2021_404_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/ed7a69690757/41598_2021_404_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/7cb6b53e1a5e/41598_2021_404_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/2b4f128c08a7/41598_2021_404_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/ed7a69690757/41598_2021_404_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/7cb6b53e1a5e/41598_2021_404_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/209a/8536659/2b4f128c08a7/41598_2021_404_Fig3_HTML.jpg

相似文献

[1]
Preclinical pharmacology of glucosylceramide synthase inhibitor venglustat in a GBA-related synucleinopathy model.

Sci Rep. 2021-10-22

[2]
Glucosylceramide synthase inhibition alleviates aberrations in synucleinopathy models.

Proc Natl Acad Sci U S A. 2017-3-7

[3]
A novel glucosylceramide synthase inhibitor attenuates alpha synuclein pathology and lysosomal dysfunction in preclinical models of synucleinopathy.

Neurobiol Dis. 2021-11

[4]
Safety, Pharmacokinetics, and Pharmacodynamics of Oral Venglustat in Patients with Parkinson's Disease and a GBA Mutation: Results from Part 1 of the Randomized, Double-Blinded, Placebo-Controlled MOVES-PD Trial.

J Parkinsons Dis. 2022

[5]
Neuronopathic GBA1L444P Mutation Accelerates Glucosylsphingosine Levels and Formation of Hippocampal Alpha-Synuclein Inclusions.

J Neurosci. 2023-1-18

[6]
Glucocerebrosidase and Parkinson disease: Recent advances.

Mol Cell Neurosci. 2015-5

[7]
Double-Edged Effects of Venglustat on Behavior and Pathology in Mice Overexpressing α-Synuclein.

Mov Disord. 2023-6

[8]
Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Oral Venglustat in Healthy Volunteers.

Clin Pharmacol Drug Dev. 2021-1

[9]
Glucosylsphingosine Promotes α-Synuclein Pathology in Mutant GBA-Associated Parkinson's Disease.

J Neurosci. 2017-10-4

[10]
Glucocerebrosidase reduces the spread of protein aggregation in a Drosophila melanogaster model of neurodegeneration by regulating proteins trafficked by extracellular vesicles.

PLoS Genet. 2021-2

引用本文的文献

[1]
Clinical, mechanistic, biomarker, and therapeutic advances in GBA1-associated Parkinson's disease.

Transl Neurodegener. 2024-9-12

[2]
A PIKfyve modulator combined with an integrated stress response inhibitor to treat lysosomal storage diseases.

Proc Natl Acad Sci U S A. 2024-8-20

[3]
Glucosylceramide synthase modulation ameliorates murine renal pathologies and promotes macrophage effector function in vitro.

Commun Biol. 2024-8-2

[4]
Fluorinated Isoindolinone-Based Glucosylceramide Synthase Inhibitors with Low Human Dose Projections.

ACS Med Chem Lett. 2023-12-21

[5]
Pyrazole Ureas as Low Dose, CNS Penetrant Glucosylceramide Synthase Inhibitors for the Treatment of Parkinson's Disease.

ACS Med Chem Lett. 2023-1-12

[6]
Diagnosis and Treatment for Shiga Toxin-Producing Associated Hemolytic Uremic Syndrome.

Toxins (Basel). 2022-12-23

[7]
Neuronopathic GBA1L444P Mutation Accelerates Glucosylsphingosine Levels and Formation of Hippocampal Alpha-Synuclein Inclusions.

J Neurosci. 2023-1-18

[8]
Precision Medicine in Parkinson's Disease: From Genetic Risk Signals to Personalized Therapy.

Brain Sci. 2022-9-28

[9]
Alpha-Synuclein Targeting Therapeutics for Parkinson's Disease and Related Synucleinopathies.

Front Neurol. 2022-5-9

本文引用的文献

[1]
The Mutation Matters: CSF Profiles of GCase, Sphingolipids, α-Synuclein in PD.

Mov Disord. 2021-5

[2]
The SPID-GBA study: Sex distribution, Penetrance, Incidence, and Dementia in GBA-PD.

Neurol Genet. 2020-10-20

[3]
Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Oral Venglustat in Healthy Volunteers.

Clin Pharmacol Drug Dev. 2021-1

[4]
β-Glucocerebrosidase activity in -linked Parkinson disease: The type of mutation matters.

Neurology. 2020-6-15

[5]
Genetic modifiers of risk and age at onset in GBA associated Parkinson's disease and Lewy body dementia.

Brain. 2020-1-1

[6]
New Era in disease modification in Parkinson's disease: Review of genetically targeted therapeutics.

Parkinsonism Relat Disord. 2018-10-23

[7]
Reversible Conformational Conversion of α-Synuclein into Toxic Assemblies by Glucosylceramide.

Neuron. 2017-12-28

[8]
Glucocerebrosidase haploinsufficiency in A53T α-synuclein mice impacts disease onset and course.

Mol Genet Metab. 2017-11-21

[9]
Glucosylceramide synthase inhibition alleviates aberrations in synucleinopathy models.

Proc Natl Acad Sci U S A. 2017-3-7

[10]
Specifically neuropathic Gaucher's mutations accelerate cognitive decline in Parkinson's.

Ann Neurol. 2016-11

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