Treating late-onset Tay Sachs disease: Brain delivery with a dual trojan horse protein

Esther Osher, Yossi Anis, Ruth Singer-Shapiro, Nataly Urshanski, Tamar Unger, Shira Albeck, Oren Bogin, Gary Weisinger, Fortune Kohen, Avi Valevski, Aviva Fattal-Valevski, Liora Sagi, Michal Weitman, Yulia Shenberger, Nadav Sagiv, Ruth Navon, Meir Wilchek, Naftali Stern

Research output: Contribution to journalArticlepeer-review

Abstract

Tay-Sachs (TS) disease is a neurodegenerative disease resulting from mutations in the gene encoding the α-subunit (HEXA) of lysosomal β-hexosaminidase A (HexA). We report that (1) recombinant HEXA alone increased HexA activity and decreased GM2 content in human TS glial cells and peripheral mononuclear blood cells; 2) a recombinant chimeric protein composed of HEXA linked to two blood-brain barrier (BBB) entry elements, a transferrin receptor binding sequence and granulocyte-colony stimulating factor, associates with HEXB in vitro; reaches human cultured TS cells lysosomes and mouse brain cells, especially neurons, in vivo; lowers GM2 in cultured human TS cells; lowers whole brain GM2 concentration by approximately 40% within 6 weeks, when injected intravenously (IV) to adult TS-mutant mice mimicking the slow course of late-onset TS; and increases forelimbs grip strength. Hence, a chimeric protein equipped with dual BBB entry elements can transport a large protein such as HEXA to the brain, decrease the accumulation of GM2, and improve muscle strength, thereby providing potential treatment for late-onset TS.

Original languageEnglish
Article number101300
JournalMolecular Therapy Methods and Clinical Development
Volume32
Issue number3
DOIs
StatePublished - 12 Sep 2024

Bibliographical note

Publisher Copyright:
© 2024 The Authors

Keywords

  • GM2 ganglioside
  • HEXA
  • HEXB
  • HexA
  • blood-brain barrier
  • enzyme replacement therapy
  • late-onset Tay-Sachs
  • lysosomal disease
  • β-hexosaminidase A

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