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Brainstem development requires galactosylceramidase and is critical for pathogenesis in a model of Krabbe disease

Nadav I. Weinstock, Conlan Kreher, Jacob Favret, Duc Nguyen, Ernesto R. Bongarzone, Lawrence Wrabetz, M. Laura Feltri and Daesung Shin ()
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Nadav I. Weinstock: Jacobs School of Medicine and Biomedical Sciences, University at Buffalo (SUNY)
Conlan Kreher: Jacobs School of Medicine and Biomedical Sciences, University at Buffalo (SUNY)
Jacob Favret: Jacobs School of Medicine and Biomedical Sciences, University at Buffalo (SUNY)
Duc Nguyen: College of Medicine, University of Illinois at Chicago
Ernesto R. Bongarzone: College of Medicine, University of Illinois at Chicago
Lawrence Wrabetz: Jacobs School of Medicine and Biomedical Sciences, University at Buffalo (SUNY)
M. Laura Feltri: Jacobs School of Medicine and Biomedical Sciences, University at Buffalo (SUNY)
Daesung Shin: Jacobs School of Medicine and Biomedical Sciences, University at Buffalo (SUNY)

Nature Communications, 2020, vol. 11, issue 1, 1-16

Abstract: Abstract Krabbe disease (KD) is caused by a deficiency of galactosylceramidase (GALC), which induces demyelination and neurodegeneration due to accumulation of cytotoxic psychosine. Hematopoietic stem cell transplantation (HSCT) improves clinical outcomes in KD patients only if delivered pre-symptomatically. Here, we hypothesize that the restricted temporal efficacy of HSCT reflects a requirement for GALC in early brain development. Using a novel Galc floxed allele, we induce ubiquitous GALC ablation (Galc-iKO) at various postnatal timepoints and identify a critical period of vulnerability to GALC ablation between P4-6 in mice. Early Galc-iKO induction causes a worse KD phenotype, higher psychosine levels in the rodent brainstem and spinal cord, and a significantly shorter life-span of the mice. Intriguingly, GALC expression peaks during this critical developmental period in mice. Further analysis of this mouse model reveals a cell autonomous role for GALC in the development and maturation of immature T-box-brain-1 positive brainstem neurons. These data identify a perinatal developmental period, in which neuronal GALC expression influences brainstem development that is critical for KD pathogenesis.

Date: 2020
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DOI: 10.1038/s41467-020-19179-w

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