Adult GM2 gangliosidosis in association with Tay-Sachs disease: A new phenotype

Neurology ◽  
1981 ◽  
Vol 31 (11) ◽  
pp. 1397-1397 ◽  
Author(s):  
R. Navon ◽  
Z. Argov ◽  
N. Brand ◽  
U. Sandbank
2013 ◽  
Vol 108 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Douglas N. Sanders ◽  
Rong Zeng ◽  
David A. Wenger ◽  
Gary S. Johnson ◽  
Gayle C. Johnson ◽  
...  

2020 ◽  
Author(s):  
Secil Akyildiz Demir ◽  
Zehra Kevser Timur ◽  
Nurselin Ates ◽  
Luis Alarcon Martinez ◽  
Volkan Seyrantepe

Abstract BackgroundTay-Sachs disease (TSD), a type of GM2-gangliosidosis, is a progressive neurodegenerative lysosomal storage disorder, caused by mutations in the a subunit of lysosomal β-hexosaminidase enzyme. This disease is characterized by excessive accumulation of GM2 ganglioside, predominantly in the central nervous system. Although Tay-Sachs patients appear normal at birth, the progressive accumulation of undegraded GM2 gangliosides in neurons leads to death. Recently, an early-onset Tay-Sachs disease mouse model with genotype Hexa-/-Neu3-/- was generated. Progressive accumulation of GM2 led to premature death of the double KO mice. Importantly, this double-deficient mouse model displays typical features of Tay-Sachs patients, such as cytoplasmic vacuolization of nerve cells, deterioration of Purkinje cells, neuronal death, deceleration in movement, ataxia and, tremors. GM2-gangliosidosis is characterized by acute neurodegeneration preceded by activated microglia expansion, macrophage and astrocyte activation, along with the production of inflammatory mediators. However, the mechanism of disease progression in Hexa-/-Neu3-/- mice relevant to neuroinflammation is poorly understood. MethodWe investigated the onset and progression of neuropathological and neuroinflammatory changes in the cortex, cerebellum and retina of Hexa-/-Neu3-/- mice and littermate wild-type as well as Hexa-/- and Neu3-/- mice by using a combination of expression, immunofluorescence and behavioral analyses. ResultsWe found elevated levels of pro-inflamatory pro-inflammatory cytokine and chemokine transcripts, such as Ccl2, Ccl3, Ccl4 and Cxcl10 and also extensive microglial and astrocyte activation and proliferation accompanied by in peripheral blood mononuclear cell infiltration in neurons and oligodendrocytes. Behavioral tests demonstrated high level of anxiety, and age dependent loss in both memory and muscle strength in Hexa-/-Neu3-/- mice compared with that in the controls. ConclusionAltogether, our data suggest that Hexa-/-Neu3-/- mice display a phenotype similar to human TSD patients suffering from chronic neuroinflammation triggered by GM2 accumulation. Our observations collectively suggest a hypothesis that modulation of Ccl2, Ccl3, Ccl4 and Cxcl10 or of their receptors, in combination with traditional drugs such as propagermanium, may provide a novel approach for the management of disease and better understanding of the neuropathology in a mouse model of early-onset Tay-Sachs disease.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Seçil Akyıldız Demir ◽  
Zehra Kevser Timur ◽  
Nurselin Ateş ◽  
Luis Alarcón Martínez ◽  
Volkan Seyrantepe

Abstract Background Tay-Sachs disease (TSD), a type of GM2-gangliosidosis, is a progressive neurodegenerative lysosomal storage disorder caused by mutations in the α subunit of the lysosomal β-hexosaminidase enzyme. This disease is characterized by excessive accumulation of GM2 ganglioside, predominantly in the central nervous system. Although Tay-Sachs patients appear normal at birth, the progressive accumulation of undegraded GM2 gangliosides in neurons leads to death. Recently, an early onset Tay-Sachs disease mouse model, with genotype Hexa−/−Neu3−/−, was generated. Progressive accumulation of GM2 led to premature death of the double KO mice. Importantly, this double-deficient mouse model displays typical features of Tay-Sachs patients, such as cytoplasmic vacuolization of nerve cells, deterioration of Purkinje cells, neuronal death, deceleration in movement, ataxia, and tremors. GM2-gangliosidosis is characterized by acute neurodegeneration preceded by activated microglia expansion, macrophage, and astrocyte activation, along with the production of inflammatory mediators. However, the mechanism of disease progression in Hexa−/−Neu3−/− mice, relevant to neuroinflammation is poorly understood. Method In this study, we investigated the onset and progression of neuroinflammatory changes in the cortex, cerebellum, and retina of Hexa−/−Neu3−/− mice and control littermates by using a combination of molecular genetics and immunochemical procedures. Results We found elevated levels of pro-inflammatory cytokine and chemokine transcripts, such as Ccl2, Ccl3, Ccl4, and Cxcl10 and also extensive microglial and astrocyte activation and proliferation, accompanied by peripheral blood mononuclear cell infiltration in the vicinity of neurons and oligodendrocytes. Behavioral tests demonstrated a high level of anxiety, and age-dependent loss in both spatial learning and fear memory in Hexa−/−Neu3−/− mice compared with that in the controls. Conclusion Altogether, our data suggest that Hexa−/−Neu3−/− mice display a phenotype similar to Tay-Sachs patients suffering from chronic neuroinflammation triggered by GM2 accumulation. Furthermore, our work contributes to better understanding of the neuropathology in a mouse model of early onset Tay-Sachs disease.


2021 ◽  
Vol 17 (6) ◽  
pp. 529-535
Author(s):  
Natalia V. Zhurkova ◽  
Nato D. Vashakmadze ◽  
Natella V. Sukhanova ◽  
Olga B. Gordeeva ◽  
Natalia S. Sergienko ◽  
...  

Background. GM2-gangliosidosis, type I (Tay-Sachs disease) is rare hereditary disease caused by mutations in the HEXA gene encoding the alpha subunit of lysosomal hexosaminidase A. It leads to accumulation of GM2-ganglioside in lysosomes and cell death. The major clinical signs of this disease are regression of motor and psychoverbal skills, progressive macrocephaly, diffuse muscle hypotension, convulsive disorder. Almost all patients with this disease have the “cherry red spot” symptom on the fundus of the eye.Clinical case description. We show clinical description of the patient with disease manifested with the lesion of visual analyzer. The child was sent for geneticist’s consultation due to revealed ophthalmic picture of the “cherry red spot” symptom on the fundus of the eye. Molecular genetic testing has revealed in the patient c.1274_1278 dupTATC (CI 880091) mutation in homozygous state in HEXA gene.Concllusion. Differential diagnosis of this disease should be performed with other diseases from the group of inherited metabolic diseases associated with early regression of psychomotor skills, progressive vision loss, “cherry red spot” symptom on the fundus of the eye and convulsive disorder


2016 ◽  
Vol 64 (6) ◽  
pp. 1372 ◽  
Author(s):  
Puneet Mittal ◽  
Ranjana Gupta ◽  
Punita Garg ◽  
Amit Mittal ◽  
Harkirat Kaur ◽  
...  

2018 ◽  
pp. 1766-1769
Author(s):  
Aazim A. Siddiqui ◽  
Allen O. Eghrari

Blood ◽  
2004 ◽  
Vol 104 (11) ◽  
pp. 5158-5158
Author(s):  
Hans J.F.M. Jacobs ◽  
Michel M.A.A.P. Willemsen ◽  
Jacqueline J.J. Groot-Loonen ◽  
Ron R.A. Wevers ◽  
Peter P.M. Hoogerbrugge

Abstract Introduction: Tay-Sachs Disease (GM2 gangliosidosis) is a lysosomal storage disorder caused by beta-hexosaminidase A (Hex-A) deficiency, which leads to severe and progressive neurological damage. BMT has been used successfully as treatment strategy in some storage disorders. GM2 gangliosidosis mouse models demonstrate that after BMT donor-derived metabolically competent cells infiltrate the CNS leading to delayed onset of symptoms and prolonged survival. Further enhancement of survival has been reported in mice receiving a combination of substrate deprivation therapy and BMT. To our knowledge data on the effects of BMT in children with Tay-Sachs disease are lacking. Patient: A three-year-old girl was diagnosed with Tay-Sachs disease with minimal clinical symptoms, after the same diagnosis was made in her symptomatic older sister. Pre-BMT conditioning consisted of busulfan, cyclophosphamide and ATG. She received T-cell depleted marrow from an HLA identical unrelated donor. Ciclosporin-A (CsA) was given as GvHD prophylaxis. Follow-up is 2.5 years. Results: Hex-A levels in leukocytes increased initially to donor levels and decreased to a steady level of 30% of controls for the last 1.5 years, indicating stable mixed chimerism. Also the enzyme levels in serum increased to 10% of controls, indicating release of enzyme into serum. Shortly after BMT, rapid progression of neurological symptoms occurred (MRI, EEG and neuro-psychological tests). Some neurological symptoms partially improved, others stabilized after CsA was stopped, suggesting that CsA had contributed to the neurological deterioration. Experimental substrate deprivation therapy with N-butyldeoxynojirimycin was started 1.5 years after BMT. No adverse effects of this drug were observed. Conclusion: BMT followed by substrate deprivation therapy in our patient with early stage of Tay-Sachs disease resulted in Hex-A enzyme levels in leukocytes and serum of 30% and 10% of normal levels respectively. Neurological deterioration occurred shortly after BMT and seemed to stabilize thereafter, but follow-up is too short to draw firm conclusions yet.


Sign in / Sign up

Export Citation Format

Share Document