1. Inhibition of iduronic acid biosynthesis by ebselen reduces glycosaminoglycan accumulation in mucopolysaccharidosis type I fibroblasts.
- Author
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Maccarana M, Tykesson E, Pera EM, Gouignard N, Fang J, Malmström A, Ghiselli G, and Li JP
- Subjects
- Dose-Response Relationship, Drug, Fibroblasts metabolism, Fibroblasts pathology, Glycosaminoglycans metabolism, HEK293 Cells, Humans, Iduronic Acid metabolism, Isoindoles chemistry, Molecular Structure, Mucopolysaccharidosis I metabolism, Mucopolysaccharidosis I pathology, Organoselenium Compounds chemistry, Structure-Activity Relationship, Fibroblasts drug effects, Glycosaminoglycans antagonists & inhibitors, Iduronic Acid antagonists & inhibitors, Isoindoles pharmacology, Mucopolysaccharidosis I drug therapy, Organoselenium Compounds pharmacology
- Abstract
Mucopolysaccharidosis type I (MPS-I) is a rare lysosomal storage disorder caused by deficiency of the enzyme alpha-L-iduronidase, which removes iduronic acid in both chondroitin/dermatan sulfate (CS/DS) and heparan sulfate (HS) and thereby contributes to the catabolism of glycosaminoglycans (GAGs). To ameliorate this genetic defect, the patients are currently treated by enzyme replacement and bone marrow transplantation, which have a number of drawbacks. This study was designed to develop an alternative treatment by inhibition of iduronic acid formation. By screening the Prestwick drug library, we identified ebselen as a potent inhibitor of enzymes that produce iduronic acid in CS/DS and HS. Ebselen efficiently inhibited iduronic acid formation during CS/DS synthesis in cultured fibroblasts. Treatment of MPS-I fibroblasts with ebselen not only reduced accumulation of CS/DS but also promoted GAG degradation. In early Xenopus embryos, this drug phenocopied the effect of downregulation of DS-epimerase 1, the main enzyme responsible for iduronic production in CS/DS, suggesting that ebselen inhibits iduronic acid production in vivo. However, ebselen failed to ameliorate the CS/DS and GAG burden in MPS-I mice. Nevertheless, the results propose a potential of iduronic acid substrate reduction therapy for MPS-I patients., (© The Author(s) 2021. Published by Oxford University Press.)
- Published
- 2021
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