Hematopoietic stem cell gene therapy improves outcomes in a clinically relevant mouse model of multiple sulfatase deficiency.
Document Type
Article
Publication Date
11-6-2024
Original Citation
Pham V,
Tricoli L,
Hong X,
Wongkittichote P,
Castruccio Castracani C,
Guerra A,
Schlotawa L,
Adang L,
Kuhs A,
Cassidy M,
Kane O,
Tsai E,
Presa M,
Lutz C,
Rivella S,
Ahrens-Nicklas R.
Hematopoietic stem cell gene therapy improves outcomes in a clinically relevant mouse model of multiple sulfatase deficiency. Mol Ther. 2024;32(11):3829-46.
Keywords
JMG, Animals, Genetic Therapy, Mice, Disease Models, Animal, Multiple Sulfatase Deficiency Disease, Hematopoietic Stem Cell Transplantation, Sulfatases, Genetic Vectors, Humans, Lentivirus, Oxidoreductases Acting on Sulfur Group Donors, Glycosaminoglycans, Hematopoietic Stem Cells
JAX Source
Mol Ther. 2024;32(11):3829-46.
ISSN
1525-0024
PMID
39169621
DOI
https://doi.org/10.1016/j.ymthe.2024.08.015
Abstract
Multiple sulfatase deficiency (MSD) is a severe, lysosomal storage disorder caused by pathogenic variants in the gene SUMF1, encoding the sulfatase modifying factor formylglycine-generating enzyme. Patients with MSD exhibit functional deficiencies in all cellular sulfatases. The inability of sulfatases to break down their substrates leads to progressive and multi-systemic complications in patients, similar to those seen in single-sulfatase disorders such as metachromatic leukodystrophy and mucopolysaccharidoses IIIA. Here, we aimed to determine if hematopoietic stem cell transplantation with ex vivo SUMF1 lentiviral gene therapy could improve outcomes in a clinically relevant mouse model of MSD. We first tested our approach in MSD patient-derived cells and found that our SUMF1 lentiviral vector improved protein expression, sulfatase activities, and glycosaminoglycan accumulation. In vivo, we found that our gene therapy approach rescued biochemical deficits, including sulfatase activity and glycosaminoglycan accumulation, in affected organs of MSD mice treated post-symptom onset. In addition, treated mice demonstrated improved neuroinflammation and neurocognitive function. Together, these findings suggest that SUMF1 HSCT-GT can improve both biochemical and functional disease markers in the MSD mouse.