Residual levels of tripeptidyl-peptidase I activity dramatically ameliorate disease in late-infantile neuronal ceroid lipofuscinosis

Mol Genet Metab. 2008 Jun;94(2):222-33. doi: 10.1016/j.ymgme.2008.01.014. Epub 2008 Mar 17.

Abstract

Classical late-infantile neuronal ceroid lipofuscinosis (LINCL) is a hereditary neurodegenerative disease of childhood that is caused by mutations in the gene (CLN2) encoding the lysosomal protease tripeptidyl-peptidase I (TPPI). LINCL is fatal and there is no treatment of demonstrated efficacy in affected children but preclinical studies with AAV-mediated gene therapy have demonstrated promise in a mouse model. Here, we have generated mouse CLN2-mutants that express different amounts of TPPI activity to benchmark levels required for therapeutic benefits. Approximately 3% of normal TPPI activity in brain delayed disease onset and doubled lifespan to a median of approximately 9 months compared to mice expressing approximately 0.2% of normal levels. Expression of 6% of normal TPPI activity dramatically attenuated disease, with a median lifespan of approximately 20 months which approaches that of unaffected mice. While the lifespan of this hypomorph is shortened, disease is late-onset, less severe and progresses slowly compared to mice expressing lower TPPI levels. For gene therapy and other approaches that restore enzyme activity, these results suggest that 6% of normal TPPI activity throughout the CNS of affected individuals will provide a significant therapeutic benefit but higher levels will be required to cure this disease.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aminopeptidases
  • Animals
  • Brain / enzymology
  • Dipeptidyl-Peptidases and Tripeptidyl-Peptidases
  • Disease Models, Animal
  • Endopeptidases / analysis
  • Endopeptidases / genetics*
  • Endopeptidases / metabolism*
  • Gene Targeting
  • Genetic Therapy / methods*
  • Genetic Therapy / mortality
  • Liver / enzymology
  • Lysosomes / metabolism
  • Mice
  • Mice, Transgenic
  • Mitochondrial Proton-Translocating ATPases / metabolism
  • Neuronal Ceroid-Lipofuscinoses / enzymology*
  • Neuronal Ceroid-Lipofuscinoses / genetics
  • Neuronal Ceroid-Lipofuscinoses / physiopathology
  • Neuronal Ceroid-Lipofuscinoses / therapy*
  • Serine Proteases
  • Species Specificity
  • Tripeptidyl-Peptidase 1

Substances

  • Tpp1 protein, mouse
  • Tripeptidyl-Peptidase 1
  • Endopeptidases
  • Serine Proteases
  • Aminopeptidases
  • Dipeptidyl-Peptidases and Tripeptidyl-Peptidases
  • mitochondrial ATPase subunit c
  • Mitochondrial Proton-Translocating ATPases