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

Nat Commun. 2020 Oct 23;11(1):5356. doi: 10.1038/s41467-020-19179-w.

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Brain Stem / embryology
  • Brain Stem / enzymology*
  • Brain Stem / growth & development*
  • Brain Stem / metabolism*
  • Disease Models, Animal
  • Galactosylceramidase / genetics*
  • Galactosylceramidase / metabolism*
  • Gene Expression Regulation, Developmental
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Leukodystrophy, Globoid Cell / genetics*
  • Leukodystrophy, Globoid Cell / metabolism*
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Neurons / metabolism
  • Phenotype
  • Psychosine / metabolism
  • Tamoxifen
  • Transcriptome

Substances

  • Tamoxifen
  • Psychosine
  • Galactosylceramidase