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Oxidative stress as a therapeutic target in globoid cell leukodystrophy.
[krabbe disease]
Globoid
cell
leukodystrophy
(
GLD
,
Krabbe
Disease
)
is
a
lysosomal
storage
disease
,
resulting
from
the
genetic
deficiency
of
galactosylceramidase
(
GALC
)
.
This
disease
is
marked
by
accumulation
of
the
cytotoxic
lipid
psychosine
(
Psy
)
.
Psychosine
is
known
to
induce
oxidative
stress
in
cultured
cells
,
and
this
stress
can
be
ameliorated
through
co
-treatment
with
the
antioxidant
N-
acetyl
cysteine
(
NAC
)
.
Oxidative
stress
has
also
been
observed
in
vivo
in
the
mouse
model
of
GLD
,
the
Twitcher
mouse
(
Twi
)
.
We
hypothesized
that
treating
oxidative
stress
with
NAC
;
either
alone
or
in
combination
with
bone
marrow
transplant
(
BMT
)
would
improve
the
course
of
disease
.
All
breeding
cages
were
maintained
on
water
containing
NAC
.
Once
born
,
the
pups
received
IP
boluses
of
NAC
three
times
per
week
,
and
were
maintained
on
NAC-containing
water
.
A
separate
cohort
of
animals
received
the
same
regimen
of
NAC
in
addition
to
a
BMT
on
post-
natal
days
2
-
3
.
Although
NAC
lowers
the
level
of
oxidized
proteins
in
the
brains
of
Twi
mice
,
and
dramatically
improves
immunohistochemical
markers
of
disease
,
neither
treatment
results
in
any
clinical
improvements
in
the
Twi
mouse
.
Our
data
suggest
that
oxidative
stress
may
be
sufficiently
down-stream
in
the
pathogenic
cascade
initiated
by
Psy
accumulation
as
to
be
difficult
or
impossible
to
treat
with
standard
pharmacologic
agents
.
It
is
possible
that
NAC
may
synergize
with
other
therapies
or
combinations
of
therapies
.
A
better
understanding
of
the
initiating
effects
of
Psy
toxicity
and
oxidative
damage
may
uncover
treatable
therapeutic
targets
.
Diseases
Validation
Diseases presenting
"leukodystrophy"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
cadasil
canavan disease
carcinoma of the gallbladder
classical phenylketonuria
coats disease
fabry disease
gm1 gangliosidosis
krabbe disease
neonatal adrenoleukodystrophy
phenylketonuria
pyruvate dehydrogenase deficiency
wiskott-aldrich syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated