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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
"psy accumulation"
symptom
krabbe disease
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