Hematopoietic stem cell gene therapy improves outcomes in a clinically relevant mouse model of multiple sulfatase deficiency.

Authors

• Vi Pham
• Lucas Tricoli
• Xinying Hong
• Parith Wongkittichote
• Carlo Castruccio Castracani
• Amaliris Guerra
• Lars Schlotawa
• Laura A Adang
• Amanda Kuhs
• Margaret M Cassidy
• Owen Kane
• Emily Tsai
• Maximiliano Presa
• Cathleen Lutz
• Stefano B Rivella
• Rebecca C Ahrens-Nicklas

Publication/Presentation Date

11-6-2024

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.

Volume

32

Issue

11

First Page

3829

Last Page

3846

ISSN

1525-0024

Published In/Presented At

Pham, V., Tricoli, L., Hong, X., Wongkittichote, P., Castruccio Castracani, C., Guerra, A., Schlotawa, L., Adang, L. A., Kuhs, A., Cassidy, M. M., Kane, O., Tsai, E., Presa, M., Lutz, C., Rivella, S. B., & Ahrens-Nicklas, R. C. (2024). Hematopoietic stem cell gene therapy improves outcomes in a clinically relevant mouse model of multiple sulfatase deficiency. Molecular therapy : the journal of the American Society of Gene Therapy, 32(11), 3829–3846. https://doi.org/10.1016/j.ymthe.2024.08.015

Disciplines

Medicine and Health Sciences

PubMedID

39169621

Department(s)

Fellows and Residents

Document Type

Article