2019 Lukina (re-shown), Animal models of GD (continued), hGBA-L444P-tg8 mouse, GCB Mouse Model Substrate Comparison

2019 Lukina Eliglustat (re-shown)

BiomarkerNormal RangeBaselineYear 8Percent Reduction
Glucosylceramide (GL-1) (μg/mL) (n=18)<2.0 to 6.612.152.70-80%
Plasma glucosylsphingosine (Lyso-GL-1) (ng/mL) (n=16)<562447.6-92%
Chitotriosidase (nmol/hr/mL) (n=17)<15 to 1818084902-91%
CCL18 (ng/mL) (n=18)17 to 2463560442-87%

Lukina chart x-axis: Years on Eliglustat (0 to 8) with sample sizes (n=24-25), (n=20-21), (n=15-19), (n=17-19), (n=17-18), (n=16-18), (n=17-18), (n=16-18), (n=16-18). y-axis: Median Percent Change from Baseline (0% to -100%). Legend: GL-1, CCL18, Chitotriosidase*, Lyso-GL-1.

Animal models of GD (continued)

Generation methodGBA activityPhenotype
KOGBA KO the GBA-/-mouseinsertion of a neo-cassete in exons 9 and 10 in the GBA gene<4%glucosylceramide accumulation in the lung, liver, and brain. However, the GBA-/- mouse exhibits neonatal death as a result of a marked transepidermal water loss due to altered skin permeability. (This is likely due to the lesser hydrolytic efficiency of the N370S enzyme toward the longer chain fatty acid acyl moieties on GC in murine skin vs. human13,14,15)
Point mutationRecNcil (L444P/A456P) point mutant miceA single insertion mutagenesis procedure (SIMP)<10%died soon after birth due to compromised skin barrier function
L444P/L444P point mutant mice<20%died soon after birth due to compromised skin barrier function, ↑ a-syn in striatum
N370
  • RD DDU (20200916): Have 4 copies of N370S variant in GCB null background
  • ↑ GlcCer, =GlcSph, Show early and progressive elevations of tissue sphingolipids
  • 'RD_NS joint team meeting December 2020_V2': very little Brain GlcSph accumulation, and only little brain GlcSph reduction by GT: see pictures below in the section of The hGBA-L444P-tg8 mouse
GBAL444P/L444P;Ugcg+/+crossing L444P+/- mice with a mouse bearing a knockout in glucosylceramide synthase (Ugcg),15-20%↑ improved life span (50% of the mice survive for up to a year), However, these mice lack the typical features of GD such as: ↑ glucosylceramide or Gaucher cells
human GBA-L444P heterozygous KI mice (Gba-wt/L444P) human GBA-L444P x 1 copy + mouse Gba-wt x 1 copy (그냥 GBA heteroz carrier 모델이네)(generated at Shonan) [shonan findings]
  • No obvious lipid abnormalities
  • No obvious α-syn (Syn) pathology
Cortex GlcSph plot — y-axis `Concentration`, with WT/Hetero/Wild groups across age points; annotation `Brain injection of α-Syn preformed fibrils (PFFs) is being tried to develop a synopathy model. Injection of AAV9-SNCA can be an alternative approach. 20210125: significant ↑ GlcSph, (1.5-fold) with age-dependence`.
Point mutationD409H, D409V, or V394L4-10%similar life span and also lack gross phenotypic abnormalities and glucosylceramide accumulation
The hGBA-L444P-tg8 mouse: 8 copies of human GBA ((no mouse Gba gene) (this mice is 'hemizygous' and still called 'transgenic') 그럼 이게 homoz 결과인 셈이고 GD model 이라고 분명히 GBA activator PRC1 에서 말함.. GBA activator project uses this! this strain expresses human GBA L444P mutant protein only,
(Sanders, 2013 #909)
Cerebrum: gba activity is 32% control (table2)
So, =GlcCer, ↑(x2, ~7 vs ~12.5 at 45w, at 25w: 6 vs 8) GlcSph
cerebellum: So, =GlcCer, ↑(x2) GlcSph

hGBA-L444P-tg8 figures and notes

Panels A-D show Glucosylsphingosine (y-axis label Glucosylsphingosine [pmol/mg prot]) per Transgenic strain (Gba+/-, N370S, L444P) across SPLEEN, LIVER, CEREBRUM tissues. Panel B y-axis range visible: 0.0 - 16.0.

  • Ambroxol response (100mpk 14 days): js no response

Chaperone-therapy panel legend:

  • Vehicle
  • Ambroxol: 100 mg/kg/day
  • Isofagomine: 20 mg/kg/day

Caption (under tissue GCase activity panel):

Tissue GCase activity after 14-day chaperone therapy: Data points … orally dosed mice (A) hN370S-tg4/Gba-/-; (B) hL444P-tg8/Gba-/-

  • RD DDU (20200916): ↑ GlcCer, ↑ GlcSph
  • 20201030 Natalia) . Liver histology data from the L444P model natural history study indicates that there might be mosaic transgene silencing. I am waiting for the rest of the histology. If we see the same silencing in other tissues, the model will not be usable for testing small molecules. I have attached paper on the L444P model that Gene Therapy team is using. Below is a liver image stained for transgene. Transgene is expressed under ubiquitous promoter and all liver cells are expected to stain. Instead, we observe patchy pattern (js: this may explain not very high GlcCer & GlcSph accumulation). This means that even a very potent small molecule can clear substrate from a small fraction of the cells that actually express mutant GBA that can be corrected. Efficacy will not be evident from tissue homogenate or in any functional tests because most of the cells will still have the same level of substrate as in untreated animals. Therefore, we need to see what is going on with transgene expression in other organs before we can decide if this model can be used
  • 20201117: male에서 GBA staining↑, variable substrate, natalie: 왜 hepatocyte 만에서만 gba보이나 (not Kupper cell), ubiquitous promoter인데.
  • ‘RD_NS joint team meeting December 2020_V2’: very little Brain GlcSph accumulation, and (only) little brain GlcSph reduction by GT

GCB Mouse Model Substrate Comparison

GCB Mouse Model Substrate Comparison Lyso-GL1 chart (grouped bars):

  • Series: L444P tg (14-15 wks), N370S tg (14-19 wks), D409V (8-14 wks)
  • Tissues: Spleen, Bone Marrow, Liver, Brain, Serum

GCB Mouse Model Substrate Comparison Total-GL1 chart (grouped bars):

  • Series: L444P tg (10 wks), N370S tg (15-20 wks), D409V (8-14 wks)
  • Same tissue groups

Lyso-GL1 Comparison in Mice Treated with rhGCB (L444P CIT20-09(A), D409V GCB.06.19):

  • Legend: Vehicle, rhGCB
  • Tissues: Spleen, Bone Marrow, Liver, Brain, Serum

Note: below 20200930_L444P,D409V mic_BL (by DMPK)

Cortex GlcSph plot — y-axis Concentration; lower portion clipped at the photo edge.

D409V hetero (start)

  • below 20200930_L444P,D409V mic_BL (by DMPK): ↑ GlcSph

Uncertain Spans

locationtranscriptionuncertainty
GCB Mouse Model figures / x-axis unitsConcentration y-axis unitsthe y-axis unit text is too small to read on this capture and is omitted.