Gene redundancy and pharmacological gene therapy: implications for X-linked adrenoleukodystrophy

S Kemp, HM Wei, JF Lu, LT Braiterman… - Nature medicine, 1998 - nature.com
S Kemp, HM Wei, JF Lu, LT Braiterman, MC McGuinness, AB Moser, PA Watkins, KD Smith
Nature medicine, 1998nature.com
As more functional redundancy in mammalian cells is discovered, enhanced expression of
genes involved in alternative pathways may become an effective form of gene therapy. X-
linked adrenoleukodystrophy (X-ALD) is a peroxisomal disorder with impaired very-long-
chain fatty acid metabolism. The X-ALD gene encodes a peroxisomal membrane protein
(ALDP) that is part of a small family of related peroxisomal membrane proteins. We show
that 4-phenylbutyrate treatment of cells from both X-ALD patients and X-ALD knockout mice …
Abstract
As more functional redundancy in mammalian cells is discovered, enhanced expression of genes involved in alternative pathways may become an effective form of gene therapy. X-linked adrenoleukodystrophy (X-ALD) is a peroxisomal disorder with impaired very-long-chain fatty acid metabolism. The X-ALD gene encodes a peroxisomal membrane protein (ALDP) that is part of a small family of related peroxisomal membrane proteins. We show that 4-phenylbutyrate treatment of cells from both X-ALD patients and X-ALD knockout mice results in decreased levels of and increased β-oxidation of very-long-chain fatty acids; increased expression of the peroxisomal protein ALDRP; and induction of peroxisome proliferation. We also demonstrate that ALDP and ALDRP are functionally related, by ALDRP cDNA complementation of X-ALD fibroblasts. Finally, we demonstrate the in vivo efficacy of dietary 4-phenylbutyrate treatment through its production of a substantial reduction of very-long-chain fatty acid levels in the brain and adrenal glands of X-ALD mice.
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