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Soldati, Chiara; Lopez‐Fabuel, Irene; Wanderlingh, Luca G; Garcia‐Macia, Marina; Monfregola, Jlenia; Esposito, Alessandra; Napolitano, Gennaro; Guevara‐Ferrer, Marta; Scotto Rosato, Anna; Krogsaeter, Einar K; Paquet, Dominik; Grimm, Christian M; Montefusco, Sandro; Braulke, Thomas; Storch, Stephan; Mole, Sara E; De Matteis, Maria A; Ballabio, Andrea; Sampaio, Julio L; McKay, Tristan; Johannes, Ludger; Bolaños, Juan P; Medina, Diego L
EMBO molecular medicine, 07 October 2021, Letnik: 13, Številka: 10Journal Article
Batten diseases (BDs) are a group of lysosomal storage disorders characterized by seizure, visual loss, and cognitive and motor deterioration. We discovered increased levels of globotriaosylceramide (Gb3) in cellular and murine models of CLN3 and CLN7 diseases and used fluorescent‐conjugated bacterial toxins to label Gb3 to develop a cell‐based high content imaging (HCI) screening assay for the repurposing of FDA‐approved compounds able to reduce this accumulation within BD cells. We found that tamoxifen reduced the lysosomal accumulation of Gb3 in CLN3 and CLN7 cell models, including neuronal progenitor cells (NPCs) from CLN7 patient‐derived induced pluripotent stem cells (iPSC). Here, tamoxifen exerts its action through a mechanism that involves activation of the transcription factor EB (TFEB), a master gene of lysosomal function and autophagy. In vivo administration of tamoxifen to the CLN7Δex2 mouse model reduced the accumulation of Gb3 and SCMAS, decreased neuroinflammation, and improved motor coordination. These data strongly suggest that tamoxifen may be a suitable drug to treat some types of Batten disease. SYNOPSIS The neuronal ceroid lipofuscinoses (NCL), commonly known as Batten disease (BD), are a group of recessively inherited fatal diseases of the nervous system that typically arise in childhood. There is neither cure nor drugs to revert the course of these diseases. Neural accumulation of lysosomal Gb3 is a novel hallmark of CLN3 and CLN7 batten diseases. The FDA‐approved drug tamoxifen reverts pathological phenotype of CLN3 and CLN7 diseases in vitro and in vivo. Tamoxifen effects are independent of the modulation of estrogen receptors but require the activation of TFEB. The neuronal ceroid lipofuscinoses (NCL), commonly known as Batten disease (BD), are a group of recessively inherited fatal diseases of the nervous system that typically arise in childhood. There is neither cure nor drugs to revert the course of these diseases.
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