Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency

Abstract Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disorder caused by mutations in the SMPD1 gene encoding for the acid sphingomyelinase (ASM). While intravenous infusion of recombinant ASM is an effective treatment for the peripheral disease, the neurological complications of A...

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Main Authors: Ángel Gaudioso, Xuntian Jiang, Josefina Casas, Edward H. Schuchman, María Dolores Ledesma
Format: Article
Language:English
Published: Nature Publishing Group 2023-04-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-023-05784-2
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author Ángel Gaudioso
Xuntian Jiang
Josefina Casas
Edward H. Schuchman
María Dolores Ledesma
author_facet Ángel Gaudioso
Xuntian Jiang
Josefina Casas
Edward H. Schuchman
María Dolores Ledesma
author_sort Ángel Gaudioso
collection DOAJ
description Abstract Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disorder caused by mutations in the SMPD1 gene encoding for the acid sphingomyelinase (ASM). While intravenous infusion of recombinant ASM is an effective treatment for the peripheral disease, the neurological complications of ASMD remain unaddressed. It has been shown that aberrantly high level of total brain sphingomyelin (SM) is a key pathological event leading to neurodegeneration. Using mice lacking ASM (ASMko), which mimic the disease, we here demonstrate that among the SM species, SM16:0 shows the highest accumulation and toxicity in ASMko neurons. By targeting lysosomes, SM16:0 causes permeabilization and exocytosis of these organelles and induces oxidative stress and cell death. We also show that genetic silencing of Ceramide Synthase 5, which is involved in SM16:0 synthesis and overexpressed in the ASMko brain, prevents disease phenotypes in ASMko cultured neurons and mice. The levels of SM16:0 in plasma also show a strong correlation with those in brain that is higher than in liver, even at early stages of the disease. These results identify SM16:0 both as a novel therapeutic target and potential biomarker of brain pathology in ASMD.
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spelling doaj.art-fee74d17d16e43ca93a80663a86bb60f2023-04-09T11:28:13ZengNature Publishing GroupCell Death and Disease2041-48892023-04-0114411310.1038/s41419-023-05784-2Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiencyÁngel Gaudioso0Xuntian Jiang1Josefina Casas2Edward H. Schuchman3María Dolores Ledesma4Centro Biologia Molecular Severo Ochoa (CSIC-UAM)Washington University in St. Louis School of MedicineRUBAM, IQAC-CSIC & CIBEREHDDepartment of Genetics & Genomic Sciences, Icahn School of Medicine at Mount SinaiCentro Biologia Molecular Severo Ochoa (CSIC-UAM)Abstract Acid sphingomyelinase deficiency (ASMD) is a lysosomal storage disorder caused by mutations in the SMPD1 gene encoding for the acid sphingomyelinase (ASM). While intravenous infusion of recombinant ASM is an effective treatment for the peripheral disease, the neurological complications of ASMD remain unaddressed. It has been shown that aberrantly high level of total brain sphingomyelin (SM) is a key pathological event leading to neurodegeneration. Using mice lacking ASM (ASMko), which mimic the disease, we here demonstrate that among the SM species, SM16:0 shows the highest accumulation and toxicity in ASMko neurons. By targeting lysosomes, SM16:0 causes permeabilization and exocytosis of these organelles and induces oxidative stress and cell death. We also show that genetic silencing of Ceramide Synthase 5, which is involved in SM16:0 synthesis and overexpressed in the ASMko brain, prevents disease phenotypes in ASMko cultured neurons and mice. The levels of SM16:0 in plasma also show a strong correlation with those in brain that is higher than in liver, even at early stages of the disease. These results identify SM16:0 both as a novel therapeutic target and potential biomarker of brain pathology in ASMD.https://doi.org/10.1038/s41419-023-05784-2
spellingShingle Ángel Gaudioso
Xuntian Jiang
Josefina Casas
Edward H. Schuchman
María Dolores Ledesma
Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
Cell Death and Disease
title Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
title_full Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
title_fullStr Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
title_full_unstemmed Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
title_short Sphingomyelin 16:0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
title_sort sphingomyelin 16 0 is a therapeutic target for neuronal death in acid sphingomyelinase deficiency
url https://doi.org/10.1038/s41419-023-05784-2
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