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Apolipoprotein-mimetic nanodiscs reduce lipid accumulation and improve liver function in acid sphingomyelinase deficiency
Journal article   Open access   Peer reviewed

Apolipoprotein-mimetic nanodiscs reduce lipid accumulation and improve liver function in acid sphingomyelinase deficiency

Troy A. Halseth, Adele B. Correia, Mark L. Schultz, Maria V. Fawaz, Esmée Q. Kuiper, Preethi Kumaran, Kristen Hong Dorsey, Edward H. Schuchman, Andrew P. Lieberman and Anna Schwendeman
Nanomedicine, Vol.53, 102705
09/01/2023
DOI: 10.1016/j.nano.2023.102705
PMCID: PMC10530155
PMID: 37633404
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC10530155/pdf/nihms-1928039.pdfView
Open Access

Abstract

Acid sphingomyelinase deficiency (ASMD) is a severe lipid storage disorder caused by the diminished activity of the acid sphingomyelinase enzyme. ASMD is characterized by the accumulation of sphingomyelin in late endosomes and lysosomes leading to progressive neurological dysfunction and hepatosplenomegaly. Our objective was to investigate the utility of synthetic apolipoprotein A-I (ApoA-I) mimetics designed to act as lipid scavengers for the treatment of ASMD. We determined the lead peptide, 22A, could reduce sphingomyelin accumulation in ASMD patient skin fibroblasts in a dose dependent manner. Intraperitoneal administration of 22A formulated as a synthetic high-density lipoprotein (sHDL) nanodisc mobilized sphingomyelin from peripheral tissues into circulation and improved liver function in a mouse model of ASMD. Together, our data demonstrates that apolipoprotein mimetics could serve as a novel therapeutic strategy for modulating the pathology observed in ASMD. Synthetic high-density lipoprotein nanodiscs accept excess sphingomyelin from peripheral tissues in a mouse model of ASMD. Created with BioRender.com [Display omitted]
Acid sphingomyelinase deficiency Apolipoprotein mimetics

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