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Publication : α-Galactosidase A knockout mice: progressive organ pathology resembles the type 2 later-onset phenotype of Fabry disease.

First Author  Bangari DS Year  2015
Journal  Am J Pathol Volume  185
Issue  3 Pages  651-65
PubMed ID  25553976 Mgi Jnum  J:219196
Mgi Id  MGI:5619872 Doi  10.1016/j.ajpath.2014.11.004
Citation  Bangari DS, et al. (2015) alpha-Galactosidase A Knockout Mice: Progressive Organ Pathology Resembles the Type 2 Later-Onset Phenotype of Fabry Disease. Am J Pathol 185(3):651-65
abstractText  Fabry disease is an X-linked lysosomal storage disease caused by deficient activity of alpha-galactosidase A and the resultant systemic accumulation of globotrioasylceramide (GL-3) and related glycolipids. alpha-Galactosidase A gene knockout (Gla KO) mice have no alpha-galactosidase A activity and progressively accumulate GL-3 in tissues and fluids, similarly to FD patients. The nature and temporal effects of the progressive substrate accumulation on tissue histology in these mice have not previously been characterized. Here, we report the pathology of young to old (3 to 17 months old) Gla KO mice and compare these changes with those in strain-matched control animals. Gla KO mice accumulated GL-3 in various tissues and fluids with age. Lysosomal GL-3 inclusions increased with age in multiple cell types, including renal epithelial, intestinal, and vascular smooth muscle cells, and neurons in trigeminal and dorsal root ganglia, as detected by light and electron microscopy. However, unlike the case for male FD patients with the type 1 classic phenotype, GL-3 inclusions were not detected in vascular endothelial cells or cardiomyocytes. The histological changes in Gla KO mice better resemble the type 2 later-onset phenotype observed in patients with residual alpha-galactosidase A activity. GL-3 accumulation in the small intestine and sensory ganglia of Gla KO mice provides a model for study of enteropathy and neuropathy in Fabry disease.
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