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Treatment of mucopolysaccharidoses by combination of various
approaches: a study on cell culture model
Izabela Chmielarz, Laboratory of Genomics and Human Genetics,
Department of Molecular Biology, Faculty of Biology
Supervisor: prof. dr hab. Grzegorz Węgrzyn, Department of Molecular Biology
Co-supervisor: prof. dr hab. Ewa Łojkowska, Department of Biotechnology
Mucopolysacharidoses (MPS) are a group of inherited metabolic diseases characterized by
accumulation of glycosaminoglycans (GAG) in lysosomes. These usually fatal disorders are
caused by mutations in genes coding for enzymes involved in degradation of GAGs. The
deficiencies in activity of appropriate lysosomal enzymes result in various clinical phenotypes
which include organomegaly, dysostis multiplex, decreased growth and respiratory
insufficiency, and in some cases the central nervous system (CNS) is also affected.
Mucopolysaccharidoses are divided into seven distinct types and 11 subtypes depending on
the deficient enzyme. Due to progressive characteristic of these diseases early diagnosis and
treatment at the early stages is crucial. There are various therapeutic approaches: enzyme
replacement therapy, heamatopoietic stem cell transplantation, small synthetic chaperones,
gene therapy, stop codon read-through strategy and substrate deprivation therapy (SDT).
In our laboratory a detailed study have been conducted upon using genistein, a soy isoflavone,
in reducing synthesis and accumulation of GAGs in MPS type III. Recent studies on specific
inhibition of GAG synthesis using siRNA (small interfering RNA) have highlighted possible
therapeutic applications for MPSs. That is why, we aimed to compare the effects of different
treatment methods and their combinations on the reduction of GAG storage. We have
assessed the effectiveness of siRNA-mediated silencing of genes coding for enzymes involved
in the initial steps of GAG synthesis in comparison with the enzyme replacement therapy for
MPS treatment and a combination of these methods. We have as well explored possible
beneficial effects of combined enzyme replacement therapy and substrate deprivation therapy
based on inhibition of GAG synthesis by genistein.