Cited by 100Lysosomal Storage Disorders ResearchMetabolism and Genetic DisordersGlycogen Storage Diseases and Myoclonus

Enzyme replacement therapy attenuates disease progression in a canine model of late‐infantile neuronal ceroid lipofuscinosis (CLN 2 disease)

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Katz, Martin L., Coates, Joan R., Sibigtroth, Christine M., Taylor, Jacob D., Carpentier, Melissa, Young, Whitney M., Wininger, Fred A., Kennedy, Derek +2 more·2014·Journal of Neuroscience Research

Abstract

Using a canine model of classical late‐infantile neuronal ceroid lipofuscinosis (CLN2 disease), a study was conducted to evaluate the potential pharmacological activity of recombinant human tripeptidyl peptidase‐1 (rhTPP1) enzyme replacement therapy administered directly to the cerebrospinal fluid (CSF). CLN2 disease is a hereditary neurodegenerative disorder resulting from mutations in CLN2, which encodes the soluble lysosomal enzyme tripeptidyl peptidase‐1 (TPP1). Infants with mutations in both CLN2 alleles develop normally but in the late‐infantile/early‐childhood period undergo progressive neurological decline accompanied by pronounced brain atrophy. The disorder, a form of Batten disease, is uniformly fatal, with clinical signs starting between 2 and 4 years of age and death usually occurring by the early teenage years. Dachshunds homozygous for a null mutation in the canine ortholog of CLN2 (TPP1) exhibit a similar disorder that progresses to end stage at 10.5–11 months of age. Administration of rhTPP1 via infusion into the CSF every other week, starting at approximately 2.5 months of age, resulted in dose‐dependent significant delays in disease progression, as measured by delayed onset of neurologic deficits, improved performance on a cognitive function test, reduced brain atrophy, and increased life span. Based on these findings, a clinical study evaluating the potential therapeutic value of rhTPP1 administration into the CSF of children with CLN2 disease has been initiated. © 2014 The Authors. Journal of Neuroscience Research Published by Wiley Periodicals, Inc.

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  • Targeting the large cerebral ventricles (intraventricular route) in the frontal lobe is an easy surgical task and is commonly used to deliver drugs to the CNS.

    “Targeting the large cerebral ventricles (intraventricular route) in the frontal lobe of the brain is an easy surgical task, and is commonly used to deliver drugs to the CNS.”

    From AAVrh.10-Mediated APOE2 Central Nervous System Gene Therapy for APOE4-Associated Alzheimer's Disease (2018) · cites this paper as [88]

    Materials and Methods (rhTPP1 Formulation and Administration; page unavailable) describes a catheter placed in a lateral ventricle and used to infuse treatment into the CNS. It does not say the ventricle was targeted in the frontal lobe, that placement was an easy surgical task, or that this route is commonly used for CNS drug delivery. (LLM, conf=0.85)

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Authors
Katz, M. L., Coates, J. R., Sibigtroth, C. M., Taylor, J. D., Carpentier, M., Young, W. M., Wininger, F. A., Kennedy, D., Vuillemenot, B. R., & O'Neill, C. A.
Affiliations
  • University of Missouri (US)
  • BioMarin (United States) (US)
  • BioMarin Pharmaceutical Inc. Novato California
Corresponding author
Katz, Martin L.
Venue
Journal of Neuroscience Research
Publisher
Wiley
Published
2014-06-17
Volume
92
Issue
11
Pages
1591-1598
ISSN
  • 0360-4012 (ISSN-L)
  • 1097-4547
OpenAlex
W1602997642
Cited by
100
References
23
Citations by year
2026: 1 · 2025: 7 · 2024: 3 · 2023: 7 · 2022: 9 · 2021: 6 · 2020: 14 · 2019: 12 · 2018: 6 · 2017: 11 · 2016: 10 · 2015: 10 · 2014: 4
FWCI
7.76
Type
journal article
Language
en
Open access
Locations
  • Journal of Neuroscience Research (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Batten Disease Support and Research Association (None)
Topics
  • Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
  • Health Sciences › Medicine › Rheumatology › Glycogen Storage Diseases and Myoclonus
Keywords
late infantile neuronal ceroid lipofuscinosis, CLN2 disease, tripeptidyl peptidase 1, enzyme replacement therapy, cerebrospinal fluid infusion, canine model, Dachshund, lysosomal storage disease, Batten disease, brain atrophy, neurodegeneration, cognitive function, disease progression
MeSH terms
Tripeptidyl-Peptidase 1, Aminopeptidases, Analysis of Variance, Animals, Brain, Cognition Disorders, Dipeptidyl-Peptidases and Tripeptidyl-Peptidases, Disease Models, Animal, Dogs, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Mutation, Neurologic Examination, Neuronal Ceroid-Lipofuscinoses, Recombinant Fusion Proteins, Survival Analysis, Disease Progression, Maze Learning, Enzyme Replacement Therapy, Serine Proteases

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