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, Anna Schwendeman

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Article number102705
JournalNanomedicine: Nanotechnology, Biology, and Medicine
Volume53
DOIs
StatePublished - Sep 2023

Keywords

  • Acid sphingomyelinase deficiency
  • Apolipoprotein mimetics

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