Abstract
Gaucher disease is an inherited metabolic disease caused by the defective activity of the lysosomal enzyme, glucosylceramidase (GlcCerase), which is responsible for the last step in the degradation of complex glycosphingolipids. As a result, glucosylceramide (GlcCer) accumulates intracellularly. Little is known about the mechanisms by which GlcCer accumulation leads to Gaucher disease, particularly for the types of the disease in which severe neuropathology occurs. We now summarize recent advances in this area and in particular focus in the biochemical and cellular pathways that may cause neuronal defects. Most recent work has taken advantage of newly available mouse models, which mimic to a large extent human disease progression. Finally, we discuss observations of a genetic link between Gaucher disease and Parkinson’s disease and discuss how this link has stimulated research into the basic biology of the previously underappreciated glycosphingolipid, GlcCer.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alonso-Canovas A, Katschnig P, Tucci A, Carecchio M, Wood NW, Edwards M et al (2010) Atypical parkinsonism with apraxia and supranuclear gaze abnormalities in type 1 Gaucher disease. Expanding the spectrum: case report and literature review. Mov Disord 25(10):1506–1509
Azuri J, Elstein D, Lahad A, Abrahamov A, Hadas-Halpern I, Zimran A (1998) Asymptomatic Gaucher disease implications for large-scale screening. Genet Test 2(4):297–299
Balducci C, Pierguidi L, Persichetti E, Parnetti L, Sbaragli M, Tassi C et al (2007) Lysosomal hydrolases in cerebrospinal fluid from subjects with Parkinsonʼs disease. Mov Disord 22(10):1481–1484
Barak V, Acker M, Nisman B, Kalickman I, Abrahamov A, Zimran A et al (1999) Cytokines in Gaucherʼs disease. Eur Cytokine Netw 10(2):205–210
Berg D, Roggendorf W, Schroder U, Klein R, Tatschner T, Benz P et al (2002) Echogenicity of the substantia nigra: association with increased iron content and marker for susceptibility to nigrostriatal injury. Arch Neurol 59(6):999–1005
Beutler E, Gelbart T, Scott CR (2005) Hematologically important mutations: Gaucher disease. Blood Cells Mol Dis 35(3):355–364
Biegstraaten M, van Schaik IN, Aerts JM, Hollak CE (2008) ʻNon-neuronopathicʼ Gaucher disease reconsidered. Prevalence of neurological manifestations in a Dutch cohort of type I Gaucher disease patients and a systematic review of the literature. J Inherit Metab Dis 31(3):337–349
Brumshtein B, Greenblatt HM, Butters TD, Shaaltiel Y, Aviezer D, Silman I et al (2007) Crystal structures of complexes of N-butyl- and N-nonyl-deoxynojirimycin bound to acid beta-glucosidase: insights into the mechanism of chemical chaperone action in Gaucher disease. J Biol Chem 282(39):29052–29058
Capablo JL, Saenz de Cabezon A, Fraile J, Alfonso P, Pocovi M, Giraldo P (2008) Neurological evaluation of patients with Gaucher disease diagnosed as type 1. J Neurol Neurosurg Psychiatry 79(2):219–222
Conradi NG, Sourander P, Nilsson O, Svennerholm L, Erikson A (1984) Neuropathology of the Norrbottnian type of Gaucher disease. Morphological and biochemical studies. Acta Neuropathol 65(2):99–109
Conradi NG, Kalimo H, Sourander P (1988) Reactions of vessel walls and brain parenchyma to the accumulation of Gaucher cells in the Norrbottnian type (type III) of Gaucher disease. Acta Neuropathol 75(4):385–390
Conradi N, Kyllerman M, Mansson JE, Percy AK, Svennerholm L (1991) Late-infantile Gaucher disease in a child with myoclonus and bulbar signs: neuropathological and neurochemical findings. Acta Neuropathol 82(2):152–157
Cox TM, Schofield JP (1997) Gaucherʼs disease: clinical features and natural history. Baillieres Clin Haematol 10(4):657–689
Cullen V, Sardi SP, Ng J, Xu YH, Sun Y, Tomlinson JJ et al (2011) Acid beta-glucosidase mutants linked to Gaucher disease, Parkinson disease, and Lewy body dementia alter alpha-synuclein processing. Ann Neurol 69(6):940–953
Dvir H, Harel M, McCarthy AA, Toker L, Silman I, Futerman AH et al (2003) X-ray structure of human acid-beta-glucosidase, the defective enzyme in Gaucher disease. EMBO Rep 4(7):704–709
Eblan MJ, Nguyen J, Ziegler SG, Lwin A, Hanson M, Gallardo M et al (2006) Glucocerebrosidase mutations are also found in subjects with early-onset parkinsonism from Venezuela. Mov Disord 21(2):282–283
Enquist IB, Lo Bianco C, Ooka A, Nilsson E, Mansson JE, Ehinger M et al (2007) Murine models of acute neuronopathic Gaucher disease. Proc Natl Acad Sci USA 104(44):17483–17488
Farfel-Becker T, Vitner E, Dekel H, Leshem N, Enquist IB, Karlsson S et al (2009) No evidence for activation of the unfolded protein response in neuronopathic models of Gaucher disease. Hum Mol Genet 18(8):1482–1488
Farfel-Becker T, Vitner EB, Futerman AH (2011a) Animal models for Gaucher disease research. Dis Model Mech 4(6):746–752
Farfel-Becker T, Vitner EB, Pressey SN, Eilam R, Cooper JD, Futerman AH (2011b) Spatial and temporal correlation between neuron loss and neuroinflammation in a mouse model of neuronopathic Gaucher disease. Hum Mol Genet 20(7):1375–1386
Fill M, Copello JA (2002) Ryanodine receptor calcium release channels. Physiol Rev 82(4):893–922
Futerman AH, Pagano RE (1991) Determination of the intracellular sites and topology of glucosylceramide synthesis in rat liver. Biochem J 280(Pt 2):295–302
Futerman AH, Sussman JL, Horowitz M, Silman I, Zimran A (2004) New directions in the treatment of Gaucher disease. Trends Pharmacol Sci 25(3):147–151
Gan-Or Z, Giladi N, Rozovski U, Shifrin C, Rosner S, Gurevich T et al (2008) Genotype-phenotype correlations between GBA mutations and Parkinson disease risk and onset. Neurology 70(24):2277–2283
Gaucher PCE (1882) De l’Epithélioma Primitif de la Rate: Hypertrophie Idiopathique de la Rate sans Leuce´mie, Ph.D. thesis. University of Paris, Paris
Gault CR, Obeid LM, Hannun YA (2010) An overview of sphingolipid metabolism: from synthesis to breakdown. Adv Exp Med Biol 688:1–23
Goker-Alpan O, Schiffmann R, LaMarca ME, Nussbaum RL, McInerney-Leo A, Sidransky E (2004) Parkinsonism among Gaucher disease carriers. J Med Genet 41(12):937–940
Goker-Alpan O, Lopez G, Vithayathil J, Davis J, Hallett M, Sidransky E (2008) The spectrum of parkinsonian manifestations associated with glucocerebrosidase mutations. Arch Neurol 65(10):1353–1357
Goker-Alpan O, Stubblefield BK, Giasson BI, Sidransky E (2010) Glucocerebrosidase is present in alpha-synuclein inclusions in Lewy body disorders. Acta Neuropathol 120(5):641–649
Halperin A, Elstein D, Zimran A (2006) Increased incidence of Parkinson disease among relatives of patients with Gaucher disease. Blood Cells Mol Dis 36(3):426–428
Henkart M (1980) Identification and function of intracellular calcium stores in neurons. Fed Proc 39(10):2776–2777
Hollak CE, Evers L, Aerts JM, van Oers MH (1997) Elevated levels of M-CSF, sCD14 and IL8 in type 1 Gaucher disease. Blood Cells Mol Dis 23(2):201–212
Hong YB, Kim EY, Jung SC (2006) Upregulation of proinflammatory cytokines in the fetal brain of the Gaucher mouse. J Korean Med Sci 21(4):733–738
Horowitz M, Zimran A (1994) Mutations causing Gaucher disease. Hum Mutat 3(1):1–11
Jmoudiak M, Futerman AH (2005) Gaucher disease: pathological mechanisms and modern management. Br J Haematol 129(2):178–188
Kalinderi K, Bostantjopoulou S, Paisan-Ruiz C, Katsarou Z, Hardy J, Fidani L (2009) Complete screening for glucocerebrosidase mutations in Parkinson disease patients from Greece. Neurosci Lett 452(2):87–89
Kanfer JN, Legler G, Sullivan J, Raghavan SS, Mumford RA (1975) The Gaucher mouse. Biochem Biophys Res Commun 67(1):85–90
Kaye EM, Ullman MD, Wilson ER, Barranger JA (1986) Type 2 and type 3 Gaucher disease: a morphological and biochemical study. Ann Neurol 20(2):223–230
Kinghorn KJ (2011) Pathological looping in the synucleinopathies: investigating the link between Parkinsonʼs disease and Gaucher disease. Dis Model Mech 4(6):713–715
Kono S, Ouchi Y, Terada T, Ida H, Suzuki M, Miyajima H (2010) Functional brain imaging in glucocerebrosidase mutation carriers with and without parkinsonism. Mov Disord 25(12):1823–1829
Korkotian E, Schwarz A, Pelled D, Schwarzmann G, Segal M, Futerman AH (1999) Elevation of intracellular glucosylceramide levels results in an increase in endoplasmic reticulum density and in functional calcium stores in cultured neurons. J Biol Chem 274(31):21673–21678
Legler G, Bieberich E (1988) Active site directed inhibition of a cytosolic beta-glucosidase from calf liver by bromoconduritol B epoxide and bromoconduritol F. Arch Biochem Biophys 260(1):437–442
Lloyd-Evans E, Pelled D, Riebeling C, Bodennec J, de-Morgan A, Waller H et al (2003) Glucosylceramide and glucosylsphingosine modulate calcium mobilization from brain microsomes via different mechanisms. J Biol Chem 278(26):23594–23599
Manning-Bog AB, Schule B, Langston JW (2009) Alpha-synuclein-glucocerebrosidase interactions in pharmacological Gaucher models: a biological link between Gaucher disease and parkinsonism. Neurotoxicology 30(6):1127–1132
Mao XY, Burgunder JM, Zhang ZJ, An XK, Zhang JH, Yang Y et al (2010) Association between GBA L444P mutation and sporadic Parkinsonʼs disease from Mainland China. Neurosci Lett 469(2):256–259
Mazzulli JR, Xu YH, Sun Y, Knight AL, McLean PJ, Caldwell GA et al (2011) Gaucher disease glucocerebrosidase and alpha-synuclein form a bidirectional pathogenic loop in synucleinopathies. Cell 146(1):37–52
Merrill AH Jr (2011) Sphingolipid and glycosphingolipid metabolic pathways in the era of sphingolipidomics. Chem Rev 111(10):6387–6422
Mikoshiba K (1997) The InsP3 receptor and intracellular Ca2+ signaling. Curr Opin Neurobiol 7(3):339–345
Mizukami H, Mi Y, Wada R, Kono M, Yamashita T, Liu Y et al (2002) Systemic inflammation in glucocerebrosidase-deficient mice with minimal glucosylceramide storage. J Clin Invest 109(9):1215–1221
Offman MN, Krol M, Silman I, Sussman JL, Futerman AH (2010) Molecular basis of reduced glucosylceramidase activity in the most common Gaucher disease mutant, N370S. J Biol Chem 285(53):42105–42114
Pastores GM, Barnett NL, Bathan P, Kolodny EH (2003) A neurological symptom survey of patients with type I Gaucher disease. J Inherit Metab Dis 26(7):641–645
Pelled D, Shogomori H, Futerman AH (2000) The increased sensitivity of neurons with elevated glucocerebroside to neurotoxic agents can be reversed by imiglucerase. J Inherit Metab Dis 23(2):175–184
Pelled D, Trajkovic-Bodennec S, Lloyd-Evans E, Sidransky E, Schiffmann R, Futerman AH (2005) Enhanced calcium release in the acute neuronopathic form of Gaucher disease. Neurobiol Dis 18(1):83–88
Platt FM, Jeyakumar M (2008) Substrate reduction therapy. Acta Paediatr Suppl 97(457):88–93
Platt FM, Lachmann RH (2009) Treating lysosomal storage disorders: current practice and future prospects. Biochim Biophys Acta 1793(4):737–745
Poupetova H, Ledvinova J, Berna L, Dvorakova L, Kozich V, Elleder M (2010) The birth prevalence of lysosomal storage disorders in the Czech Republic: comparison with data in different populations. J Inherit Metab Dis 33(4):387–396
Premkumar L, Sawkar AR, Boldin-Adamsky S, Toker L, Silman I, Kelly JW et al (2005) X-ray structure of human acid-beta-glucosidase covalently bound to conduritol-B-epoxide. Implications for Gaucher disease. J Biol Chem 280(25):23815–23819
Rogaeva E, Hardy J (2008) Gaucher and Parkinson diseases: unexpectedly related. Neurology 70(24):2272–2273
Saunders-Pullman R, Hagenah J, Dhawan V, Stanley K, Pastores G, Sathe S et al (2010) Gaucher disease ascertained through a Parkinsonʼs center: imaging and clinical characterization. Mov Disord 25(10):1364–1372
Sawkar AR, DʼHaeze W, Kelly JW (2006) Therapeutic strategies to ameliorate lysosomal storage disorders–a focus on Gaucher disease. Cell Mol Life Sci 63(10):1179–1192
Schiffmann R, Vellodi A (2007) Neuoronopathic Gaucher disease. In: Futerman AH, Zimran A (eds) Gaucher disease. CRC, Boca Raton, pp 175–196
Shachar T, Lo Bianco C, Recchia A, Wiessner C, Raas-Rothschild A, Futerman AH (2011) Lysosomal storage disorders and Parkinsonʼs disease: Gaucher disease and beyond. Mov Disord 26(9):1593–1604
Sidransky E, Fartasch M, Lee RE, Metlay LA, Abella S, Zimran A et al (1996) Epidermal abnormalities may distinguish type 2 from type 1 and type 3 of Gaucher disease. Pediatr Res 39(1):134–141
Sidransky E, Nalls MA, Aasly JO, Aharon-Peretz J, Annesi G, Barbosa ER et al (2009) Multicenter analysis of glucocerebrosidase mutations in Parkinsonʼs disease. N Engl J Med 361(17):1651–1661
Stephens MC, Bernatsky A, Burachinsky V, Legler G, Kanfer JN (1978) The Gaucher mouse: differential action of conduritol B epoxide and reversibility of its effects. J Neurochem 30(5):1023–1027
Sun Y, Liou B, Ran H, Skelton MR, Williams MT, Vorhees CV et al (2010) Neuronopathic Gaucher disease in the mouse: viable combined selective saposin C deficiency and mutant glucocerebrosidase (V394L) mice with glucosylsphingosine and glucosylceramide accumulation and progressive neurological deficits. Hum Mol Genet 19(6):1088–1097
Sun Y, Ran H, Liou B, Quinn B, Zamzow M, Zhang W et al (2011) Isofagomine in vivo effects in a neuronopathic Gaucher disease mouse. PLoS One 6(4):e19037
Suzuki K (2003) Globoid cell leukodystrophy (Krabbeʼs disease): update. J Child Neurol 18(9):595–603
Tayebi N, Walker J, Stubblefield B, Orvisky E, LaMarca ME, Wong K et al (2003) Gaucher disease with parkinsonian manifestations: does glucocerebrosidase deficiency contribute to a vulnerability to parkinsonism? Mol Genet Metab 79(2):104–109
Tybulewicz VL, Tremblay ML, LaMarca ME, Willemsen R, Stubblefield BK, Winfield S et al (1992) Animal model of Gaucherʼs disease from targeted disruption of the mouse glucocerebrosidase gene. Nature 357(6377):407–410
Velayati A, Yu WH, Sidransky E (2010) The role of glucocerebrosidase mutations in Parkinson disease and Lewy body disorders. Curr Neurol Neurosci Rep 10(3):190–198
Vellodi A, Tylki-Szymanska A, Davies EH, Kolodny E, Bembi B, Collin-Histed T et al (2009) Management of neuronopathic Gaucher disease: revised recommendations. J Inherit Metab Dis 32(5):660–664
Vitner EB, Dekel H, Zigdon H, Shachar T, Farfel-Becker T, Eilam R et al (2010a) Altered expression and distribution of cathepsins in neuronopathic forms of Gaucher disease and in other sphingolipidoses. Hum Mol Genet 19(18):3583–3590
Vitner EB, Platt FM, Futerman AH (2010b) Common and uncommon pathogenic cascades in lysosomal storage diseases. J Biol Chem 285(27):20423–20427
Vitner EB, Farfel-Becker T, Eilam R, Biton I, Futerman AH (2012) Contribution of brain inflammation to neuronal cell death in neuronopathic forms of Gaucher disease. Brain 135:1724–1735
Wei H, Kim SJ, Zhang Z, Tsai PC, Wisniewski KE, Mukherjee AB (2008) ER and oxidative stresses are common mediators of apoptosis in both neurodegenerative and non-neurodegenerative lysosomal storage disorders and are alleviated by chemical chaperones. Hum Mol Genet 17(4):469–477
Wei RR, Hughes H, Boucher S, Bird JJ, Guziewicz N, Van Patten SM et al (2011) X-ray and biochemical analysis of N370S mutant human acid beta-glucosidase. J Biol Chem 286(1):299–308
Willemsen R, Tybulewicz V, Sidransky E, Eliason WK, Martin BM, LaMarca ME et al (1995) A biochemical and ultrastructural evaluation of the type 2 Gaucher mouse. Mol Chem Neuropathol 24(2–3):179–192
Wong K, Sidransky E, Verma A, Mixon T, Sandberg GD, Wakefield LK et al (2004) Neuropathology provides clues to the pathophysiology of Gaucher disease. Mol Genet Metab 82(3):192–207
Xu YH, Sun Y, Ran H, Quinn B, Witte D, Grabowski GA (2011) Accumulation and distribution of alpha-synuclein and ubiquitin in the CNS of Gaucher disease mouse models. Mol Genet Metab 102(4):436–447
Yap TL, Gruschus JM, Velayati A, Westbroek W, Goldin E, Moaven N et al (2011) Alpha-synuclein interacts with Glucocerebrosidase providing a molecular link between Parkinson and Gaucher diseases. J Biol Chem 286(32):28080–28088
Ziegler SG, Eblan MJ, Gutti U, Hruska KS, Stubblefield BK, Goker-Alpan O et al (2007) Glucocerebrosidase mutations in Chinese subjects from Taiwan with sporadic Parkinson disease. Mol Genet Metab 91(2):195–200
Acknowledgments
Work in the Futerman laboratory on nGD has been generously supported for the past decade by the Children’s Gaucher Research Fund.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Wien
About this chapter
Cite this chapter
Vitner, E.B., Futerman, A.H. (2013). Neuronal Forms of Gaucher Disease. In: Gulbins, E., Petrache, I. (eds) Sphingolipids in Disease. Handbook of Experimental Pharmacology, vol 216. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1511-4_20
Download citation
DOI: https://doi.org/10.1007/978-3-7091-1511-4_20
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-1510-7
Online ISBN: 978-3-7091-1511-4
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)