ABSTRACT. In Krabbe's disease (globoid cell leukodystrophy), galactosylsphingosine (psychosine) is considered to be a causative agent of the pathology found in the nervous system of the patients. In our study, we examined the cytotoxic effect of psychosine in neural cell cultures derived from the rat nervous system. The concentration of toxic thresholds varied from cell type to cell type. The 50% of toxic doses for oligodendrocytes, astrocytes, and the sensory neurons of the dorsal root ganglia were 8, 20, and 30 JLg/mL, respectively. Oligodendrocytes, therefore, appeared to show a higher sensitivity to psychosine than did astrocytes or neurons. When phorbol ester or DMSO was applied simultaneously with psychosine as protective agents in enriched cultures of rat oligodendrocytes, the total number of live cells and galactocerebroside-positive cells and the 2'3'-cyclic nucleotide 3'-phosphohydrolase activity in these cultures were considerably higher as compared with their levels in the experimental cultures treated with psychosine alone. These results indicate that phorbol ester and DMSO could serve as protective agents for psychosine neurotoxicity. (Pediatr Res 28: 473-476, 1990) Abbreviations GLD, globoid cell leukodystrophy EMEM, Eagle's minimum essential medium PDB, 4-iJ-phorbol-12, 13-dibutyrate OL, oligodendrocyte CNP, 2'3'-cyclic nucleotide 3'-phosphohydrolase GC, galactocerebroside GF AP, glial fibrillary acidic protein NF, neurofilament TD so , 50% toxic dose Krabbe's disease (OLD) is an inherited neurologic disorder in children caused by galactosylceramide-d-galactosidase deficiency (l ). In OLD, unlike in other sphingolipid storage diseases, galactosylceramide, the natural substrate of the deficient enzyme, does not accumulate in the CNS, and the overall concentration in the brain is much lower than normal (2), An abnormal accumulation in the brains of OLD patients of galactosylsphingosine (psychosine), which is also a substrate for the missing enzyme, was demonstrated by Svennerholm et at. (3), These authors confirmed the "psychosine hypothesis" proposed by Miyatake and Suzuki (4) that psychosine is highly cytotoxic and responsible for the extensive pathology of the disease (5), Received December 18, 1989: accepted June 28, 1990. Correspondence: Seung U. Kim, MD., PhD., Division of Neurology, University Hospital. University of British Columbia, Vancouver, B.c., V6T IW5, Canada.Previous studies have reported that psychosine is cytotoxic in the cell culture system (4) and in vivo when it is injected intracerebrally (6). In OLD, the affected organ is almost exclusively the nervous system, which shows dysmyelination of the CNS and the peripheral nerve. To facilitate our understanding of how psychosine elicits dysmyelination of the CNS, we examined its cytotoxic effect on the neural cell cultures derived from newborn rat brain and dorsal root ganglion. In addition, attempts were made to neutralize psychosine cytotoxicity in rat brain cultures by supplementing two reagents, DMSO and phorbol ester PDB, as...