2012
DOI: 10.1038/nm.2833
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Therapy of Pelizaeus-Merzbacher disease in mice by feeding a cholesterol-enriched diet

Abstract: Duplication of PLP1 (proteolipid protein gene 1) and the subsequent overexpression of the myelin protein PLP (also known as DM20) in oligodendrocytes is the most frequent cause of Pelizaeus-Merzbacher disease (PMD), a fatal leukodystrophy without therapeutic options. PLP binds cholesterol and is contained within membrane lipid raft microdomains. Cholesterol availability is the rate-limiting factor of central nervous system myelin synthesis. Transgenic mice with extra copies of the Plp1 gene are accurate models… Show more

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Cited by 109 publications
(111 citation statements)
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“…It could be speculated that PLP overexpression and the sequestration of PLP and cholesterol into LE/Lys has a qualitative or quantitative impact on exosome secretion from oligodendrocytes, which could relate to the myelin degeneration and the axonopathy observed in PLP1 -transgenic animals and PMD patients. Intriguingly, a high cholesterol diet applied to transgenic mice carrying extra copies of PLP1 ameliorated intracellular accumulation of PLP and facilitated myelin formation (Saher et al, 2012), suggesting that the stoichiometric relationship between PLP and cholesterol is important for the mobilization of PLP from the late endocytic pools and proper myelin membrane trafficking.…”
Section: Role Of Membrane Traffic In Myelin Diseasementioning
confidence: 99%
“…It could be speculated that PLP overexpression and the sequestration of PLP and cholesterol into LE/Lys has a qualitative or quantitative impact on exosome secretion from oligodendrocytes, which could relate to the myelin degeneration and the axonopathy observed in PLP1 -transgenic animals and PMD patients. Intriguingly, a high cholesterol diet applied to transgenic mice carrying extra copies of PLP1 ameliorated intracellular accumulation of PLP and facilitated myelin formation (Saher et al, 2012), suggesting that the stoichiometric relationship between PLP and cholesterol is important for the mobilization of PLP from the late endocytic pools and proper myelin membrane trafficking.…”
Section: Role Of Membrane Traffic In Myelin Diseasementioning
confidence: 99%
“…(Saher et al 2012) Currently, there is no effective therapy, although very recently neural stem cells were transplanted into the frontal lobe white matter of four male subjects with an early-onset severe form of PMD. Preliminary results showed improved myelination.…”
Section: Spasticity Disorders Masquerading As Cerebral Palsymentioning
confidence: 99%
“…The relevance of the molar PLP-to-cholesterol ratio for trafficking into myelin was recently supported in PLP-overexpressing transgenic mice, a model of Pelizaeus-Merzbacher disease (Werner et al, 1998). In these mice, excess PLP accumulates in oligodendroglial late endosomes/lysosomes, and the addition of supplementary cholesterol was therapeutic by facilitating the incorporation of PLP into myelin (Saher et al, 2012).…”
Section: Association and Cotransport Of Myelin Proteins And Lipidsmentioning
confidence: 99%