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P11. Disease’ mechanisms underlying the neuropathological progression in mucopolysaccharidosis IIIA

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8th Annual Meeting of the Neapolitan Brain Group

Naples, December 13 2018

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Translational Medicine @ UniSa - ISSN 2239-9747

2019, Special Issue 1(31): 31

31

P11. DISEASE’ MECHANISMS UNDERLYING THE NEUROPATHOLOGICAL PROGRESSION IN MUCOPOLYSACCHARIDOSIS IIIA

M. De Risi1, M. Tufano1, F.G. Alvino1, S. Pulcrano2, G.C. Bellenchi2, A. Fraldi 1, M. Caiazzo3,and E. De

Leonibus1,4

1Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli (Naples), Italy;

2Institute of Genetics and Biophysics, CNR, Naples, Italy;

3Utrecht Institute for Pharmaceutical Sciences (UIPS), Universiteitsweg, Utrecht, The Netherlands;

4Institute of Genetics and Biophysics (IGB), Naples and Institute of Cellular Biology and Neurobiology (IBCN),

Monterotondo (Rome), National Research Council, Italy

Mucopolysaccharidosis type IIIA (MPS-IIIA) is a neurodegenerative lysosomal storage disorder characterized by the deficiency of the enzyme sulfamidase. The pathology is characterized by different stages, each defined by a specific set of symptoms. The neurobiological mechanisms leading to these symptoms are still unknown. In the early phase, children with MPS-IIIA manifests with behavioural symptoms (BSs), including stereotypic and social behaviour dysfunctions; these symptoms are progressively substituted by the onset of dementia and motor impairment. Using an animal model of MPS-IIIA, we have identified endophenotypes of early and late stages of MPS-IIIA pathology, which are associated to dynamic changes in tyrosine hydroxylase (TH) expression, the dopamine (DA) synthesis-rating enzyme. This dynamic changes in TH expression are recapitulated in a cellular model of the pathology. These findings are important to define specific antipsychotic therapy for behavioral symptoms, and to understand the disease’ mechanisms leading to DA dysfunctions in MPS-IIIA.

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