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2013 Research Update
APBDRF
H. Orhan AKMAN, PhD
Dr. DiMauro’s Laboratory
Columbia University Medical Center
Department of Neurology
New York
Adult Polyglucosan Body Disease
Diagnosis, and Development of tools for Research and Treatment

Mouse model of APBD
Possible Pharmacological
Treatments of APBD
Diagnosis of Manifesting
Heterozygote Patients
Mouse model of APBD with Y329S
mutation
Generation of mouse model of APBD:
Y329S TAT to TCT
Tyr
Ser

FRT
LoxP

5’ ARM 2.1 kb

5’ ARM

Exon 7

Exon 7

PGK- Neomycin

3’ARM 6.5 kb

3’ARM
Breeding scheme and expected
genotypes
Y329S TAT to TCT
Tyr
Ser
FRT
LoxP

5’ ARM 2.1 kb
5’ ARM

1

Exon 7

PGK-Neomycin

3’ARM 6.5 kb
3’ARM

Exon 7

2

1
Expected & other genotypes
Y329S-Neo
5’

Exon 7

PGK-Neomycin

3’

Exon 7

PGK-Neomycin

3’

WT-Neo
5’

Y329S
5’

Exon 7

3’

Exon 7

3’

WT-lox
5’

Exon-7 del or D
5’

3’
Polyglucosan can be used in the liver
during fasting
Polyglucosan can be used in the liver
during fasting
Difference between Gbe1Y329S and
Gbe1neo/neo mice

Gbe1+/+

Gbe1neo/neo

Percent
change

Percent
change

Gbe1ys/ys

Brain

230 Âą 17

25 Âą 8

11%

41Âą 9

n=4

17.8%

Heart

457 Âą 56

72 Âą 34

16%

92Âą 21

n=4

20.1%

Liver

855 Âą 43

115 Âą 42

13%

210Âą 35

n=4

24.6%

38 Âą 18

15%

ND

Muscle 251 Âą 23

n=4

ND
Gbe1Y329S mice live longer than
Gbe1neo/neo mice
Gbe1Y329S mice has polyglucosan in the
liver

PAS

Diastase-PAS
Muscle

PAS

Diastase-PAS
Brain
30 days old mice

PAS

Diastase-PAS
Cerebellum
30 days old mice

PAS

Diastase-PAS
Brain 4 month old mice

PAS

Diastase-PAS
Brain 4 month old mice Gbe1ys-neo

PAS

Diastase-PAS
High throughput screening
We have tested 1700 FDA approved
compounds.
Analysis has yield 15 compounds decreasing
PGB content in tissue culture
Control

15

14

13

12

11

10

9

8

7

6

5

4

3

2

1

Relative Glycogen Content
(microgram/mg protein)

Validation of 15 HTS hits

5.0

4.0

3.0

2.0

1.0

0.0
Treatment with Guaiacol

YS untreated

YS treated
PAS

Diastase-PAS
Quantification of glycogen in tissues
Diagnosis of APBD
GBE enzyme assay
Histologic examination of
sural nerve biopsy
Sequencing genomic DNA
and messenger RNA.
Sequencing mRNA Proof of second
genetic change
Search for the genetic change that
eliminates the normal allele
12 to 15

14 to 16
C P1 P2 P3 C

1 to 6

C P1 P2 P3 C

5 to 10

9 to 14
THANK YOU
Salvatore DiMauro, MD
Sindu Krishna, PhD
Pablo Abreu

Michio Hirano, MD
Valentina Emmanuelle, MD
Carmen Paradas, MD

Sergey Pompou, MD

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APBDRF Scientific Advisory Board Meeting December 2013: Research Update