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Human Molecular Genetics Advance Access published online on October 15, 2004

Human Molecular Genetics, doi:10.1093/hmg/ddh323
© 2004 by Oxford University Press
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Article

Functional overlap between ABCD1 (ALD) and ABCD2 (ALDR) transporters: a therapeutic target for X-adrenoleukodystrophy

Aurora Pujol 1*, Isidre Ferrer 2, Carme Camps 3, Elisabeth Metzger 1, Colette Hindelang 1, Noëlle Callizot 4, Montse Ruiz 5, Teresa Pàmpols 5, Marisa Giròs 5, and Jean Louis Mandel 1

1 Institut de Génétique et de Biologie Moléculaire et Cellulaire, CNRS/INSERM/ULP and Collège de France, B.P.10142, 67404 Illkirch Cedex, C.U. de Strasbourg, France
2 Institut de Neuropatologia, Hospital Universitari de Bellvitge, 08907 L'Hospitalet de Llobregat, Barcelona, Spain
3 Institut de Génétique et de Biologie Moléculaire et Cellulaire, CNRS/INSERM/ULP and Collège de France, B.P.10142, 67404 Illkirch Cedex, C.U. de Strasbourg, France; Institut de Bioquimica Clinica, c/ Mejia Lequerica, s/n 08028 Barcelona, Spain
4 Societé Neurofit, SA 67404 Illkirch Cedex, C. U. de Strasbourg, France
5 Institut de Bioquimica Clinica, c/ Mejia Lequerica, s/n 08028 Barcelona, Spain

* To whom correspondence should be addressed. E-mail: apujol{at}igbmc.u-strasbg.fr.


   Abstract

X-linked adrenoleukodystrophy (X-ALD) is a severe neurodegenerative disease caused by loss of function of the peroxisomal transporter ABCD1 (ALD), which results in accumulation of very-long-chain fatty acids (VLCFAs) in organs and serum, central demyelination and peripheral axonopathy, and Addison's disease. Knockout of the ALD gene in the mouse (ALD-) results in an adrenomyeloneuropathy-like disease (AMN, a late onset form of X-ALD). In the present study, we demonstrate that axonal damage occurs as first pathological event in this model, followed by myelin degeneration. We show that this phenotype can be modulated through expression levels of an ALD-related gene (ALDR/ABCD2), its closest paralog and a target of PPAR{alpha} and SREBP transcription factors. Overexpression of ALDR in ALD- mice prevents both VLCFAs accumulation and the neurodegenerative features, whereas double mutants for ALD and ALDR exhibit an earlier onset and more severe disease (including signs of inflammatory reaction) when compared to ALD single mutants. Thus, our results provide direct evidence for functional redundancy/overlap between both transporters in vivo and highlight ALDR as therapeutic target for treatment of X-ALD.


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