medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 1, 2024
Abstract
Background
and
Objectives
Wolfram
syndrome
(WFS)
is
a
genetic
disorder
mainly
caused
by
pathogenic
variants
in
the
WFS1
gene.
It
characterized
clinically
optic
atrophy
(OA),
diabetes
mellitus
(DM),
sensorineural
hearing
loss
(SNHL),
insipidus
(DI),
variable
neurological/psychiatric
symptoms.
WFS
typically
manifests
before
age
20
progresses
into
adulthood.
Classical
neuroradiological
features
include
cerebellar
and/or
brainstem
as
well
white
matter
abnormalities
ranging
from
small,
ovoid
lesions
to
diffuse,
symmetrical
changes
along
visual
pathway.
Following
identification
of
multifocal,
progressive
that
prompted
consideration
multiple
sclerosis
(MS)
two
molecularly
confirmed
subjects,
we
sought
verify
whether
MS-like
constitute
novel
WFS-associated
MRI
pattern.
Methods
We
conducted
an
international
multicenter
retrospective
study
clinical,
genetic,
radiological
data
17
unrelated
subjects.
Results
Seven
subjects
(7/17;
41%)
showed
at
least
one
focal
lesion
evocative
MS.
Among
these
seven,
three
fulfilled
McDonald
criteria
dissemination
space
time,
suggesting
inflammatory
demyelinating
process.
All
reviewed
had
classical
features.
Conclusions
Our
report
expands
spectrum
involvement
progressive,
seemingly
lesions.
While
cannot
exclude
possibility
WFS-MS
dual
diagnosis
some
cases,
role
myelination
suggests
selective
vulnerability
WFS.
findings
suggest
follow
up
should
be
recommended
adult
with
Further
longitudinal
required
confirm
molecular
confers
susceptibility
development
Nature Communications,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: July 21, 2024
Abstract
Wolfram
syndrome
is
a
rare
genetic
disease
caused
by
mutations
in
the
WFS1
or
CISD2
gene.
A
primary
defect
involves
poor
ER
Ca
2+
handling,
but
how
this
disturbance
leads
to
not
known.
The
current
study,
performed
neurons,
most
affected
and
disease-relevant
cells,
involving
both
genes,
explains
disturbed
handling
compromises
mitochondrial
function
affects
neuronal
health.
Loss
of
content
impaired
ER-mitochondrial
contact
sites
WFS1-
CISD2-deficient
neurons
associated
with
lower
IP
3
R-mediated
transfer
from
mitochondria
decreased
uptake.
In
turn,
reduced
inhibits
ATP
production
leading
an
increased
NADH/NAD
+
ratio.
resulting
bioenergetic
deficit
reductive
stress
compromise
health
neurons.
Our
work
also
identifies
pharmacological
targets
compounds
that
restore
homeostasis,
enhance
improve
Biomolecules,
Journal Year:
2023,
Volume and Issue:
13(9), P. 1346 - 1346
Published: Sept. 4, 2023
Wolfram
Syndrome
(WFS)
is
a
rare,
autosomal,
recessive
neurogenetic
disorder
that
affects
many
organ
systems.
It
characterised
by
diabetes
insipidus,
mellites,
optic
atrophy,
and
deafness
and,
therefore,
also
known
as
DIDMOAD.
Nearly
15,000-30,000
people
are
affected
WFS
worldwide,
on
average,
patients
suffering
from
die
at
30
years
of
age,
usually
central
respiratory
failure
caused
massive
brain
atrophy.
The
more
prevalent
the
two
kinds
WFS1,
which
monogenic
disease
loss
WFS1
gene,
whereas
WFS2,
uncommon,
mutations
in
CISD2
gene.
Currently,
there
no
treatment
for
to
increase
life
expectancy
patients,
treatments
available
do
not
significantly
improve
their
quality
life.
Understanding
genetics
molecular
mechanisms
essential
finding
cure.
inability
conventional
medications
treat
points
need
innovative
strategies
must
address
fundamental
cause:
deletion
gene
leads
profound
ER
stress
disturbances
proteostasis.
An
important
approach
here
understand
mechanism
cell
degeneration
after
describe
differences
these
different
tissues.
studies
so
far
have
indicated
remarkable
clinical
heterogeneity
variable
vulnerability
mutations,
cannot
be
attributed
solely
positions
present
review
gives
broader
overview
results
genomic
mouse
model.
Wolfram
syndrome
1
(WS1)
is
a
rare
genetic
disorder
caused
by
mutations
in
the
WFS1
gene
leading
to
wide
spectrum
of
clinical
dysfunctions,
among
which
blindness,
diabetes,
and
neurological
deficits
are
most
prominent.
encodes
for
endoplasmic
reticulum
(ER)
resident
transmembrane
protein
wolframin
with
multiple
functions
ER
processes.
However,
-dependent
etiopathology
retinal
cells
unknown.
Herein,
we
showed
that
Wfs1
mutant
mice
developed
early
electrophysiological
impairments
followed
marked
visual
loss.
Interestingly,
axons
myelin
disruption
optic
nerve
preceded
degeneration
ganglion
cell
bodies
retina.
Transcriptomics
at
pre-degenerative
stage
revealed
STAT3-dependent
activation
proinflammatory
glial
markers
reduction
homeostatic
pro-survival
factors
glutamine
synthetase
BDNF.
Furthermore,
label-free
comparative
proteomics
identified
significant
monocarboxylate
transport
isoform
(MCT1)
its
partner
basigin
highly
enriched
on
glia
myelin-forming
oligodendrocytes
together
wolframin.
Loss
MCT1
failure
lactate
transfer
from
neuronal
chronic
hypometabolic
state.
Thus,
this
bioenergetic
impairment
occurring
concurrently
both
within
axonal
regions
cells,
selectively
endangering
their
survival
while
impacting
less
other
cells.
This
metabolic
dysfunction
occurs
months
before
frank
RGC
suggesting
an
extended
time-window
intervening
new
therapeutic
strategies
focused
boosting
bioenergetics
WS1.
Sorting
nexins
(SNX)
are
a
family
of
proteins
containing
the
Phox
homology
domain,
which
shows
preferential
endo-membrane
association
and
regulates
cargo
sorting
processes.
Here,
we
established
that
SNX32,
an
SNX-BAR
(Bin/Amphiphysin/Rvs)
sub-family
member
associates
with
SNX4
via
its
BAR
domain
residues
A226,
Q259,
E256,
R366
Y258,
S448
lie
at
interface
these
two
SNX
mediate
this
association.
PX
interacts
transferrin
receptor
(TfR)
Cation-Independent
Mannose-6-Phosphate
Receptor
(CIMPR),
conserved
F131
in
is
important
stabilizing
interactions.
Silencing
SNX32
leads
to
defect
intracellular
trafficking
TfR
CIMPR.
Further,
using
SILAC-based
differential
proteomics
wild-type
mutant
impaired
binding,
identified
Basigin
(BSG),
immunoglobulin
superfamily
member,
as
potential
interactor
SHSY5Y
cells.
We
then
demonstrated
binds
BSG
through
facilitates
cell
surface.
In
neuroglial
lines,
silencing
defects
neuronal
differentiation.
Moreover,
abrogation
lactate
transport
SNX32-depleted
cells
led
us
propose
may
contribute
maintaining
coordination
role
associated
monocarboxylate
transporter
activity.
Taken
together,
our
study
showed
mediates
specific
molecules
along
distinct
pathways.
Journal of Neuroscience Research,
Journal Year:
2025,
Volume and Issue:
103(2)
Published: Feb. 1, 2025
ABSTRACT
Due
to
its
ability
modulate
neuronal
activity,
electrical
stimulation
of
the
eye
may
be
a
promising
therapy
for
preserving
or
restoring
vision.
To
investigate
how
currents
can
influence
visual
function,
Transcorneal
Electrical
Stimulation
(TES)
was
tested
on
both
female
and
male
C57BL/6
mice
evaluate
neuromodulatory
effect
from
retina
cerebral
cortex
through
evoked
potential
(VEP)
electroretinogram
(ERG)
recording.
VEP
ERG
acquired
before
(baseline),
immediately
(t0),
after
5
min
(t5),
10
(t10)
sham
(i.e.,
no
stimulation)
TES
applied
anesthetized
mice.
Notably,
affected
activity
in
pathway
since
significant
increase
amplitude
detected
persisted
TES.
The
induced
by
could
underlie
an
enhancement
excitability
that
ameliorate
retinal‐genicular‐cortical
function
diseases
involving
system.
npj Genomic Medicine,
Journal Year:
2025,
Volume and Issue:
10(1)
Published: March 31, 2025
Individuals
affected
by
a
rare
disease
often
experience
long
and
arduous
diagnostic
odyssey.
Delivery
of
genetic
answers
in
timely
manner
is
critical
to
individuals
their
families.
Multi-omics,
term
which
usually
encompasses
genomics,
transcriptomics,
proteomics,
metabolomics
lipidomics,
has
gained
increasing
popularity
research
diagnosis
over
the
past
decade.
Mass
spectrometry
(MS)
technique
allowing
study
proteins,
metabolites
lipids
fragments
at
scale,
enabling
researchers
effectively
determine
presence
abundance
thousands
molecules
single
test,
accurately
quantify
specific
levels,
identify
potential
therapeutic
biomarkers,
detect
differentially
expressed
proteins
patients
with
diseases,
monitor
progression
treatment
response.
In
this
review,
we
focus
on
mass
(MS)-based
omics
survey
literature
describing
utility
different
MS-based
how
they
have
transformed
diagnosis.
Annals of Neurology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 6, 2024
Objective
In
autosomal
recessive
spastic
ataxia
of
Charlevoix‐Saguenay
(ARSACS)
disease,
severity
and
age
onset
vary
greatly,
hindering
to
objectively
measure
predict
clinical
progression.
Thickening
the
retinal
nerve
fiber
layer
is
distinctive
ARSACS
patients,
as
assessed
by
optical
coherence
tomography,
whereas
conventional
brain
magnetic
resonance
imaging
findings
include
both
supratentorial
infratentorial
changes.
Because
longitudinal
studies
in
patients
are
not
available
define
these
changes
biomarkers
disease
progression,
we
aimed
address
this
issue
mouse
model.
Methods
We
performed
OCT
MRI
Sacs
−/−
model,
alongside
motor
coordination
assessment
beam
walking
test.
also
investigated
visual
function
molecular
mechanisms
underlying
RNFL
increased
thickness
histology
immunofluorescence.
Results
demonstrated
that
thickening
gradually
increases
early
stages
pathology
reflecting
progression
impairment,
later
reaches
a
plateau
when
thinning
posterior
corpus
callosum
becomes
detectable
MRI.
Mechanistically,
unveiled
associated
with
aberrant
accumulation
non‐phosphorylated
neurofilament
H
glial
fibrillary
acidic
protein.
uncovered
mild
signs
myelin
coherent
latency
evoked
potentials,
altered
activation
photopic
electroretinography.
Interpretation
show
may
represent
Our
data
gathers
knowledge
instrumental
studies,
holding
potential
readout
for
treatment
efficacy.
ANN
NEUROL
2024
Frontiers in Endocrinology,
Journal Year:
2023,
Volume and Issue:
14
Published: Oct. 13, 2023
Aim
Wolfram
Syndrome
(WS)
is
a
rare
condition
caused
by
mutations
in
Wfs1
,
with
poor
prognosis
and
no
cure.
Mono-agonists
targeting
the
incretin
glucagon-like-peptide
1
(GLP-1)
have
demonstrated
disease-modifying
potential
pre-clinical
clinical
settings.
Dual
agonists
that
target
GLP-1
glucose-dependent
insulinotropic
polypeptide
(GIP-1)
are
reportedly
more
efficacious;
hence,
we
evaluated
therapeutic
of
dual
agonism
loss-of-function
rat
model
WS.
Methods
Eight-month-old
knock-out
(KO)
wild-type
control
rats
were
continuously
treated
either
agonist
DA-CH5
or
saline
for
four
months.
Glycemic
profile,
visual
acuity
hearing
sensitivity
longitudinally
monitored
pre-treatment,
then
at
10.5
12
Pancreata
retina
harvested
immunohistological
analysis.
Results
therapy
reversed
glucose
intolerance
KO
provided
lasting
anti-diabetogenic
protection.
Treatment
also
intra-islet
alterations,
including
reduced
endocrine
islet
area
β-cell
density,
indicating
its
regenerative
potential.
Although
rescue
effect
was
noted
loss,
retinal
ganglion
cell
density
better
preserved
DA-CH5-treated
rats.
Conclusion
We
present
preclinical
evidence
pleiotropic
effects
long-term
treatment;
seen
despite
treatment
beginning
after
symptom-onset,
reversal
disease
progression.
incretins
represent
promising
avenue
WS
patients.
Research Square (Research Square),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 13, 2023
Abstract
Wolfram
syndrome
(WS)
is
a
rare
genetic
disease
caused
by
mutations
in
the
WFS1
or
CISD2
gene.
A
primary
defect
WS
involves
poor
ER
Ca2+
handling,
but
how
this
disturbance
leads
to
not
known.
The
current
study,
performed
isolated
neurons,
most
affected
and
disease-relevant
cells,
involving
both
genes,
explains
disturbed
handling
compromises
mitochondrial
function
affects
neuronal
health.
Loss
of
content
axons
WFS1-
CISD2-deficient
neurons
associated
with
lower
IP3R-mediated
transfer
from
mitochondria
decreased
uptake.
In
turn,
reduction
inhibits
ATP
production
leading
an
increased
axoplasmic
NADH/NAD+
ratio.
resulting
bioenergetic
deficit
reductive
stress
compromise
health
neurons.
Our
work
also
identifies
pharmacological
targets
compounds
that
restore
homeostasis,
enhance
improve
function.