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Published in: Orphanet Journal of Rare Diseases 1/2016

Open Access 01-12-2016 | Letter to the Editor

Fostering collaborative research for rare genetic disease: the example of niemann-pick type C disease

Authors: Steven U. Walkley, Cristin D. Davidson, Jonathan Jacoby, Philip D. Marella, Elizabeth A. Ottinger, Christopher P. Austin, Forbes D. Porter, Charles H. Vite, Daniel S. Ory

Published in: Orphanet Journal of Rare Diseases | Issue 1/2016

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Abstract

Rare disease represents one of the most significant issues facing the medical community and health care providers worldwide, yet the majority of these disorders never emerge from their obscurity, drawing little attention from the medical community or the pharmaceutical industry. The challenge therefore is how best to mobilize rare disease stakeholders to enhance basic, translational and clinical research to advance understanding of pathogenesis and accelerate therapy development. Here we describe a rare, fatal brain disorder known as Niemann-Pick type C (NPC) and an innovative research collaborative known as Support of Accelerated Research for NPC (SOAR-NPC) which illustrates one pathway through which knowledge of a rare disease and its possible treatments are being successfully advanced. Use of the “SOAR” mechanism, we believe, offers a blueprint for similar advancement for many other rare disorders.
Literature
2.
go back to reference Wassif CA, Cross JL, Iben J, Sanchez-Pulido L, Cougnoux A, Platt FM, et al. High incidence of unrecognized visceral/neurological late-onset Niemann-Pick disease, type C1, predicted by analysis of massively parallel sequencing data sets. Genet Med. 2015e-pub ahead of print Mar 12;10.1038/gim.2015.25. Wassif CA, Cross JL, Iben J, Sanchez-Pulido L, Cougnoux A, Platt FM, et al. High incidence of unrecognized visceral/neurological late-onset Niemann-Pick disease, type C1, predicted by analysis of massively parallel sequencing data sets. Genet Med. 2015e-pub ahead of print Mar 12;10.​1038/​gim.​2015.​25.
3.
go back to reference Bauer P, Balding DJ, Klunemann HH, Linden DE, Ory DS, Pineda M, et al. Genetic screening for Niemann-Pick disease type C in adults with neurological and psychiatric symptoms: findings from the ZOOM study. Hum Mol Genet. 2013;22(21):4349–56.CrossRefPubMedPubMedCentral Bauer P, Balding DJ, Klunemann HH, Linden DE, Ory DS, Pineda M, et al. Genetic screening for Niemann-Pick disease type C in adults with neurological and psychiatric symptoms: findings from the ZOOM study. Hum Mol Genet. 2013;22(21):4349–56.CrossRefPubMedPubMedCentral
4.
go back to reference Porter FD, Scherrer DE, Lanier MH, Langmade SJ, Molugu V, Gale SE, et al. Cholesterol oxidation products are sensitive and specific blood-based biomarkers for Niemann-Pick C1 disease. Sci Transl Med. 2010;2(56):56ra81.CrossRefPubMedPubMedCentral Porter FD, Scherrer DE, Lanier MH, Langmade SJ, Molugu V, Gale SE, et al. Cholesterol oxidation products are sensitive and specific blood-based biomarkers for Niemann-Pick C1 disease. Sci Transl Med. 2010;2(56):56ra81.CrossRefPubMedPubMedCentral
5.
go back to reference Vanier MT, Gissen P, Bauer P, Coll MJ, Burlina A, Hendriksz CJ, et al. Diagnostic tests for Niemann-Pick disease type C (NP-C): A critical review. Mol Genet Metab. 2016e-pub ahead of print Jun 7;10.1016/j.ymgme.2016.06.004. Vanier MT, Gissen P, Bauer P, Coll MJ, Burlina A, Hendriksz CJ, et al. Diagnostic tests for Niemann-Pick disease type C (NP-C): A critical review. Mol Genet Metab. 2016e-pub ahead of print Jun 7;10.​1016/​j.​ymgme.​2016.​06.​004.
6.
go back to reference Jiang X, Sidhu R, Mydock-McGrane L, Hsu FF, Covey DF, Scherrer DE, et al. Development of a bile acid-based newborn screen for Niemann-Pick disease type C. Sci Transl Med. 2016;8(337):37ra363.CrossRef Jiang X, Sidhu R, Mydock-McGrane L, Hsu FF, Covey DF, Scherrer DE, et al. Development of a bile acid-based newborn screen for Niemann-Pick disease type C. Sci Transl Med. 2016;8(337):37ra363.CrossRef
7.
go back to reference Yanjanin NM, Velez JI, Gropman A, King K, Bianconi SE, Conley SK, et al. Linear clinical progression, independent of age of onset, in Niemann-Pick disease, type C. Am J Med Genet B Neuropsychiatr Genet. 2010;153B(1):132–40.PubMedPubMedCentral Yanjanin NM, Velez JI, Gropman A, King K, Bianconi SE, Conley SK, et al. Linear clinical progression, independent of age of onset, in Niemann-Pick disease, type C. Am J Med Genet B Neuropsychiatr Genet. 2010;153B(1):132–40.PubMedPubMedCentral
8.
go back to reference Tortelli B, Fujiwara H, Bagel JH, Zhang J, Sidhu R, Jiang X, et al. Cholesterol homeostatic responses provide biomarkers for monitoring treatment for the neurodegenerative disease Niemann-Pick C1 (NPC1). Hum Mol Genet. 2014;23(22):6022–33.CrossRefPubMedPubMedCentral Tortelli B, Fujiwara H, Bagel JH, Zhang J, Sidhu R, Jiang X, et al. Cholesterol homeostatic responses provide biomarkers for monitoring treatment for the neurodegenerative disease Niemann-Pick C1 (NPC1). Hum Mol Genet. 2014;23(22):6022–33.CrossRefPubMedPubMedCentral
9.
go back to reference Mattsson N, Zetterberg H, Bianconi S, Yanjanin NM, Fu R, Mansson JE, et al. Miglustat treatment may reduce cerebrospinal fluid levels of the axonal degeneration marker tau in niemann-pick type C. JIMD reports. 2012;3:45–52.CrossRefPubMed Mattsson N, Zetterberg H, Bianconi S, Yanjanin NM, Fu R, Mansson JE, et al. Miglustat treatment may reduce cerebrospinal fluid levels of the axonal degeneration marker tau in niemann-pick type C. JIMD reports. 2012;3:45–52.CrossRefPubMed
10.
go back to reference Cologna SM, Jiang XS, Backlund PS, Cluzeau CV, Dail MK, Yanjanin NM, et al. Quantitative proteomic analysis of Niemann-Pick disease, type C1 cerebellum identifies protein biomarkers and provides pathological insight. PLoS ONE. 2012;7(10), e47845.CrossRefPubMedPubMedCentral Cologna SM, Jiang XS, Backlund PS, Cluzeau CV, Dail MK, Yanjanin NM, et al. Quantitative proteomic analysis of Niemann-Pick disease, type C1 cerebellum identifies protein biomarkers and provides pathological insight. PLoS ONE. 2012;7(10), e47845.CrossRefPubMedPubMedCentral
11.
go back to reference Bradbury AM, Bagel JH, Sampson ML, Farhat NY, Ding W, Swain GP, et al. Cerebrospinal fluid calbindin D concentration as a biomarker of cerebellar disease progression in Niemann-Pick type C1 disease. J Pharmacol Exp Ther. 2016e-pub ahead of print Jun 15;10.1124/jpet.116.232975. Bradbury AM, Bagel JH, Sampson ML, Farhat NY, Ding W, Swain GP, et al. Cerebrospinal fluid calbindin D concentration as a biomarker of cerebellar disease progression in Niemann-Pick type C1 disease. J Pharmacol Exp Ther. 2016e-pub ahead of print Jun 15;10.​1124/​jpet.​116.​232975.
12.
go back to reference Pentchev PG, Comly ME, Kruth HS, Patel S, Proestel M, Weintroub H. The cholesterol storage disorder of the mutant BALB/c mouse. A primary genetic lesion closely linked to defective esterification of exogenously derived cholesterol and its relationship to human type C Niemann-Pick disease. J Biol Chem. 1986;261(6):2772–7.PubMed Pentchev PG, Comly ME, Kruth HS, Patel S, Proestel M, Weintroub H. The cholesterol storage disorder of the mutant BALB/c mouse. A primary genetic lesion closely linked to defective esterification of exogenously derived cholesterol and its relationship to human type C Niemann-Pick disease. J Biol Chem. 1986;261(6):2772–7.PubMed
13.
go back to reference Goldin E, Roff CF, Miller SP, Rodriguez-Lafrasse C, Vanier MT, Brady RO, et al. Type C Niemann-Pick disease: a murine model of the lysosomal cholesterol lipidosis accumulates sphingosine and sphinganine in liver. Biochim Biophys Acta. 1992;1127(3):303–11.CrossRefPubMed Goldin E, Roff CF, Miller SP, Rodriguez-Lafrasse C, Vanier MT, Brady RO, et al. Type C Niemann-Pick disease: a murine model of the lysosomal cholesterol lipidosis accumulates sphingosine and sphinganine in liver. Biochim Biophys Acta. 1992;1127(3):303–11.CrossRefPubMed
14.
go back to reference Loftus SK, Morris JA, Carstea ED, Gu JZ, Cummings C, Brown A, et al. Murine model of Niemann-Pick C disease: mutation in a cholesterol homeostasis gene. Science. 1997;277(5323):232–5.CrossRefPubMed Loftus SK, Morris JA, Carstea ED, Gu JZ, Cummings C, Brown A, et al. Murine model of Niemann-Pick C disease: mutation in a cholesterol homeostasis gene. Science. 1997;277(5323):232–5.CrossRefPubMed
15.
go back to reference Praggastis M, Tortelli B, Zhang J, Fujiwara H, Sidhu R, Chacko A, et al. A murine Niemann-Pick C1 I1061T knock-in model recapitulates the pathological features of the most prevalent human disease allele. J Neurosci. 2015;35(21):8091–106.CrossRefPubMedPubMedCentral Praggastis M, Tortelli B, Zhang J, Fujiwara H, Sidhu R, Chacko A, et al. A murine Niemann-Pick C1 I1061T knock-in model recapitulates the pathological features of the most prevalent human disease allele. J Neurosci. 2015;35(21):8091–106.CrossRefPubMedPubMedCentral
16.
go back to reference Lowenthal AC, Cummings JF, Wenger DA, Thrall MA, Wood PA, De Lahunta A. Feline sphingolipidosis resembling Niemann-Pick disease type C. Acta Neuropathol. 1990;81(2):189–97.CrossRefPubMed Lowenthal AC, Cummings JF, Wenger DA, Thrall MA, Wood PA, De Lahunta A. Feline sphingolipidosis resembling Niemann-Pick disease type C. Acta Neuropathol. 1990;81(2):189–97.CrossRefPubMed
17.
go back to reference Somers KL, Royals MA, Carstea ED, Rafi MA, Wenger DA, Thrall MA. Mutation analysis of feline Niemann-Pick C1 disease. Mol Genet Metab. 2003;79(2):99–103.CrossRefPubMed Somers KL, Royals MA, Carstea ED, Rafi MA, Wenger DA, Thrall MA. Mutation analysis of feline Niemann-Pick C1 disease. Mol Genet Metab. 2003;79(2):99–103.CrossRefPubMed
18.
go back to reference Zervas M, Dobrenis K, Walkley SU. Neurons in Niemann-Pick disease type C accumulate gangliosides as well as unesterified cholesterol and undergo dendritic and axonal alterations. J Neuropathol Exp Neurol. 2001;60(1):49–64.CrossRefPubMed Zervas M, Dobrenis K, Walkley SU. Neurons in Niemann-Pick disease type C accumulate gangliosides as well as unesterified cholesterol and undergo dendritic and axonal alterations. J Neuropathol Exp Neurol. 2001;60(1):49–64.CrossRefPubMed
19.
go back to reference Stein VM, Crooks A, Ding W, Prociuk M, O’Donnell P, Bryan C, et al. Miglustat improves purkinje cell survival and alters microglial phenotype in feline Niemann-Pick disease type C. J Neuropathol Exp Neurol. 2012;71(5):434–48.CrossRefPubMedPubMedCentral Stein VM, Crooks A, Ding W, Prociuk M, O’Donnell P, Bryan C, et al. Miglustat improves purkinje cell survival and alters microglial phenotype in feline Niemann-Pick disease type C. J Neuropathol Exp Neurol. 2012;71(5):434–48.CrossRefPubMedPubMedCentral
20.
go back to reference Ward S, O’Donnell P, Fernandez S, Vite CH. 2-hydroxypropyl-beta-cyclodextrin raises hearing threshold in normal cats and in cats with Niemann-Pick type C disease. Pediatr Res. 2010;68(1):52–6.CrossRefPubMedPubMedCentral Ward S, O’Donnell P, Fernandez S, Vite CH. 2-hydroxypropyl-beta-cyclodextrin raises hearing threshold in normal cats and in cats with Niemann-Pick type C disease. Pediatr Res. 2010;68(1):52–6.CrossRefPubMedPubMedCentral
21.
go back to reference Vite CH, Bagel JH, Swain GP, Prociuk M, Sikora TU, Stein VM, et al. Intracisternal cyclodextrin prevents cerebellar dysfunction and Purkinje cell death in feline Niemann-Pick type C1 disease. Sci Transl Med. 2015;7(276):276ra226.CrossRef Vite CH, Bagel JH, Swain GP, Prociuk M, Sikora TU, Stein VM, et al. Intracisternal cyclodextrin prevents cerebellar dysfunction and Purkinje cell death in feline Niemann-Pick type C1 disease. Sci Transl Med. 2015;7(276):276ra226.CrossRef
22.
go back to reference Walkley SU, Suzuki K. Consequences of NPC1 and NPC2 loss of function in mammalian neurons. Biochim Biophys Acta. 2004;1685(1–3):48–62.CrossRefPubMed Walkley SU, Suzuki K. Consequences of NPC1 and NPC2 loss of function in mammalian neurons. Biochim Biophys Acta. 2004;1685(1–3):48–62.CrossRefPubMed
23.
go back to reference Zhou S, Davidson C, McGlynn R, Stephney G, Dobrenis K, Vanier MT, et al. Endosomal/lysosomal processing of gangliosides affects neuronal cholesterol sequestration in Niemann-Pick disease type C. Am J Pathol. 2011;179(2):890–902.CrossRefPubMedPubMedCentral Zhou S, Davidson C, McGlynn R, Stephney G, Dobrenis K, Vanier MT, et al. Endosomal/lysosomal processing of gangliosides affects neuronal cholesterol sequestration in Niemann-Pick disease type C. Am J Pathol. 2011;179(2):890–902.CrossRefPubMedPubMedCentral
24.
go back to reference Zervas M, Walkley SU. Ferret pyramidal cell dendritogenesis: changes in morphology and ganglioside expression during cortical development. J Comp Neurol. 1999;413(3):429–48.CrossRefPubMed Zervas M, Walkley SU. Ferret pyramidal cell dendritogenesis: changes in morphology and ganglioside expression during cortical development. J Comp Neurol. 1999;413(3):429–48.CrossRefPubMed
25.
go back to reference Zervas M, Somers KL, Thrall MA, Walkley SU. Critical role for glycosphingolipids in Niemann-Pick disease type C. Curr Biol. 2001;11(16):1283–7.CrossRefPubMed Zervas M, Somers KL, Thrall MA, Walkley SU. Critical role for glycosphingolipids in Niemann-Pick disease type C. Curr Biol. 2001;11(16):1283–7.CrossRefPubMed
26.
go back to reference Lakhani KR, Carlile PR. Myelin Repair Foundation: Accelerating Drug Discovery through Collaboration. In: Harvard Business School Technology & Operations Mgt Unit Case. 2010. p. 1–19. Lakhani KR, Carlile PR. Myelin Repair Foundation: Accelerating Drug Discovery through Collaboration. In: Harvard Business School Technology & Operations Mgt Unit Case. 2010. p. 1–19.
27.
go back to reference Pentchev PG, Comly ME, Kruth HS, Vanier MT, Wenger DA, Patel S, et al. A defect in cholesterol esterification in Niemann-Pick disease (type C) patients. Proc Natl Acad Sci U S A. 1985;82(23):8247–51.CrossRefPubMedPubMedCentral Pentchev PG, Comly ME, Kruth HS, Vanier MT, Wenger DA, Patel S, et al. A defect in cholesterol esterification in Niemann-Pick disease (type C) patients. Proc Natl Acad Sci U S A. 1985;82(23):8247–51.CrossRefPubMedPubMedCentral
28.
go back to reference Carstea ED, Morris JA, Coleman KG, Loftus SK, Zhang D, Cummings C, et al. Niemann-Pick C1 disease gene: homology to mediators of cholesterol homeostasis. Science. 1997;277(5323):228–31.CrossRefPubMed Carstea ED, Morris JA, Coleman KG, Loftus SK, Zhang D, Cummings C, et al. Niemann-Pick C1 disease gene: homology to mediators of cholesterol homeostasis. Science. 1997;277(5323):228–31.CrossRefPubMed
29.
go back to reference Xu M, Liu K, Swaroop M, Porter FD, Sidhu R, Firnkes S, et al. delta-Tocopherol reduces lipid accumulation in Niemann-Pick type C1 and Wolman cholesterol storage disorders. J Biol Chem. 2012;287(47):39349–60.CrossRefPubMedPubMedCentral Xu M, Liu K, Swaroop M, Porter FD, Sidhu R, Firnkes S, et al. delta-Tocopherol reduces lipid accumulation in Niemann-Pick type C1 and Wolman cholesterol storage disorders. J Biol Chem. 2012;287(47):39349–60.CrossRefPubMedPubMedCentral
30.
go back to reference Griffin LD, Gong W, Verot L, Mellon SH. Niemann-Pick type C disease involves disrupted neurosteroidogenesis and responds to allopregnanolone. Nat Med. 2004;10(7):704–11.CrossRefPubMed Griffin LD, Gong W, Verot L, Mellon SH. Niemann-Pick type C disease involves disrupted neurosteroidogenesis and responds to allopregnanolone. Nat Med. 2004;10(7):704–11.CrossRefPubMed
31.
go back to reference Camargo F, Erickson RP, Garver WS, Hossain GS, Carbone PN, Heidenreich RA, et al. Cyclodextrins in the treatment of a mouse model of Niemann-Pick C disease. Life Sci. 2001;70(2):131–42.CrossRefPubMed Camargo F, Erickson RP, Garver WS, Hossain GS, Carbone PN, Heidenreich RA, et al. Cyclodextrins in the treatment of a mouse model of Niemann-Pick C disease. Life Sci. 2001;70(2):131–42.CrossRefPubMed
32.
go back to reference Liu B, Li H, Repa JJ, Turley SD, Dietschy JM. Genetic variations and treatments that affect the lifespan of the NPC1 mouse. J Lipid Res. 2008;49(3):663–9.CrossRefPubMed Liu B, Li H, Repa JJ, Turley SD, Dietschy JM. Genetic variations and treatments that affect the lifespan of the NPC1 mouse. J Lipid Res. 2008;49(3):663–9.CrossRefPubMed
33.
go back to reference Liu B, Turley SD, Burns DK, Miller AM, Repa JJ, Dietschy JM. Reversal of defective lysosomal transport in NPC disease ameliorates liver dysfunction and neurodegeneration in the npc1−/− mouse. Proc Natl Acad Sci U S A. 2009;106(7):2377–82.CrossRefPubMedPubMedCentral Liu B, Turley SD, Burns DK, Miller AM, Repa JJ, Dietschy JM. Reversal of defective lysosomal transport in NPC disease ameliorates liver dysfunction and neurodegeneration in the npc1−/− mouse. Proc Natl Acad Sci U S A. 2009;106(7):2377–82.CrossRefPubMedPubMedCentral
34.
go back to reference Davidson CD, Ali NF, Micsenyi MC, Stephney G, Renault S, Dobrenis K, et al. Chronic cyclodextrin treatment of murine Niemann-Pick C disease ameliorates neuronal cholesterol and glycosphingolipid storage and disease progression. PLoS ONE. 2009;4(9), e6951.CrossRefPubMedPubMedCentral Davidson CD, Ali NF, Micsenyi MC, Stephney G, Renault S, Dobrenis K, et al. Chronic cyclodextrin treatment of murine Niemann-Pick C disease ameliorates neuronal cholesterol and glycosphingolipid storage and disease progression. PLoS ONE. 2009;4(9), e6951.CrossRefPubMedPubMedCentral
35.
go back to reference Ottinger EA, Kao ML, Carrillo-Carrasco N, Yanjanin N, Shankar RK, Janssen M, et al. Collaborative development of 2-hydroxypropyl-beta-cyclodextrin for the treatment of Niemann-Pick type C1 disease. Curr Top Med Chem. 2014;14(3):330–9.CrossRefPubMedPubMedCentral Ottinger EA, Kao ML, Carrillo-Carrasco N, Yanjanin N, Shankar RK, Janssen M, et al. Collaborative development of 2-hydroxypropyl-beta-cyclodextrin for the treatment of Niemann-Pick type C1 disease. Curr Top Med Chem. 2014;14(3):330–9.CrossRefPubMedPubMedCentral
36.
go back to reference Porter FD, Farhat NY, Ottinger EA, McKew JC, Weissfeld L, Machielse B, et al. Phase 1/2 evaluation of intrathecal 2-hydroxypropyl-beta-cyclodextrin for the treatment of Niemann-Pick disease type C1. Mol Gen Metab. 2016;117(2):S97.CrossRef Porter FD, Farhat NY, Ottinger EA, McKew JC, Weissfeld L, Machielse B, et al. Phase 1/2 evaluation of intrathecal 2-hydroxypropyl-beta-cyclodextrin for the treatment of Niemann-Pick disease type C1. Mol Gen Metab. 2016;117(2):S97.CrossRef
Metadata
Title
Fostering collaborative research for rare genetic disease: the example of niemann-pick type C disease
Authors
Steven U. Walkley
Cristin D. Davidson
Jonathan Jacoby
Philip D. Marella
Elizabeth A. Ottinger
Christopher P. Austin
Forbes D. Porter
Charles H. Vite
Daniel S. Ory
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Orphanet Journal of Rare Diseases / Issue 1/2016
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/s13023-016-0540-x

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