Genetic ablation of Saposin‐D in Krabbe disease eliminates psychosine accumulation but does not significantly improve demyelination

Abstract Krabbe disease is an inherited demyelinating disease caused by a genetic deficiency of the lysosomal enzyme galactosylceramide (GalCer) β‐galactosidase (GALC). The Twitcher (Twi) mouse is a naturally occurring, genetically and enzymatically authentic mouse model that mimics infantile‐onset Krabbe disease. The major substrate for GALC is the myelin lipid GalCer. However, the pathogenesis of Krabbe disease has long been explained by the accumulation of psychosine, a lyso‐derivative of GalCer. Two metabolic pathways have been proposed for the accumulation of psychosine: a synthetic pathway in which galactose is transferred to sphingosine and a degradation pathway in which GalCer is deacylated by acid ceramidase (ACDase). Saposin‐D (Sap‐D) is essential for the degradation of ceramide by ACDase in lysosome. In this study, we generated Twi mice with a Sap‐D deficiency (Twi/Sap‐D KO), which are genetically deficient in both GALC and Sap‐D and found that very little psychosine accumulated in the CNS or PNS of the mouse. As expected, demyelination with the infiltration of multinucleated macrophages (globoid cells) characteristic of Krabbe disease was milder in Twi/Sap‐D KO mice than in Twi mice both in the CNS and PNS during the early disease stage. However, at the later disease stage, qualitatively and quantitatively comparable demyelination occurred in Twi/Sap‐D KO mice, particularly in the PNS, and the lifespans of Twi/Sap‐D KO mice were even shorter than that of Twi mice. Bone marrow‐derived macrophages from both Twi and Twi/Sap‐D KO mice produced significant amounts of TNF‐α upon exposure to GalCer and were transformed into globoid cells. These results indicate that psychosine in Krabbe disease is mainly produced via the deacylation of GalCer by ACDase. The demyelination observed in Twi/Sap‐D KO mice may be mediated by a psychosine‐independent, Sap‐D‐dependent mechanism. GalCer‐induced activation of Sap‐D‐deficient macrophages/microglia may play an important role in the neuroinflammation and demyelination in Twi/Sap‐D KO mice. image