Metabolic and pathologic profiles of human LSS deficiency recapitulated in mice.

Abstract

Skin lesions, cataracts, and congenital anomalies have been frequently associated with inherited deficiencies in enzymes that synthesize cholesterol. Lanosterol synthase (LSS) converts (S)-2,3-epoxysqualene to lanosterol in the cholesterol biosynthesis pathway. Biallelic mutations in LSS have been reported in families with congenital cataracts and, very recently, have been reported in cases of hypotrichosis. However, it remains to be clarified whether these phenotypes are caused by LSS enzymatic deficiencies in each tissue, and disruption of LSS enzymatic activity in vivo has not yet been validated. We identified two patients with novel biallelic LSS mutations who exhibited congenital hypotrichosis and midline anomalies but did not have cataracts. We showed that the blockade of the LSS enzyme reaction occurred in the patients by measuring the (S)-2,3-epoxysqualene/lanosterol ratio in the forehead sebum, which would be a good biomarker for the diagnosis of LSS deficiency. Epidermis-specific Lss knockout mice showed neonatal lethality due to dehydration, indicating that LSS could be involved in skin barrier integrity. Tamoxifen-induced knockout of Lss in the epidermis caused hypotrichosis in adult mice. Lens-specific Lss knockout mice had cataracts. These results confirmed that LSS deficiency causes hypotrichosis and cataracts due to loss-of-function mutations in LSS in each tissue. These mouse models will lead to the elucidation of the pathophysiological mechanisms associated with disrupted LSS and to the development of therapeutic treatments for LSS deficiency.

• Authors: Yoichi Wada, Atsuo Kikuchi, Akimune Kaga, Naoki Shimizu, Junya Ito, Ryo Onuma, Fumiyoshi Fujishima, Eriko Totsune, Ryo Sato, Tetsuya Niihori, Matsuyuki Shirota, Ryo Funayama, Kota Sato, Toru Nakazawa, Keiko Nakayama, Yoko Aoki, Setsuya Aiba, Kiyotaka Nakagawa, Shigeo Kure
• Journal: PLoS genetics (PLoS Genet) Vol. 16 Issue 2 Pg. e1008628 (02 2020) ISSN: 1553-7404 [Electronic] United States
• PMID: 32101538 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Lanosterol
• Cholesterol
• Intramolecular Transferases
• lanosterol synthase

Topics

• Adolescent
• Animals
• Cataract (congenital, genetics, pathology)
• Cholesterol (metabolism)
• DNA Mutational Analysis
• Disease Models, Animal
• Epidermis (enzymology, pathology)
• Holistic Health
• Humans
• Hypotrichosis (congenital, genetics, pathology)
• Intramolecular Transferases (genetics, metabolism)
• Lanosterol (analysis, metabolism)
• Lens, Crystalline (enzymology, pathology)
• Male
• Mice
• Mice, Knockout
• Mutation
• Pedigree
• Sebum (chemistry)
• Exome Sequencing