A mammalian-like
sugar moiety was created in
glycoprotein by Saccharomyces cerevisiae in combination with bacterial
alpha-mannosidase to produce a more economic
enzyme replacement therapy for patients with
Fabry disease. We introduced the human
alpha-galactosidase A (alpha-GalA) gene into an S. cerevisiae mutant that was deficient in the outer chains of N-linked
mannan. The recombinant alpha-GalA contained both neutral (Man(8)
GlcNAc(2)) and acidic ([Man-P](1-2)Man(8)
GlcNAc(2))
sugar chains. Because an efficient incorporation of alpha-GalA into lysosomes of human cells requires
mannose-6-phosphate (Man-6-P) residues that should be recognized by the specific receptor, we trimmed down the
sugar chains of the alpha-GalA by a newly isolated bacterial
alpha-mannosidase. Treatment of the alpha-GalA with the
alpha-mannosidase resulted in the exposure of a Man-6-P residue on a nonreduced end of
oligosaccharide chains after the removal of phosphodiester-linked nonreduced-end
mannose. The treated alpha-GalA was efficiently incorporated into fibroblasts derived from patients with
Fabry disease. The uptake was three to four times higher than that of the nontreated alpha-GalA and was inhibited by the addition of 5 mM Man-6-P. Incorporated alpha-GalA was targeted to the lysosome, and hydrolyzed
ceramide trihexoside accumulated in the Fabry fibroblasts after 5 days. This method provides an effective and economic
therapy for many lysosomal disorders, including
Fabry disease.