Using chanarin-dorfman syndrome patient fibroblasts to explore disease mechanisms and new treatment avenues

Abstract

Abstract Background Chanarin-Dorfman syndrome (CDS) is a multisystemic autosomal recessive rare disorder. CDS is caused by variants in the abhydrolase domain containing 5 (ABHD5) encoding gene (CGI-58), which ultimately leads to excessive lipid storage, and therefore a high abundance of cellular lipid droplets (LDs). Although the molecular etiology of the disease was described many years ago, no treatment for CDS is currently available. Results To further characterize the molecular basis of the disease and to uncover new treatment avenues, we used skin fibroblasts originating from a young patient diagnosed with CDS due to a homozygous nonsense mutation. We show that dysfunctional ABHD5 does not only affect LDs, but also influences other metabolic-related organelles; the mitochondria and peroxisomes. Additionally, we found that expressing functional ABHD5 in CDS patient cells reduced LD number. Finally, we developed and applied a high content-based drug repurposing screen based on a collection of ∼2500 FDA approved compounds, yielding several compounds that affected LD total area and size. Conclusions Our findings enhance the understanding of the dysfunction underlying CDS and propose new avenues for the treatment of CDS patients.

Keywords

• Chanarin-Dorfman syndrome
• Neutral lipid storage
• Lipid droplets
• Peroxisomes
• Mitochondria
• Drug repurposing