PUBLICATION

Therapeutic efficacy of 3,4-Diaminopyridine phosphate on neuromuscular junction in Pompe disease

Authors
Cinzia, B., Flavia, B., Gary, I., Renato, M., Lorenzo, M.
ID
ZDB-PUB-210317-12
Date
2021
Source
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie   137: 111357 (Journal)
Registered Authors
Keywords
3,4-Diaminopyridine phosphate (3,4-DAPP), Acid α-glucosidase, Neuromuscular junction (NMJ), Pompe disease, Zebrafish
MeSH Terms
  • Amifampridine/therapeutic use*
  • Animals
  • Behavior, Animal
  • Embryo, Nonmammalian
  • Glycogen Storage Disease Type II/drug therapy*
  • Motor Activity/drug effects
  • Muscle Fibers, Skeletal/drug effects
  • Neuromuscular Junction/drug effects*
  • Neuromuscular Junction/ultrastructure
  • Receptors, Cholinergic/drug effects
  • Zebrafish
  • alpha-Glucosidases/metabolism
PubMed
33724918 Full text @ Biomed. Pharmacother.
Abstract
3,4-Diaminopyridine (3,4-DAP) and its phosphate form, 3,4-DAPP have been used efficiently in the past years to treat muscular weakness in myasthenic syndromes with neuromuscular junctions (NMJs) impairment. Pompe disease (PD), an autosomal recessive metabolic disorder due to a defect of the lysosomal enzyme α-glucosidase (GAA), presents some secondary symptoms that are related to neuromuscular transmission dysfunction, resulting in endurance and strength failure. In order to evaluate whether 3,4-DAPP could have a beneficial effect on this pathology, we took advantage of a transient zebrafish PD model that we previously generated and characterized. We investigated presynaptic and postsynaptic structures, NMJs at the electron microscopy level, and zebrafish behavior, before and after treatment with 3,4-DAPP. After drug administration, we observed an increase in the number of acetylcholine receptors an increment in the percentage of NMJs with normal structure and amelioration in embryo behavior, with recovery of typical movements that were lost in the embryo PD model. Our results revealed early NMJ impairment in Pompe zebrafish model with improvement after administration of 3,4-DAPP, suggesting its potential use as symptomatic drug in patients with Pompe disease.
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Human Disease / Model
Sequence Targeting Reagents
Fish
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Mapping