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Part of the bigger picture: studying the effect of GFAP mutations on brain development

Charlotte van Gelder, UMC Utrecht / ELA 2025-029F4

Project abstract

Our brains consist of many different types of cells. Each cell has its own function, which is executed by proteins. Alexander disease (AxD) is a rare brain disease, caused by an error in the gene encoding the protein GFAP. This protein is mostly present in a specific cell type called astrocytes. Faulty GFAP protein accumulates and aggregates, resulting in malfunction and finally loss of brain tissue. It is still unclear how the faulty protein results in brain damage. To develop new therapies for AxD, which is currently incurable, we need to discover the order of events that lead to faulty protein functioning.

In this project, we will use single cell proteomics – the global analysis of proteins in individual cells – to study how proteins in different cell types are affected during the development of AxD. We will use lab-grown mini-brains, called organoids, from AxD patients and compare how these develop over time compared to mini-brains in which the mutation in GFAP is corrected. This will enhance our understanding of how AxD originates and how we can potentially intervene.

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Alexander disease at the nanoscale in patient‐derived brain organoids

Elly Hol – University Medical Center Utrecht, The Netherlands and Marie‐Eve Tremblay – University of Victoria, Canada – ELA 2023‐017C3

Descriptif du projet

Alexander disease is a very rare brain disease. People with Alexander disease experience damage to the white matter in their brains, and they lose a lot of brain tissue. It can be diagnosed when a person is very young, even before they turn 2 years old, but sometimes it is not diagnosed until later in childhood or even adulthood. The symptoms of Alexander disease include problems with mental development, seizures, and muscle stiffness, and it ultimately leads to death. There have been about 500 cases of Alexander disease reported around the world. Unfortunately, there is currently no cure for this disease.

The disease is caused by mutations in the gene glial fibrillary acidic protein (GFAP), which codes for an astrocyte‐specific cytoskeletal protein. Astrocytes are essential for healthy brain functioning because they control many neuronal activities and homeostatic mechanisms of the brain. However, scientists still do not fully understand how this mutant GFAP protein in astrocytes causes Alexander disease.

In this project, we will closely collaborate between two teams to investigate Alexander patient‐derived human stem cell models at the ultrastructural level. We will generate miniature brain‐like structures called organoids from patient‐derived stem cells, and apply novel cell culture protocols to include white matter‐like structures. By analysing the cells in these organoids at the ultrastructural level, we will gain more knowledge on how GFAP mutations can lead to astrocyte and white matter pathology in the disease. This knowledge is essential to find new ways to treat Alexander disease.

Project financed by ELA up to: 100 000 €

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Development of cutting-edge editing technologies to treat Alexander disease

Angela Gritti – SR-Tiget, Ospedale San Raffaele, Milano, Italy – ELA2020-010I2

Description of the project

Alexander disease (AxD) is a rare autosomal dominant disorder caused by point mutations in the gene encoding for the glial fibrillary acidic protein (GFAP), the major intermediate filament protein in astrocytes. Accumulation of GFAP protein in Rosenthal fibers leads to astrocytic dysfunctions and altered development and homeostasis of affected brain tissues.

No cures are currently available for AxD patients. In the proposed pilot project, the team aim to develop a gene editing approach to specifically downregulate the expression of the mutated GFAP protein in affected AxD astrocytes. This project will collect solid proof-of-concept data for the future progress of a novel and definitive gene therapy strategy for the treatment of AxD patients. In addition, they expect to outline novel editing platforms that could be applied prospectively for disease modelling studies and therapeutic treatments of other leukodystrophies characterized by astrocyte degeneration or dysfunctional/maladaptive astrogliosis.

Project financed by ELA up to: 60 000 €

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Development of editing technologies to treat Alexander disease

Angela Gritti and Eugenio Montini – Ospedale San Raffaele, Milan, Italy – ELA2022-009C2

Description of the project

Alexander disease (AxD) is a rare autosomal dominant disorder caused by point mutations in the gene encoding for the glial fibrillary acidic protein (GFAP), the major intermediate filament protein in astrocytes. Accumulation of GFAP protein in Rosenthal fibers leads to astrocytic dysfunctions and altered development and homeostasis of affected brain tissues. No cures are currently available for AxD patients.

In the proposed pilot project, we aim to develop gene-editing approaches to downregulate the expression of the mutated GFAP protein or correct mutations in the Gfap gene in an animal AxD model. This project will collect solid proof-of-concept data for the future progress of a novel and definitive gene therapy strategy for the treatment of AxD patients. In addition, we expect to outline novel editing platforms that could be applied prospectively for disease modeling studies and treatments of other leukodystrophies characterized by astrocyte degeneration or dysfunctional/maladaptive astrogliosis

Project financed by ELA up to: 100 000 €

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