Endocrinology Vol. 140, No. 12 5698-5704
Copyright © 1999 by The Endocrine Society
Alterations in the Growth Hormone/Insulin-Like Growth Factor I Pathways in Feline GM1 Gangliosidosis1
Nancy R. Cox,
Nancy E. Morrison,
James L. Sartin,
Frances C. Buonomo,
Barbara Steele and
Henry J. Baker
Scott-Ritchey Research Center (N.R.C., N.E.M., H.J.B.) and the
Department of Anatomy, Physiology and Pharmacology (J.L.S., B.S.),
Auburn University College of Veterinary Medicine, Auburn, Alabama
36849; and Protiva-A Unit, Monsanto Co., St. Louis, Missouri 63017
Address all correspondence and requests for reprints to: Nancy R. Cox, D.V.M., Ph.D., Scott-Ritchey Research Center, Auburn University College of Veterinary Medicine, Auburn, Alabama 36849. E-mail address:
coxnanc{at}vetmed.auburn.edu
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Abstract
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Cats affected with feline GM1 gangliosidosis, an autosomal, recessively
inherited, lysosomal enzymopathy, have progressive neurological
dysfunction, premature thymic involution, stunted growth, and premature
death. Although increased membrane GM1 gangliosides can result in
increased apoptosis of thymocytes, there is not a direct correlation
between thymocyte surface GM1 and thymic apoptosis in
vivo, suggesting that other factors may be important to the
pathogenesis of thymic involution in affected cats. Because GH and
insulin-like growth factor I (IGF-I) are important hormonal peptides
supporting thymic function and affecting growth throughout the body,
particularly in the prepubescent period, several components of the
GH/IGF-I pathway were compared in GM1 mutant and normal age-matched
cats. GM1 mutant cat serum IGF-I concentrations were reduced
significantly compared with those in normal cats by 150 days of age,
and GM1 mutant cats had no peripuberal increase in serum IGF-I.
Additionally, IGF-binding protein-3 was reduced, and IGF-binding
protein-2 was elevated significantly in GM1 mutant cats more than 200
days of age. Liver IGF-I messenger RNA and pituitary GH messenger RNA
both were reduced significantly in GM1 mutant cats. After stimulation
by exogenous recombinant canine GH, serum IGF-I levels increased
significantly in GM1 mutant cats, indicating that GH/IGF-I signaling
pathways within the liver remain intact and suggesting that alterations
are external to the liver.
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Introduction
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GM1 GANGLIOSIDOSIS is an autosomal,
recessively inherited defect of the lysosomal hydrolase
ß-galactosidase, resulting in blocked catabolism of GM1 gangliosides
as well as other glycolipids and glycoproteins with the same terminal
sugar moiety. Individuals affected with this metabolic disease have
progressive neurological dysfunction and die prematurely (1). Major
clinical signs are associated with the nervous system dysfunction, but
the cellular pathogenesis of the disease, even within the nervous
system, remains unclear. All cells in affected individuals carry the
genetic defect, and individuals are affected clinically to various
degrees (1).
Feline GM1 gangliosidosis was first described in 1971 as a model for
human type 2 GM1 gangliosidosis (2) and has been used to study
morphological, pharmacological, genetic, and biochemical alterations in
the nervous system and to evaluate possible therapies for this
progressive and fatal disease (1, 3, 4, 5, 6). In addition to neurological
abnormalities, GM1 mutant cats have been shown to have significantly
reduced body mass and abrupt premature thymic involution by 7 months of
age when neurological signs become clinically severe (7). Testes of
pubescent male GM1 mutant cats have normal appearing spermatogonia but
few spermatozoa (1, 4). Further study of the thymic involution
indicated that there was a reduction of all thymocyte subpopulations
(most notably in the CD4+CD8+ subpopulations).
Although in vitro addition of exogenous GM1 gangliosides
increases apoptotic cell death in thymocytes from very young cats (8),
there is not a direct correlation between the amount of thymocyte
surface GM1 gangliosides and the occurrence of thymic apoptosis
in vivo (7), suggesting that the process of thymic
involution in these cats is more complex than originally hypothesized
and that other factors that could contribute to thymic involution
should be considered.
Rapid thymic growth followed by progressive involution and general body
growth with muscle, bone, and reproductive tract development are all
controlled by complex pathways of the
hypothalamic-pituitary-endocrine-cellular axes and involve a variety of
hormones (9, 10, 11, 12, 13, 14, 15, 16). The studies reported here focused on insulin-like
growth factor I (IGF-I) and GH because these interrelated peptide
hormones play critical roles in the growth and development of multiple
systems, particularly in early postnatal to pubescent stages (12, 17, 18, 19, 20, 21, 22, 23, 24). Additionally, recent intriguing studies show that IGF-I
modulates pathways involved in neuronal plasticity and
neurodegeneration and suggest that IGF-I may be an important
neuroprotective agent in a variety of pathological conditions (reviewed
in Refs. 25, 26). A hypothalamic/anterior pituitary/liver pathway
has been well established as the primary positive and negative feedback
circuit controlling the production of GH and IGF-I (27, 28, 29, 30). Others
have shown that alterations to hypothalamic neurons due to infection or
other diseases can result in growth abnormalities (31, 32). As initial
steps to understanding the relationship of GM1 gangliosidosis to the
neuroendocine/immune axis, these studies focused on the alterations to
several components of the GH/IGF-I pathways.
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Materials and Methods
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Experimental animals
All cats were derived from established research colonies of
domestic cats with feline GM1 gangliosidosis due to deficiency in
activity of lysosomal ß-galactosidase (3). This closed breeding
colony has been in existence for over 20 yr, and cats are periodically
screened and shown to be free of antibody titers for virulent cat viral
pathogens, including feline immunodeficiency virus and feline leukemia
virus, which might alter immune function. Artificial light is
maintained on a 14-h light, 10-h dark cycle throughout the year to
facilitate estrous cycling. Although there is some individual
variation, cats affected with GM1 gangliosidosis generally begin
showing mild clinical signs of the disease (discrete head or limb
tremors and slight dysmetria) at 34 months of age, are moderately
affected (moderate dysmetric ataxia with loss of balance and
spasticity) by 56 months, and are severely affected (severe spastic
tetraparesis to tetraparalysis, often with blindness and onset of
seizures) after 7 months. Cats are seldom maintained after 11 months of
age for humane reasons. Because GM1 gangliosidosis is an autosomal,
recessively inherited disease, very limited numbers of affected cats
are available for study at any one point in time; therefore, studies of
each GM1 mutant cat are compared with those of an age-matched (usually
a littermate) control cat. Where possible, control cats of the same sex
as the GM1 mutant cats were used. Animal housing and experimental
protocols were approved by the institutional animal care and use
committee, Auburn University.
Serum and tissue collection
Blood samples were collected from GM1 mutant and age-matched
normal cats tranquilized with ketamine HCl (Ft. Dodge Animal Health,
Ft. Dodge, IA). Sera were collected and stored frozen at -80 C. Liver
and pituitary tissue samples were collected at necropsy, flash-frozen
in liquid nitrogen, and stored until use at -80 C.
Sample preparation and IGF-I determinations
Ten microliters of sample serum were mixed with 400 µl 1
M glycine buffer (pH 3.2) in a polypropylene tube, and 500
µl assay buffer (35 mM sodium phosphate monobasic, 13
mM EDTA, 0.2 g/liter protamine sulfate, and 0.5 ml
Tween-20, pH 7.5) were added (final pH 3.5). The samples were capped,
vortexed, and incubated at 37 C for 48 h. After incubation, 90
µl 0.5 N NaOH were added. Tubes were recapped, vortexed,
and frozen at -80 C. Samples were coded randomly and submitted to Dr.
F. Buonomo (Monsanto Co., St. Louis, MO) for analysis of serum IGF-I by
a heterologous double antibody RIA using recombinant bovine IGF-I as
the standard (33). Serial dilutions of extracted normal feline serum
were observed to be parallel to the bovine IGF-I standard curve, as
determined by linear regression analysis. Addition of bovine IGF-I
standard to extracted feline sera resulted in the recovery of 89.7% of
the standard. Intraassay variation was 5.4%; interassay variation was
13%. The sensitivity of the assay was 0.25 ng/ml.
Characterization of IGF-binding proteins (IGFBPs)
Western ligand blot procedures were used to compare IGFBPs in
GM1 mutant and normal cat sera after PAGE under nonreducing conditions
(34). Recombinant bovine IGF-I was used as the iodinated ligand. Bands
that bound [125I]IGF-I (Amersham Pharmacia Biotech, Piscataway, NJ) were compared with predetermined mol wt
standards run on the same gel to establish mol wt. Visualized bands in
cat sera had mol wt similar to those previously described in other
species (35). Identification of IGFBP-2 was confirmed by Western
blotting with antibovine IGFBP-2 antibody (Upstate Biotechnology, Inc., Lake Placid, NY). Comparisons of IGFBPs from GM1 mutant
and normal cats were determined by densitometry.
RNA extraction and Northern blot preparation
Total RNA was extracted from the pituitary glands and livers
from both GM1 mutant cats and normal age-matched cats using a guanidium
thiocyanate-phenol-chloroform method (RNAzol, Tel-Test,
Inc., Friendswood, TX) (36, 37). Livers were extracted three times and
enriched for polyadenylated messenger RNA (mRNA; PolyATtract,
Promega Corp., Madison, WI). Liver polyadenylated mRNA (10
µg) and pituitary RNA (4 µg) samples were separated by size using
electrophoresis on 1% agarose-formaldehyde gels and transferred
overnight to nylon membranes (Nytran, Schleicher & Schuell, Inc., Keene, NH). RNAs were fixed to the membrane by UV
irradiation. Prehybridization with denatured salmon sperm DNA (50
µg/ml) was performed overnight at 42 C with gentle shaking in a
buffer containing 50% formamide, 5 x Denhardts solution
(1 x Denhardts solution is 0.2% BSA fraction V, 0.2% Ficoll
400, and 0.2% polyvinylpyrrolidone), 5 x SSPE (1 x SSPE is
0.15 M NaCl, 0.01 M
NaH2PO4, and 1 mM EDTA), 50 µg/ml
polyadenylic acid, and 0.1% SDS. Liver blots were probed for IGF-I
mRNA using porcine complementary DNA (cDNA) probes donated by Dr. F.
Simmen (University of Florida, Gainesville, FL). Pituitary blots were
probed with bovine GH cDNA probe provided by Dr. P. Rotwein (Washington
University, St. Louis, MO). Probes were labeled with 32P to
at least 5 x 108 cpm/mg DNA using a random primer kit
(Prima-A-Gene Kit, Promega Corp.). Northern blots were
hybridized for 72 h using approximately 3 x 106
cpm labeled probe/blot, then washed three times in 2 x SSC, 0.1%
SDS at room temperature for 15 min each, blotted to remove excess
moisture, and placed on x-ray film for 710 days for IGF-I message or
36 days for GH message. The intensity of the resolved bands was
estimated using scanning laser densitometry. For GH blots, the bands at
approximately 0.81 kb were used for analysis, whereas for IGF-I
blots, all transcripts were scanned. For the purpose of normalization,
each blot was stripped of respective probe and reprobed using
radiolabeled ribosomal 28S cDNA (for GH mRNA blots) or radiolabeled
ß-actin cDNA (for IGF-I mRNA blots; donated by R. C. Bird,
Auburn University) to control for loading differences (38).
Exogenous GH injections
Recombinant canine GH (Ala l-canine GH; lot NBP5784686) was
diluted in excipient (lot NBP5787226; a gift from Monsanto Co.) to give
a final concentration of 2 mg/ml. After determining that their serum
IGF-I levels were significantly reduced in each of five GM1 mutant cats
(at
200 days of age) compared with those in their normal age-matched
controls, 0.5 mg GH was injected sc into these cats daily for 3 days.
Each age-matched control cat also was injected with GH to establish
biological activity of the hormone for each mutant-normal pair
experiment. Blood was collected before the first injection and then at
24-h intervals; each sampling was immediately before subsequent
injections of GH. Serum was collected and frozen at -80 C until IGF-I
analysis.
Statistics
Paired data (GM1 mutant and age-matched control cats or GM1
mutant cats pre- and post-GH injections) were compared using paired
Students t test. For data that could not be paired (for
example, when data from additional normal age-matched cats were
included), comparisons were made using Students t
test.
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Results
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IGF-I in serum from GM1 mutant cats
IGF-I concentrations were determined from serum samples collected
over time or at necropsy from GM1 mutant cats and age-matched normal
cats. Our studies focused on young cats (
330 days of age) because GM1
mutant cats are seldom maintained for more than 1011 months for
humane reasons. Cat pairs were grouped into three age groups, which
corresponded well to the progression of clinical disease in the GM1
mutant cats. Mean age, stage of disease, phenotype, and IGF-I levels
for all three groups are shown in Table 1
. Although there was substantial cat to
cat variation, IGF-I levels tended to increase as normal cats
approached puberty. The average age at onset of puberty for domestic
cats is 8.510 months of age (39); in this colony, female cats have
their first estrus at 812 months of age, whereas male cats first sire
kittens at 1218 months of age (Baker, H. J., personal
communication). Mean serum IGF-I levels in group 3 normal cats (near
puberty, sexes combined) were elevated compared with those in normal
prepuberal cats in groups 1 and 2 (P < 0.001 and
P < 0.01, respectively; see Table 1
). In contrast,
mean serum IGF-I levels were similar in all GM1 mutant cats regardless
of age. Mean levels of serum IGF-I in both group 2 and 3 GM1 mutant
cats were significantly lower than mean levels in age-matched control
cats (P < 0.001; see Table 1
). The relationship of
serum IGF-I levels to body weight (IGF-I per kg BW) indicated that
reductions in serum IGF-I levels were not directly associated with body
weight (see Table 2
).
Comparison of IGFBPs in GM1 mutant and normal age-matched cats
Densitometric analysis of serum ligand blots demonstrated that
bands corresponding to IGFBP-3 were reduced in sera from GM1 mutant
cats compared with those in normal age-matched cats (P
< 0.01), whereas bands corresponding to IGFBP-2 were increased
(P < 0.001; see Table 3
).
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Table 3. Comparison of IGF binding proteins in sera from GM1
mutant (n = 4) and normal cats (n = 6) more than 200 days of
age
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Evaluation of IGF-I mRNA in GM1 mutant cat liver
Feline GM1 gangliosidosis results in hepatocellular lysosomal
hypertrophy due to the massive accumulation of large mol wt
glycoproteins as well as asialo gangliosides and other glycolipids with
nonreducing galactose in ß-D linkage (40). Because the
liver is a major site for production of circulating IGF-I (41), we used
Northern blot methodology to determine whether livers from cats
severely affected with GM1 gangliosidosis (>200 days of age) contained
IGF-I mRNA in amounts comparable to age-matched normal cat livers (see
Fig. 1
). Results demonstrate that liver
IGF-I mRNA levels in the GM1 mutant cats were reduced by approximately
50%.

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Figure 1. A, IGF-I mRNA extracted from livers of normal and
GM1 mutant cats more than 200 days of age were compared by Northern
blot analyses as described in Materials and Methods. The
IGF-I mRNA concentration is expressed as the mean ±
SE ratio of IGF-I mRNA to ß-actin mRNA to correct for gel
loading. n = 6 for each group. *, P < 0.01.
B, Representative Northern blot for IGF-I mRNA and ß-actin for a GM1
mutant cat (M) and an age-matched normal cat (N).
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Stimulation of IGF-I production by exogenous GH
To determine whether hepatocytes from severely affected GM1
mutant cats were capable of responding to GH with the production and
release of IGF-I into the circulation, exogenous canine recombinant GH
was injected, and serum levels of IGF-I were determined. GM1 mutant
cats with serum IGF-I concentrations that were below those of their
normal age-matched controls were used for this study (GM1 mutant
mean ± SEM, 103.7 ± 10.2 ng/ml; normal
mean ± SEM, 188.1 ± 25.1 ng/ml; P <
0.01; n = 5 GM1 mutant/normal cat pairs). Sera from cats were
collected before and 24 h after sc injection of GH (0.5 mg/cat).
Because of concern that a single injection might not be adequate to
provoke the production of IGF-I in the GM1 mutant cats, the cats were
injected twice more with GH (24 and 48 h), sampling before each
additional injection and at 72 h after the initial injection.
Bioactivity of the canine recombinant GH was verified by measurement of
serum IGF-I levels in normal control cats after GH injections in
parallel with GM1 mutant cat injections (data not shown). A single
injection of GH significantly increased serum IGF-I in GM1 mutant cats
(P < 0.05), raising levels to values very similar to
normal cat baseline levels (see Fig. 2
).
Levels of serum IGF-I in all GM1 mutant cats increased with multiple GH
treatments, although the time to reach peak levels varied from cat to
cat (individual data points not shown).

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Figure 2. Elevations in serum IGF-I in GM1 mutant cats more
than 200 days of age after the administration of recombinant canine GH.
Each cat received three sc injections of 0.5 mg/cat at 24-h intervals.
Serum samples from GM1 mutant cats were collected before each GH
administration (pre-GH, 24 h, and 48 h). Additional serum
samples were taken 24 h after the third GH treatment (72 h). Data
are expressed as the mean serum IGF-I ± SE (nanograms
per ml) and are based on samples from five GM1 mutant cats; serum IGF-I
baseline data were from five normal age-matched cats.
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Evaluation of GH mRNA in GM1 mutant and normal cat
pituitaries
The pituitary is the major site of production of endogenous GH
(30, 42). Northern blot methodology was used to compare GH mRNA in GM1
mutant cat pituitaries to that found in pituitaries from normal
age-matched cats. Results are shown in Fig. 3
and demonstrate that GH mRNA is reduced
in pituitaries from GM1 mutant cats more than 200 days of age
[mean ± SEM change from normal, -58.45 ±
17.19% (n = 4 GM1 mutant cats); mean normal set at 0 ± 9.19
SEM (n = 4 normal cats); P <
0.05].

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Figure 3. A, GH mRNA extracted from pituitaries of normal
and GM1 mutant cats more than 200 days of age were compared by Northern
blot analyses as described in Materials and Methods. The
GH mRNA concentration is expressed as the mean ± SE
ratio of GH mRNA to 28S ribosomal RNA to correct for gel loading.
n = 4 for each group. *, P < 0.05. B,
Representative Northern blot for GH mRNA and 28S ribosomal RNA for a
GM1 mutant cat (M) and an age-matched normal cat (N).
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Discussion
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Consistent with patterns seen in human patients as well as other
animals in which levels of serum IGF-I are low at birth and
progressively increase through the prepubescent period to puberty,
serum IGF-I levels in the normal cats progressively increased with age.
Sera from GM1 mutant cats more than 150 days of age had IGF-I levels
that were significantly lower than those of age-matched control cats,
with the greatest differences seen from sera taken from cats more than
200 days of age. Indeed, there were no significant differences in the
levels of IGF-I among GM1 mutant cats of the three age groups,
indicating that these cats do not show the increases in serum IGF-I
normally seen in prepubescence and at puberty. The onset of puberty in
the domestic cat is dependent upon body weight (39). Because GM1 mutant
cats are smaller than control cats of the same age, puberty may be
delayed in these cats; however, body weight (i.e. growth) is
controlled primarily via the GH/IGF-I axis and the availability of
nutritional building blocks. The measurement of serum IGF-I frequently
is used not only to determine the availability of IGF-I to cells but
also as a reliable, fairly stable indicator of GH levels in blood over
time. The low levels of serum IGF-I in these cats could reflect either
lowered circulating GH resulting in reduced IGF-I production or
increased circulating GH, which is unable to bind and/or appropriately
activate GH receptors. Alternatively, IGF-I may be short-lived in
circulation, possibly due to altered IGFBP concentrations. Nutritional
factors are also important modulators of the GH/IGF-I axis, and
malnutrition can result in a state of GH resistance with normal to
elevated levels of serum GH but low levels of IGF-I.
The majority of serum IGFs are bound to IGFBPs, which protect IGF-I
from enzymatic degradation and modulate their bioavailability (41).
Although there are six known IGFBPs, data from other species
including human indicate that the predominant forms identified by serum
ligand blot are IGFBP-3, IGFBP-2, IGFBP-1, and IGFBP-4 (35). IGFBP-3
and IGFBP-2 are primarily responsible for binding the majority of IGF-I
in postnatal serum. IGFBP-3 is the primary binding protein and is
regulated by GH and IGF-I (43) and by extreme variations in nutrient
uptake (44). IGFBP-2 is the second most abundant IGFBP in postnatal
serum and is inversely related to GH status and nutrient availability
(41, 45). Comparison of band densities of IGFBPs in sera from normal
and GM1 mutant cats indicated that GM1 mutant cats have reduced IGFBP-3
(45% of mean normal) and increased IGFBP-2 (827% of mean normal)
densities. These findings suggested that in GM1 mutant cats, GH-driven
signaling pathways for the production of IGFBP-3 and IGFBP-2 were
altered. Such alterations could be due to inappropriate GH stimulation,
altered postreceptor pathway abnormalities, or severe malnutrition. The
finding that the mean mRNA for IGF-I was reduced in livers from GM1
mutant cats more than 200 days of age compared with that in normal cats
further suggested that GH/IGF-I metabolism in the liver was affected in
these cats.
The major source of circulating IGFs as well as IGFBPs is the liver
(41). To determine whether livers of GM1 mutant cats were able to
respond to GH by release of IGF-I, exogenous recombinant canine GH was
given to GM1 mutant cats and normal cats, and serum IGF-I levels were
determined over time. This in vivo study directly
established that GM1 mutant cats had functional GH receptors on cells
that were capable of producing significant amounts of circulating IGF-I
and IGFBPs despite the presence of increased lysosomal storage
products. The data further indicated that pathways within the liver
were still intact and suggest that uptake of nutrients were adequate
for assimilation into proteins. Because exogenous GH was capable of
binding to GH receptors, resulting in increases in circulating IGF-I,
the data also suggest that either serum GH levels were inadequate or
that abnormal GH was produced in GM1 mutant cats.
GH is produced primarily by the somatotropic cells in the anterior
pituitary for release into the circulation. In these studies, GM1
mutant cats more than 200 days of age had reduced pituitary GH mRNA
levels compared with age-matched controls, suggesting that lack of
production of GH mRNA is a component of the altered GH/IGF-I pathway in
this disease. Retrospective analyses of serum samples taken at necropsy
from GM1 mutant and normal cats suggested that GM1 mutant cats also may
have reduced circulating GH, particularly in cats around 5 months of
age [mean GH ± SEM: GM1 mutant
150 days of age,
2.79 ± 0.13; normal
150 days of age, 10.80 ± 3.09
(n = 6 pairs); GM1 mutant >200 days of age, 3.44 ± 0.30;
normal >200 days of age, 5.70 ± 1.10 (n = 6 pairs)]. These
differences were not statistically significant due in large part to the
wide range of GH levels seen in the normal cats. Because these were
single serum samples, pulsatility of GH release could not be
established, and indeed, the variability seen could be due to pulsatile
release of GH. It is interesting, however, that GH concentrations in
all GM1 mutant cats regardless of age were consistently below 5 ng/ml
with little variability. Reduced serum GH would explain the reduced
serum levels of IGF-I and IGFBP-3 seen in these cats, as GH is required
to stimulate pathways for their production. Pathways involving the
production and release of GH into serum will be the focus of further
study as additional GM1 mutant cats become available.
The pathogenesis of the alterations in the GH/IGF-I pathways seen in
the GM1 mutant cats remains unclear, but is likely to be multifactorial
because of the complex interplay of hypothalamic neurotransmitters,
hormones, and nutrition. Because of their surface membrane location,
GM1 gangliosides are known to modulate numerous signaling mechanisms in
many types of cells, but are most abundant in the nervous system (46).
It is possible that progressively increased levels of GM1 gangliosides
alter neuronal input into the hypothalamus and modulate the production
of GH and, therefore IGF-I. Reduced GH and IGF-I levels would explain
the lack of appropriate growth in body size and weight, premature
thymic involution, and lack of male reproductive maturation seen in the
GM1 mutant cats (9, 10, 11, 12, 13, 14, 15, 16). Others have shown that reduction of GH due to
alterations in the hypothalamic/pituitary axis can result in the
wasting syndromes seen in other diseases such as feline and human
acquired immunodeficiency syndrome, rabies, cancer, and cerebral palsy
(32, 47, 48, 49).
Because metabolic studies to evaluate the function of the intestinal
mucosa of GM1 mutant cats have not been performed, malnutrition cannot
be ruled out as a contributing factor in this disease. The presence in
intestinal cells of excess membrane GM1 gangliosides or glycolipids and
glycoproteins with the same undegradable terminal sugar moiety could
affect nutrient absorption. However, malnutrition is unlikely to be the
initial causative factor for low IGF-I levels for a number of reasons.
Reduced serum IGF-I levels occur before the time when neurological
disease could affect nutrient intake by GM1 mutant cats and do not
appear to be directly related to body weights of affected cats. GM1
mutant cats continue to have good appetites when their neurological
disease is severe enough to require assisted feeding. Their feces are
normal in amount, appearance, and consistency. GM1 mutant cats have
substantial abdominal and thoracic fat stores throughout their
lifetimes. In children, malnutrition results in an increase in immature
and a decrease in mature T lymphocytes (50), whereas GM1 mutant cats
have severely reduced populations of immature
CD4+CD8+ thymocytes, whereas mature
CD8+ cells increase (7). In humans, starvation and
malnutrition are associated with normal or elevated serum GH levels
related to decreased hepatic GH binding or other GH resistance
mechanisms (41). In GM1 mutant cats, reduced levels of GH mRNA were
found. Additionally, functional GH receptors were present in affected
cats and were capable of binding and responding to exogenous GH.
The finding that circulating levels of IGF-I are lower in GM1 mutant
cats is intriguing. Circulating IGF-I enters the brain through brain
capillaries and choroid plexuses of the ventricular system, and IGF-I
receptors are expressed diffusely throughout the brain (reviewed in
Ref. 26). Recent studies have shown IGF-I to be critical for growth,
maintenance, rescue, and repair of cells within the nervous system,
including neurons and oligodendroglial cells (51, 52). Progressive
neurological abnormalities seen in feline GM1 gangliosidosis could
reflect reduced trophic influence of IGF-I on neurons. Regardless of
the initiating factor(s) for reduced serum IGF-I, our documentation
that the circulating levels of this growth factor are reduced in feline
GM1 gangliosidosis may prove to be important to understanding the
pathogenesis of and developing therapeutic strategies for this
currently incurable neurological disease.
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Acknowledgments
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We thank Gertrude Baker, Stephanie Vaught, Atoska Gentry, Terry
Whitehead, and Diana Groh for their technical assistance with this
project.
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Footnotes
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1 This work was supported in part by the Auburn University Biogrant
Program and the Scott-Ritchey Research Center. 
Received March 16, 1999.
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