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Figure 1: GBA activity was assessed using the 4-MUG whole-cell assay in both TS207 parent and 
GBA knockout neuroglioma cell lines. TS207 GBA knockout cells have consistently low to no amounts 
of activity compared to TS207 GBA parental cells. Activity decreases with CBE treatment, a potent, 
selective, irreversible inhibitor of GBA, in a dose-dependent manner at 30 minutes (A). This effect is 
already exacerbated at 24 hours (B). A dose response of isofagomine or ambroxol has little effect 
after 30 minutes of incubation (A); however, with extended treatment of the drug after 24 hours, a 
dose responsive increase with ambroxol is seen (B). This also provided information that ISF may 
need a longer incubation time in these cells in order for an effect to be visualized in GBA activity. 
Profiling Glucocerebrosidase (GBA) Levels and Activity in Mutant B Lymphocytes, Mutant 
Fibroblasts, and A53T Transgenic Mouse Cortical Neurons 
Zack Brittingham1, Paula Loos1, Peter Buckett1, Warren Hirst1 
1Neurodegeneration & Neurological Disease, Neuroscience Research Unit, Pfizer, 610 Main Street, Cambridge MA 
Fig. 2: GBA mutant B lymphocytes in Table 1 were tested for endogenous levels of GBA by western 
blot (A) and the results were quantified (B). TS207 GBA knockout and parent cells acted as positive 
and negative controls. GBA mutations L444P and N370S overall have less GBA, however there are 
exceptions which is an example of donor-to-donor variability. 
ABSTRACT 
Parkinson’s disease (PD) is a neurodegenerative disorder characterized phenotypically by 
loss of balance, muscle rigidity, and body tremors, and biochemically by the presence of 
Lewy bodies, or fibrillar aggregates of α-synuclein protein in the brain.1 Glucocerebrosidase 
(GBA) is a lysosomal hydrolase involved in breaking down the glycolipid glucocerebroside 
into ceramide and glucose, and mutations in this enzyme are the most common genetic risk 
factor of PD, as there has been a recent association with decreased GBA activity and 
increased α-synuclein levels.2 Chaperones are proteins that assist in the folding or unfolding 
of select proteins, seen more prevalently in disease models or in structures that require 
protein-folding assistance. Chaperones are also involved in the prevention of aggregation of 
protein subunits, ensuring they maintain their functionality.3 Therapeutically, chaperone 
therapy has been discussed as a potential treatment for Gaucher disease.4 The protein GBA1 
has had known associations with Gaucher disease, where build-up of the glucocerebroside 
substrate can result in this rare autosomal recessive lysosomal storage disorder, and 
Gaucher disease and Parkinson’s disease have many biochemical and morphological 
similarities.2 Specifically, these chaperones could be used to select for and bind to mutant 
GBA, thereby stabilizing it and ensuring proper folding and trafficking from the ER to the 
lysosome.5 Isofagomine (ISF) has been shown to both stabilize and promote lysosomal 
trafficking of GBA, even though it has poor selectivity as an iminosugar with the possibility to 
fluctuate between reversible inhibition of enzymatic activity and improving protein 
translocation.5,7 Additionally, ambroxol (ABX) has been shown to increase GCase activity in 
both mutant fibroblasts and healthy controls by binding and stabilizing the protein.8,9 It has 
been used preliminarily in enzyme enhancement therapy for Gaucher, and has been shown 
to interact with both the active and non-active site residues of GBA.9 Our research has been 
targeting activators or chaperones of GBA in order to increase GBA levels and/or activity in 
the lysosome in-vitro, thus reducing the amount of glucocerebrosidase substrate and the 
amount of α-synuclein aggregates while restoring lysosomal function. 
Table 1: B Lymphocyte Lines, Demographic, & Genetic Information 
from Coriell Institute 
4-MUG WHOLE CELL ASSAY 
Glucocerebrosidase activity was measured using the non-native substrate 4- 
methylumbelliferyl-β-glucuronide (4-MUG) that cleaves when it binds to the active site of 
GBA. The cleaved form of 4-MUG is 4-MU, or 4-methylumbelliferone, which fluoresces. 
 Assay buffer: 50% PBS (pH 7.4), 50% NaOAc (pH 4.0), 1.25mM 4-MUG 
 Cells cultured in 96-well plates; media aspirated before adding 50uL assay buffer, 1 hour 
incubation at 37oC, add 150uL glycine stop buffer (pH 10.8) 
 Bottom-read fluorescence: ex 355nm, em 450nm 
REFERENCES 
1. Smith, Wanli W. et. al. “Endoplasmic reticulum stress...” Hum. Molec. Genet. 2005, 14(24), 3801-3811. 
2. Siebert, Marina et. al. “Glucocerebrosidase is shaking...” Brain: Jour. of Neurosci. 2014, 137, 1304-1322. 
3. Berg. Biochemistry 7th ed. 2006. 
4. Ellis, RJ. et. al. “Molecular Chaperones” Annu. Rev. Biochem. 1991, 60, 321-347. 
5. Khanna, Richie et. al. “The Pharmacological Chaperone Iso…” FEBS Jour. 2010, 277(7), 1618-1638. 
6. Sun, Ying et. al. “Ex Vivo and In Vivo Effects of Isofagomine...” Jour. of Biol. Chem. 2012, 287, 4275-4287. 
7. Patnaik, Samarjit et. al. “Discovery, Structure-Activity...” Jour. of Med. Chem. 2012, 55, 5734-5748. 
8. McNeil, Alisdair et. al. “Ambroxol improves lysosomal...” Brain: Jour. of Neurosci. 2014, 137, 1481-1495. 
9. Maegawa, GH. et. al. “Identification and characterization...” J. Biol. Chem. 2009, 284(35), 23502-23516. 
ACKNOWLEDGEMENTS 
I would like to take the opportunity to thank my advisor Paula Loos for the instruction she provided and 
dedication she took to assist in my learning. Additionally, I would like to thank everyone on the GBA Team and 
otherwise at Pfizer for providing me an invaluable educational opportunity. 
Cell Line Disease Model GBA Sex Age 
GM10870 GD, Type I N370S / N370S F, Caucasian 63 
GM10871 GD, Type I N370S / N370S F, Caucasian 71 
GM10873 GD, Type I N370S / N370S M, Caucasian 79 
GM08752 GD, Type II L444P/L444P M, Mexican 1 
GM08753 No GD L444P/WT F, Mexican 25 
ND05256 Healthy Wild-type F, Caucasian 66 
ND00700 Healthy Wild-type F, Caucasian 74 
AG10097A Healthy Wild-type M, Caucasian 52 
Cell Line Disease Model GBA Sex Age 
Detroit 551 Healthy Wild-type F Fetal 
ND37180 PD N370S / WT M, Caucasian 80 
GM08760 GD, Type II L444P/L444P M, Mexican 1 
AG06858A Healthy Wild-type M, Black 47 
GM00288B Healthy Wild-type M, Caucasian 64 
Table 2: Fibroblast Lines, Demographic, & Genetic Information from 
the Coriell Institute 
Fig. 6: LAMP1 levels of 
GM08760 (L44P h0), 
GM00288B (WT), and 
AG06858A (WT) fibroblasts 
with varying concentrations of 
ISF for 6 days, including some 
where ISF was washed out for 
the last 24 hours. LAMP1 levels 
are compared to Actin and the 
DMSO vehicle. It is shown that 
LAMP1 levels among diseased 
and wild-type fibroblasts 
remain fairly constant with ISF 
treatment. LAMP1 increases 
can be associated with 
lysosomal biogenesis, that of 
which we do not see here. 
Fig. 4: Mutant fibroblasts were tested for endogenous GBA levels (DMSO vehicle) and treatment 
with ISF using western blot (A) and the results were quantified (B). Healthy donor Detroit 551 
fibroblasts have more GBA than both PD (ND37180) and GD (GM08760) diseased fibroblasts. 6 Day 
treatment with ISF increases levels of GBA in a dose-dependent manner. CBE, a GBA inhibitor, has 
little to no effect on endogenous levels of GBA. 
Ambroxol Isofagomine 
GBA ACTIVTY IN TS207 CELL LINE WITH GBA KNOCKOUT CONTROL 
A) B) 
GBA LEVELS IN MUTANT HUMAN B LYMPHOCYTES 
GBA LEVELS IN MUTANT HUMAN FIBROBLASTS 
GBA ACTIVITY IN MUTANT B LYMPHOCYTES 
A) 
B) 
LAMP1 LEVELS ARE NOT AFFECTED BY ISOFAGOMINE 
GBA ACTIVITY IN MUTANT HUMAN FIBROBLASTS 
A53T TRANSGENIC MOUSE CORTICAL CULTURES HAVE DECREASED 
LEVELS OF α-SYNUCLEIN AFTER CHAPERONE TREATMENT 
Fig. 7: A53T mutant α-synuclein is overexpressed in the neurons of transgenic A53T mice. Cortical 
cultures were prepared and doses of ABX & ISF were adminstered at day 11 for 6 days, after which 
some treatments were washed out (WO) for an additional 3 days. α-Synuclein was specifically 
detected by western blot (A, C) in A53T mice but not in wildtype (WT) neurons. Treatment with ABX 
and its washout counterpart significantly decreased levels of A53T α-synuclein. ISF, which has a 
higher binding affinity than ABX, is proposed to still be bound to GBA in the ISF-treated cells, 
therefore not affecting levels of A53T α-synuclein since GBA is inactive. When ISF is washed out (ISF 
WO), the GBA that was chaperoned to the lysosomes is no longer inhibited and is free to digest the 
A53T mutant α-synuclein resulting in decreased levels. Caspase-3, which serves as an indicator for 
apoptosis, was detected by western blot (B, D) in the same samples, and demonstrates a possible 
increase in cell health compared to the vehicle with ABX treatment. 
WESTERN BLOT 
Glucocerebrosidase, LAMP1, and caspase-3 levels were measured using western blot & 
quantification with normalization to Actin 
 Cells were lysed with a triton lysis buffer (0.25% triton, 250mM sucrose, 10mM tris pH 7.5, 
& 1mM EDTA) along with phosphate and protease inhibitors (PI, PH2, PH3, & PMSF) 
 Samples were prepared with 25% NuPage LDS Sample Buffer (4x), 10% NuPage Reducing 
Reagent (10x), and 65% sample a protein diluted with universal lysis buffer 
 Samples were vortexed, heated for 10 mins. at 70oC, spun to eliminate condensation, & run 
in 20-well 4-12% Bis-tris NuPage Novex gels in MES SDS running buffer (20x) at 200V 
 Blots were transferred using iBlot nitrocellulose for 7 mins, rinsed in 0.1% Tween-20 in TBS 
(TTBS), one hour RT in Rockland blocking buffer, overnight at 4oC in 1o Ab, rinsed in TTBS, 1 
hour RT in 2o Ab, rinsed in TTBS, scanned using Licor Odyssey 
Casp3 
C) 
B) 
B) 
A) 
Fig. 5: Endogenous GBA activity measured with 4- 
MUG substrate of Detroit 551 (WT), ND37180 
(N370S/WT), and GM08760 (L444P/L444P) fibroblasts. 
Healthy donor Detroit 551 fibroblasts have more GBA 
activity than both PD (ND37180) and GD (GM08760) 
diseased fibroblasts, with the L444P homozygous cell 
line having a very small amount of relative GBA activity. 
Fig. 8: α-Synuclein overexpression has been shown to inhibit translocation of GBA to the lysosome 
from the ER, where aberrant GBA fails to fold correctly and is degraded. This results in decreased 
proteasome activity and creates an influx of ROS, leading to ER and mitochondrial stress through 
activation of PERK, an ER transmembrane kinase, & the unfolded protein response (UPR). Chaperone 
synthesis is stimulated to assist with cell stress, ensuring misfolded proteins are removed.3 If ER stress 
is too much for the cell, PERK leads to activation of caspase-3, a marker for cell apoptosis.1 
Fig. 3: GBA mutant B lymphocytes, 
the characteristics of which are 
exemplified in Table 1, were tested for 
endogenous GBA activity levels. 
Although there is donor-to-donor 
variability, the N370S homozygous 
mutants demonstrate less GBA activity 
in comparison to the wild-type cells. 
A) 
WT A53T 
D)

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GBA Chaperone Therapy Reduces α-Synuclein in PD Model

  • 1. Figure 1: GBA activity was assessed using the 4-MUG whole-cell assay in both TS207 parent and GBA knockout neuroglioma cell lines. TS207 GBA knockout cells have consistently low to no amounts of activity compared to TS207 GBA parental cells. Activity decreases with CBE treatment, a potent, selective, irreversible inhibitor of GBA, in a dose-dependent manner at 30 minutes (A). This effect is already exacerbated at 24 hours (B). A dose response of isofagomine or ambroxol has little effect after 30 minutes of incubation (A); however, with extended treatment of the drug after 24 hours, a dose responsive increase with ambroxol is seen (B). This also provided information that ISF may need a longer incubation time in these cells in order for an effect to be visualized in GBA activity. Profiling Glucocerebrosidase (GBA) Levels and Activity in Mutant B Lymphocytes, Mutant Fibroblasts, and A53T Transgenic Mouse Cortical Neurons Zack Brittingham1, Paula Loos1, Peter Buckett1, Warren Hirst1 1Neurodegeneration & Neurological Disease, Neuroscience Research Unit, Pfizer, 610 Main Street, Cambridge MA Fig. 2: GBA mutant B lymphocytes in Table 1 were tested for endogenous levels of GBA by western blot (A) and the results were quantified (B). TS207 GBA knockout and parent cells acted as positive and negative controls. GBA mutations L444P and N370S overall have less GBA, however there are exceptions which is an example of donor-to-donor variability. ABSTRACT Parkinson’s disease (PD) is a neurodegenerative disorder characterized phenotypically by loss of balance, muscle rigidity, and body tremors, and biochemically by the presence of Lewy bodies, or fibrillar aggregates of α-synuclein protein in the brain.1 Glucocerebrosidase (GBA) is a lysosomal hydrolase involved in breaking down the glycolipid glucocerebroside into ceramide and glucose, and mutations in this enzyme are the most common genetic risk factor of PD, as there has been a recent association with decreased GBA activity and increased α-synuclein levels.2 Chaperones are proteins that assist in the folding or unfolding of select proteins, seen more prevalently in disease models or in structures that require protein-folding assistance. Chaperones are also involved in the prevention of aggregation of protein subunits, ensuring they maintain their functionality.3 Therapeutically, chaperone therapy has been discussed as a potential treatment for Gaucher disease.4 The protein GBA1 has had known associations with Gaucher disease, where build-up of the glucocerebroside substrate can result in this rare autosomal recessive lysosomal storage disorder, and Gaucher disease and Parkinson’s disease have many biochemical and morphological similarities.2 Specifically, these chaperones could be used to select for and bind to mutant GBA, thereby stabilizing it and ensuring proper folding and trafficking from the ER to the lysosome.5 Isofagomine (ISF) has been shown to both stabilize and promote lysosomal trafficking of GBA, even though it has poor selectivity as an iminosugar with the possibility to fluctuate between reversible inhibition of enzymatic activity and improving protein translocation.5,7 Additionally, ambroxol (ABX) has been shown to increase GCase activity in both mutant fibroblasts and healthy controls by binding and stabilizing the protein.8,9 It has been used preliminarily in enzyme enhancement therapy for Gaucher, and has been shown to interact with both the active and non-active site residues of GBA.9 Our research has been targeting activators or chaperones of GBA in order to increase GBA levels and/or activity in the lysosome in-vitro, thus reducing the amount of glucocerebrosidase substrate and the amount of α-synuclein aggregates while restoring lysosomal function. Table 1: B Lymphocyte Lines, Demographic, & Genetic Information from Coriell Institute 4-MUG WHOLE CELL ASSAY Glucocerebrosidase activity was measured using the non-native substrate 4- methylumbelliferyl-β-glucuronide (4-MUG) that cleaves when it binds to the active site of GBA. The cleaved form of 4-MUG is 4-MU, or 4-methylumbelliferone, which fluoresces.  Assay buffer: 50% PBS (pH 7.4), 50% NaOAc (pH 4.0), 1.25mM 4-MUG  Cells cultured in 96-well plates; media aspirated before adding 50uL assay buffer, 1 hour incubation at 37oC, add 150uL glycine stop buffer (pH 10.8)  Bottom-read fluorescence: ex 355nm, em 450nm REFERENCES 1. Smith, Wanli W. et. al. “Endoplasmic reticulum stress...” Hum. Molec. Genet. 2005, 14(24), 3801-3811. 2. Siebert, Marina et. al. “Glucocerebrosidase is shaking...” Brain: Jour. of Neurosci. 2014, 137, 1304-1322. 3. Berg. Biochemistry 7th ed. 2006. 4. Ellis, RJ. et. al. “Molecular Chaperones” Annu. Rev. Biochem. 1991, 60, 321-347. 5. Khanna, Richie et. al. “The Pharmacological Chaperone Iso…” FEBS Jour. 2010, 277(7), 1618-1638. 6. Sun, Ying et. al. “Ex Vivo and In Vivo Effects of Isofagomine...” Jour. of Biol. Chem. 2012, 287, 4275-4287. 7. Patnaik, Samarjit et. al. “Discovery, Structure-Activity...” Jour. of Med. Chem. 2012, 55, 5734-5748. 8. McNeil, Alisdair et. al. “Ambroxol improves lysosomal...” Brain: Jour. of Neurosci. 2014, 137, 1481-1495. 9. Maegawa, GH. et. al. “Identification and characterization...” J. Biol. Chem. 2009, 284(35), 23502-23516. ACKNOWLEDGEMENTS I would like to take the opportunity to thank my advisor Paula Loos for the instruction she provided and dedication she took to assist in my learning. Additionally, I would like to thank everyone on the GBA Team and otherwise at Pfizer for providing me an invaluable educational opportunity. Cell Line Disease Model GBA Sex Age GM10870 GD, Type I N370S / N370S F, Caucasian 63 GM10871 GD, Type I N370S / N370S F, Caucasian 71 GM10873 GD, Type I N370S / N370S M, Caucasian 79 GM08752 GD, Type II L444P/L444P M, Mexican 1 GM08753 No GD L444P/WT F, Mexican 25 ND05256 Healthy Wild-type F, Caucasian 66 ND00700 Healthy Wild-type F, Caucasian 74 AG10097A Healthy Wild-type M, Caucasian 52 Cell Line Disease Model GBA Sex Age Detroit 551 Healthy Wild-type F Fetal ND37180 PD N370S / WT M, Caucasian 80 GM08760 GD, Type II L444P/L444P M, Mexican 1 AG06858A Healthy Wild-type M, Black 47 GM00288B Healthy Wild-type M, Caucasian 64 Table 2: Fibroblast Lines, Demographic, & Genetic Information from the Coriell Institute Fig. 6: LAMP1 levels of GM08760 (L44P h0), GM00288B (WT), and AG06858A (WT) fibroblasts with varying concentrations of ISF for 6 days, including some where ISF was washed out for the last 24 hours. LAMP1 levels are compared to Actin and the DMSO vehicle. It is shown that LAMP1 levels among diseased and wild-type fibroblasts remain fairly constant with ISF treatment. LAMP1 increases can be associated with lysosomal biogenesis, that of which we do not see here. Fig. 4: Mutant fibroblasts were tested for endogenous GBA levels (DMSO vehicle) and treatment with ISF using western blot (A) and the results were quantified (B). Healthy donor Detroit 551 fibroblasts have more GBA than both PD (ND37180) and GD (GM08760) diseased fibroblasts. 6 Day treatment with ISF increases levels of GBA in a dose-dependent manner. CBE, a GBA inhibitor, has little to no effect on endogenous levels of GBA. Ambroxol Isofagomine GBA ACTIVTY IN TS207 CELL LINE WITH GBA KNOCKOUT CONTROL A) B) GBA LEVELS IN MUTANT HUMAN B LYMPHOCYTES GBA LEVELS IN MUTANT HUMAN FIBROBLASTS GBA ACTIVITY IN MUTANT B LYMPHOCYTES A) B) LAMP1 LEVELS ARE NOT AFFECTED BY ISOFAGOMINE GBA ACTIVITY IN MUTANT HUMAN FIBROBLASTS A53T TRANSGENIC MOUSE CORTICAL CULTURES HAVE DECREASED LEVELS OF α-SYNUCLEIN AFTER CHAPERONE TREATMENT Fig. 7: A53T mutant α-synuclein is overexpressed in the neurons of transgenic A53T mice. Cortical cultures were prepared and doses of ABX & ISF were adminstered at day 11 for 6 days, after which some treatments were washed out (WO) for an additional 3 days. α-Synuclein was specifically detected by western blot (A, C) in A53T mice but not in wildtype (WT) neurons. Treatment with ABX and its washout counterpart significantly decreased levels of A53T α-synuclein. ISF, which has a higher binding affinity than ABX, is proposed to still be bound to GBA in the ISF-treated cells, therefore not affecting levels of A53T α-synuclein since GBA is inactive. When ISF is washed out (ISF WO), the GBA that was chaperoned to the lysosomes is no longer inhibited and is free to digest the A53T mutant α-synuclein resulting in decreased levels. Caspase-3, which serves as an indicator for apoptosis, was detected by western blot (B, D) in the same samples, and demonstrates a possible increase in cell health compared to the vehicle with ABX treatment. WESTERN BLOT Glucocerebrosidase, LAMP1, and caspase-3 levels were measured using western blot & quantification with normalization to Actin  Cells were lysed with a triton lysis buffer (0.25% triton, 250mM sucrose, 10mM tris pH 7.5, & 1mM EDTA) along with phosphate and protease inhibitors (PI, PH2, PH3, & PMSF)  Samples were prepared with 25% NuPage LDS Sample Buffer (4x), 10% NuPage Reducing Reagent (10x), and 65% sample a protein diluted with universal lysis buffer  Samples were vortexed, heated for 10 mins. at 70oC, spun to eliminate condensation, & run in 20-well 4-12% Bis-tris NuPage Novex gels in MES SDS running buffer (20x) at 200V  Blots were transferred using iBlot nitrocellulose for 7 mins, rinsed in 0.1% Tween-20 in TBS (TTBS), one hour RT in Rockland blocking buffer, overnight at 4oC in 1o Ab, rinsed in TTBS, 1 hour RT in 2o Ab, rinsed in TTBS, scanned using Licor Odyssey Casp3 C) B) B) A) Fig. 5: Endogenous GBA activity measured with 4- MUG substrate of Detroit 551 (WT), ND37180 (N370S/WT), and GM08760 (L444P/L444P) fibroblasts. Healthy donor Detroit 551 fibroblasts have more GBA activity than both PD (ND37180) and GD (GM08760) diseased fibroblasts, with the L444P homozygous cell line having a very small amount of relative GBA activity. Fig. 8: α-Synuclein overexpression has been shown to inhibit translocation of GBA to the lysosome from the ER, where aberrant GBA fails to fold correctly and is degraded. This results in decreased proteasome activity and creates an influx of ROS, leading to ER and mitochondrial stress through activation of PERK, an ER transmembrane kinase, & the unfolded protein response (UPR). Chaperone synthesis is stimulated to assist with cell stress, ensuring misfolded proteins are removed.3 If ER stress is too much for the cell, PERK leads to activation of caspase-3, a marker for cell apoptosis.1 Fig. 3: GBA mutant B lymphocytes, the characteristics of which are exemplified in Table 1, were tested for endogenous GBA activity levels. Although there is donor-to-donor variability, the N370S homozygous mutants demonstrate less GBA activity in comparison to the wild-type cells. A) WT A53T D)