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Sjögren-Larsson Syndrome (SLS)
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Sjögren-Larsson Syndrome (SLS)

Sjögren-Larsson Syndrome (SLS) is a rare condition that constitutes an autosomal recessive disorder characterized by a clinical triad of ichthyosis, spastic movement disorder, and intellectual disability. It is further associated with various secondary features, the most remarkable being glistening white dots located in the retinal periphery. Protheragen is dedicated to the development of novel therapies aimed at preclinical drug stage for neurocutaneous disorders such as Sjögren-Larsson syndrome.

Overview of Sjögren-Larsson Syndrome

A rare hydrops fetalis, Sjögren-Larsson syndrome (SLS) is an autosomal recessive disorder with congenital ichthyosis, neurological spasticity, and intellectual disability secondary to mutations in the ALDH3A2 gene. The gene in question is responsible for fatty aldehyde dehydrogenase (FALDH), an enzyme primarily participating in lipid metabolism. FALDH plays the important function of oxidizing fatty aldehydes but, when defective, causes the accumulation of toxic lipids as well as oxidative stress and other systemically complicating factors. There is increasing evidence of renal lipid effects, such as tubular and nephrosis due to systemic lipid toxicity.

Pathogenesis of Sjögren-Larsson Syndrome

Sjögren-Larsson Syndrome pathology stems from biallelic mutations in the ALDH3A2 gene that cause the enzymatic deficit of fatty aldehyde dehydrogenase (FALDH). This disruption results in the accumulation of cytotoxic lipids that form Schiff base adducts within cells leading to oxidative stress, chronic inflammation, and tissue damage. Congenital ichthyosis, spastic paraplegia, and intellectual disability from systemic lipid toxicity in skin, brain, kidneys are the prominent features.

The RECQL4, ANAPC1, DNA2, and CRIPT variants associated with RTS.Fig.1 Overview of RECQL4, ANAPC1, DNA2, and CRIPT variants associated with RTS. (Rizzo et al., 2022)

Therapeutics Development for Sjögren-Larsson Syndrome

Drug Safety Evaluation & DMPK Services for Sjögren-Larsson Syndrome
Therapeutic Strategy Drug Name/Candidate Therapeutic Target Key Findings/Mechanism Development Stage
Aldehyde Scavengers DIMEB (benzylamine derivative) Aldehyde-protein adducts (Schiff base) DIMEB competitively inhibits free aldehydes, diminishes adduct formation and repairs skin and neuronal damage Phase II Clinical Trials
PPAR-α Agonists Fenofibrate PPAR-α nuclear receptor Stimulates farnesol metabolism, acts on lipid metabolism genes (ACOX1), Operating on others lower ether lipid/phospholipid ratio. Preclinical
JNK Pathway Inhibitors CC-930 (experimental JNK inhibitor) JNK phosphorylation cascade Pathway inhibition of JNK causes oxidative stress oligodendrocyte apoptosis and demyelination decrease. Preclinical
Antioxidant Therapy Vitamin E, N-Acetylcysteine NRF2/glutathione pathway Neutralizing oxidative species aids in the curtailing of lipid peroxidation and enhances degeneration of neuronal and neuroinflammation. Preclinical

Disclaimer: Protheragen focuses on providing preclinical research services. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.

Our Services

Protheragen is focused on building a comprehensive ecosystem of preclinical research, providing consolidated services to expedite the development of new therapies for SLS. Sophisticated tools and methods of our specialists offer complex support from therapeutic development, diagnostics development to disease model development.

  • Keratinocytes with ALDH3A2 Mutations
  • HaCaT-ALDH3A2KO
  • 3D Epidermal Organoids
  • Conditional Aldh3a2 Knockout Mice
  • Humanized ALDH3A2 p.Gly259Val Transgenic Mice

Drug Safety Evaluation & DMPK Services for Sjögren-Larsson Syndrome

In Vitro ADME Services

  • Metabolic Stability
  • Reaction Phenotyping
  • Plasma Protein Binding
  • Blood/Plasma Partitioning

In Vivo Pharmacokinetics Services

  • Single-Dose PK Studies
  • Multiple-Dose PK Studies
  • Bioavailability and Bioequivalence Studies
  • Tissue Distribution Studies

To close the gap between discovery and application, Protheragen undertakes thorough preclinical research to expedite the drug and therapy development for Sjögren-Larsson syndrome. Through complete in vitro and in vivo studies with a detailed drug safety evaluation and DMPK services, you will confidently advance the most promising candidates from your pipeline.

Partner with Protheragen to translate your Sjögren-Larsson syndrome research into viable therapeutic innovations. For inquiries regarding our comprehensive services, please contact us.

References

  • J, S. K., et al. "Sjogren-Larsson Syndrome: A Rare Presentation with Developmental Delay." Cureus 15.2 (2023): e35159.
  • Rizzo, W. B., et al. "Sjogren-Larsson Syndrome: A Biochemical Rationale for Using Aldehyde-Reactive Therapeutic Agents." Mol Genet Metab Rep 30 (2022): 100839.

All of our services and products are intended for preclinical research use only and cannot be used to diagnose, treat or manage patients.