The glycosphingolipid (GSL) lysosomal storage diseases result from the
inheritance of defects in the genes encoding the enzymes required for
catabolism of GSLs within lysosomes. A strategy for the treatment of
these diseases, based on an inhibitor of GSL biosynthesis N-butyldeoxy
nojirimycin, was evaluated in a mouse model of Tay-Sachs disease. When
Tay-Sachs mice were treated with N-butyldeoxynojirimycin, the accumul
ation of G(M2) in the brain was prevented, with the number of storage
neurons and the quantity of ganglioside stored per cell markedly reduc
ed. Thus, limiting the biosynthesis of the substrate (G(M2)) for the d
efective enzyme (beta-hexosaminidase A) prevents GSL accumulation and
the neuropathology associated with its lysosomal storage.