Aspartylglucosaminuria (AGU) is a recessively inherited lysosomal storage d
isorder caused by the deficiency of the aspartylglucosaminidase (AGA) enzym
e. The hallmark of AGU is slowly progressing mental retardation but the pro
gression of brain pathology has remained uncharacterized in humans. Here we
describe the long-term follow-up of mice carrying a targeted AGU-mutation
in both alleles. Immunohistochemistry, histology, electron microscopy, quan
titative magnetic resonance imaging (MRI) and behavioral studies were carri
ed out to evaluate the CNS affection of the disease during development. The
lysosomal storage vacuoles of the AGA -/- mice were most evident in centra
l brain regions where MRI also revealed signs of brain atrophy similar to t
hat seen in the older human patients. By immunohistochemistry and MRI exami
nations, a subtle delay of myelination was observed in AGA -/- mice. The li
fe span of the AGA -/- mice was not shortened. Similar to the slow clinical
course observed in human patients, the AGA -/- mice have behavioral sympto
ms that emerge at older age. Thus, the AGU knock-out mice represent an accu
rate model for AGU, both histopathologically and phenotypically.