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G M1 -gangliosidosis is caused by a reduced activity of β-galactosidase ( Glb1 ), resulting in intralysosomal accumulations of G M1 . The aim of this study was to reveal the pathogenic mechanisms of G M1 -gangliosidosis in a new  Glb1  knockout mouse model.  Glb1  −/−  mice were analyzed clinically, histologically, immunohistochemically, electrophysiologically and biochemically. Morphological lesions in the central nervous system were already observed in two-month-old mice, whereas functional deficits, including ataxia and tremor, did not start before 3.5-months of age. This was most likely due to a reduced membrane resistance as a compensatory mechanism. Swollen neurons exhibited intralysosomal storage of lipids extending into axons and amyloid precursor protein positive spheroids. Additionally, axons showed a higher kinesin and lower dynein immunoreactivity compared to wildtype controls.  Glb1  −/−  mice also demonstrated loss of phosphorylated neurofilament positive axons and a mild increase in non-phosphorylated neurofilament positive axons. Moreover, marked astrogliosis and microgliosis were found, but no demyelination. In addition to the main storage material G M1 , G A1 , sphingomyelin, phosphatidylcholine and phosphatidylserine were elevated in the brain. In summary, the current  Glb1  −/−  mice exhibit a so far undescribed axonopathy and a reduced membrane resistance to compensate the functional effects of structural changes. They can be used for detailed examinations of axon–glial interactions and therapy trials of lysosomal storage diseases.

Axonopathy and Reduction of Membrane Resistance: Key Features in a New Murine Model of Human GM1-Gangliosidosis