X-ALD is a monogenic disease, with an incidence ranging from 1:20000 to 1:100000, which is caused by mutations in the
ABCD1 (ATP binding cassette subfamily D member 1) gene, located on Xq28.
The 25-week proof-of-concept study, conducted at the Kennedy Krieger Institute under a sponsored research agreement with Viking, was designed to evaluate changes in VLCFA levels in the
ABCD1 knockout mouse model intended to mirror the loss of
ABCD1 transporter activity that is considered the hallmark of X-ALD.
Although the differentiation-dependent and sterol-regulated induction of ABCA1 and ABCG1 is well established (7), parallel transcript profiling, using our Human ABC Transporter TaqMan Low-Density Array, revealed several additional differentiation-dependent ABC transporters and novel LXR/RXR-regulated ABC transporters, including ABCB1 (MDR1), ABCB9, ABCB11 (BSEP), ABCC2 (MRP2), ABCC5 (MRP5),
ABCD1 (ALD), ABCD4, and ABCG2.
X-ALD is characterised by elevated levels of very long chain fatty acids (VLCFAs) in various tissues due to any of a number of loss-of-function mutations in the
ABCD1 gene.
It involves transplantation with a patient's own stem cells, which are modified to contain functional copies of the
ABCD1 gene.