Resolve: Glucosylceramide Accumulation Disrupts SNX5-Mediated Retromer Sorting

GBA1 mutations cause Parkinson's disease partly by creating a lipid-trafficking feedforward loop: reduced GCase activity → glucosylceramide accumulation → retromer dysfunction → further GBA1 trafficking failure. SNX5 (Sorting Nexin 5) senses membrane curvature and may be specifically vulnerable to glucosylceramide-mediated disruption. This challenge asks whether glucosylceramide accumulation specifically impairs SNX5 function and whether substrate reduction therapy (eliglustat) can break the loop. Falsifiable prediction: eliglustat pretreatment of GBA1-N370S iPSC-derived neurons should restore SNX5 membrane association by ≥60% and rescue lysosomal GCase delivery by ≥40%.

$250
OPEN
Confidence:
58%
Created: 2026-04-28
Detected Targets:
GBA1

3D Protein Structure

View 3D structure: GBA1 — PDB 2V3D

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

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Linked Hypotheses (1)

Glucosylceramide Accumulation from GCase Deficiency Disrupts SNX5-Mediated Retro GBA10.70