Synaptic failure is a major contributor to cognitive impairment in many neurological
diseases. Krabbe disease (KD) is a lysosomal deficiency of galactosyl-ceramidase
(GALC) that causes toxic accumulation of psychosine and global demyelination. KD
patients develop major motor problems and become neurologically compromised. It is
unknown whether synaptic function is also affected by the deficiency of GALC. Because
psychosine is a lipid that disrupts the normal architecture of the membrane, altering
associated signaling, we hypothesized that synaptic function is also impaired in KD. Using
Golgi Cox staining, we found a significant decrease in the number of dendritic spines in
cortical neurons of sick twitcher mice, the authentic murine model of infantile KD. Electron
microscopy data confirmed ultrastructural alterations in many KD synapses in the cortex
as well as in the hippocampus, with reduced contact area and lower number of synaptic
vesicles. Levels of psychosine were elevated in synaptic membranes, in parallel with
altered levels of several pre-synaptic SNARE proteins. Paired pulse facilitation was
significantly reduced in hippocampal neurons of sick twitcher mice, as well as in additional
mutants bearing other GALC mutations. Furthermore, conditional ablation of GALC in
neurons but not in oligodendrocytes confirmed intrinsic deficits of synaptic transmission,
independent from myelin defects. Together, these results support our hypothesis that KD
synapses are structurally and functionally disrupted and provide a basis to understand
neurological deficits observed in KD patients.