Smith Donna L, Woodman Benjamin, Mahal Amarbirpal, Sathasivam Kirupa, Ghazi-Noori Shabnam, Lowden Philip A S, Bates Gillian P, Hockly Emma
Department of Medical and Molecular Genetics, King's College London, United Kingdom.
Ann Neurol. 2003 Aug;54(2):186-96. doi: 10.1002/ana.10614.
Huntington's Disease (HD) is an inherited neurological disorder causing movement impairment, personality changes, dementia, and premature death, for which there is currently no effective therapy. The modified tetracycline antibiotic, minocycline, has been reported to ameliorate the disease phenotype in the R6/2 mouse model of HD. Because the tetracyclines have also been reported to inhibit aggregation in other amyloid disorders, we have investigated their ability to inhibit huntingtin aggregation and further explored their efficacy in preclinical mouse trials. We show that tetracyclines are potent inhibitors of huntingtin aggregation in a hippocampal slice culture model of HD at an effective concentration of 30 microM. However, despite achieving tissue levels approaching this concentration by oral treatment of R6/2 mice with minocycline, we observed no clear difference in their behavioral abnormalities, or in aggregate load postmortem. In the light of these new data, we would advise that caution be exercised in proceeding into human clinical trials of minocycline.
亨廷顿舞蹈症(HD)是一种遗传性神经疾病,会导致运动障碍、性格改变、痴呆以及过早死亡,目前尚无有效的治疗方法。据报道,改良型四环素抗生素米诺环素可改善HD的R6/2小鼠模型中的疾病表型。由于四环素类药物在其他淀粉样变性疾病中也被报道具有抑制聚集的作用,我们研究了它们抑制亨廷顿蛋白聚集的能力,并在临床前小鼠试验中进一步探索了其疗效。我们发现,在HD的海马切片培养模型中,四环素类药物在有效浓度为30微摩尔时是亨廷顿蛋白聚集的有效抑制剂。然而,尽管通过用米诺环素口服治疗R6/2小鼠使组织水平接近该浓度,但我们并未观察到它们在行为异常或死后聚集体负荷方面有明显差异。鉴于这些新数据,我们建议在进行米诺环素的人体临床试验时应谨慎行事。