Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Neurodegener Dis. 2011;8(5):310-21. doi: 10.1159/000323469. Epub 2011 Feb 23.
The causes of amyotrophic lateral sclerosis (ALS) are largely unknown. Oxidative stress is considered to play a major role in motor neuron degeneration associated with iron homeostasis disturbance.
Iron chelation treatment might be a potential therapeutic approach on the basis of its ability to reduce the oxygen free radical generation caused by iron accumulation.
In the present study, we applied the brain-permeable iron chelators VK-28 and M30 in a G93A mutant superoxide dismutase 1 transgenic (SOD1(G93A)) mouse model of ALS and found that VK-28 and M30 significantly delayed disease onset, extended the life span and reduced spinal cord motor neuron loss. Furthermore, we documented that both iron chelators significantly attenuated the elevated iron level and transferrin receptor expression, decreased oxygen free radicals and suppressed microglial and astrocytic activation in the spinal cords of the SOD1(G93A) mice. Moreover, we demonstrated that both iron chelators were able to decrease TDP-43 protein aggregation and the proapoptotic molecule Bax, and to enhance antiapoptotic protein Bcl-2 expression, in the ALS mice.
These results provide evidence that iron is involved in the pathogenesis of ALS and iron chelation therapy may have the potential for the prevention and treatment of ALS.
肌萎缩侧索硬化症(ALS)的病因在很大程度上尚不清楚。氧化应激被认为在与铁稳态紊乱相关的运动神经元变性中起主要作用。
铁螯合治疗可能是一种潜在的治疗方法,其依据是它能够减少铁积累引起的氧自由基生成。
在本研究中,我们在肌萎缩侧索硬化症的 G93A 突变超氧化物歧化酶 1 转基因(SOD1(G93A))小鼠模型中应用了可穿透血脑屏障的铁螯合剂 VK-28 和 M30,并发现 VK-28 和 M30 显著延迟了疾病发作,延长了生存期并减少了脊髓运动神经元的丢失。此外,我们记录到两种铁螯合剂均显著降低了脊髓中升高的铁水平和转铁蛋白受体表达,减少了氧自由基并抑制了小胶质细胞和星形胶质细胞的激活。此外,我们证明了这两种铁螯合剂均能够减少 ALS 小鼠中的 TDP-43 蛋白聚集和促凋亡分子 Bax,并增强抗凋亡蛋白 Bcl-2 的表达。
这些结果提供了证据表明铁参与了 ALS 的发病机制,铁螯合治疗可能具有预防和治疗 ALS 的潜力。