Florey Institute of Neuroscience and Mental Health, Melbourne Brain Centre, University of Melbourne, Parkville, VIC 3010, Australia.
CNS Neurol Disord Drug Targets. 2013 Aug;12(5):587-92. doi: 10.2174/1871527311312050007.
There is an enormous demand for new therapeutic interventions for a range of major disorders. The majority of clinical trials in recent years have been unsuccessful despite highly promising preclinical data. Therefore, an urgent issue confronting both the academic and commercial medical research sectors is how to optimize translation of preclinical studies. The vast majority of preclinical studies are currently performed using laboratory mice and rats. We will discuss the various opportunities for optimization of animal models of CNS disorders. One limitation of current approaches is that most studies are conducted on sedentary, unstimulated animals with unlimited access to food in the home cage, thus leading to metabolic and physiological compromise. Environmental enrichment, which enhances sensory stimulation, cognitive activity and physical exercise, has been demonstrated to induce dramatic effects on brain and behavior in both wild-type and genetically modified rodent models, relative to standard-housed littermate controls. Environmental enrichment also exerts beneficial effects outside the CNS, such as a reduction in excess body fat. We propose that therapeutic interventions which are found to show promise in standard-housed preclinical models should be subsequently tested under conditions of greater environmental enrichment to identify therapeutics which continue to show efficacy in housing contexts of superior 'environmental construct validity'. Other possible approaches to optimize the quality, validity and reporting of preclinical studies in animal models are also discussed.
对于一系列重大疾病,人们对新的治疗干预措施有着巨大的需求。尽管有大量有前景的临床前数据,但近年来大多数临床试验都失败了。因此,学术和商业医学研究领域都面临着一个紧迫的问题,即如何优化临床前研究的转化。目前,绝大多数临床前研究都是使用实验室小鼠和大鼠进行的。我们将讨论优化中枢神经系统疾病动物模型的各种机会。当前方法的一个局限性是,大多数研究都是在久坐不动、不受刺激的动物身上进行的,这些动物在笼中可以无限量地获得食物,从而导致代谢和生理上的妥协。环境富集增强了感官刺激、认知活动和体育锻炼,已被证明相对于标准笼养同窝对照,在野生型和基因修饰的啮齿动物模型中对大脑和行为产生显著影响。环境富集还对中枢神经系统以外的部位产生有益影响,如减少多余的体脂。我们提出,在标准笼养临床前模型中显示出有希望的治疗方法,应在更高环境富集条件下进行后续测试,以确定在具有更高“环境构建有效性”的饲养环境中仍具有疗效的治疗方法。还讨论了其他可能的方法来优化动物模型中临床前研究的质量、有效性和报告。