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慢性锂治疗不能改善严重脊髓性肌萎缩症小鼠模型的神经肌肉表型。

Chronic treatment with lithium does not improve neuromuscular phenotype in a mouse model of severe spinal muscular atrophy.

机构信息

Unitat de Neurobiologia Cel·lular, Departament de Medicina Experimental, Facultat de Medicina, Universitat de Lleida and Institut de Recerca Biomèdica de Lleida (IRBLLEIDA), Av. Rovira Roure 80, 25198 Lleida, Catalonia, Spain.

出版信息

Neuroscience. 2013 Oct 10;250:417-33. doi: 10.1016/j.neuroscience.2013.07.026. Epub 2013 Jul 19.

Abstract

Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder caused by defective levels of the survival motor neuron (SMN) protein. SMA causes spinal motoneuron (MN) loss, and progressive muscle weakness and paralysis. Currently, there is no effective therapy to cure this disease. Although different strategies focused on increasing the expression of functional SMN protein have been assayed, numerous SMN-independent therapeutic approaches have been demonstrated to have potential effectiveness in improving the SMA phenotype in mouse models and clinical trials. Recent works have shown that compounds which inhibit GSK-3β activity are effective in promoting MN survival and ameliorating lifespan in models of MN diseases including SMA. Taking into account the reported neuroprotective actions of lithium (Li) through the inhibition of GSK-3β in different studies, we tested here its potential efficiency as a therapeutic agent in a mouse model of severe SMA (SMNΔ7 mice). We show that the chronic treatment with Li initiated before the appearance of disease symptoms, although inhibited GSK-3β, did not improve the median survival, motor behavior, and spinal MN loss linked to SMA. Li administration did not either ameliorate the microglial and astroglial reaction in the spinal cord or the depletion of glutamatergic synapses on MNs observed in SMNΔ7 animals. Moreover, Li treatment did not mitigate muscle atrophy or calcitonin gene-related peptide (CGRP) downregulation in the neuromuscular junctions linked to the disease. However, a significant reduction in apoptotic cell death found in the skeletal muscle of SMA mice was observed after Li treatment.

摘要

脊髓性肌萎缩症(SMA)是一种常染色体隐性神经肌肉疾病,由生存运动神经元(SMN)蛋白的缺陷水平引起。SMA 导致脊髓运动神经元(MN)丧失,进行性肌肉无力和瘫痪。目前,尚无有效的治疗方法来治愈这种疾病。虽然已经测试了不同的策略,旨在提高功能性 SMN 蛋白的表达,但许多非 SMN 依赖性治疗方法已被证明在改善 SMA 表型的小鼠模型和临床试验中具有潜在的有效性。最近的研究表明,抑制 GSK-3β 活性的化合物可有效促进 MN 的存活,并改善包括 SMA 在内的 MN 疾病模型的寿命。考虑到锂(Li)在不同研究中通过抑制 GSK-3β 所报道的神经保护作用,我们在此测试了其作为一种严重 SMA (SMNΔ7 小鼠)小鼠模型治疗剂的潜在功效。我们发现,在疾病症状出现之前开始的慢性 Li 治疗虽然抑制了 GSK-3β,但不能改善与 SMA 相关的中位存活、运动行为和脊髓 MN 丧失。Li 给药也没有改善脊髓中的小胶质细胞和星形胶质细胞反应,或 SMNΔ7 动物中观察到的 MN 上谷氨酸能突触的耗竭。此外,Li 治疗不能减轻与疾病相关的神经肌肉连接处的肌肉萎缩或降钙素基因相关肽(CGRP)下调。然而,在 SMA 小鼠的骨骼肌中观察到 Li 治疗后凋亡细胞死亡明显减少。

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