用 N-甲基-D-天冬氨酸(NMDA)受体拮抗剂美金刚治疗婴儿神经元蜡样脂褐质沉积症的 Ppt1(-/-)小鼠模型。

Treatment of the Ppt1(-/-) mouse model of infantile neuronal ceroid lipofuscinosis with the N-methyl-D-aspartate (NMDA) receptor antagonist memantine.

作者信息

Finn Rozzy, Kovács Attila D, Pearce David A

机构信息

Sanford Children's Health Research Center, Sanford Research/USD, Sioux Falls, SD, USA.

出版信息

J Child Neurol. 2013 Sep;28(9):1159-68. doi: 10.1177/0883073813494480.

Abstract

The neuronal ceroid lipofuscinoses, a family of neurodegenerative lysosomal storage disorders, represent the most common cause of pediatric-onset neurodegeneration. The infantile form has a devastatingly early onset and one of the fastest-progressing disease courses. Despite decades of research, the molecular mechanisms driving neuronal loss in infantile neuronal ceroid lipofuscinosis remain unknown. We have previously shown that N-methyl-d-aspartate (NMDA)-type glutamate receptors in the Ppt1(-/-) mouse model of this disease exhibit a hyperfunctional phenotype and postulate that aberrant glutamatergic activity may contribute to neural pathology in both the mouse model and human patients. To test this hypothesis, we treated Ppt1(-/-) mice with the NMDA receptor antagonist memantine and assessed their response to the drug using an accelerating rotarod. At 20 mg/kg, memantine treatment induced a delayed but notable improvement in Ppt1(-/-) mice. Much remains to be assessed before moving to patient trials, but these results suggest memantine has potential as a treatment.

摘要

神经元蜡样脂褐质沉积症是一类神经退行性溶酶体贮积症,是儿童期神经退行性变最常见的病因。婴儿型发病极早,病情进展速度极快。尽管经过数十年研究,婴儿型神经元蜡样脂褐质沉积症导致神经元丧失的分子机制仍不清楚。我们之前已经表明,在该疾病的Ppt1基因敲除小鼠模型中,N-甲基-D-天冬氨酸(NMDA)型谷氨酸受体呈现功能亢进表型,并推测异常的谷氨酸能活性可能在小鼠模型和人类患者中均导致神经病理改变。为验证这一假说,我们用NMDA受体拮抗剂美金刚治疗Ppt1基因敲除小鼠,并使用加速转棒试验评估它们对该药物的反应。在20mg/kg剂量下,美金刚治疗使Ppt1基因敲除小鼠出现延迟但显著的改善。在开展患者试验之前,仍有许多方面有待评估,但这些结果表明美金刚具有作为一种治疗手段的潜力。

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