I,R,C,C,S, Neuromed, Pozzilli, Italy.
Mol Brain. 2013 Nov 19;6:48. doi: 10.1186/1756-6606-6-48.
Spinocerebellar ataxia type 1 (SCA1) is a genetic disorder characterized by severe ataxia associated with progressive loss of cerebellar Purkinje cells. The mGlu1 metabotropic glutamate receptor plays a key role in mechanisms of activity-dependent synaptic plasticity in the cerebellum, and its dysfunction is linked to the pathophysiology of motor symptoms associated with SCA1. We used SCA1 heterozygous transgenic mice (Q154/Q2) as a model for testing the hypothesis that drugs that enhance mGlu1 receptor function may be good candidates for the medical treatment of SCA1.
Symptomatic 30-week old SCA1 mice showed reduced mGlu1 receptor mRNA and protein levels in the cerebellum. Interestingly, these mice also showed an intense expression of mGlu5 receptors in cerebellar Purkinje cells, which normally lack these receptors. Systemic treatment of SCA1 mice with the mGlu1 receptor positive allosteric modulator (PAM), Ro0711401 (10 mg/kg, s.c.), caused a prolonged improvement of motor performance on the rotarod and the paw-print tests. A single injection of Ro0711401 improved motor symptoms for several days, and no tolerance developed to the drug. In contrast, the mGlu5 receptor PAM, VU0360172 (10 mg/kg, s.c.), caused only a short-lasting improvement of motor symptoms, whereas the mGlu1 receptor antagonist, JNJ16259685 (2.5 mg/kg, i.p.), further impaired motor performance in SCA1 mice. The prolonged symptomatic benefit caused by Ro0711401 outlasted the time of drug clearance from the cerebellum, and was associated with neuroadaptive changes in the cerebellum, such as a striking reduction of the ectopically expressed mGlu5 receptors in Purkinje cells, increases in levels of total and Ser880-phosphorylated GluA2 subunit of AMPA receptors, and changes in the length of spines in the distal dendrites of Purkinje cells.
These data demonstrate that pharmacological enhancement of mGlu1 receptors causes a robust and sustained motor improvement in SCA1 mice, and lay the groundwork for the development of mGlu1 receptor PAMs as novel "cerebellum-specific", effective, and safe symptomatic drugs for the treatment of SCA1 in humans.
脊髓小脑共济失调 1 型(SCA1)是一种遗传性疾病,其特征为严重的共济失调,伴有小脑浦肯野细胞进行性丧失。代谢型谷氨酸受体 1(mGlu1)在小脑内活动依赖性突触可塑性的机制中发挥关键作用,其功能障碍与 SCA1 相关运动症状的病理生理学有关。我们使用 SCA1 杂合转基因小鼠(Q154/Q2)作为模型,检验以下假说:增强 mGlu1 受体功能的药物可能是治疗 SCA1 的良好候选药物。
30 周龄的有症状 SCA1 小鼠的小脑 mGlu1 受体 mRNA 和蛋白水平降低。有趣的是,这些小鼠的小脑浦肯野细胞也表现出强烈的 mGlu5 受体表达,而这些受体通常不存在于这些细胞中。用代谢型谷氨酸受体 1 正变构调节剂(PAM)Ro0711401(10mg/kg,皮下注射)对 SCA1 小鼠进行全身治疗,可使旋转棒和爪印测试的运动表现得到长期改善。单次注射 Ro0711401 可使运动症状改善数天,且对药物无耐受性。相比之下,mGlu5 受体 PAM VU0360172(10mg/kg,皮下注射)仅引起运动症状的短暂改善,而 mGlu1 受体拮抗剂 JNJ16259685(2.5mg/kg,腹腔注射)则进一步损害 SCA1 小鼠的运动能力。Ro0711401 引起的长期症状改善持续时间超过了药物从小脑清除的时间,并且与小脑的神经适应性变化有关,例如浦肯野细胞中异常表达的 mGlu5 受体显著减少、AMPA 受体的总和 Ser880 磷酸化 GluA2 亚基水平增加以及浦肯野细胞远端树突棘的长度变化。
这些数据表明,代谢型谷氨酸受体 1 的药理学增强可引起 SCA1 小鼠的运动能力得到强大且持续的改善,为开发代谢型谷氨酸受体 1 PAM 作为治疗人类 SCA1 的新型“小脑特异性”有效和安全的对症药物奠定了基础。