The Picower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA, USA.
MIND Institute, Department of Psychiatry and Behavioral Sciences, University of California Davis School of Medicine, Sacramento, CA, USA.
Neuropsychopharmacology. 2018 Feb;43(3):513-524. doi: 10.1038/npp.2017.236. Epub 2017 Oct 6.
Human chromosome 16p11.2 microdeletion is among the most common gene copy number variations (CNVs) known to confer risk for intellectual disability (ID) and autism spectrum disorder (ASD) and affects an estimated 3 in 10 000 people. Caused by a single copy deletion of ~27 genes, 16p11.2 microdeletion syndrome is characterized by ID, impaired language, communication and socialization skills, and ASD. Studies in animal models where a single copy of the syntenic 16p11.2 region has been deleted have revealed morphological, behavioral, and electrophysiological abnormalities. Previous studies suggested the possibility of some overlap in the mechanisms of pathophysiology in 16p11.2 microdeletion syndrome and fragile X syndrome. Improvements in fragile X phenotypes have been observed following chronic treatment with R-baclofen, a selective agonist of GABA receptors. We were therefore motivated to investigate the effects of chronic oral R-baclofen administration in two independently generated mouse models of 16p11.2 microdeletion syndrome. In studies performed across two independent laboratories, we found that chronic activation of GABA receptors improved performance on a series of cognitive and social tasks known to be impaired in two different 16p11.2 deletion mouse models. Our findings suggest that R-baclofen may have clinical utility for some of the core symptoms of human 16p11.2 microdeletion syndrome.
人类 16p11.2 微缺失是已知导致智力障碍 (ID) 和自闭症谱系障碍 (ASD) 风险的最常见基因拷贝数变异 (CNV) 之一,估计每 10000 人中就有 3 人受到影响。16p11.2 微缺失综合征是由 ~27 个基因的单个拷贝缺失引起的,其特征为 ID、语言障碍、沟通和社交技能受损以及 ASD。在动物模型中,对同源的 16p11.2 区域的单个拷贝进行删除的研究揭示了形态、行为和电生理异常。先前的研究表明,在 16p11.2 微缺失综合征和脆性 X 综合征的病理生理学机制中存在一些重叠的可能性。R-巴氯芬是 GABA 受体的选择性激动剂,对脆性 X 表型的慢性治疗已观察到改善。因此,我们有动机在两个独立生成的 16p11.2 微缺失综合征小鼠模型中研究慢性口服 R-巴氯芬的作用。在两个独立实验室进行的研究中,我们发现 GABA 受体的慢性激活改善了两个不同的 16p11.2 缺失小鼠模型中已知受损的一系列认知和社会任务的表现。我们的研究结果表明,R-巴氯芬可能对人类 16p11.2 微缺失综合征的一些核心症状具有临床应用价值。