Department of Neurosciences, Case Western Reserve University, Cleveland, Ohio 44106-4928.
Functional Neuroimaging Laboratory, Istituto Italiano di Tecnologia, Center for Neuroscience and Cognitive Systems at Instituto Italiano di Tecnologia, 38068 Rovereto, Italy.
J Neurosci. 2018 Jul 25;38(30):6640-6652. doi: 10.1523/JNEUROSCI.0515-17.2018. Epub 2018 Jun 22.
The human microdeletion is one of the most common gene copy number variations linked to autism, but the pathophysiology associated with this chromosomal abnormality is largely unknown. The 593 kb deletion contains the ERK1 gene and other genes that converge onto the ERK/MAP kinase pathway. Perturbations in ERK signaling are linked to a group of related neurodevelopmental disorders hallmarked by intellectual disability, including autism. We report that mice harboring the deletion exhibit a paradoxical elevation of ERK activity, cortical cytoarchitecture abnormalities and behavioral deficits. Importantly, we show that treatment with a novel ERK pathway inhibitor during a critical period of brain development rescues the molecular, anatomical and behavioral deficits in the deletion mice. The ERK inhibitor treatment administered to adult mice ameliorates a subset of these behavioral deficits. Our findings provide evidence for potential targeted therapeutic intervention in deletion carriers. The ERK/MAPK pathway is genetically linked to autism spectrum disorders and other syndromes typified by intellectual disability. We provide direct evidence connecting the ERK/MAP kinases to the developmental abnormalities in neurogenesis and cortical cytoarchitecture associated with the chromosomal deletion. Most importantly, we demonstrate that treatment with a novel ERK-specific inhibitor during development rescues aberrant cortical cytoarchitecture and restores normal levels of cell-cycle regulators during cortical neurogenesis. These treatments partially reverse the behavioral deficits observed in the mouse model, including hyperactivity, memory as well as olfaction, and maternal behavior. We also report a rescue of a subset of these deficits upon treatment of adult mice. These data provide a strong rationale for therapeutic approaches to this disorder.
人类微缺失是与自闭症相关的最常见基因拷贝数变异之一,但与这种染色体异常相关的病理生理学在很大程度上尚不清楚。这个 593 kb 的缺失包含 ERK1 基因和其他集中在 ERK/MAP 激酶途径上的基因。ERK 信号的干扰与一组相关的神经发育障碍有关,这些障碍的特征是智力残疾,包括自闭症。我们报告说,携带缺失的小鼠表现出 ERK 活性的反常升高、皮质细胞结构异常和行为缺陷。重要的是,我们表明,在大脑发育的关键时期用一种新型的 ERK 途径抑制剂治疗可以挽救缺失小鼠的分子、解剖和行为缺陷。在成年小鼠中给予 ERK 抑制剂治疗可以改善这些行为缺陷的一部分。我们的发现为在缺失携带者中进行潜在的靶向治疗干预提供了证据。ERK/MAPK 途径与自闭症谱系障碍和其他以智力残疾为特征的综合征在遗传上有关。我们提供了直接证据,将 ERK/MAP 激酶与与缺失相关的神经发生和皮质细胞结构异常相关的发育异常联系起来。最重要的是,我们证明在发育过程中用一种新型的 ERK 特异性抑制剂治疗可以挽救异常的皮质细胞结构,并在皮质神经发生过程中恢复正常的细胞周期调节剂水平。这些治疗方法部分逆转了在缺失小鼠模型中观察到的行为缺陷,包括过度活跃、记忆和嗅觉以及母性行为。我们还报告说,在治疗成年缺失小鼠时,这些缺陷中的一部分得到了挽救。这些数据为针对这种疾病的治疗方法提供了强有力的依据。