Centre for Discovery Brain Sciences, University of Edinburgh, Edinburgh EH8 9XD, UK.
Simons Initiative for the Developing Brain, University of Edinburgh, Edinburgh EH8 9XD, UK.
Sci Transl Med. 2019 May 29;11(494). doi: 10.1126/scitranslmed.aao0498.
Fragile X Syndrome (FXS) is one of the most common monogenic forms of autism and intellectual disability. Preclinical studies in animal models have highlighted the potential of pharmaceutical intervention strategies for alleviating the symptoms of FXS. However, whether treatment strategies can be tailored to developmental time windows that define the emergence of particular phenotypes is unknown. Similarly, whether a brief, early intervention can have long-lasting beneficial effects, even after treatment cessation, is also unknown. To address these questions, we first examined the developmental profile for the acquisition of associative learning in a rat model of FXS. Associative memory was tested using a range of behavioral paradigms that rely on an animal's innate tendency to explore novelty. knockout (KO) rats showed a developmental delay in their acquisition of object-place recognition and did not demonstrate object-place-context recognition paradigm at any age tested (up to 23 weeks of age). Treatment of KO rats with lovastatin between 5 and 9 weeks of age, during the normal developmental period that this associative memory capability is established, prevents the emergence of deficits but has no effect in wild-type animals. Moreover, we observe no regression of cognitive performance in the FXS rats over several months after treatment. This restoration of the normal developmental trajectory of cognitive function is associated with the sustained rescue of both synaptic plasticity and altered protein synthesis. The findings provide proof of concept that the impaired emergence of the cognitive repertoire in neurodevelopmental disorders may be prevented by brief, early pharmacological intervention.
脆性 X 综合征 (FXS) 是最常见的单基因形式的自闭症和智力残疾之一。动物模型的临床前研究强调了药物干预策略缓解 FXS 症状的潜力。然而,治疗策略是否可以针对定义特定表型出现的发育时间窗口进行调整尚不清楚。同样,短暂的早期干预是否可以产生持久的有益效果,即使在治疗停止后,也尚不清楚。为了解决这些问题,我们首先检查了 FXS 大鼠模型中联想学习获得的发育情况。通过一系列依赖动物探索新奇本能的行为范式来测试联想记忆。 敲除 (KO) 大鼠在物体位置识别的获得中表现出发育延迟,并且在测试的任何年龄(高达 23 周龄)都没有表现出物体位置上下文识别范式。在正常发育期间(在此期间建立了这种联想记忆能力),在 5 至 9 周龄期间用 lovastatin 治疗 KO 大鼠可预防缺陷的出现,但对野生型动物没有影响。此外,我们在治疗后数月内未观察到 FXS 大鼠认知表现的倒退。认知功能正常发育轨迹的这种恢复与突触可塑性和改变的蛋白质合成的持续挽救有关。这些发现提供了概念验证,即短暂的早期药物干预可能预防神经发育障碍中认知能力的出现受损。