Institute of Neurogenomics, Helmholtz Zentrum München GmbH - German Research Center for Environmental Health, Neuherberg, Germany.
Institute of Human Genetics, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
Mov Disord. 2021 Mar;36(3):558-569. doi: 10.1002/mds.28401. Epub 2020 Dec 31.
Restless legs syndrome (RLS) is a chronic sensorimotor disorder diagnosed by clinical symptoms. It is challenging to translate the diagnostic self-reported features of RLS to animals. To help researchers design their experiments, a task force was convened to develop consensus guidelines for experimental readouts in RLS animal models. The RLS clinical diagnostic criteria were used as a starting point. After soliciting additional important clinical features of RLS, a consensus set of methods and outcome measures intent on capturing these features-in the absence of a face-to-face interview-was generated and subsequently prioritized by the task force. These were, in turn, translated into corresponding methods and outcome measures for research on laboratory rats and mice and used to generate the final recommendations. The task force recommended activity monitoring and polysomnography as principal tools in assessing RLS-like behavior in rodents. Data derived from these methods were determined to be the preferred surrogate measures for the urge to move, the principal defining feature of RLS. The same tools may be used to objectively demonstrate sleep-state features highly associated with RLS, such as sleep disturbance and number and periodicity of limb movements. Pharmacological challenges and dietary or other manipulations that affect iron availability are desirable to aggravate or improve RLS-like behavior and lend greater confidence that the animal model being proffered replicates key clinical features of RLS. These guidelines provide the first consensus experimental framework for researchers to use when developing new rodent models of RLS. © 2020 International Parkinson and Movement Disorder Society.
不宁腿综合征(RLS)是一种通过临床症状诊断的慢性感觉运动障碍。将 RLS 的诊断性自述特征转化为动物模型非常具有挑战性。为了帮助研究人员设计实验,一个工作组被召集来制定 RLS 动物模型的实验评估共识指南。以 RLS 的临床诊断标准为起点。在征求了 RLS 的其他重要临床特征后,工作组制定了一套共识方法和结果测量指标,旨在在没有面对面访谈的情况下捕捉这些特征,并随后由工作组进行优先级排序。这些方法随后被转化为研究实验室大鼠和小鼠的相应方法和结果测量指标,并用于生成最终建议。工作组建议使用活动监测和多导睡眠描记术作为评估啮齿动物类 RLS 行为的主要工具。这些方法得出的数据被确定为评估移动欲望的首选替代指标,移动欲望是 RLS 的主要特征。同样的工具也可用于客观地证明与 RLS 高度相关的睡眠状态特征,如睡眠障碍、肢体运动的数量和周期性。影响铁可用性的药理学挑战和饮食或其他操作,有利于加重或改善类 RLS 行为,并更有信心表明所提出的动物模型复制了 RLS 的关键临床特征。这些指南为研究人员在开发新的 RLS 啮齿动物模型时提供了第一个共识实验框架。