Horae Gene Therapy Center, University of Massachusetts Medical School, Worcester, MA, USA.
Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
J Huntingtons Dis. 2022;11(4):391-406. doi: 10.3233/JHD-220526.
Huntington's disease (HD) is a fatal neurodegenerative autosomal dominant disorder with prevalence of 1 : 20000 that has no effective treatment to date. Translatability of candidate therapeutics could be enhanced by additional testing in large animal models because of similarities in brain anatomy, size, and immunophysiology. These features enable realistic pre-clinical studies of biodistribution, efficacy, and toxicity.
Here we non-invasively characterized alterations in brain white matter microstructure, neurochemistry, neurological status, and mutant Huntingtin protein (mHTT) levels in cerebrospinal fluid (CSF) of aged OVT73 HD sheep.
Similar to HD patients, CSF mHTT differentiates HD from normal sheep. Our results are indicative of a decline in neurological status, and alterations in brain white matter diffusion and spectroscopy metric that are more severe in aged female HD sheep. Longitudinal analysis of aged female HD sheep suggests that the decline is detectable over the course of a year. In line with reports of HD human studies, white matter alterations in corpus callosum correlates with a decline in gait of HD sheep. Moreover, alterations in the occipital cortex white matter correlates with a decline in clinical rating score. In addition, the marker of energy metabolism in striatum of aged HD sheep, shows a correlation with decline of clinical rating score and eye coordination.
This data suggests that OVT73 HD sheep can serve as a pre-manifest large animal model of HD providing a platform for pre-clinical testing of HD therapeutics and non-invasive tracking of the efficacy of the therapy.
亨廷顿病(HD)是一种致命的神经退行性常染色体显性遗传病,患病率为 1:20000,目前尚无有效的治疗方法。由于大脑解剖结构、大小和免疫生理学相似,候选治疗药物在大型动物模型中的额外测试可以提高其可翻译性。这些特征使生物分布、疗效和毒性的现实临床前研究成为可能。
在这里,我们非侵入性地描述了老年 OVT73 HD 绵羊脑白质微观结构、神经化学、神经状态和脑脊液(CSF)中突变亨廷顿蛋白(mHTT)水平的变化。
与 HD 患者一样,CSF mHTT 将 HD 与正常绵羊区分开来。我们的结果表明,神经状态下降,以及大脑白质扩散和光谱测量的改变,在老年雌性 HD 绵羊中更为严重。对老年雌性 HD 绵羊的纵向分析表明,这种下降在一年内是可检测到的。与 HD 人类研究的报告一致,胼胝体白质的改变与 HD 绵羊步态的下降相关。此外,枕叶皮质白质的改变与临床评分下降相关。此外,老年 HD 绵羊纹状体中能量代谢的标志物与临床评分下降和眼协调下降相关。
这些数据表明,OVT73 HD 绵羊可以作为 HD 的前显性大型动物模型,为 HD 治疗药物的临床前测试和治疗效果的非侵入性跟踪提供了一个平台。