促进神经调节蛋白 1 Ⅲ型表达可加速 SMA 运动轴突成熟。
Boosting neuregulin 1 type-III expression hastens SMA motor axon maturation.
机构信息
Departments of Neurology, Johns Hopkins University School of Medicine, 855 North Wolfe Street, Rangos Building Room 234, Baltimore, MD, 21205, USA.
Carl-Ludwig-Institute for Physiology, Leipzig University, Leipzig, Germany.
出版信息
Acta Neuropathol Commun. 2023 Mar 30;11(1):53. doi: 10.1186/s40478-023-01551-8.
Intercellular communication between axons and Schwann cells is critical for attaining the complex morphological steps necessary for axon maturation. In the early onset motor neuron disease spinal muscular atrophy (SMA), many motor axons are not ensheathed by Schwann cells nor grow sufficiently in radial diameter to become myelinated. These developmentally arrested motor axons are dysfunctional and vulnerable to rapid degeneration, limiting efficacy of current SMA therapeutics. We hypothesized that accelerating SMA motor axon maturation would improve their function and reduce disease features. A principle regulator of peripheral axon development is neuregulin 1 type III (NRG1-III). Expressed on axon surfaces, it interacts with Schwann cell receptors to mediate axon ensheathment and myelination. We examined NRG1 mRNA and protein expression levels in human and mouse SMA tissues and observed reduced expression in SMA spinal cord and in ventral, but not dorsal root axons. To determine the impact of neuronal NRG1-III overexpression on SMA motor axon development, we bred NRG1-III overexpressing mice to SMA∆7 mice. Neonatally, elevated NRG1-III expression increased SMA ventral root size as well as axon segregation, diameter, and myelination resulting in improved motor axon conduction velocities. NRG1-III was not able to prevent distal axonal degeneration nor improve axon electrophysiology, motor behavior, or survival of older mice. Together these findings demonstrate that early SMA motor axon developmental impairments can be ameliorated by a molecular strategy independent of SMN replacement providing hope for future SMA combinatorial therapeutic approaches.
轴突和施万细胞之间的细胞间通讯对于获得轴突成熟所需的复杂形态步骤至关重要。在早发性运动神经元疾病脊髓性肌萎缩症 (SMA) 中,许多运动轴突未被施万细胞包裹,也没有充分径向生长以实现髓鞘化。这些发育性阻滞的运动轴突功能失调且容易快速退化,限制了当前 SMA 治疗的疗效。我们假设加速 SMA 运动轴突成熟将改善其功能并减少疾病特征。神经调节蛋白 1 型 III (NRG1-III) 是周围轴突发育的主要调节因子。它在轴突表面表达,与施万细胞受体相互作用,介导轴突包绕和髓鞘形成。我们检查了人类和小鼠 SMA 组织中的 NRG1 mRNA 和蛋白表达水平,观察到 SMA 脊髓和腹根,而不是背根中的表达减少。为了确定神经元 NRG1-III 过表达对 SMA 运动轴突发育的影响,我们将 NRG1-III 过表达小鼠与 SMA∆7 小鼠杂交。NRG1-III 的过表达增加了 SMA 腹根的大小以及轴突分离、直径和髓鞘形成,从而提高了运动轴突的传导速度。NRG1-III 不能防止远端轴突退化,也不能改善轴突电生理、运动行为或老年小鼠的存活。这些发现表明,早期 SMA 运动轴突发育障碍可以通过一种独立于 SMN 替代的分子策略得到改善,为未来 SMA 联合治疗方法提供了希望。