Centro de Investigaciones Biológicas Margarita Salas-CSIC, Madrid, Spain.
Instituto Cajal-CSIC, Madrid, Spain.
CNS Neurosci Ther. 2024 Jan;30(1):e14552. doi: 10.1111/cns.14552.
Multiple sclerosis (MS) is a chronic neurological disease that currently lacks effective curative treatments. There is a need to find effective therapies, especially to reverse the progressive demyelination and neuronal damage. Oligodendrocytes form the myelin sheath around axons in the central nervous system (CNS) and oligodendrocyte precursor cells (OPCs) undergo mechanisms that enable spontaneously the partial repair of damaged lesions. The aim of this study was to discover small molecules with potential effects in demyelinating diseases, including (re)myelinating properties.
Recently, it has been shown how LRRK2 inhibition promotes oligodendrogliogenesis and therefore an efficient repair or myelin damaged lesions. Here we explored small molecules inhibiting LRRK2 as potential enhancers of primary OPCs proliferation and differentiation, and their potential impact on the clinical score of experimental autoimmune encephalomyelitys (EAE) mice, a validated model of the most frequent clinical form of MS, relapsing-remitting MS.
One of the LRRK2 inhibitors presented in this study promoted the proliferation and differentiation of OPC primary cultures. When tested in the EAE murine model of MS, it exerted a statistically significant reduction of the clinical burden of the animals, and histological evidence revealed how the treated animals presented a reduced lesion area in the spinal cord.
For the first time, a small molecule with LRRK2 inhibition properties presented (re)myelinating properties in primary OPCs cultures and potentially in the in vivo murine model. This study provides an in vivo proof of concept for a LRRK2 inhibitor, confirming its potential for the treatment of MS.
多发性硬化症(MS)是一种慢性神经系统疾病,目前缺乏有效的治疗方法。需要寻找有效的治疗方法,尤其是逆转进行性脱髓鞘和神经元损伤。少突胶质细胞在中枢神经系统(CNS)中形成轴突周围的髓鞘,少突胶质前体细胞(OPC)经历了一些机制,使受损病变能够自发地进行部分修复。本研究旨在发现具有脱髓鞘疾病潜在作用的小分子,包括(再)髓鞘形成特性。
最近,已经表明 LRRK2 抑制如何促进少突胶质细胞发生,从而有效地修复或髓鞘受损的病变。在这里,我们探索了抑制 LRRK2 的小分子作为原发性 OPC 增殖和分化的潜在增强剂,以及它们对实验性自身免疫性脑脊髓炎(EAE)小鼠的临床评分的潜在影响,EAE 是最常见的临床形式多发性硬化症(RRMS)的一种验证模型。
本研究中提出的一种 LRRK2 抑制剂促进了原代 OPC 培养物的增殖和分化。当在多发性硬化症的 EAE 小鼠模型中进行测试时,它表现出统计学上显著降低动物的临床负担,组织学证据表明,治疗动物的脊髓病变面积减少。
这是首次发现具有 LRRK2 抑制特性的小分子在原代 OPC 培养物中具有(再)髓鞘形成特性,并可能在体内小鼠模型中具有这种特性。本研究为 LRRK2 抑制剂提供了体内概念验证,证实了其治疗多发性硬化症的潜力。