Lavigna Giada, Grasso Anna, Pasini Chiara, Grande Valentina, Mignogna Laura, Restelli Elena, Masone Antonio, Fracasso Claudia, Lucchetti Jacopo, Gobbi Marco, Chiesa Roberto
Department of Neuroscience, Laboratory of Prion Neurobiology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Department of Molecular Biochemistry and Pharmacology, Laboratory of Pharmacodynamics and Pharmacokinetics, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
PLoS One. 2025 Jan 13;20(1):e0317404. doi: 10.1371/journal.pone.0317404. eCollection 2025.
There is no cure for Marinesco-Sjögren syndrome (MSS), a genetic multisystem disease linked to loss-of-function mutations in the SIL1 gene, encoding a BiP co-chaperone. Previously, we showed that the PERK kinase inhibitor GSK2606414 delays cerebellar Purkinje cell (PC) degeneration and the onset of ataxia in the woozy mouse model of MSS. However, GSK2606414 is toxic to the pancreas and does not completely rescue the woozy phenotype. The present study tested trazodone and dibenzoylmethane (DBM), which partially inhibit PERK signaling with neuroprotective effects and no pancreatic toxicity. We also tested the chemical chaperone tauroursodeoxycholic acid (TUDCA), which protects MSS patients' cells from stress-induced apoptosis. Mice were chronically treated for five weeks, starting from a presymptomatic stage. Trazodone was given 40 mg/kg daily by intraperitoneal (ip) injection. DBM was given 0.5% in the diet ad libitum. TUDCA was given either 0.4% in the diet, or 500 mg/kg ip every three days. None of the treatments prevented motor dysfunction or PC degeneration in woozy mice, as assessed by beam walking, rotarod test, and calbindin immunohistochemistry. Only trazodone slightly boosted beam walking performance, but this effect was not related to inhibition of PERK signaling. Pharmacokinetic studies excluded that the lack of effect was due to altered drug metabolism in woozy mice. These results indicate that trazodone, DBM and TUDCA, at dosing regimens active in other neurodegenerative disease mouse models, have no disease-modifying effect in a preclinical model of MSS. This underscores the difficulty of translating neuroprotective strategies from other conditions to MSS, highlighting the need for more targeted therapeutic approaches.
Marinesco-Sjögren综合征(MSS)无法治愈,这是一种遗传性多系统疾病,与SIL1基因的功能丧失突变有关,该基因编码一种BiP共伴侣蛋白。此前,我们发现PERK激酶抑制剂GSK2606414可延缓MSS的woozy小鼠模型中小脑浦肯野细胞(PC)的退化和共济失调的发作。然而,GSK2606414对胰腺有毒性,不能完全挽救woozy表型。本研究测试了曲唑酮和二苯甲酰甲烷(DBM),它们部分抑制PERK信号传导,具有神经保护作用且无胰腺毒性。我们还测试了化学伴侣牛磺熊去氧胆酸(TUDCA),它可保护MSS患者的细胞免受应激诱导的凋亡。从症状前期开始,对小鼠进行为期五周的长期治疗。曲唑酮通过腹腔注射(ip)每天给予40mg/kg。DBM以0.5%的比例随意添加到饮食中。TUDCA要么以0.4%的比例添加到饮食中,要么每三天腹腔注射500mg/kg。通过光束行走、转棒试验和钙结合蛋白免疫组织化学评估,没有一种治疗方法能预防woozy小鼠的运动功能障碍或PC退化。只有曲唑酮略微提高了光束行走性能,但这种效果与抑制PERK信号传导无关。药代动力学研究排除了缺乏效果是由于woozy小鼠药物代谢改变所致。这些结果表明,在其他神经退行性疾病小鼠模型中具有活性的给药方案下,曲唑酮、DBM和TUDCA对MSS的临床前模型没有疾病改善作用。这凸显了将神经保护策略从其他疾病转化应用于MSS的困难,强调了需要更有针对性的治疗方法。
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