Identification of a Rapid-Throughput Battery of Pheontypic Tests for Drug Candidate Evaluation in the Δ-7 Mouse Model of Spinal Muscular Atrophy

B. El-Khodor, N. Edgar, A. Chen, M.P. Heyes
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Abstract

Spinal muscular atrophy (SMA) is characterized by selective loss of α-motor neurons and is caused by homozygous loss or mutation in the telomeric survival motor neuron (SMN1) gene. Currently, there are no specific treatments for SMA. Drugs that improve α-motor neuron survival and/or connectivity are potential therapeutic candidates. A high capacity and practical in vivo assessment system in the neonates (as early as the day of birth) is important to identify and evaluate therapeutic candidates. Key features of SMA are modeled in mice by deletion of the smn gene and insertion of the human SMN2 gene (smn–/–; SMN2+/+). Incorporation of the Δ7 gene into this SMA model improves survival into a more experimentally useful range of symptom progression, severity and drug administration protocols (see Le et al., Hum. Mol. Genet. 14: 845, 2005). In the present study, SMA model mice (smn–/–; SMN2+/+; Δ7+/+) and control mice (smn+/+; SMN2+/+; Δ7+/+) were assessed daily for body weight and survival, and every other day for muscle tone, respiratory rate, gasping, degree of cyanosis, stomach milk content, and performance in a geotaxis test. Hind limb measures of strength, stamina, and general muscle tone were also evaluated. Around postnatal day 7, SMA mice showed lower body weights than controls and had a mean survival time of 13.5 days, as reported previously (Le et al., 2005). SMA mice did not acquire the ability to perform the geotaxis test and exhibited consistently hypotonic hind limbs. Other parameters were more variable and impaired at later time points. Furthermore, there was a significant correlation between body weight change and survival, which predicted the day of death within a 1-2 day period. This battery of tests in the Δ7 mouse model of SMA provides a rapid throughput and efficient means to identify, evaluate, and develop candidate therapies as a prelude to human clinical trials.

在Δ-7小鼠脊髓性肌萎缩症模型中鉴定一种快速通量表型试验用于候选药物评价
脊髓性肌萎缩症(SMA)以α-运动神经元的选择性缺失为特征,是由端粒存活运动神经元(SMN1)基因纯合缺失或突变引起的。目前,还没有针对SMA的特殊治疗方法。改善α-运动神经元存活和/或连通性的药物是潜在的治疗候选药物。一个高容量和实用的新生儿体内评估系统(早在出生之日)对于确定和评估治疗方案非常重要。通过删除smn基因和插入人类SMN2基因(smn - / -;SMN2 + / +)。将Δ7基因纳入这种SMA模型,可提高生存率,使其在症状进展、严重程度和药物给药方案的实验范围内更有用(见Le等人,Hum。医学杂志,14:845,2005)。在本研究中,SMA模型小鼠(smn - / -;SMN2 + / +;Δ7+/+)和对照小鼠(smn+/+;SMN2 + / +;Δ7+/+)每天评估体重和存活率,每隔一天评估肌肉张力、呼吸频率、喘息、发绀程度、胃奶含量和地向性测试的表现。后肢的力量、耐力和一般肌肉张力也被评估。在出生后第7天左右,SMA小鼠的体重低于对照组,平均存活时间为13.5天(Le et al., 2005)。SMA小鼠没有获得进行地向性测试的能力,并表现出一贯的后肢低张力。其他参数变化更大,在较晚的时间点受损。此外,体重变化与生存率之间存在显著相关性,可预测1-2天内的死亡日期。这一系列在Δ7小鼠SMA模型中的测试提供了一种快速、高效的方法来识别、评估和开发候选疗法,作为人体临床试验的前奏。
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