Thalidomide and Lenalidomide Extend Survival in a Transgenic Mouse Model of Amyotrophic Lateral Sclerosis

Accumulating evidence suggests that inflammation plays a major role in the pathogenesis of motor neuron death in amyotrophic lateral sclerosis (ALS). Important mediators of inflammation such as the cytokine tumor necrosis factor-alpha (TNF-alpha) and its superfamily member fibroblast-associated cell...

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Veröffentlicht in:The Journal of neuroscience 2006-03, Vol.26 (9), p.2467-2473
Hauptverfasser: Kiaei, Mahmoud, Petri, Susanne, Kipiani, Khatuna, Gardian, Gabrielle, Choi, Dong-Kug, Chen, Junyu, Calingasan, Noel Y, Schafer, Peter, Muller, George W, Stewart, Charles, Hensley, Kenneth, Beal, M. Flint
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container_issue 9
container_start_page 2467
container_title The Journal of neuroscience
container_volume 26
creator Kiaei, Mahmoud
Petri, Susanne
Kipiani, Khatuna
Gardian, Gabrielle
Choi, Dong-Kug
Chen, Junyu
Calingasan, Noel Y
Schafer, Peter
Muller, George W
Stewart, Charles
Hensley, Kenneth
Beal, M. Flint
description Accumulating evidence suggests that inflammation plays a major role in the pathogenesis of motor neuron death in amyotrophic lateral sclerosis (ALS). Important mediators of inflammation such as the cytokine tumor necrosis factor-alpha (TNF-alpha) and its superfamily member fibroblast-associated cell-surface ligand (FasL) have been implicated in apoptosis. We found increased TNF-alpha and FasL immunoreactivity in lumbar spinal cord sections of ALS patients and G93A transgenic mice. Both increased TNF-alpha and FasL immunostaining in the lumbar spinal cord of the G93A SOD1 transgenic mice occurred at 40-60 d, well before the onset of symptoms and loss of motor neurons. We tested the neuroprotective effect of thalidomide and its analog lenalidomide, pharmacological agents that inhibit the expression of TNF-alpha and other cytokines by destabilizing their mRNA. Treatment with either thalidomide or lenalidomide attenuated weight loss, enhanced motor performance, decreased motor neuron cell death, and significantly increased the life span in G93A transgenic mice. Treated G93A mice showed a reduction in TNF-alpha and FasL immunoreactivity as well as their mRNA in the lumbar spinal cord. Both compounds also reduced interleukin (IL)-12p40, IL-1alpha, and IL-1beta and increased IL-RA and TGF-beta1 mRNA. Therefore, both thalidomide and lenalidomide bear promise as therapeutic interventions for the treatment of ALS.
doi_str_mv 10.1523/JNEUROSCI.5253-05.2006
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We tested the neuroprotective effect of thalidomide and its analog lenalidomide, pharmacological agents that inhibit the expression of TNF-alpha and other cytokines by destabilizing their mRNA. Treatment with either thalidomide or lenalidomide attenuated weight loss, enhanced motor performance, decreased motor neuron cell death, and significantly increased the life span in G93A transgenic mice. Treated G93A mice showed a reduction in TNF-alpha and FasL immunoreactivity as well as their mRNA in the lumbar spinal cord. Both compounds also reduced interleukin (IL)-12p40, IL-1alpha, and IL-1beta and increased IL-RA and TGF-beta1 mRNA. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adult
Aged
Amyotrophic Lateral Sclerosis - drug therapy
Amyotrophic Lateral Sclerosis - metabolism
Amyotrophic Lateral Sclerosis - mortality
Analysis of Variance
Animals
Cell Count
Cytokines - metabolism
Disease Models, Animal
Dose-Response Relationship, Drug
Fas Ligand Protein
Female
Fluorescent Antibody Technique - methods
Glial Fibrillary Acidic Protein - metabolism
Humans
Immunosuppressive Agents - therapeutic use
Male
Membrane Glycoproteins - metabolism
Mice
Mice, Transgenic
Middle Aged
Motor Activity - drug effects
Motor Activity - physiology
Neurons - pathology
Reverse Transcriptase Polymerase Chain Reaction - methods
RNA, Messenger - metabolism
Rotarod Performance Test - methods
Superoxide Dismutase - genetics
Survival
Thalidomide - analogs & derivatives
Thalidomide - therapeutic use
Time Factors
Tumor Necrosis Factor-alpha - metabolism
Tumor Necrosis Factors - metabolism
title Thalidomide and Lenalidomide Extend Survival in a Transgenic Mouse Model of Amyotrophic Lateral Sclerosis
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