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Intraspinal cord delivery of IGF-I mediated by adeno-associated virus 2 is neuroprotective in a rat model of familial ALS
Authors:Colin K Franz  Thais Federici  Jun Yang  Carey Backus  Sang Su Oh  Qingshan Teng  Erin Carlton  Kathie M Bishop  Mehdi Gasmi  Raymond T Bartus  Eva L Feldman  Nicholas M Boulis  
Institution:aDepartment of Neurosurgery, Emory University, 1365B Clifton Rd., NE, Ste. 6200 Atlanta, GA 30322, USA;bDepartment of Neuroscience and Center for Neurological Restoration, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA;cCeregene, Inc., 9381 Judicial Drive, Suite 130, San Diego, CA 92121, USA;dDepartment of Neurology, University of Michigan, 109 Zina Pitcher Place, Ann Arbor, MI 48109-0588, USA
Abstract:BackgroundAmyotrophic lateral sclerosis (ALS) is a devastating disease that is characterized by the progressive loss of motor neurons. Patients with ALS usually die from respiratory failure due to respiratory muscle paralysis. Consequently, therapies aimed at preserving segmental function of the respiratory motor neurons could extend life for these patients. Insulin-like growth factor-I (IGF-I) is known to be a potent survival factor for motor neurons. In this study we induced high levels of IGF-I expression in the cervical spinal cord of hSOD1G93A rats with intraspinal cord (ISC) injections of an adeno-associated virus serotype 2 vector (CERE-130). This approach reduced the extent of motor neuron loss in the treated segments of the spinal cord. However, a corresponding preservation of motor function was observed in male, but not female, hSOD1G93A rats. We conclude that ISC injection of CERE-130 has the potential to protect motor neurons and preserve neuromuscular function in ALS.
Keywords:Amyotrophic lateral sclerosis  Insulin-like growth factor-I  Motor neuron  Neuroprotection  Spinal cord  Gene therapy  Adeno-associated virus  Neurodegeneration  Cell death  Motor performance  hSOD1G93A rat
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