Nebulization of low-dose aspirin ameliorates Huntington’s pathology in N171-82Q transgenic mice

S. Mondal, Shelby Prieto, Suresh B. Rangasamy, Debashis Dutta, K. Pahan
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Abstract

Huntington Disease (HD), a devastating hereditary neurodegenerative disorder, is caused by expanded CAG trinucleotide repeats in the huntingtin gene (Htt) on chromosome 4. Currently, there is no effective therapy for HD. Although aspirin, acetylsalicylic acid, is one of the most widely-used analgesics throughout the world, it has some side effects. Even at low doses, oral aspirin can cause gastrointestinal symptoms, such as heartburn, upset stomach, or pain. Therefore, to bypass the direct exposure of aspirin to stomach, here, we described a new mode of use of aspirin and demonstrated that nebulization of low-dose of aspirin (10 μg/mouse/d=0.4 mg/kg body wt/d roughly equivalent to 28 mg/adult human/d) alleviated HD pathology in N171-82Q transgenic mice. Our immunohistochemical and western blot studies showed that daily aspirin nebulization significantly reduced glial activation, inflammation and huntingtin pathology in striatum and cortex of N171-82Q mice. Aspirin nebulization also protected transgenic mice from brain volume shrinkage and improved general motor behaviors. Collectively, these results highlight that nebulization of low-dose aspirin may have therapeutic potential in the treatment of HD.
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雾化低剂量阿司匹林可改善 N171-82Q 转基因小鼠的亨廷顿病理变化
亨廷顿舞蹈症(Huntington Disease,HD)是一种严重的遗传性神经退行性疾病,由第 4 号染色体上的亨廷丁基因(Hunt)中的 CAG 三核苷酸重复序列扩增引起。目前,HD 尚无有效的治疗方法。虽然阿司匹林(乙酰水杨酸)是世界上使用最广泛的镇痛药之一,但它也有一些副作用。即使剂量很小,口服阿司匹林也会引起胃肠道症状,如胃灼热、胃部不适或疼痛。因此,为了避免阿司匹林直接暴露于胃部,我们在此描述了一种新的阿司匹林使用模式,并证明低剂量阿司匹林(10 μg/小鼠/天=0.4 mg/kg体重/天,大致相当于28 mg/成人/天)雾化可减轻N171-82Q转基因小鼠的HD病理变化。我们的免疫组化和 Western 印迹研究表明,每日雾化吸入阿司匹林可显著减少 N171-82Q 小鼠纹状体和皮层中的神经胶质活化、炎症和亨廷蛋白病理变化。阿司匹林雾化治疗还能保护转基因小鼠免于脑容量缩小,并改善一般运动行为。总之,这些结果突出表明,雾化吸入低剂量阿司匹林可能具有治疗 HD 的潜力。
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