Early-onset sleep alterations found in patients with amyotrophic lateral sclerosis are ameliorated by orexin antagonist in mouse models

IF 14.6 1区 医学 Q1 CELL BIOLOGY Science Translational Medicine Pub Date : 2025-01-29 DOI:10.1126/scitranslmed.adm7580
Simon J. Guillot, Christina Lang, Marie Simonot, Daniel Beckett, Dorothée Lulé, Luisa T. Balz, Antje Knehr, Geoffrey Stuart-Lopez, Pauline Vercruysse, Stéphane Dieterlé, Patrick Weydt, Johannes Dorst, Katharina Kandler, Jan Kassubek, Laura Wassermann, Caroline Rouaux, Sébastien Arthaud, Sandrine Da Cruz, Pierre-Hervé Luppi, Francesco Roselli, Albert C. Ludolph, Luc Dupuis, Matei Bolborea
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Abstract

Sleep alterations have been described in several neurodegenerative diseases yet are currently poorly characterized in amyotrophic lateral sclerosis (ALS). This study investigates sleep macroarchitecture and related hypothalamic signaling disruptions in ALS. Using polysomnography, we found that both patients with ALS as well as asymptomatic C9ORF72 and SOD1 mutation carriers exhibited increased wakefulness and reduced non–rapid eye movement sleep. Increased wakefulness correlated with diminished cognitive performance in both clinical cohorts. Similar changes in sleep macroarchitecture were observed in three ALS mouse models (Sod1G86R, FusΔNLS/+, and TDP43Q331K). A single oral administration of a dual-orexin receptor antagonist or intracerebroventricular delivery of melanin-concentrating hormone (MCH) through an osmotic pump over 15 days partially normalized sleep patterns in mouse models. MCH treatment did not extend the survival of Sod1G86R mice but did decrease the loss of lumbar motor neurons. These findings suggest MCH and orexin signaling as potential targets to treat sleep alterations that arise in early stages of the disease.

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在小鼠模型中,食欲素拮抗剂改善了肌萎缩性侧索硬化症患者早发性睡眠改变
睡眠改变已在几种神经退行性疾病中被描述,但目前在肌萎缩性侧索硬化症(ALS)中却很少被描述。本研究探讨了ALS患者的睡眠宏观结构和相关的下丘脑信号中断。使用多导睡眠图,我们发现ALS患者以及无症状的C9ORF72和SOD1突变携带者都表现出觉醒增加和非快速眼动睡眠减少。在两个临床队列中,清醒程度增加与认知能力下降相关。在三种ALS小鼠模型(Sod1 G86R, Fus Δ NLS/+和TDP43 Q331K)中观察到类似的睡眠宏观结构变化。单次口服双食欲素受体拮抗剂或通过渗透泵在脑室内给予黑色素浓缩激素(MCH)超过15天,部分使小鼠模型的睡眠模式正常化。MCH治疗并没有延长Sod1 G86R小鼠的存活时间,但确实减少了腰椎运动神经元的损失。这些发现表明,MCH和食欲素信号是治疗该病早期出现的睡眠改变的潜在靶点。
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来源期刊
Science Translational Medicine
Science Translational Medicine CELL BIOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
CiteScore
26.70
自引率
1.20%
发文量
309
审稿时长
1.7 months
期刊介绍: Science Translational Medicine is an online journal that focuses on publishing research at the intersection of science, engineering, and medicine. The goal of the journal is to promote human health by providing a platform for researchers from various disciplines to communicate their latest advancements in biomedical, translational, and clinical research. The journal aims to address the slow translation of scientific knowledge into effective treatments and health measures. It publishes articles that fill the knowledge gaps between preclinical research and medical applications, with a focus on accelerating the translation of knowledge into new ways of preventing, diagnosing, and treating human diseases. The scope of Science Translational Medicine includes various areas such as cardiovascular disease, immunology/vaccines, metabolism/diabetes/obesity, neuroscience/neurology/psychiatry, cancer, infectious diseases, policy, behavior, bioengineering, chemical genomics/drug discovery, imaging, applied physical sciences, medical nanotechnology, drug delivery, biomarkers, gene therapy/regenerative medicine, toxicology and pharmacokinetics, data mining, cell culture, animal and human studies, medical informatics, and other interdisciplinary approaches to medicine. The target audience of the journal includes researchers and management in academia, government, and the biotechnology and pharmaceutical industries. It is also relevant to physician scientists, regulators, policy makers, investors, business developers, and funding agencies.
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