Stimulation of S1PR5 with A-971432, a selective agonist, preserves blood-brain barrier integrity and exerts therapeutic effect in an animal model of Huntington's disease

Hum Mol Genet. 2018 Jul 15;27(14):2490-2501. doi: 10.1093/hmg/ddy153.

Abstract

Huntington's disease (HD) is the most common neurodegenerative disorder for which no effective cure is yet available. Although several agents have been identified to provide benefits so far, the number of therapeutic options remains limited with only symptomatic treatment available. Over the past few years, we have demonstrated that sphingolipid-based approaches may open the door to new and more targeted treatments for the disease. In this study, we investigated the therapeutic potential of stimulating sphingosine-1-phosphate (S1P) receptor 5 by the new selective agonist A-971432 (provided by AbbVie) in R6/2 mice, a widely used HD animal model. Chronic administration of low-dose (0.1 mg/kg) A-971432 slowed down the progression of the disease and significantly prolonged lifespan in symptomatic R6/2 mice. Such beneficial effects were associated with activation of pro-survival pathways (BDNF, AKT and ERK) and with reduction of mutant huntingtin aggregation. A-971432 also protected blood-brain barrier (BBB) homeostasis in the same mice. Interestingly, when administered early in the disease, before any overt symptoms, A-971432 completely protected HD mice from the classic progressive motor deficit and preserved BBB integrity. Beside representing a promising strategy to take into consideration for the development of alternative therapeutic options for HD, selective stimulation of S1P receptor 5 may be also seen as an effective approach to target brain vasculature defects in the disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood-Brain Barrier / drug effects*
  • Brain / drug effects
  • Brain / pathology
  • Brain-Derived Neurotrophic Factor / genetics
  • Disease Models, Animal
  • Extracellular Signal-Regulated MAP Kinases / genetics
  • Gene Expression Regulation / drug effects
  • Humans
  • Huntingtin Protein / genetics*
  • Huntington Disease / drug therapy*
  • Huntington Disease / genetics
  • Huntington Disease / pathology
  • Mice
  • Mice, Transgenic
  • Motor Activity / drug effects
  • Protein Aggregation, Pathological / drug therapy*
  • Protein Aggregation, Pathological / physiopathology
  • Proto-Oncogene Proteins c-akt / genetics
  • Receptors, Lysosphingolipid / agonists
  • Receptors, Lysosphingolipid / genetics*

Substances

  • Bdnf protein, mouse
  • Brain-Derived Neurotrophic Factor
  • Htt protein, mouse
  • Huntingtin Protein
  • Receptors, Lysosphingolipid
  • Proto-Oncogene Proteins c-akt
  • Extracellular Signal-Regulated MAP Kinases