aCSF, artificial cerebrospinal fluid

ACSF,人工脑脊液
  • 文章类型: Journal Article
    IIIB型粘多糖贮积症(MPSIIIB)是一种超级病,没有批准治疗的致命儿科疾病。它是由溶酶体酶α-N-乙酰氨基葡萄糖苷酶(NAGLU)编码基因中的突变引起的。Tralesinidasealfa(TA)是一种融合蛋白,由重组NAGLU和修饰的人胰岛素样生长因子2组成,正在开发作为MPSIIIB的酶替代疗法。由于MPSIIIB是儿科疾病的安全性/毒性,在幼年非人灵长类动物中评估了TA的药代动力学和生物分布,这些灵长类动物每周进行5次侧脑室(ICV)或单次静脉(IV)输注TA。由ICV慢速管理的TA,ICV等体积推注或静脉输注耐受性良好,在临床观察中没有观察到影响,心电图或眼科参数,或呼吸频率。观察到的药物相关变化仅限于ICV施用后CSF中和沿ICV导管轨道的细胞浸润增加。这些发现与功能变化无关,与ICV导管的使用有关。CSFPK谱在所有测试条件下是一致的,并且在ICV施用后TA广泛分布在CNS中。观察到抗药物抗体,但似乎并未显着影响对TA的暴露。血浆中TA浓度与直接与大池接触的大脑区域之间的相关性表明,淋巴引流可能是CNS中TA清除的原因。数据支持通过等体积推注ICV输注向患有MPSIIIB的儿科患者施用TA。
    Mucopolysaccharidosis Type IIIB (MPS IIIB) is an ultrarare, fatal pediatric disease with no approved therapy. It is caused by mutations in the gene encoding for lysosomal enzyme alpha-N-acetylglucosaminidase (NAGLU). Tralesinidase alfa (TA) is a fusion protein comprised of recombinant NAGLU and a modified human insulin-like growth factor 2 that is being developed as an enzyme replacement therapy for MPS IIIB. Since MPS IIIB is a pediatric disease the safety/toxicity, pharmacokinetics and biodistribution of TA were evaluated in juvenile non-human primates that were administered up to 5 weekly intracerebroventricular (ICV) or single intravenous (IV) infusions of TA. TA administered by ICV slow-, ICV isovolumetric bolus- or IV-infusion was well-tolerated, and no effects were observed on clinical observations, electrocardiographic or ophthalmologic parameters, or respiratory rates. The drug-related changes observed were limited to increased cell infiltrates in the CSF and along the ICV catheter track after ICV administration. These findings were not associated with functional changes and are associated with the use of ICV catheters. The CSF PK profiles were consistent across all conditions tested and TA distributed widely in the CNS after ICV administration. Anti-drug antibodies were observed but did not appear to significantly affect the exposure to TA. Correlations between TA concentrations in plasma and brain regions in direct contact with the cisterna magna suggest glymphatic drainage may be responsible for clearance of TA from the CNS. The data support the administration of TA by isovolumetric bolus ICV infusion to pediatric patients with MPS IIIB.
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  • 文章类型: Journal Article
    NFL-TBS.40-63肽是最近发现的源自轻神经丝链(NFL)的肽。在这项研究中,我们证明了生物素化-NFL-肽(BIOT-NFL)可以自发地在几种溶液中自我组装成组织良好的纳米纤维(大约5nm宽度和几微米长)。而典型的自组装没有系统地观察到其他肽有或没有偶联。通过表面张力测量在10-4mol/L下确定允许BIOT-NFL-肽聚集和自动缔合的临界聚集浓度。BIOT-NFL-肽的X射线散射也证明了其β-折叠结构,其可以促进参与自组装过程的分子间相互作用。通过透析膜研究检查了自组装BIOT-NFL-肽-纳米纤维的可能分解。我们进一步研究了由BIOT-NFL-肽形成的纳米纤维与金纳米颗粒之间的相互作用。有趣的是,在这些纳米颗粒和BIOT-NFL-肽之间证明了强烈的相互作用,从而形成了被金纳米颗粒隆重装饰的BIOT-NFL-肽-纳米纤维.最后,我们研究了与BIOT-NFL纳米纤维偶联的金纳米颗粒内化到F98大鼠胶质母细胞瘤细胞中,与非偶联对照金纳米颗粒相比增加了。所有这些结果表明该肽可以是用于靶向递送的有希望的治疗剂。
    NFL-TBS.40-63 peptide is a recently discovered peptide derived from the light neurofilament chain (NFL). In this study, we demonstrated that the Biotinylated-NFL-peptide (BIOT-NFL) can spontaneously self-assemble into well-organized nanofibers (approximately 5 nm width and several micrometers in length) in several solutions, whereas the typical self-assembly was not systematically observed from other peptides with or without coupling. The critical aggregation concentration that allows the BIOT-NFL-peptide to aggregate and auto associate was determined at 10-4 mol/L by surface tension measurements. X-ray scattering of BIOT-NFL-peptide also demonstrated its beta-sheet structure that can facilitate the intermolecular interactions involved in the self-assembly process. The possible disassembly of self-assembled BIOT-NFL-peptide-nanofibers was examined via a dialysis membrane study. We further investigated the interaction between nanofibers formed by BIOT-NFL-peptide and gold nanoparticles. Interestingly, a strong interaction was demonstrated between these nanoparticles and BIOT-NFL-peptide resulted in the formation of BIOT-NFL-peptide-nanofibers grandly decorated by gold nanoparticles. Finally, we investigated the internalization of gold nanoparticles coupled with BIOT-NFL-nanofibers into F98 rat glioblastoma cells, which was increased compared to the non-coupled control gold nanoparticles. All these results indicate that this peptide could be a promising therapeutic agent for targeted delivery.
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  • 文章类型: Journal Article
    神经活性物质或药理学试剂的位点特异性施用是神经学研究中的常规实践。为了促进慢性治疗,通常将颅内插管植入颅骨中。这些外科手术被广泛描述和记录为啮齿动物,作为最常见的动物模型,甚至经过多年的精炼。然而,对幼龄肉鸡第三脑室插管的正确程序的精确描述尚不清楚。这种缺席令人惊讶,因为鸡模型通常用于研究代谢和摄取的生理控制。此外,作为一种商业动物,在阐明饲料摄入和代谢的中心调节以优化肉鸡的饲养和生活条件方面也有特别的兴趣。作为摄食和代谢调节中心的脑核是弓形核,下丘脑腹内侧核,和下丘脑外侧,它们都位于第三脑室附近。这里,我们为7天大的肉鸡提供脑室内(i.c.v.)插管的完整方案,以及对啮齿动物i.c.v.插管取得的一些进展的审查,以及这些进展是否适用于鸡的插管。使用这里描述的外科手术,我们能够实现88%的正确植入成功率,死亡率低于1%(n=224)。•在7d龄肉鸡的第三脑室内植入管的详细程序。•在肉鸡中需要带有锚固螺钉的水泥帽,胶水不能提供足够的稳定性。•测试羧酸盐水泥和自粘树脂水泥作为甲基丙烯酸甲酯水泥的替代物。
    The site-specific administration of neuroactive substances or pharmacological agents is a routine practice in neurological studies. To facilitate chronic treatments intercranial cannulae are often implanted in the skull. These surgical procedures are widely described and well-documented for rodents, as the most common animal model, and even refined over the years. However, precise descriptions of proper procedure for third ventricle cannulation in young broiler chicks is not readily available. This absence is surprising, as chicken models are often used in the investigation of physiological control of the metabolism and ingestion. Furthermore, as a commercial animal, there is also a particular interest in elucidating the central regulation of feed intake and metabolism to optimize feeding and living conditions for broilers. The brain nuclei that serve as the regulatory centers of feeding and metabolism are the arcuate nucleus, the ventromedial hypothalamic nucleus, and the lateral hypothalamus, which are all located near the third ventricle. Here, we provide a full protocol for intracerebroventricular (i.c.v.) cannulation of 7-day old broiler chicks, as well as a review of some of the advances made in rodent i.c.v. cannulations and whether these advances are applicable to cannulations in chickens. Using the surgical procedure described here, we were able to achieve a success rate of proper implantation of 88%, with a mortality rate of less than 1% (n = 224).•Detailed procedure for i.c.v. canula implantation in the third ventricle of 7d-old broiler chicks.•Cement cap with anchoring screws is necessary in broilers, glue does not provide sufficient stability.•Carboxylate cement and self-adhesive resin cement were tested as an alternative for methyl methacrylate cement.
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  • 文章类型: Journal Article
    对血管对脑疾病发病机理的贡献的日益认识增加了对允许高分辨率成像和量化脑微血管的功能和结构变化的技术的需求。脑血管是非常敏感的结构,使他们容易受伤。此外,它们的独特特征是血脑屏障,并且在涉及脑血管接合的手术期间需要格外小心(即,开颅术)。使用最先进的设施,包括3D活体显微镜,我们在这里详细描述:•进行开颅手术和去除硬脑膜所需的步骤和设备,同时保持脑实质和血管完整。这使得能够进行长持续时间的活的和直接的软脑膜血管的监测和BBB渗透性的成像。•我们提出了开颅手术程序,该程序与小型啮齿动物的血管成像和血脑屏障监测相关且兼容。
    A growing awareness for vascular contribution to pathogenesis of brain diseases increases the need for techniques that allow high-resolution imaging and quantification of changes in function and structure of cerebral microvessels. Cerebral vessels are very sensitive structures, making them vulnerable for injury. In addition, they are uniquely characterized with the blood-brain barrier, and an extra caution is required during procedures that involve engagement of cerebral vessels (i.e., craniotomy). Using state of the art facilities, including 3D intravital microscope, we describe here in details:•The steps and equipment required for drilling a craniotomy and removing of the dura, while keeping brain parenchyma and vessels intact. This enables long duration of live and direct monitoring of pial vessels and imaging of BBB permeability.•We present the craniotomy procedure that relevant and compatible with imaging pial vessels and monitoring the blood-brain barrier in small rodents.
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  • 文章类型: Journal Article
    衰老导致认知障碍,其特征是海马功能降低,这与CA1突触的长期增强功能受损有关。这里,我们评估了富含加洛儿茶素没食子酸酯(GCG)的绿茶提取物(HTP-GTE)改善中老年晚期小鼠模型认知功能障碍的安全性和有效性.我们开发了一种新型的HTP-GTE,该HTP-GTE通过涉及加热的差向异构化富含GCG。我们比较了在年轻和老年雄性C57/BL6小鼠中口服常规绿茶和HTP-GTE的效果,并检查了与衰老过程相关的海马功能的变化。通过电生理实验评估功能结果以测量长期增强(LTP)。HTP-GTE通过恢复长期突触可塑性改善与年龄相关的认知障碍。我们还确定GCG是负责HTP-GTE效应的主要活性成分。改善与年龄相关的认知功能障碍的主要分子途径涉及蛋白激酶A(PKA),该蛋白激酶A已被HTP-GTE调节。因此,HTP-GTE作为膳食补充剂具有治疗潜力,可以通过调节LTP阈值来帮助在衰老过程的早期阶段挽救受损的认知功能。
    Aging leads to cognitive impairments characterized by reduced hippocampal functions that are associated with impairment of long-term potentiation of CA1 synapses. Here, we assessed the safety and efficacy of modified (-)-gallocatechin gallate (GCG)-enriched green tea extract (HTP-GTE) in ameliorating the cognitive dysfunctions in late middle-aged murine model. We developed a novel HTP-GTE that was enriched with GCG via epimerization that involved heating. We compared the effects of oral administrations of conventional green tea and HTP-GTE in young and aged male C57/BL6 mice, and examined the changes in the hippocampal functions related to aging process. The functional outcome was assessed by the electrophysiological experiments to measure the long-term potentiation (LTP). HTP-GTE improved the age-related cognitive impairments via restoring long-term synaptic plasticity. We also identified that GCG was the main active component responsible for the HTP-GTE effect. The main molecular pathway in ameliorating the age-related cognitive dysfunctions involved protein kinase A (PKA) which was shown to be modulated by HTP-GTE. Thus, HTP-GTE has a therapeutic potential as a dietary supplement which may aid to rescue the impaired cognitive functions at the early phase of aging process through the modulation of LTP threshold.
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  • 文章类型: Journal Article
    下丘脑外侧区(LHA)对于摄食行为至关重要,但主要在调节摄食方面进行了研究。对饮酒的关注相对较少。这部分是因为大多数LHA神经元同时促进摄食和饮酒,这表明摄入行为是一致的。一个值得注意的例外是表达神经降压素的LHA神经元(LHANts神经元):激活这些神经元会促进水的摄入,但会适度抑制摄食。在这里,我们研究了LHANts神经元的连通性,他们饮酒和喂养的必要性和充分性,以及时间和资源可用性如何影响他们对这些行为的调制。LHANts神经元在整个大脑中广泛投射,包括横向前视区(LPO),与调节饮酒行为有关的大脑区域。LHANts神经元还从与感测水合和能量状态有关的大脑区域接收输入。虽然LHANts神经元的激活不是维持稳态水或食物摄入所必需的,它在光周期中有选择性地促进饮酒,当摄取驱动较低时。在此期间激活LHANts神经元也增加了为水或可口液体工作的意愿,不管他们的卡路里含量。相比之下,黑暗周期中的LHANts神经元激活不会促进饮酒,但在这段时间内抑制进食。最后,我们证明了LHANts→LPO投影的激活足以介导饮酒行为,但如通常激活所有LHANts神经元后观察到的那样,不抑制摄食。总的来说,我们的工作表明LHANts神经元如何以及何时相反地调节摄取行为。
    The lateral hypothalamic area (LHA) is essential for ingestive behavior but has primarily been studied in modulating feeding, with comparatively scant attention on drinking. This is partly because most LHA neurons simultaneously promote feeding and drinking, suggesting that ingestive behaviors track together. A notable exception are LHA neurons expressing neurotensin (LHANts neurons): activating these neurons promotes water intake but modestly restrains feeding. Here we investigated the connectivity of LHANts neurons, their necessity and sufficiency for drinking and feeding, and how timing and resource availability influence their modulation of these behaviors. LHANts neurons project broadly throughout the brain, including to the lateral preoptic area (LPO), a brain region implicated in modulating drinking behavior. LHANts neurons also receive inputs from brain regions implicated in sensing hydration and energy status. While activation of LHANts neurons is not required to maintain homeostatic water or food intake, it selectively promotes drinking during the light cycle, when ingestive drive is low. Activating LHANts neurons during this period also increases willingness to work for water or palatable fluids, regardless of their caloric content. By contrast, LHANts neuronal activation during the dark cycle does not promote drinking, but suppresses feeding during this time. Finally, we demonstrate that the activation of the LHANts → LPO projection is sufficient to mediate drinking behavior, but does not suppress feeding as observed after generally activating all LHANts neurons. Overall, our work suggests how and when LHANts neurons oppositely modulate ingestive behaviors.
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  • 文章类型: Journal Article
    在青春期长期使用大麻会对大脑产生有害影响,这主要归因于δ-9-四氢大麻酚(Δ9-THC)激活大麻素-1受体(CB1R),大麻中的主要精神活性化合物。全身性服用Δ9-THC会抑制边缘前前额叶皮质(PL-PFC)中的乙酰胆碱释放。反过来,PL-PFC乙酰胆碱在CB1R靶向内源性大麻素调节的执行活动中起作用,它是由胆碱能刺激毒蕈碱-1受体(M1R)产生的。然而,在青少年男性中长期服用递增剂量的Δ9-THC对PL-PFC中M1和/或CB1受体的分布和功能的长期影响仍未解决.我们使用C57BL\\6J雄性小鼠,用媒介物或逐步增加日剂量Δ9-THC预处理,开始填补这一空白。电子显微镜免疫标记显示,质膜上有M1R免疫金颗粒,并在不同大小的树突和树突棘中与细胞质膜结合。这些树突状细胞接受来自未标记的突触输入,两个治疗组的PL-PFC中CB1R-和/或M1R-标记的轴突末端。然而,在接受Δ9-THC的小鼠的PL-PFC中,小树突中的总(质膜和细胞质)M1R金颗粒的大小依赖性减少。PL-PFC切片制剂中的全细胞电流钳记录进一步表明,青少年用Δ9-THC预处理会减弱超极化并增加局部毒蕈碱刺激产生的放电速率。在青春期重复施用Δ9-THC也减少了Y迷宫范例中的自发交替,该范例旨在测量成年小鼠的PFC依赖性记忆功能。我们的结果提供了新的信息,表明M1R与青少年滥用大麻导致的皮质功能障碍有关。
    Long-term cannabis use during adolescence has deleterious effects in brain that are largely ascribed to the activation of cannabinoid-1 receptors (CB1Rs) by delta-9-tetrahydrocannabinol (∆9-THC), the primary psychoactive compound in marijuana. Systemic administration of ∆9-THC inhibits acetylcholine release in the prelimbic-prefrontal cortex (PL-PFC). In turn, PL-PFC acetylcholine plays a role in executive activities regulated by CB1R-targeting endocannabinoids, which are generated by cholinergic stimulation of muscarinic-1 receptors (M1Rs). However, the long-term effects of chronic administration of increasing doses of ∆9-THC in adolescent males on the distribution and function of M1 and/or CB1 receptors in the PL-PFC remains unresolved. We used C57BL\\6J male mice pre-treated with vehicle or escalating daily doses of ∆9-THC to begin filling this gap. Electron microscopic immunolabeling showed M1R-immunogold particles on plasma membranes and in association with cytoplasmic membranes in varying sized dendrites and dendritic spines. These dendritic profiles received synaptic inputs from unlabeled, CB1R- and/or M1R-labeled axon terminals in the PL-PFC of both treatment groups. However, there was a size-dependent decrease in total (plasmalemmal and cytoplasmic) M1R gold particles in small dendrites within the PL-PFC of mice receiving ∆9-THC. Whole cell current-clamp recording in PL-PFC slice preparations further revealed that adolescent pretreatment with ∆9-THC attenuates the hyperpolarization and increases the firing rate produced by local muscarinic stimulation. Repeated administration of ∆9-THC during adolescence also reduced spontaneous alternations in a Y-maze paradigm designed for measures of PFC-dependent memory function in adult mice. Our results provide new information implicating M1Rs in cortical dysfunctions resulting from adolescent abuse of marijuana.
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  • 文章类型: Journal Article
    蓝斑(LC)是应激反应的关键节点,它的激活已被证明可以促进过度警惕和焦虑样行为。历史上,这种去甲肾上腺素能核被认为是同质的,具有高度发散的神经元,这些神经元集体运作以共同影响中枢神经系统的功能和行为状态。然而,近年来,LC已被确定为异质结构,其神经元支配离散的末端场,并有助于行为的不同方面。我们之前已经证明,在青春期后期的雄性大鼠中,急性创伤性应激源,同时身体约束和暴露于捕食者的气味,在背侧LC神经元的一部分中优先诱导c-Fos表达,并持续增加焦虑样行为。为了研究这些神经元对压力的行为反应和贡献,我们使用了逆行追踪的组合,全细胞膜片钳电生理学,和化学遗传学。在这里,我们表明,支配杏仁核(CeA)和内侧前额叶皮层(mPFC)的中央核的LC神经元在应激源暴露时经历了明显的电生理变化,并且在介导焦虑样行为中具有相反的作用。虽然神经支配CeA的神经元对压力的反应变得更加兴奋,并促进焦虑样行为,那些支配mPFC的人变得不那么兴奋,似乎促进了探索。这些发现表明,支配不同末端场的LC神经元对特定刺激具有独特的生理反应。此外,这些观察结果促进了对LC作为一个复杂和异质结构的理解,其神经元在各种行为形式中保持独特的作用。
    The locus coeruleus (LC) is a critical node in the stress response, and its activation has been shown to promote hypervigilance and anxiety-like behavior. This noradrenergic nucleus has historically been considered homogeneous with highly divergent neurons that operate en masse to collectively affect central nervous system function and behavioral state. However, in recent years, LC has been identified as a heterogeneous structure whose neurons innervate discrete terminal fields and contribute to distinct aspects of behavior. We have previously shown that in late adolescent male rats, an acute traumatic stressor, simultaneous physical restraint and exposure to predator odor, preferentially induces c-Fos expression in a subset of dorsal LC neurons and persistently increases anxiety-like behavior. To investigate how these neurons respond to and contribute to the behavioral response to stress, we used a combination of retrograde tracing, whole-cell patch clamp electrophysiology, and chemogenetics. Here we show that LC neurons innervating the central nucleus of the amygdala (CeA) and medial prefrontal cortex (mPFC) undergo distinct electrophysiological changes in response to stressor exposure and have opposing roles in mediating anxiety-like behavior. While neurons innervating CeA become more excitable in response to stress and promote anxiety-like behavior, those innervating mPFC become less excitable and appear to promote exploration. These findings show that LC neurons innervating distinct terminal fields have unique physiological responses to particular stimuli. Furthermore, these observations advance the understanding of the LC as a complex and heterogeneous structure whose neurons maintain unique roles in various forms of behavior.
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  • 文章类型: Journal Article
    Endogenous lipid mediators are proposed to contribute to headache and facial pain by activating trigeminal neurons (TN). We recently identified 11-hydroxy-epoxide- and 11-keto-epoxide derivatives of linoleic acid (LA) that are present in human skin and plasma and potentially contribute to nociception. Here we expand upon initial findings by examining the effects of 11-hydroxy- and 11-keto-epoxide-LA derivatives on TN activation in comparison to LA, the LA derivative [9-hydroxy-octadecadienoic acid (9-HODE)] and prostaglandin E2 (PGE2). 11-hydroxy- and 11-keto-epoxide-LA derivatives elicited Ca2+ transients in TN subpopulations. The proportion of neurons responding to test compounds (5 μM, 5 min) ranged from 16.2 ± 3.8 cells (11 K-9,10E-LA) to 34.1 ± 2.4 cells (11H-12,13E-LA). LA and 9-HODE (5 μM, 5 min) elicited responses in 11.6 ± 3.1% and 9.7 ± 3.4% of neurons, respectively. 11H-12,13E-LA, 11K-12,13E-LA, and 11H-9,10E-LA produced Ca2+ responses in significantly higher proportions of neurons compared to either LA or 9-HODE (F (6, 36) = 5.12, P = 0.0007). 11H-12,13E-LA and 11H-9,10E-LA increased proportions of responsive neurons in a concentration-dependent fashion, similar to PGE2. Most sensitive neurons responded to additional algesic agents (32.9% to capsaicin, 40.1% to PGE2, 58.0% to AITC), however 20.6% did not respond to any other agent. In summary, 11-hydroxy-epoxide derivatives of LA increase trigeminal neuron excitability, suggesting a potential role in headache or facial pain.
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  • 文章类型: Journal Article
    粘多糖贮积症IIIA(MPSIIIA)是一种常染色体隐性遗传性溶酶体贮积症,由磺酰胺酶缺乏引起。该疾病导致硫酸乙酰肝素的积累,溶酶体肿大和细胞和器官功能障碍。患者表现出进行性神经变性和行为问题,目前尚无治疗方法。探索酶替代疗法作为MPSIIIA患者的潜在治疗策略,并改善疾病,磺酰胺酶必须到达大脑。重组人磺酰胺酶(rhSulfamidase)的聚糖可以被化学修饰以产生CM-rhSulfamidase。化学修饰降低了对阳离子非依赖性甘露糖-6-磷酸受体的亲和力,目的是在循环中并因此在血脑屏障中延长更高的浓度。研究了化学修饰的重组人磺酰胺酶(CM-rhSulfamidase)在血清中的药代动力学特性以及在脑和脑脊液(CSF)中的分布,并将其与rhSulfamidase进行了比较。在清醒时单次静脉注射(静脉内)30mg/kg剂量后,自由活动的雄性SpragueDawley老鼠.通过对前额叶皮层的间质液进行微透析,并从大脑池重复进行个体内CSF采样,研究了大脑的分布。推挽式微透析有助于脑间质液的采样,以确定清醒时的大分子浓度,自由活动的雄性SpragueDawley老鼠.再加上反复的血清和脑脊液取样,推挽式微透析有助于通过非隔室分析和群体建模方法在静脉内给药后测定CM-rhSulfamidase和rhSulfamidase动力学。化学修饰增加了血清中浓度与时间的关系,CSF和脑间质液至少7倍。浓度对时间数据的群体建模方法的结果和结果表明,两种化合物在施用后相当快速地建立平衡的情况下通过BBB。我们建议长时间的高血清浓度促进高脑间质液浓度,这可能有利于到达大脑中的各种靶细胞。
    Mucopolysaccharidosis III A (MPS IIIA) is an autosomal recessive lysosomal storage disorder caused by deficiency of the enzyme sulfamidase. The disorder results in accumulation of heparan sulfate, lysosomal enlargement and cellular and organ dysfunction. Patients exhibit progressive neurodegeneration and behavioral problems and no treatment is currently available. Enzyme replacement therapy is explored as potential treatment strategy for MPS IIIA patients and to modify the disease, sulfamidase must reach the brain. The glycans of recombinant human sulfamidase (rhSulfamidase) can be chemically modified to generate CM-rhSulfamidase. The chemical modification reduced the affinity to the cation-independent mannose-6-phosphate receptor with the aim a prolonged higher concentration in circulation and thus at the blood brain barrier. The pharmacokinetic properties in serum and the distribution to brain and to cerebrospinal fluid (CSF) of chemically modified recombinant human sulfamidase (CM-rhSulfamidase) were studied and compared to those of rhSulfamidase, after a single intravenous (i.v.) 30 mg/kg dose in awake, freely-moving male Sprague Dawley rats. Distribution to brain was studied by microdialysis of the interstitial fluid in prefrontal cortex and by repeated intra-individual CSF sampling from the cisterna magna. Push-pull microdialysis facilitated sampling of brain interstitial fluid to determine large molecule concentrations in awake, freely-moving male Sprague Dawley rats. Together with repeated serum and CSF sampling, push-pull microdialysis facilitated determination of CM-rhSulfamidase and rhSulfamidase kinetics after i.v. administration by non-compartments analysis and by a population modelling approach. Chemical modification increased the area under the concentration versus time in serum, CSF and brain interstitial fluid at least 7-fold. The results and the outcome of a population modelling approach of the concentration versus time data indicated that both compounds pass the BBB with an equilibrium established fairly rapid after administration. We suggest that prolonged high serum concentrations facilitated high brain interstitial fluid concentrations, which could be favorable to reach various target cells in the brain.
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