Neural Regen Res:监测行为变化可预测肌萎缩性脊髓侧索硬化症?
肌萎缩性脊髓侧索硬化症的初始症状,如无力、肌萎缩、自发性收缩和反射亢进通常逐步出现,且在相当长一段时间内并不引人注意。患者的临床表现多样性使得临床诊断较为困难,至今尚未发现公认的生物诊断标志物。肌萎缩性脊髓侧索硬化症的诊断需要上下运动神经元进展性退变的临床证据。因此当确诊时,疾病常常已发展到了末期,运动神经元退变得已经很严重了。
美国印第安纳大学医学院的Melissa M. Haulcomb 等应用可模拟人类肌萎缩性脊髓侧索硬化症的病理性疾病进展的mSOD1G93A小鼠模型,对其行为学变化进行了纵向评估,发现其开始时表现为短暂的后肢代偿性跨阈步态。随着疾病的进展,这种代偿性改变不足以维持行走,出现了更严重的行为缺陷。应用聚类分析,实验鉴定了不同疾病表型和生存率下的快速和缓慢疾病进展组。通过监测肌萎缩性脊髓侧索硬化症患者的步态异常,可预测疾病进展率和疾病严重程度,从而为进一步研究该病的遗传修饰方法或其他可能加速或延缓疾病的因素提供了机会。
上述研究结果发表于《中国神经再生研究(英文版)》杂志2017年第10期。
Article: "Locomotor analysis identifies early compensatory changes during disease progression and subgroup classification in a mouse model of amyotrophic lateral sclerosis" by Melissa M. Haulcomb1, 2, Rena M. Meadows1, 2, 3, Whitney M. Miller1, 2, Kathryn P. McMillan1, 2, MeKenzie J. Hilsmeyer1, Xuefu Wang4, Wesley T. Beaulieu4, Stephanie L. Dickinson4, 5, Todd J. Brown1, 2, Virginia M. Sanders6, Kathryn J. Jones1, 2 (1 Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, IN, USA; 2 Research and Development Service, Roudebush Veterans Administration Medical Center, Indianapolis, IN, USA; 3 Program in Medical Neurosciences, Indiana University School of Medicine, Indianapolis, IN, USA; 4 Department of Statistics, Indiana University, Bloomington, IN, USA; 5 Department of Epidemiology and Biostatistics, Indiana University, Bloomington, IN, USA; 6 Department of Cancer Biology and Genetics, The Ohio State University Wexner Medical Center, Columbus, OH, USA)
Haulcomb MM, Meadows RM, Miller WM, McMillan KP, Hilsmeyer MJ, Wang X, Beaulieu WT, Dickinson SL, Brown TJ, Sanders VM, Jones KJ (2017) Locomotor analysis identifies early compensatory changes during disease progression and subgroup classification in a mouse model of amyotrophic lateral sclerosis. Neural Regen Res 12(10):1664-1679.