A pre-clinical study of a therapy for Rett Syndrome by using a relevant transgenic mouse model
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Abstract
Rett Syndrome (RTT) is a severe neurodevelopmental disorder mainly affecting females. After a normal developmental period, symptoms appear at the age of 6-18 months, including developmental regression and loss of learned skills such as speech and purposeful hand movements. De novo mutations in the Methyl CpG Binding Protein 2 (MECP2) gene, which codes the MeCP2 protein are the underlying cause of over 95 % of RTT cases. MeCP2 is an epigenetic reader of methylated DNA, which controls gene expression in various cell types of the brain, mainly neurons. The control of MECP2 gene dosage expression is critical since over-expression and under-expression, or genetic mutations lead to neurological deficits including MECP2 Duplication Syndrome (MDS) and RTT, which currently do not have any cure. The two main RTT-associated molecular signaling abnormalities such as impaired MECP2-BDNF-miR132 homeostasis and compromised mammalian Target of the Rapamycin (mTOR) pathway have been detected. Metformin (an anti-diabetic drug) is an inducer of MECP2E1/BDNF transcripts in brain cells in vitro, and an inhibitor of the hepatic mTOR pathway. However, it is unclear whether these effects of metformin can be detected in murine brain tissues. Furthermore, due to the drug safety profile, low price, and penetrability of metformin through the blood-brain barrier, it has been re-purposed in various neurodevelopmental disorders. As a result, metformin may regulate RTT-associated abnormalities and improve RTT-like phenotypes of an RTT mouse model. Consequently, in my thesis, I aim to reveal the gap in knowledge regarding the Mecp2-deficient abnormalities at the basal level as well as after metformin treatment for therapeutic purposes. To accomplish these aims, metformin, and vehicle treatments in Wild Type mice, monitoring of body weight, measurement of blood glucose level, and tissue collection for molecular analysis were completed. The results confirmed the safety of metformin treatment through intraperitoneal injection, and its sex- and region-dependent effects at the molecular level. Furthermore, metformin treatments in mutant mice showed an age- and sex-dependent improvement of the RTT-like symptoms at the phenotypical and behavioral levels. In conclusion, our study provides proof of principle for the effect of metformin on RTT-like abnormalities at the basal level and its therapeutic effects at the molecular, phenotypical, and behavioral levels in mice. These results offer an important insight for future re-purposing of metformin for the treatment of neurological disorders including RTT.