Reversal of disease-related pathologies in the fragile X mouse model by selective activation of GABAB receptors with arbaclofen

Sci Transl Med. 2012 Sep 19;4(152):152ra128. doi: 10.1126/scitranslmed.3004218.

Abstract

Fragile X syndrome (FXS), the most common inherited cause of intellectual disability and autism, results from the transcriptional silencing of FMR1 and loss of the mRNA translational repressor protein fragile X mental retardation protein (FMRP). Patients with FXS exhibit changes in neuronal dendritic spine morphology, a pathology associated with altered synaptic function. Studies in the mouse model of fragile X have shown that loss of FMRP causes excessive synaptic protein synthesis, which results in synaptic dysfunction and altered spine morphology. We tested whether the pharmacologic activation of the γ-aminobutyric acid type B (GABA(B)) receptor could correct or reverse these phenotypes in Fmr1-knockout mice. Basal protein synthesis, which is elevated in the hippocampus of Fmr1-knockout mice, was corrected by the in vitro application of the selective GABA(B) receptor agonist STX209 (arbaclofen, R-baclofen). STX209 also reduced to wild-type values the elevated AMPA receptor internalization in Fmr1-knockout cultured neurons, a known functional consequence of increased protein synthesis. Acute administration of STX209 in vivo, at doses that modify behavior, decreased mRNA translation in the cortex of Fmr1-knockout mice. Finally, the chronic administration of STX209 in juvenile mice corrected the increased spine density in Fmr1-knockout mice without affecting spine density in wild-type mice. Thus, activation of the GABA(B) receptor with STX209 corrected synaptic abnormalities considered central to fragile X pathophysiology, a finding that suggests that STX209 may be a potentially effective therapy to treat the core symptoms of FXS.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Baclofen / analogs & derivatives
  • Baclofen / blood
  • Baclofen / pharmacology
  • Baclofen / therapeutic use*
  • Behavior, Animal / drug effects
  • Dendritic Spines / drug effects
  • Dendritic Spines / metabolism
  • Disease Models, Animal
  • Drinking Water
  • Fragile X Mental Retardation Protein / metabolism
  • Fragile X Syndrome / blood
  • Fragile X Syndrome / drug therapy*
  • Fragile X Syndrome / metabolism
  • Fragile X Syndrome / pathology*
  • GABA-B Receptor Agonists / administration & dosage
  • GABA-B Receptor Agonists / blood
  • GABA-B Receptor Agonists / pharmacology*
  • GABA-B Receptor Agonists / therapeutic use*
  • Hippocampus / drug effects
  • Hippocampus / metabolism
  • Hippocampus / pathology
  • Male
  • Mice
  • Mice, Knockout
  • Phenotype
  • Polyribosomes / drug effects
  • Polyribosomes / metabolism
  • Protein Biosynthesis / drug effects
  • Protein Transport / drug effects
  • Receptors, AMPA / metabolism
  • Receptors, GABA-B / metabolism*
  • Seizures / drug therapy
  • Seizures / pathology
  • Synapses / drug effects
  • Synapses / metabolism
  • Synapses / ultrastructure

Substances

  • Drinking Water
  • GABA-B Receptor Agonists
  • Receptors, AMPA
  • Receptors, GABA-B
  • Fragile X Mental Retardation Protein
  • Baclofen