David Medina1, Eugene Chung1, Ricki Ceton1, Robert Bowser1, Rachael Sirianni1, and Gregory Turner2
1Neurobiology, Barrow Neurological Institute, Phoenix, AZ, United States, 2Research Imaging, Barrow Neurological Institute, Phoenix, AZ, United States
Synopsis
Retinoid signaling activity in the CNS,
mediated by RARβ,
directly
influences ALS pathology development and progression in
vivo and CNS targeted delivery of RARβ agonists can reduce ALS pathology in
vivo when
delivered systemically via polymeric nanoparticles. In this study the therapeutic affect of adapalene, a RARβ agonist, loaded nanoparticles were examined by measuring quadriceps volume in a SOD1G93A mouse model of ALS.
Introduction
This study examined the role of the retinoic acid (RA) signaling pathway in
Amyotrophic Lateral Sclerosis (ALS). RA is a derivative of vitamin A and
has been shown to have many important roles in the nervous system such as
neuronal development and neurodegeneration.
Recent evidence has shown that changes in proteins of the RA signaling
pathway are correlated with ALS pathology.
Adapalene, an FDA approved RARβ agonist, is currently used for treating
acne and cervical cancers.
Interestingly, our lab found adapalene to be neuroprotective in a cell
culture system. However, adapalene is highly hydrophobic and
cannot be delivered systemically. To
address this, we developed adapalene loaded nanoparticles to achieve delivery
to the CNS. We hypothesize that
activation of retinoid signaling will reduce pathology in a transgenic model of
ALS. Methods
We first designed nanoparticles fabrication by
single emulsion to optimize adapalene loading. Adapalene loaded nanoparticles were
administered to SOD1G93A mice via lateral tail veins at 8 weeks of
age. Motor function was assayed after 4
weeks and 8 weeks of treatment to determine the effect of adapalene on disease
progression. Markers of inflammation and
neurodegeneration were measured to determine the effect of adapalene on
ALS-like pathology. MRI was performed after 8 weeks of treatment on a 7T Bruker
Biospec scanner using a 72 mm quadrature volume coil. T1-weighted spin-echo images were acquired covering the entire hind limb (TR=420.6 ms, TE=8.8 ms, 256X256 matrix, 0.176X0.176X1.0 mm voxels, NEX=12). Regions of interest
encompassing the quadriceps muscle were used to calculate muscle volume. Results
Administration of Adap-NPs
to the brain or via tail vein injection in healthy mice produced upregulation
of expected biomarkers, including MAPK signaling in the brain and CRAPB
activation in the spinal cord (data not shown). When administered at the
maximum deliverable dose (3x/week, 0.25 or 1.25 mg/kg adapalene) to G93A SOD1
ALS mice, Adap-NP significantly slowed disease progression. We observed
increased total activity in an open field paradigm, and improved scores on the
rotarod behavioral test, decreased weight loss, preservation of the
neuromuscular junction and protection against muscle volume loss (Figure 1A). MRI
results showed that SOD1G93A mice given the low dose of adapalene
had a 6.65% reduction in muscle atrophy while mice given the high dose had a significant
(20.0%) reduction in atrophy compared to control (Control 585.93 mm3,
NPlow, 624.88 mm3, NPhigh, 703.16 mm3).
Discussion and Conclusions
Here we demonstrate that we
are able to get activation of the retinoid pathway following systemic administration
of nanoparticle-encapsulated adapalene. By using a nanoparticle delivery method we
can begin to adequately explore the therapeutic feasibility of modulating RARβ
signaling. In parallel studies, we have developed a multiplex tracking approach
that enables us the fate of multiple nanoparticles with subcellular resolution
in individual subjects; we are using this approach to evaluate brain and spinal
cord specific targeting, which we predict will further improve potency of
nanoparticle encapsulated adapalene.Acknowledgements
No acknowledgement found.References
1. Kolarcik CL, Bowser R, Retinoid signaling alterations in amyotrophic lateral sclerosis, Am J Neurodeg Dis, 2012; 1(2):130-45
2. Corona J, So PL, Madden M, Absence of retinoids can induce motoneuron disease in the adult rat and a retinoid defect is present in motoneuron disease patients, J Cell Sci, 2002; 115(Pt 24): 4735-41
3. Riancho J, Ruiz-Soto M, Berciano MT, Berciano J, Lafarga M, Neuroprotective Effect of Bexarotene in the SOD1(G93A) Mouse Model of Amyotrophic Lateral Sclerosis, 2015; 1;9:250