Neurotoxic effects of ivermectin administration in genetically engineered mice with targeted insertion of the mutated

Krystyna L Orzechowski1, Marla D Swain, Martin G Robl

  • 1Office of Research, Center for Veterinary Medicine, US FDA, 8401 Muirkirk Rd, Laurel, MD 20708, USA.

Abstract

Insights

Genetically engineered mice with a mutated canine ABCB1 gene show ivermectin sensitivity, mimicking Collie drug toxicosis. This model offers an alternative to dog testing for P-glycoprotein substrate safety evaluations.

Area of Science:

  • Veterinary Pharmacology
  • Toxicology
  • Genetics

Background:

  • P-glycoprotein (P-gp) is crucial for drug efflux, and its dysfunction can lead to toxicosis.
  • Ivermectin sensitivity in Collies is linked to a specific mutation in the canine ABCB1 gene, which encodes P-gp.
  • Current safety testing for P-gp substrates often involves animal models that may not fully replicate canine-specific sensitivities.

Purpose of the Study:

  • To develop a genetically engineered mouse model that mimics ivermectin toxicosis observed in P-glycoprotein-deficient Collies.
  • To establish an alternative screening method for evaluating P-glycoprotein substrate toxicosis, reducing reliance on canine subjects.

Main Methods:

  • Genetically engineered mice were created by disrupting the mouse abcb1a and abcb1b genes and inserting a mutated canine ABCB1 gene.
  • Wild-type C57BL/6J mice served as controls.
  • Mice received either ivermectin (10 mg/kg) or a vehicle control via subcutaneous injection and were monitored for clinical signs of toxicity for 7 hours.

Main Results:

  • Genetically engineered mice exhibited severe ivermectin sensitivity, including lethargy, ataxia, and tremors.
  • Wild-type control mice showed no significant adverse effects from ivermectin administration.
  • The observed sensitivity in engineered mice closely mirrored clinical signs in ivermectin-sensitive Collies with the ABCB1-1Δ mutation.

Conclusions:

  • The developed transgenic mouse model effectively replicates ivermectin sensitivity and toxicosis seen in specific canine populations.
  • This model provides a valuable alternative for assessing the toxicity of P-glycoprotein substrates, potentially reducing the need for extensive canine safety studies.
  • The model supports the development of safer drugs by offering a more targeted approach to evaluating P-gp substrate toxicosis.