The cholesterol depleting agent, (2-Hydroxypropyl)-ß-cyclodextrin, does not affect disease progression in SOD1G93A

Linda Greensmith1,2, J Barney Bryson1,2

  • 1Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, University College London, London, UK.

Abstract

Insights

(2-Hydroxypropyl)-ß-cyclodextrin (HP-β-CD) did not improve outcomes in the SOD1G93A mouse model of ALS. This study found no therapeutic benefit of HP-β-CD in ALS mice, but also no detrimental effects.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Amyloid Precursor Protein (APP) pathology and Aß peptides contribute to motor neuron degeneration in the SOD1G93A mouse model of Amyotrophic Lateral Sclerosis (ALS).
  • Blocking Aß production has shown therapeutic potential in ALS mouse models.
  • (2-Hydroxypropyl)-ß-cyclodextrin (HP-β-CD) reduces Aß production by depleting intraneuronal cholesterol in Alzheimer's Disease and Niemann Pick Type C models.

Purpose of the Study:

  • To investigate the therapeutic efficacy of HP-β-CD in the SOD1G93A mouse model of ALS.
  • To determine if HP-β-CD administration can improve disease progression and motor function in SOD1G93A mice.

Main Methods:

  • Pre-symptomatic male SOD1G93A mice received weekly subcutaneous injections of HP-β-CD (4000mg/kg) or vehicle (saline).
  • Longitudinal assessments included grip strength and body mass until 120 days of age.
  • In vivo muscle tension analysis of tibialis anterior and extensor digitorum longus muscles, and motor unit number estimates (MUNE) were performed.

Main Results:

  • HP-β-CD treatment showed no significant effect on body mass or grip strength compared to vehicle-treated controls.
  • Muscle force, contractile properties, and MUNE remained unaffected by HP-β-CD administration in late-stage SOD1G93A mice.
  • No detrimental effects were observed with HP-β-CD treatment.

Conclusions:

  • HP-β-CD does not provide therapeutic benefits for phenotypic progression in the SOD1G93A mouse model of ALS.
  • The lack of adverse effects is noteworthy given the widespread use of cyclodextrins in pharmaceutical formulations.
  • Further research may explore the role of dyslipidemia in ALS progression, as HP-β-CD targets cholesterol metabolism.

Related Concept Videos