Early IGF-1 receptor inhibition in mice mimics preterm human brain disorders and reveals a therapeutic target

Alberto Potenzieri1,2, Sara Uccella3,4,5, Deborah Preiti4,5

  • 1Brain Development and Disease Laboratory, Istituto Italiano di Tecnologia, via Morego, 30, 16163 Genoa, Italy.

Science Advances
|March 1, 2024
PubMed

Insights

Preterm newborns often experience neurodevelopmental issues due to low insulin-like growth factor-1 (IGF-1). A new mouse model shows ganaxolone can reverse these sex-biased behavioral changes, offering a potential therapy for preterm brain disorders.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pharmacology

Background:

  • Preterm birth is associated with sex-biased behavioral alterations and poor neurodevelopmental outcomes.
  • Insulin-like growth factor-1 (IGF-1) is crucial for fetal development, and its deficiency in preterm infants correlates with adverse outcomes.
  • Existing neonatal care has not fully addressed these sex-specific neurodevelopmental challenges in preterm infants.

Purpose of the Study:

  • To establish a mouse model mimicking IGF-1 deficiency in preterm newborns.
  • To investigate the sex-biased microstructural, functional, and behavioral alterations resulting from this deficiency.
  • To identify a potential therapeutic strategy to correct these prematurity-induced brain abnormalities.

Main Methods:

  • Perinatal administration of an IGF-1 receptor antagonist to mice to induce IGF-1 deficiency.
  • Characterization of brain alterations using parallel mouse/human behavioral tests.
  • Pharmacological intervention using ganaxolone to target GABAergic tonic inhibition.

Main Results:

  • The mouse model exhibited sex-biased brain microstructural, functional, and behavioral alterations similar to ex-preterm children.
  • These alterations were successfully rescued by ganaxolone, a drug enhancing GABAergic tonic inhibition.
  • The study successfully dissected underlying mechanisms of abnormal behaviors in a prematurity model.

Conclusions:

  • IGF-1 deficiency in preterm infants leads to sex-specific neurodevelopmental deficits.
  • Ganaxolone represents a promising, translatable therapeutic approach for treating preterm brain disorders.
  • This research provides a novel mouse model for studying prematurity and its long-term neurological consequences.