Abstract

Fragile X syndrome (FXS), an X-chromosome linked intellectual disability, is the leading monogenetic cause of autism spectrum disorder (ASD), a neurodevelopmental condition that currently has no specific drug treatment. Building upon the demonstrated therapeutic effects on spatial memory of bryostatin-1, a relatively specific activator of protein kinase C (PKC)ε, (also of PKCα) on impaired synaptic plasticity/maturation and spatial learning and memory in FXS mice, we investigated whether bryostatin-1 might affect the autistic phenotypes and other behaviors, including open field activity, activities of daily living (nesting and marble burying), at the effective therapeutic dose for spatial memory deficits. Further evaluation included other non-spatial learning and memory tasks. Interestingly, a short period of treatment (5 weeks) only produced very limited or no therapeutic effects on the autistic and cognitive phenotypes in the Fmr1 KO2 mice, while a longer treatment (13 weeks) with the same dose of bryostatin-1 effectively rescued the autistic and non-spatial learning deficit cognitive phenotypes. It is possible that longer-term treatment would result in further improvement in these fragile X phenotypes. This effect is clearly different from other treatment strategies tested to date, in that the drug shows little acute effect, but strong long-term effects. It also shows no evidence of tolerance, which has been a problem with other drug classes (mGluR5 antagonists, GABA-A and -B agonists). The results strongly suggest that, at appropriate dosing and therapeutic period, chronic bryostatin-1 may have great therapeutic value for both ASD and FXS.

Highlights

  • Fragile X syndrome (FXS), an X-chromosome linked intellectual disability, is the leading monogenetic cause of autism spectrum disorder (ASD), a neurodevelopmental condition that currently has no specific drug treatment

  • A recent study has reported that chronic rapamycin, a mammalian target of rapamycin pathway inhibitor, does not reverse the behavioral phenotypes in the Fmr[1] knockout mice (Fmr[1] KO2 mice)[11], suggesting that modulation of the mTOR pathway, hitherto one of the leading therapeutic t­ argets[12], is not an effective treatment strategy

  • The aim of the study was to show the chronic effect of bryostatin 1 on ameliorating activities of daily living, habituation and learning and memory in Fmr[1] KO2 mice

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Summary

Introduction

Fragile X syndrome (FXS), an X-chromosome linked intellectual disability, is the leading monogenetic cause of autism spectrum disorder (ASD), a neurodevelopmental condition that currently has no specific drug treatment. Building upon the demonstrated therapeutic effects on spatial memory of bryostatin-1, a relatively specific activator of protein kinase C (PKC)ε, ( of PKCα) on impaired synaptic plasticity/maturation and spatial learning and memory in FXS mice, we investigated whether bryostatin-1 might affect the autistic phenotypes and other behaviors, including open field activity, activities of daily living (nesting and marble burying), at the effective therapeutic dose for spatial memory deficits. Fragile X Syndrome (FXS), the most common inherited intellectual disability and the leading mono-genetic cause of autism spectrum disorder (ASD)[1,2], is a neurodevelopmental condition due to a CGG trinucleotide expansion in the fragile X mental retardation 1 (Fmr1) gene locus Xq27.3. In consideration in planning clinical trials, we aimed to evaluate tolerance of long term treatment with bryostatin 1 in Fmr[1] KO2 mice

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