Abstract

Down syndrome is the most common genetic cause of mental retardation. Active fragments of neurotrophic factors release by astrocyte under the stimulation of vasoactive intestinal peptide, NAPVSIPQ (NAP) and SALLRSIPA (SAL) respectively, have shown therapeutic potential for developmental delay and learning deficits. Previous work demonstrated that NAP+SAL prevent developmental delay and glial deficit in Ts65Dn that is a well-characterized mouse model for Down syndrome. The objective of this study is to evaluate if prenatal treatment with these peptides prevents the learning deficit in the Ts65Dn mice. Pregnant Ts65Dn female and control pregnant females were randomly treated (intraperitoneal injection) on pregnancy days 8 through 12 with saline (placebo) or peptides (NAP 20 µg +SAL 20 µg) daily. Learning was assessed in the offspring (8–10 months) using the Morris Watermaze, which measures the latency to find the hidden platform (decrease in latency denotes learning). The investigators were blinded to the prenatal treatment and genotype. Pups were genotyped as trisomic (Down syndrome) or euploid (control) after completion of all tests. Statistical analysis: two-way ANOVA followed by Neuman-Keuls test for multiple comparisons, P<0.05 was used to denote statistical significance. Trisomic mice who prenatally received placebo (Down syndrome -placebo; n = 11) did not demonstrate learning over the five day period. DS mice that were prenatally exposed to peptides (Down syndrome-peptides; n = 10) learned significantly better than Down syndrome -placebo (p<0.01), and similar to control-placebo (n = 33) and control-peptide (n = 30). In conclusion prenatal treatment with the neuroprotective peptides (NAP+SAL) prevented learning deficits in a Down syndrome model. These findings highlight a possibility for the prevention of sequelae in Down syndrome and suggest a potential pregnancy intervention that may improve outcome.

Highlights

  • Down Syndrome (DS) is the most common genetic cause of mental retardation due to triplication of all or part of chromosome 21 [1] and occurs in 1 in 800 live births

  • The Ts65Dn mouse is a well-characterized model for DS [6], with triplication of a segment of chromosome 16 which includes over 55% of the genes present on human chromosome 21

  • This time period was chosen based on previous studies that showed that this is a critical time for Vasoactive Intestinal Peptide (VIP) action during in utero development [28]

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Summary

Introduction

Down Syndrome (DS) is the most common genetic cause of mental retardation due to triplication of all or part of chromosome 21 [1] and occurs in 1 in 800 live births. Neonates with DS have a smaller brain, delayed myelination of neurons and glial alterations [5]. These early developmental anomalies may predispose to abnormalities in adulthood including mental retardation and early onset of Alzheimer disease. Ts65Dn mice mimic the human condition, including developmental delay [7]. Ts65Dn mice have a deficit in short and long term memory, deficits in learning, and early onset of the neuropathology of Alzheimer disease [7,11,12,13,14]. The mechanisms underlying the neuropathology of DS are not well understood

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