Profiling neuroinflammatory markers and response to nusinersen in paediatric spinal muscular atrophy.
Humans
Biomarkers
/ cerebrospinal fluid
Female
Male
Oligonucleotides
/ therapeutic use
Child, Preschool
Cytokines
/ cerebrospinal fluid
Infant
Child
Chemokine CCL4
/ cerebrospinal fluid
Chemokine CCL2
/ cerebrospinal fluid
Interleukin-8
/ cerebrospinal fluid
Neuroinflammatory Diseases
/ drug therapy
Spinal Muscular Atrophies of Childhood
/ drug therapy
Muscular Atrophy, Spinal
/ drug therapy
Chemokine CCL11
/ cerebrospinal fluid
Vascular Endothelial Growth Factor A
/ cerebrospinal fluid
Biomarker
CSF
Neuroinflammation
Nusinersen
SMA
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
08 10 2024
08 10 2024
Historique:
received:
25
07
2024
accepted:
25
09
2024
medline:
9
10
2024
pubmed:
9
10
2024
entrez:
8
10
2024
Statut:
epublish
Résumé
Neuroinflammation is an emerging clinical feature in spinal muscular atrophy (SMA). Characterizing neuroinflammatory cytokines in cerebrospinal fluid (CSF) in SMA and their response to nusinersen is important for identifying new biomarkers and understanding the pathophysiology of SMA. We measured twenty-seven neuroinflammatory markers in CSF from twenty SMA children at different time points, and correlated the findings with motor function improvement. At baseline, MCP-1, IL-7 and IL-8 were significantly increased in SMA1 patients compared to SMA2, and were significantly correlated with disease severity. After six months of nusinersen treatment, CSF levels of eotaxin and MIP-1β were markedly reduced, while IL-2, IL-4 and VEGF-A were increased. The decreases in eotaxin and MIP-1β were associated with changes in motor scores in SMA1. We also detected a transient increase in MCP-1, MDC, MIP-1α, IL-12/IL-23p40 and IL-8 after the first or second injection of nusinersen, followed by a steady return to baseline levels within six months. Our study provides a detailed profile of neuroinflammatory markers in SMA CSF. Our data confirms the potential of MCP-1, eotaxin and MIP-1β as new neuroinflammatory biomarkers in SMA1 and indicates the presence of a subtle inflammatory response to nusinersen during the early phase of treatment.
Identifiants
pubmed: 39379509
doi: 10.1038/s41598-024-74338-z
pii: 10.1038/s41598-024-74338-z
doi:
Substances chimiques
Biomarkers
0
nusinersen
5Z9SP3X666
Oligonucleotides
0
Cytokines
0
Chemokine CCL4
0
Chemokine CCL2
0
Interleukin-8
0
CCL2 protein, human
0
Chemokine CCL11
0
Vascular Endothelial Growth Factor A
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
23491Subventions
Organisme : EU H2020-MSCA-ITN-2020
ID : SMABEYOND
Organisme : Medical Research Council
ID : MR/Y008405/1
Pays : United Kingdom
Informations de copyright
© 2024. The Author(s).
Références
Lefebvre, S. et al. Identification and characterization of a spinal muscular atrophy-determining gene. Cell. 80(1), 155–165 (1995).
doi: 10.1016/0092-8674(95)90460-3
pubmed: 7813012
Lefebvre, S. et al. Correlation between severity and SMN protein level in spinal muscular atrophy. Nat. Genet. 16(3), 265 (1997).
doi: 10.1038/ng0797-265
pubmed: 9207792
Lorson, C. L., Hahnen, E., Androphy, E. J. & Wirth, B. A single nucleotide in the SMN Gene regulates splicing and is responsible for spinal muscular atrophy. Proc. Natl. Acad. Sci. - PNAS. 96(11), 6307–6311 (1999).
doi: 10.1073/pnas.96.11.6307
pubmed: 10339583
Feldkotter, M., Schwarzer, V., Wirth, R., Wienker, T. F. & Wirth, B. Quantitative analyses of SMN1 and SMN2 based on real-time lightCycler PCR: fast and highly reliable carrier testing and prediction of severity of spinal muscular atrophy. Am. J. Hum. Genet. 70(2), 358–368 (2002).
doi: 10.1086/338627
pubmed: 11791208
Dubowitz, V. Ramblings in the history of spinal muscular atrophy. Neuromuscul. Disord.19 (1), 69–73 (2009).
doi: 10.1016/j.nmd.2008.10.004
pubmed: 18951794
Mercuri, E. et al. Nusinersen versus sham control in later-onset spinal muscular atrophy. N Engl. J. Med. 378(7), 625–635 (2018).
doi: 10.1056/NEJMoa1710504
pubmed: 29443664
Finkel, R. S. et al. Nusinersen versus sham control in infantile-onset spinal muscular atrophy. N Engl. J. Med. 377(18), 1723–1732 (2017).
doi: 10.1056/NEJMoa1702752
pubmed: 29091570
Mercuri, E. et al. Onasemnogene abeparvovec gene therapy for symptomatic infantile-onset spinal muscular atrophy type 1 (STR1VE-EU): An open-label, single-arm, multicentre, phase 3 trial. Lancet Neurol. 20(10), 832–841 (2021).
doi: 10.1016/S1474-4422(21)00251-9
pubmed: 34536405
Darras, B. T. et al. Risdiplam-treated infants with type 1 spinal muscular atrophy versus historical controls. N Engl. J. Med. 385(5), 427–435 (2021).
doi: 10.1056/NEJMoa2102047
pubmed: 34320287
Baranello, G. et al. Risdiplam in Type 1 spinal muscular atrophy. N. Engl. J. Med. 384(10), 915–923 (2021).
doi: 10.1056/NEJMoa2009965
pubmed: 33626251
Mercuri, E., Pera, M. C., Scoto, M., Finkel, R. & Muntoni, F. Spinal muscular atrophy - insights and challenges in the treatment era. Nat. Rev. Neurol. 16(12), 706–715 (2020).
doi: 10.1038/s41582-020-00413-4
pubmed: 33057172
Hoy, S. M. & Nusinersen,. First global approval. Drugs. 77(4), 473–479 (2017).
doi: 10.1007/s40265-017-0711-7
Singh, N. K., Singh, N. N., Androphy, E. J. & Singh, R. N. Splicing of a critical exon of human survival motor neuron is regulated by a unique silencer element located in the last intron. Mol. Cell. Biol. 26(4), 1333–1346 (2006).
doi: 10.1128/MCB.26.4.1333-1346.2006
pubmed: 16449646
pmcid: 1367187
Hua, Y., Vickers, T. A., Okunola, H. L., Bennett, C. F. & Krainer, A. R. Antisense masking of an hnRNP A1/A2 intronic splicing silencer corrects SMN2 splicing in transgenic mice. Am. J. Hum. Genet. 82(4), 834–848 (2008).
doi: 10.1016/j.ajhg.2008.01.014
pubmed: 18371932
pmcid: 2427210
Viscidi, E. et al. The incidence of hydrocephalus among patients with and without spinal muscular atrophy (SMA): Results from a US electronic health records study. Orphanet J. Rare Dis. 16(1), (2021).
Moshe-Lilie, O., Riccelli, L. P. & Karam, C. Possible recurrent aseptic meningitis associated with nusinersen therapy. Muscle Nerve. 62(5), E79–E80 (2020).
doi: 10.1002/mus.27042
pubmed: 32779205
Mendonça, R. H. et al. Real-world data from nusinersen treatment for patients with later-onset spinal muscular atrophy: A single center experience. J. Neuromuscul. Dis. 8(1), 101–108 (2021).
doi: 10.3233/JND-200551
pubmed: 33074187
Deguise, M. O. & Kothary, R. New insights into SMA pathogenesis: Immune dysfunction and neuroinflammation. Ann. Clin. Transl. Neurol. 4(7), 522–530 (2017).
doi: 10.1002/acn3.423
pubmed: 28695153
pmcid: 5497530
Deguise, M. O. et al. Immune dysregulation may contribute to disease pathogenesis in spinal muscular atrophy mice. Hum. Mol. Genet. 26(4), 801–819 (2017).
pubmed: 28108555
pmcid: 5409095
Thomson, A. K. et al. Survival of motor neurone protein is required for normal postnatal development of the spleen. J. Anat. 230(2), 337–346 (2017).
doi: 10.1111/joa.12546
pubmed: 27726134
Wan, B. et al. A severe mouse model of spinal muscular atrophy develops early systemic inflammation. Hum. Mol. Genet. 27(23), 4061–4076 (2018).
pubmed: 30137324
Garcia, E. L. et al. Dysregulation of innate immune signaling in animal models of spinal muscular atrophy. BMC Biol. 22(1), (2024).
Bonanno, S. et al. Identification of a cytokine profile in serum and cerebrospinal fluid of pediatric and adult spinal muscular atrophy patients and its modulation upon nusinersen treatment. Front. Cell. Neurosci. 16, 982760 (2022).
doi: 10.3389/fncel.2022.982760
pubmed: 36035258
pmcid: 9406526
Nuzzo, T. et al. Nusinersen mitigates neuroinflammation in severe spinal muscular atrophy patients. Commun. Med. 3(1), 28 (2023).
doi: 10.1038/s43856-023-00256-2
pubmed: 36792810
pmcid: 9932014
Scheijmans, F. et al. Inflammatory markers in cerebrospinal fluid of paediatric spinal muscular atrophy patients receiving nusinersen treatment. Eur. J. Paediatr. Neurol. 42, 34–41 (2023).
doi: 10.1016/j.ejpn.2022.12.003
pubmed: 36525882
Lu, I. N. et al. Cell-mediated cytotoxicity within CSF and brain parenchyma in spinal muscular atrophy unaltered by nusinersen treatment. Nat. Commun. 15(1), 4120 (2024).
doi: 10.1038/s41467-024-48195-3
pubmed: 38750052
pmcid: 11096380
Hajian-Tilaki, K. Receiver operating characteristic (ROC) curve analysis for medical diagnostic test evaluation. Casp. J. Intern. Med. 4(2), 627–635 (2013).
Abati, E., Citterio, G., Bresolin, N., Comi, G. P. & Corti, S. Glial cells involvement in spinal muscular atrophy: Could SMA be a neuroinflammatory disease?. Neurobiol. Dis. 140, 104870 (2020).
doi: 10.1016/j.nbd.2020.104870
pubmed: 32294521
Wood, H. Neuroinflammation in spinal muscular atrophy. Nat. Rev. Neurol. 19(4), 197 (2023).
pubmed: 36859720
Yousefzadeh, M. J. et al. Circulating levels of monocyte chemoattractant protein – 1 as a potential measure of biological age in mice and frailty in humans. Aging Cell. 17(2) (2018).
Im, J. A. & Kim, A. S. Age-associated increasing of MCP-1 in adults. J. Biomed. Sci. (13), 183–187 (2007).
Couper, K. N., Blount, D. G. & Riley, E. M. IL-10: The master regulator of immunity to infection. J. Immunol. 180(9), 5771–5777 (2008).
doi: 10.4049/jimmunol.180.9.5771
pubmed: 18424693
Mosser, D. M. & Zhang, X. Interleukin-10: New perspectives on an old cytokine. Immunol. Rev. 226(1), 205–218 (2008).
doi: 10.1111/j.1600-065X.2008.00706.x
pubmed: 19161426
pmcid: 2724982
Fabbrizio, P. et al. Intramuscular IL-10 administration enhances the activity of myogenic precursor cells and improves motor function in ALS mouse model. Cells. 12(7) (2023).
Ottesen, E. W., Luo, D., Singh, N. N. & Singh, R. N. High concentration of an ISS-N1-targeting antisense oligonucleotide causes massive perturbation of the transcriptome. Int. J. Mol. Sci. 22(16), 8378 (2021).
doi: 10.3390/ijms22168378
pubmed: 34445083
pmcid: 8395096
Glanzman, A. M. et al. The children’s hospital of Philadelphia infant test of neuromuscular disorders (CHOP INTEND): test development and reliability. Neuromuscul. Disord. 20(3), 155–161 (2010).
doi: 10.1016/j.nmd.2009.11.014
pubmed: 20074952
pmcid: 3260046
Ramsey, D. et al. Revised Hammersmith scale for spinal muscular atrophy: A SMA specific clinical outcome assessment tool. PLoS One. 12(2), e172346 (2017).
doi: 10.1371/journal.pone.0172346