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Fingolimod Effects on Motor Function and BDNF-TrkB Signaling in a Huntington's Mouse Model Are Disease-Stage-Dependent.

PMID: 41516369 · DOI: 10.3390/ijms27010494 · International journal of molecular sciences, 2026 · Khanh Q Nguyen, Vladimir V Rymar, Abbas F Sadikot
📄 Abstract

Huntington's Disease (HD) is characterized by prominent degeneration of the principal neurons of the striatum and by progressive motor and cognitive deterioration. Striatal neurons degenerate in HD due to multiple cell-autonomous and non-autonomous factors. Impaired neurotrophin signaling by brain-derived neurotrophic factor (BDNF) and its cognate receptor Tropomyosin receptor kinase B (TrkB) is an important mechanism underlying neuronal loss in HD. Fingolimod, a clinically approved oral drug for Multiple Sclerosis, was originally developed based on its anti-inflammatory properties. Recent work suggests that fingolimod can also promote BDNF expression and enhance neurotrophic support in the brain. We hypothesized that fingolimod treatment initiated during the presymptomatic phase would increase striatal BDNF levels and protect against motor dysfunction in HD. In wild-type mice, fingolimod treatment increases striatal BDNF levels and enhances BDNF-TrkB signaling. However, chronic fingolimod therapy (0.1 mg/kg, i.p., twice per week, over 7 weeks) initiated at age 4 weeks in the R6/2 mouse model of HD failed to improve behavioral locomotor deficits and exacerbated limb clasping. Furthermore, fingolimod treatment in these presymptomatic R6/2 mice acutely decreased BDNF-TrkB signaling in the striatum in a dose-dependent manner. In contrast, acute administration of fingolimod in symptomatic 7-week-old R6/2 mice increased striatal BDNF-TrkB signaling in a dose-dependent manner, consistent with previous work suggesting that chronic fingolimod can improve motor behavior when given during the symptomatic phase. Thus, the effects of fingolimod striatal BDNF-TrkB signaling and motor behavior in HD are complex and vary with disease stage. Addressing this variability is critical for the design of neuroprotective drug trials in HD, including those utilizing sphingosine-1-phosphate receptor (S1P) modulators.

Confidence: 0.28 · 14 полей извлечено
Идентификация (6 полей)
Target
Tropomyosin receptor kinase B
0.95
Alt. target
TrkB
0.95
Protein family
Receptor tyrosine kinase
0.90
Functional class
Kinase
0.90
Subcellular loc.
0.00
Isoforms (metab/obesity)
0.00
Механизм действия (21 полей)
Mechanism
Fingolimod is a sphingosine-1-phosphate receptor modulator that can promote BDNF expression and enhance neurotrophic support in the brain.
0.90
Mutations (obesity/lean)
0.00
Activity (obesity)
0.00
Activity temporal
0.00
Energy balance
0.00
Appetite
0.00
Fat metabolism
0.00
Lipolysis
0.00
Thermogenesis
0.00
Muscle metabolism
0.00
Inflammation
Fingolimod was originally developed based on its anti-inflammatory properties.
0.80
Glucose metabolism
0.00
AA metabolism
0.00
Hormonal pathways
0.00
Cell death
Fingolimod may have neuroprotective effects by modulating BDNF-TrkB signaling, which is implicated in neuronal survival.
0.70
Adipocyte fibrosis
0.00
Upstream (biochem)
0.00
Upstream (physiol)
0.00
Downstream (biochem)
BDNF-TrkB signaling
0.90
Downstream (physiol)
Motor function
0.80
PTMs
0.00
Экспрессия (8 полей)
Tissue expression
0.00
In vitro
0.00
In vivo
Fingolimod treatment in R6/2 mouse model of Huntington's disease: chronic treatment (0.1 mg/kg, i.p., twice per week, over 7 weeks) initiated at presymptomatic stage (4 weeks) failed to improve motor deficits and exacerbated limb clasping, and acutely decreased striatal BDNF-TrkB signaling; acute administration in symptomatic stage (7 weeks) increased striatal BDNF-TrkB signaling.
0.95
In silico
0.00
Genetic association
0.00
Ex vivo
0.00
Animal model
R6/2 mouse model of Huntington's disease
0.95
Diet/model
0.00
Клиника (11 полей)
Drug
Fingolimod
1.00
Indication
Multiple Sclerosis
1.00
Patient subgroups
0.00
Safety concerns
0.00
Off-target
0.00
Trial stage
0.00
Pharma competitors
0.00
AE severity
0.00
MOA weight loss
0.00
Endpoints
0.00
Approved
True
1.00