1. Histaminergic transmission slows progression of amyotrophic lateral sclerosis
- Author
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Savina Apolloni, Susanna Amadio, Emanuele Claudio Latagliata, Sebastiano Cavallaro, Antonio Gianmaria Spampinato, Giovanna Morello, Cinzia Volonté, Alberto Ferri, Daisy Proietti, Illari Salvatori, Luca Madaro, Stefano Puglisi-Allegra, and Paola Fabbrizio
- Subjects
0301 basic medicine ,lcsh:Diseases of the musculoskeletal system ,SOD1 ,Gene Expression ,Pharmacology ,Neuroprotection ,lcsh:QM1-695 ,Mice ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,In vivo ,Physiology (medical) ,Animals ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Skeletal muscles ,SOD1-G93A ,Amyotrophic lateral sclerosis ,Receptor ,Motor neurons ,Microglia ,ALS ,histamine ,microglia ,motor neurons ,skeletal muscles ,business.industry ,Amyotrophic Lateral Sclerosis ,SOD1‐G93A ,Histaminergic ,Original Articles ,lcsh:Human anatomy ,medicine.disease ,Disease Models, Animal ,030104 developmental biology ,medicine.anatomical_structure ,chemistry ,030220 oncology & carcinogenesis ,Disease Progression ,Original Article ,lcsh:RC925-935 ,business ,Histamine - Abstract
Background Histamine is an immune modulator, neuroprotective, and remyelinating agent, beneficially acting on skeletal muscles and promoting anti‐inflammatory features in amyotrophic lateral sclerosis (ALS) microglia. Drugs potentiating the endogenous release of histamine are in trial for neurological diseases, with a role not systematically investigated in ALS. Here, we examine histamine pathway associations in ALS patients and the efficacy of a histamine‐mediated therapeutic strategy in ALS mice. Methods We adopted an integrative multi‐omics approach combining gene expression profiles, copy number variants, and single nucleotide polymorphisms of ALS patients. We treated superoxide dismutase 1 (SOD1)‐G93A mice that recapitulate key ALS features, with the brain‐permeable histamine precursor histidine in the symptomatic phase of the disease and analysed the rescue from disease pathological signs. We examined the action of histamine in cultured SOD1‐G93A motor neuron‐like cells. Results We identified 13 histamine‐related genes deregulated in the spinal cord of two ALS patient subgroups, among which genes involved in histamine metabolism, receptors, transport, and secretion. Some histamine‐related genes overlapped with genomic regions disrupted by DNA copy number and with ALS‐linked pathogenic variants. Histidine treatment in SOD1‐G93A mice proved broad efficacy in ameliorating ALS features, among which most importantly lifespan, motor performance, microgliosis, muscle atrophy, and motor neurons survival in vivo and in vitro. Conclusions Our gene set/pathway enrichment analyses and preclinical studies started at the onset of symptoms establish that histamine‐related genes are modifiers in ALS, supporting their role as candidate biomarkers and therapeutic targets. We disclose a novel important role for histamine in the characterization of the multi‐gene network responsible for ALS and, furthermore, in the drug development process.
- Published
- 2019