1. Clobetasol promotes neuromuscular plasticity in mice after motoneuronal loss via sonic hedgehog signaling, immunomodulation and metabolic rebalancing.
- Author
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Vicario N, Spitale FM, Tibullo D, Giallongo C, Amorini AM, Scandura G, Spoto G, Saab MW, D'Aprile S, Alberghina C, Mangione R, Bernstock JD, Botta C, Gulisano M, Buratti E, Leanza G, Zorec R, Vecchio M, Di Rosa M, Li Volti G, Lazzarino G, Parenti R, and Gulino R
- Subjects
- Amyotrophic Lateral Sclerosis chemically induced, Amyotrophic Lateral Sclerosis immunology, Amyotrophic Lateral Sclerosis metabolism, Animals, Case-Control Studies, Cholera Toxin, Databases, Genetic, Disease Models, Animal, Energy Metabolism drug effects, Humans, Inflammation Mediators metabolism, Male, Mice, 129 Strain, Mitochondria, Muscle drug effects, Mitochondria, Muscle metabolism, Mitochondria, Muscle pathology, Motor Neurons immunology, Motor Neurons metabolism, Open Field Test, Saporins, Signal Transduction, Smoothened Receptor agonists, Smoothened Receptor metabolism, Spine immunology, Spine metabolism, Spine physiopathology, Mice, Amyotrophic Lateral Sclerosis drug therapy, Clobetasol pharmacology, Glucocorticoids pharmacology, Hedgehog Proteins metabolism, Motor Activity drug effects, Motor Neurons drug effects, Muscle, Skeletal innervation, Neuronal Plasticity drug effects, Neuroprotective Agents pharmacology, Spine drug effects
- Abstract
Motoneuronal loss is the main feature of amyotrophic lateral sclerosis, although pathogenesis is extremely complex involving both neural and muscle cells. In order to translationally engage the sonic hedgehog pathway, which is a promising target for neural regeneration, recent studies have reported on the neuroprotective effects of clobetasol, an FDA-approved glucocorticoid, able to activate this pathway via smoothened. Herein we sought to examine functional, cellular, and metabolic effects of clobetasol in a neurotoxic mouse model of spinal motoneuronal loss. We found that clobetasol reduces muscle denervation and motor impairments in part by restoring sonic hedgehog signaling and supporting spinal plasticity. These effects were coupled with reduced pro-inflammatory microglia and reactive astrogliosis, reduced muscle atrophy, and support of mitochondrial integrity and metabolism. Our results suggest that clobetasol stimulates a series of compensatory processes and therefore represents a translational approach for intractable denervating and neurodegenerative disorders.
- Published
- 2021
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