WO2011028969A1 - Methods and systems for inducible ablation of neural cells - Google Patents
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Definitions
- Neuronal demyelination is a deleterious condition characterized by a reduction of myelin in the nervous system.
- Myelin is a vital component of the central (CNS) and peripheral (PNS) nervous system, which encases the axons of neurons and forms an insulating layer known as the myelin sheath.
- the presence of the myelin sheath enhances the speed and integrity of nerve signals in the form of electric potentials propagating down the axon.
- the loss of myelin sheath produces significant impairment in sensory, motor and other types of functioning as nerve signals reach their targets either too slowly, asynchronously (for example, when some axons in a nerve conduct faster than others), intermittently (for example, when conduction is impaired only at high frequencies), or not at all.
- Neural tissue comprises neurons and supporting or glial cells.
- Glial cells outnumber neurons by about ten to one in the mammalian brain.
- Glial cells can be divided into four types: astrocytes, oligodendrocytes, Schwann cells and microglial cells.
- the myelin sheath is formed by the plasma membrane or plasmalemma of a type of glial cells, namely oligodendrocytes in the CNS, and Schwann cells in the PNS.
- Myelinating oligodendrocytes have been identified at demyelinated lesions, indicating that demyelinated axons can be repaired with the newly synthesized myelin.
- Neuronal demyelination is manifested in a large number of hereditary and acquired disorders of the CNS and PNS. These disorders include Multiple Sclerosis (MS), Progressive Multifocal Leukoencephalopathy (PML), Encephalomyelitis, Central Pontine Myelolysis (CPM), Anti-MAG Disease, Leukodystrophies,
- Adrenoleukodystrophy ALD
- Alexander's Disease Canavan Disease
- Krabbe Disease Metachromatic Leukodystrophy
- MLD Metachromatic Leukodystrophy
- CIDP chronic inflammatory demyelinating polyneuropathy
- MNN multifocual motor neuropathy
- Multiple sclerosis is a common demyelinating disease of the central nervous system.
- the disease is typically characterized clinically by relapses and remissions, leading eventually to chronic disability.
- the earlier phase of multiple sclerosis is usually characterized by the autoimmune inflammatory strike against myelin sheath leading to paralysis, lack of coordination, sensory disturbances and visual impairment.
- the subsequent chronic progressive phase of the disease is typically due to active degeneration of the myelin sheath and inadequate remyelination of the demyelinated lesions ⁇ Franklin, Nat. Rev. Neurosci. 3: 705-714 (2002); Brack et al, J. Neurol. Sci. 206:181-185 (2003); Compston et al, Lancet 359:1221-1231(2002)).
- Oligodendrocytes are believed to be the principal target cells of demyelinating disorders and that recovery from these disorders necessitates the restoration of the normal myelin by oligodendrocytes.
- remyelination is often an inefficient process leading to significant disability and/or death.
- Evidence suggests that the principal cellular mechanisms of remyelination can differ with developmental myelination (Franklin, Nat. Rev. Neurosci. 3: 705-714 (2002); Balabanov et al, Nat. Neurosci. 8:262-264 (2005); Farhadi et al, J. Neurosci. 23:10214-10223 (2003); Ruffini et al, Am. J. Pathol.
- EM analysis can be prohibitively arduous and costly for the routine analysis of in vivo remyelination, especially in situations such as experimental autoimmune encephalomyelitis (EAE), where the demyelination and
- remyelination can not precisely localized to one particular locus.
- the present invention provides methods and systems for time and tissue-specific inducible ablation of cells.
- the invention is to control the expression of a first heterologous sequence, wherein the expression is controlled by tissue specific promoter, and expression is blocked until unblocked by the addition of an inducing agent, allowing transcriptional access to the tissue specific promoter and expression of a first heterologous sequence encoding a protein which can then induce expression of a second heterologous sequence encoding a for protein which induces cell death.
- cells are neural cells, such as myelinating cells.
- a non-human transgenic animal comprising: a) a first heterologous nucleotide sequence operably linked to a glial-cell specific promoter, wherein said first heterologous nucleotide sequence encodes a first heterologous protein and said first heterologous nucleotide sequence is stably expressed in said animal; and b) a second heterologous nucleotide sequence encoding a second heterologous protein, wherein said second heterologous protein is expressed upon activation of said first heterologous protein and induces death of a non-proliferating glial cell, wherein an initial activation of said first heterologous protein induces death of said non-proliferating glial cells in said animal and results in demyelination in said animal and yields one or more phenotypic changes characteristic of a demyelination condition; and wherein said one or more phenotypic changes is reversed after initial activation of said first heterologous protein.
- the animal is a mammal, such as an animal selected from the group consisting of a mouse, rat, guinea pig, rabbit, dog, cat, pig, and monkey.
- the animal can be a mouse that is at least approximately 5 weeks old, approximately 4 to 6 months old, or greater than 6 months old.
- the non-proliferating glial cells can be in the central nervous system (CNS), peripheral nervous system (PNS), or both.
- the death of the non-proliferating glial cell results in demyelination in the CNS, PNS, or both.
- the non-human transgenic animal of the present invention comprises in its genome a first heterologous nucleotide sequence operably linked to a glial-cell specific promoter, wherein the first heterologous nucleotide sequence encodes a first heterologous protein, and the activity of the first heterologous protein is inducible.
- the activity such as recombination, can be induced by an exogenous agent.
- the first heterologous protein can be a recombinase, such as a Cre recombinase or variant thereof.
- the variant is a fusion protein, such as a fusion of Cre recombinase and a mutated ligand binding domain of an estrogen receptor.
- the exogenous agent can be tamoxifen, or an analog thereof, such as when the fusion protein is CreER T or CreER T2 .
- the exogenous agent is administered to the animal more than once.
- lipopolysaccharide (LPS) is administered to the animal prior to, concurrent with, or subsequent to the activation of the first heterologous protein or to the administration of the exogenous agent.
- the exogenous agent, the LPS, or both can be administered focally or intraperitoneally, such as to the CNS or PNS.
- the focal administration of the exogenous agent, LPS, or both can be to the brain, optic nerve, or spinal cord.
- the non-human transgenic animal of the present invention comprises in its genome a first heterologous nucleotide sequence operably linked to a glial-cell specific promoter.
- the promoter can be a promoter of a gene selected from the group including but not limited to proteolipid protein (PLP), myelin basic protein (MBP), oligodendrocyte specific protein (OSP), myelin oligodendrocyte glycoprotein (MOG), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), oligodendrocyte-myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), or protein 2 (P2).
- the promoter is a promoter of a gene selected from the group consisting of PLP, MBP, and CNP.
- the non-human transgenic animal of the present invention comprises a second heterologous nucleotide sequence encoding a second heterologous protein, wherein the second heterologous protein induces death of non-proliferating glial cells upon activation of the first heterologous protein.
- the second heterologous protein induces cell death.
- the second heterologous protein can be an exotoxin, such as a diptheria toxin or subunit thereof.
- the second heterologous protein can be the A subunit of diptheria toxin (DT-A).
- the second heterologous protein can induce the death of both proliferating glials cells, such as oligodendrocyte projenitors or astrocytes, or of non-proliferating glial cells, such as mature oligodendrocytes or myelinating Schwann cells.
- proliferating glials cells such as oligodendrocyte projenitors or astrocytes
- non-proliferating glial cells such as mature oligodendrocytes or myelinating Schwann cells.
- the death of the non-proliferating glial cell in the non-human transgenic animal of the present invention results in demyelination and yields one or more phenotypic changes characteristic of a demyelination condition, such as, multiple sclerosis (MS).
- the one or more phenotypic changes can be wobbly gait, hind limb paralysis, tremors, weight loss, ataxia, or any combination thereof.
- the one or more phenotypic changes characteristic of a demyelination condition is decreased motor control, balance, or CNS conduction.
- the motor control or balance is measured by a rotarod behavioral assay or any other assay that provides spatial and temporal indices of posture and gait dynamics, such as by the DigiGait treadmill, and CNS conduction is measured by a spinal somatosensory evoked potential.
- the one or more phenotypic change characteristic of a demyelination condition is reversed after an initial activation of the first heterologous protein results in demyelination in the animal, such as in the CNS, PNS, or both.
- the one or more phenotypic changes are reversed about 35 days or more after activation of the first heterologous protein.
- the one or more phenotypic changes are reversed about 70 days or more after activation of the first heterologous protein.
- the cell is an oligodendrocyte or Schwann cell.
- the cell can be a proliferating or non-proliferating cell.
- the present invention also provides a method selecting a biologically active agent that promotes reversal of one or more phenotypic changes characteristic of a demyelination condition comprising: a) activating the first heterologous protein in the non-human transgenic animal of the present invention; b) administering a candidate agent to the animal; c) determining one or more phenotypic changes characteristic of a demyelination condition in the animal; and d) selecting the agent when the one or more phenotypic change is reversed more quickly as compared to a control animal not administered said candidate agent.
- the one or more phenotypic change characteristic of a demyelination conditions can be wobbly gait, hind limb paralysis, tremors, weight loss, ataxia, or any combination thereof.
- the one or more phenotypic changes is decreased motor control, balance, or CNS conduction.
- the motor control or balance is measured by a rotarod behavioral assay or any other assay that provides spatial and temporal indices of posture and gait dynamics, such as by the DigiGait treadmill, and CNS conduction is measured by a spinal somatosensory evoked potential.
- Also provided herein is a method of selecting a biologically active agent that promotes remyelination comprising: a) activating the first heterologous protein in the non-human transgenic animal of the present invention; b) administering a candidate agent to the animal; c) determining remyelination in the animal; and d) selecting the agent when the animal displays increased remyelination as compared to a control non-transgenic animal not administered the candidate agent.
- the remyelination is characterized by myelinated axons, by the expression of an oligodendrocyte cell marker, or a combination thereof.
- the oligodendrocyte cell marker can be selected from the group consisting of CC1, myelin basic protein (MBP), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), myelin oligodendrocyte glycoprotein (MOG), oligodendrocyte-myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), protein 2 (P2), galactocerebroside (GalC), sulfatide and proteolipid protein (PLP).
- MBP myelin basic protein
- CCT myelin associated glycoprotein
- MOG myelin oligodendrocyte glycoprotein
- OMG oligodendrocyte-myelin glycoprotein
- CNP cyclic nucleotide phosphodiesterase
- NOGO myelin protein zero (MP
- FIGURE 1 depicts a schematic of a mouse comprising the ROSA26-eGFP-DTA allele that is crossed with a mouse with a PLP/CreER T allele, generating a PLP/CreER T ;ROSA26-eGFP-DTA mouse. Cre -mediated excision of the floxed region is induced with tamoxifen in the PLP/CreER T ;ROSA26-eGFP-DTA mouse, resulting in DTA expression.
- FIGURE 2 illustrates PCR results con irming the expression of DTA message in the brain of tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA mice using primers PI and P2 as depicted in FIG. 1.
- PLP/CreER T ROSA26-eGFP-DTA mice without induced expression of DTA (Control); and with induced DTA expression by tamoxifen (mut-D7, mut-D14, and mut-D21, representing the tamoxifen-treated mice 7 days, 14 days, and 21 days after the first tamoxifen injection (dpi), respectively) are depicted.
- FIGURE 3 illustrates cell death occurrence in PLP/CreER T ;ROSA26-eGFP-DTA tamoxifen-treated mice.
- A Increased numbers of TUNEL positive cell nuclei (arrows) were found in the corpus callosum area of the PLP/CreER T ;ROSA26-eGFP-DTA tamoxifen-treated mice at 5 dpi as compared to controls.
- B The same area showed increased numbers of cells stained positive for the active form of Caspase-3 (arrows), indicating that oligodendrocyte death occurs soon after Cre recombination is induces in these cells. Cell nuclei were counterstained with DAPI.
- FIGURE 4 illustrates low oligodendrocyte numbers in the CNS of the tamoxifen-treated
- FIGURE 5 depicts a graph illustrating oligodendrocyte cell loss is a maximum in most CNS areas of tamoxifen-treated mice PLP/CreER T ;ROSA26-eGFP-DTA mice by 21 dpi (mut-D7, mut-D14, and mut-D21, representing the tamoxifen-treated mice 7, 14, and 21 dpi, respectively).
- FIGURE 6 depicts a graph illustrating a dramatic drop of (A) Pip and (B) Mbp mRNA levels that precedes oligodendrocyte cell loss in tamoxifen-treated mice PLP/CreER T ;ROSA26-eGFP-DTA mice at 7, 14, or 21 dpi, as compared to control mice.
- FIGURE 7 illustrates the impact of oligodendrocyte cell loss on CNS myelin is minimal in tamoxifen- treated PLP/CreER T ;ROSA26-eGFP-DTA mice 21 dpi as depicted by (A) toluidine blue staining (upper panels) and electron microscopy (EM, lower panels) of the spinal cord and (B) protein expression of MAG and MBP in the brain, as compared to control mice. Arrows in (A) point to white matter vacuoles that are generated by the splitting of the myelin sheath lamellae in the tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice 21 dpi.
- FIGURE 8 illustrates oligodendrocyte cell numbers recover to approximately normal in tamoxifen- treated PLP/CreER T ;ROSA26-eGFP-DTA mice by 70 dpi in the (A) brain stem, (B) cerebellum, (C)cervical cord gray matter, and (D) optic nerve. Quantification of CC-1 positive cells showed that oligodendrocyte numbers were significantly reduced in tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice at 21 dpi, then increased slightly in all areas at 35 dpi and reached values comparable to controls everywhere at 70 dpi.
- FIGURE 9 illustrates expression of (A) Pip and (B) Mbp mRNA levels in the brain of the tamoxifen- treated PLP/CreER T ;ROSA26-eGFP-DTA mice ("mutant") show changes similar to oligodendrocyte cell numbers as illustrated in FIG. 8.
- FIGURE 10 illustrates the progression and repair of myelin defects in the CNS of tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice at 21, 35, and 70 days PI as compared to a control (mut-D21, mut-D35, and mut-D70, representing the tamoxifen-treated mice 21, 35, and 70 dpi, respectively).
- FIGURE 11 illustrates damage in the CNS myelin of the tamoxifen-treated PLP/CreER T ;ROSA26- eGFP-DTA mice is repaired by 70 dpi.
- PLP/CreER T ;ROSA26-eGFP-DTA mice (abbreviated as DTA herein) without induced expression of DTA (Control); and with induced DTA expression by tamoxifen (DTA-21 dpi, DTA-35 dpi, and DTA-70 dpi, representing the tamoxifen-treated mice 21 days, 35 days, and 70 days after the first tamoxifen injection, respectively) are depicted.
- FIGURE 12 illustrates increased microglia activation in the CNS of tamoxifen-treated
- the cells were enumerated and analyzed via flow cytometric analysis, gating on live cells for the present of CD45 + cells and gating on the CD45 hl versus CD45 b populations for the presence of CD 1 lb + cells.
- Flow plots from a representative littermate control mouse (B), and tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mouse (DTA) (C) are presented.
- FIGURE 13 illustrates numbers of adult oligodendrocyte precursor cells (OPCs) are increased in tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice 35 dpi as shown by PDGFRa positive cells in the brain stem and cerebellum.
- OPCs adult oligodendrocyte precursor cells
- FIGURE 14 depicts a quantitative assessment of the defects and subsequent recovery of motor function in tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice ("mutant") using the rotarod behavioral assay, which provides an estimate of the motor co-ordination and balance of the mice.
- FIGURE 15 depicts a schematic of spinal somatosensory evoked potentials (SEP) which is used to measure CNS conduction properties. SEP are recorded from the low lumbar (L4-L5) and mid-thoracic (T5-T6) vertebral levels by stimulating the tibial nerve at the ankle. The difference between the T5-%6 and L4-L5 SEP peak latencies (ALat) is used as an estimate of the CNS conductivity.
- SEP spinal somatosensory evoked potentials
- FIGURE 16 illustrates SEP waveforms recorded from control and DTA mice at 35 and 70 dpi. Each SEP trace represents the averaging of 25-30 evoked responses recorded from the low lumbar level or mid thoracic level following stimulation of the tibial nerve at the ankle. No SEP evaluation was possible in DTA mice at 21 dpi which is likely due to the compromised myelin or neuronal function occurring both in the PNS and CNS.
- FIGURE 17 illustrates statistical analysis of the SEP parameters: peak latency (Lat) and Alatency (ALat, difference between the T5-T6 and L4-L5 peak latencies), and amplitude (Amp).
- peak latencies are prolonged and Alatencies are increased, while amplitudes are decreased, indicating severe conduction defects, both in the PNS and CNS of these mice.
- amplitudes observed in DTA mice reach values comparable to controls, but though improved in comparison to 35 dpi values, a milder defect in peak latency time lingers.
- FIGURE 18 illustrates quantification of myelin and axonal defects in the optic nerves of
- FIGURE 19 illustrates a timeline of the progression of phenotypes characteristic of demyelination conditions such as multiple sclerosis and of remyelination.
- a cell includes a plurality of cells, including mixtures thereof.
- polynucleotide refers to a polymeric form of nucleotides of any length, either
- Polynucleotides can have any three-dimensional structure, and can perform any function, known or unknown.
- loci locus
- a polynucleotide can comprise modified nucleotides, such as methylated nucleotides and nucleotide analogs. If present, modifications to the nucleotide structure can be imparted before or after assembly of the polymer.
- the sequence of nucleotides can be interrupted by non-nucleotide components.
- a polynucleotide can be further modified after polymerization, such as by conjugation with a labeling component.
- the terms "polypeptide”, “peptide” and “protein” are used interchangeably herein to refer to polymers of amino acids of any length.
- the polymer can be linear or branched, it can comprise modified amino acids, and it can be interrupted by non-amino acids.
- amino acid refers to either natural and/or unnatural or synthetic amino acids, including glycine and both the D or L optical isomers, and amino acid analogs and peptidomimetics.
- heterologous means derived from a genotypically distinct entity from the rest of the entity to which it is being compared.
- heterologous as applied to a polynucleotide or a polypeptide means that the polynucleotide or polypeptide is derived from a genotypically distinct entity from that of the rest of the entity to which it is being compared.
- nucleotide sequence or protein as applied to a nucleotide sequence or protein, the nucleotide sequence or protein is derived from a genotypically distinct entity from that of the rest of the entity to which it is being compared.
- expression refers to the process by which a polynucleotide is transcribed into mRNA and/or the process by which the transcribed mRNA (also referred to as “transcript”) is subsequently being translated into peptides, polypeptides, or proteins.
- the transcripts and the encoded polypeptides are collectedly referred to as "gene product.” If the polynucleotide is derived from genomic DNA, expression can include splicing of the mRNA in a eukaryotic cell.
- remyelinating or “remyelination” refers to repair myelination or myelination that is not developmental.
- a "subject,” “individual” or “patient” is used interchangeably herein, which refers to a vertebrate, preferably a mammal, more preferably a human. Mammals include, but are not limited to, murines, simians, humans, farm animals, sport animals, and pets. Tissues, cells and their progeny of a biological entity obtained in vivo or cultured in vitro are also encompassed.
- the "biologically active agents" that are employed in the animal model or cell culture assays described herein can be selected from the group consisting of a biological or chemical compound such as a simple or complex organic or inorganic molecule, peptide, peptide mimetic, protein (e.g. antibody), liposome, small interfering RNA, or a polynucleotide (e.g. anti-sense).
- a biological or chemical compound such as a simple or complex organic or inorganic molecule, peptide, peptide mimetic, protein (e.g. antibody), liposome, small interfering RNA, or a polynucleotide (e.g. anti-sense).
- such agents include complex organic or inorganic molecules can include a heterogeneous mixture of compounds, such as crude or purified plant extracts.
- a "promoter element” is a regulatory sequence that promotes transcription of a gene that is linked to such a sequence.
- the regulatory sequence can include enhancer sequences or functional portions thereof.
- control is an alternative subject, cell or sample used in an experiment for comparison purpose.
- a "floxed" DNA region refers to a region of DNA flanked by two lox sites, including variant lox sites, and the DNA region contains a transcription terminator (e.g., stop signal).
- the DNA region typically comprises a gene.
- the "floxed" DNA can be a marker such as eGFP.
- a "stoplight construct” refers to a gene construct comprising a first gene that is floxed that is further operably linked to a second gene.
- the "stoplight construct” can also be referred to as “stoplight cassette,” and can optionally be operably linked to a promoter sequence. Therefore, if the first floxed gene is removed through recombinase (e.g., Cre) mediated recombination, the second gene would be expressed.
- the first floxed gene can be a fluorescent marker protein, such as eGFP, that is operably linked to a second gene encoding a toxin, such as DTA.
- the expression of the second gene is inhibited because of the floxed region comprising the first region and a stop signal.
- the second gene, DTA can be transcribed and expressed.
- a "phenotype characteristic of a demyelination condition” refers to a phenotype characteristic of a demyelination condition that is ascertainable without analysis of axons, myelinating cells, or other molecular or cellular analyses, such as electron microscopy of axons, immunohistochemistry, or determining gene expression or protein expression of neural cells, such as oligodendrocytes or Schwann cells.
- a phenotype change characteristic of a demyelination condition can be a decrease in motor control, balance, or CNS conduction, which can be measured by means such as a rotarod behavioral assay or spinal somatosensory evoked potential.
- Other phenotypes characteristic a demyelination condition include phenotypes such as wobbly gait, hind limb paralysis, tremors, weight loss, ataxia, or any combination thereof.
- the present invention provides methods and systems for inducible ablation of neural cells.
- the model system is useful in elucidating mechanisms of remyelination, as well as development of therapeutic strategies for promoting remyelination.
- the system or animal model is a non-human transgenic animal capable of being induced to exhibit selective ablation of non-proliferating glial cells.
- the specific ablation of non-proliferating glial cells results in demyelination in the animal.
- Demyelination can be characterized by a decrease in myelinated axons in the nervous systems (e.g., the central or peripheral nervous system), or by a reduction in the levels of markers of myelinating cells.
- myelinating cell refers to those cells capable of producing myelin which insulates axons in the nervous system.
- Exemplary myelinating cells are oligodendrocytes responsible for producing myelin in the central nervous system, and Schwann cells responsible for producing myelin in the peripheral nervous system.
- neuronal demyelination can be characterized by a loss of oligodendrocytes in the central nervous system or Schwann cells in the peripheral nervous system. It can also be determined by a decrease in myelinated axons in the nervous system, or by a reduction in the levels of oligodendrocyte or Schwann cell, CCl, markers.
- Exemplary marker proteins of oligodendrocytes or Schwann cells include, but are not limited to, myelin basic protein (MBP), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), myelin oligodendrocyte glycoprotein (MOG), oligodendrocyte -myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), protein 2 (P2), galactocerebroside (GalC), sulfatide and proteolipid protein (PLP).
- MBP myelin basic protein
- CCT myelin associated glycoprotein
- MOG myelin oligodendrocyte glycoprotein
- OMG oligodendrocyte -myelin glycoprotein
- CNP cyclic nucleotide phosphodiesterase
- NOGO mye
- Demyelination can be also be characterized by the animal exhibiting one or more phenotypic changes characteristic of a demyelination condition.
- a phenotype change characteristic of a demyelination condition can be a decrease in motor control, balance, or CNS conduction, which can be measured by means such as a rotarod behavioral assay or spinal somatosensory evoked potential.
- Other phenotypes characteristic of a demyelination condition include phenotypes such as wobbly gait, hind limb paralysis, tremors, weight loss, ataxia, or any combination thereof.
- the transgenic animal disclosed herein is capable of exhibiting one or more phenotypic changes characteristic of a demyelination condition, wherein the one or more phenotypic changes is reversed.
- the animal is capable of exhibiting a reversal of the one or more phenotypic changes characteristic of a demyelination condition.
- the reversal can be a complete reversal, wherein the animal recovers from the one or more phenotypic changes characteristic of a demyelination condition such that the animal exhibits phenotypes that a wild-type animal or an animal with the same genetic background but not induced to exhibit selective ablation of non-proliferating glial cells exhibits.
- a reversal of a phenotype is when the phenotype improves.
- a reversal of a phenotype may be when there is a complete loss of a function, such as motor function or CNS conduction, and reversal is a gain in function, such as gain of motor function or CNS conduction. The gain can be a slight improvement in function.
- the reversal can be regaining complete function, such as the to the same level of function as a wild-type animal or an animal with the same genetic background but not induced to exhibit selective ablation of non-proliferating glial cells.
- the non-human transgenic animal capable of being induced to exhibit selective ablation of non- proliferating glial cells comprises a first heterologous nucleotide sequence that encodes a first heterologous protein and a second heterologous nucleotide sequence that encodes a second heterologous protein.
- the activity of the first heterologous protein such as its expression and regulation of transcriptional events, can be inducible. This induction of activity of the first heterologous protein is also referred to herein as "activation" of such protein.
- the first heterologous protein is a recombinase and its recombination activity is inducible.
- the recombinase is a Cre recombinase, which recognizes the cognate recognition sequences, loxP sequences (i.e., loxP sites).
- Recognition sequences are known in the art, and represent particular DNA sequences which a protein, DNA, or RNA molecule (e.g., restriction endonuclease, a modification methylase, or a recombinase) recognizes and binds.
- the recognition sequence for Cre recombinase is loxP which is a 34 base pair sequence comprised of two 13 base pair inverted repeats (serving as the recombinase binding sites) flanking an 8 base pair core sequence.
- AttB is an approximately 25 base pair sequence containing two 9 base pair core -type Int binding sites and a 7 base pair overlap region.
- attP is an approximately 240 base pair sequence containing core-type Int binding sites and arm-type Int binding sites as well as sites for auxiliary proteins IHF, FIS, and Xis. (See Landy, Curr. Opin. Biotech. 3:699-707 (1993)).
- sites can also engineered according to the present invention to enhance recombination utilizing methods and products as known in the art such as disclosed in the disclosure by Hartley et ah, U.S. Patent Application Publication No. 20060035269.
- the Cre recombinase can be wild type or a variant of the wild type.
- the activity of the Cre recombinase is inducible in the transgenic animal (or transgenic cells).
- Variant Cre recombinases have broadened specificity for the site of recombination. Specifically, the variants mediate recombination between sequences other than the loxP sequence and other lox site sequences on which wild type Cre recombinase is active.
- the disclosed Cre variants mediate efficient recombination between lox sites that wild type Cre can act on (referred to as wild type lox sites), between variant lox sites not efficiently utilized by wild type Cre (referred to as variant lox sites), and between a wild type lox site and a variant lox site.
- the Cre variants can be used in any method or technique where Cre recombinase (or other, similar recombinases such as FLP) can be used.
- the Cre variants allow different alternative recombinations to be performed since the Cre variants allow much more efficient recombination between wild type lox sites and variant lox sites.
- the first heterologous sequence encodes a recombinase engineered to be active when induced by an exogenous agent.
- the inducibility of Cre activity can be controlled.
- the Cre protein can be a fusion of the Cre recombinase with a mutated version of the ligand-binding domain of the progesterome receptor (e.g. Kellendonk et al, J. Mol. Biol. 285:175-182 (1999)) or the estrogen receptor (e.g. Feil et al, Proc. Natl. Acad. Sci. 93:10887-10890 (1996); Feil et al, Biochem. Biophsys. Res. Commun.
- the progesterome receptor e.g. Kellendonk et al, J. Mol. Biol. 285:175-182 (1999)
- the estrogen receptor e.g. Feil et al, Proc. Natl. Acad. Sci. 93:108
- CreER T or CreER T2
- CreER T is cytoplasmic.
- CreER T or CreER T2
- CreER T protein translocates into the nucleus where it is functional (i.e., tamoxifen-inducible).
- other inducible systems may be used, such as a Tet-On and Tet-Off system (Clontech Laboratories, Inc) expression system in which induction occurs through the addition of an antibiotic, such as tetracycline.
- the first heterologous sequence can be stably expressed in the non-human transgenic animal.
- the first heterologous sequence encoding a recombinase integrated into the genome of the transgenic animal, such as by being under the control to an endogenous promoter.
- the first heterologous sequence can be operably linked to a glial-cell specific promoter, such as an endogenous glial-cell specific promoter.
- the promoter can be specific for astroglia, oligodendrocytes or Schwann cells.
- the promoter is for a gene that is highly expressed in mature, differentiating, or non-proliferating glial cells, such as mature oligodendrocytes or Schwann cells.
- the promoter can be for a gene that is highly expressed in myelinating cells.
- the promoter can be for proteolipid protein (PLP), myelin basic protein (MBP), oligodendrocyte specific protein (OSP), myelin oligodendrocyte glycoprotein (MOG), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), oligodendrocyte-myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), protein 2 (P2).
- PBP proteolipid protein
- MBP myelin basic protein
- OSP oligodendrocyte specific protein
- MOG myelin oligodendrocyte glycoprotein
- CGT ceramide galactosyltransferase
- MAG myelin associated glycoprotein
- OMG oligoden
- the first heterologous sequence can be operably linked to a promoter specific to proliferating oligodendrocyte progenitors, such as platelet derived growth factor alpha receptor (PDGFRa), a promoter specific to astrocytes, such as glial fibrillary acidic gene (GFAP), or a promoter specific to neurons, such as neuron specific enolase (NSE), tyrosine hydroxylase, and BSF1.
- a promoter specific to proliferating oligodendrocyte progenitors such as platelet derived growth factor alpha receptor (PDGFRa), a promoter specific to astrocytes, such as glial fibrillary acidic gene (GFAP), or a promoter specific to neurons, such as neuron specific enolase (NSE), tyrosine hydroxylase, and BSF1.
- PDGFRa platelet derived growth factor alpha receptor
- GFAP glial fibrillary acidic gene
- NSE neuron specific enolase
- the activity of the first heterologous protein can induce expression of the second heterologous protein, such as by inducing recombination to remove a stop signal and allow expression of the second heterologous protein, such as a toxin.
- the expression of the second heterologous protein, or toxin can then induce cell death.
- expression and activity of the first heterologous protein, such as a recombinase can be cell-specific
- the activity of the first heterologous protein can induce expression of the second heterologous protein in a cell-specific manner.
- the second heterologous sequence can encode the second heterologous protein, which induces cell death, and its expression, and resulting cell death can be cell-type specific.
- expression of the second heterologous protein can specifically in neural cells, such as glial cells.
- expression of the second heterologous protein can induce the cell-specific death, or cell-specific ablation, of oligodendrocytes, Schwann cells, or astrocytes.
- the glial cells are non-proliferating glial cells, such as in the CNS, PNS, or both, wherein wherein death of the non-proliferating glial cell results in demyelination in the CNS, PNS, or both.
- the second heterologous sequence can encode a toxin or exotoxin.
- the toxin can be a diptheria toxin or subunit thereof, such as the A subunit.
- the expression of the second heterologous sequence is repressed because of a floxed upstream region that comprises a termination or stop signal for transcription. Therefore, when the floxed upstream region comprising the stop signal is removed, such as by recombination (e.g., by Cre recombinase, such as CreER T or CreER T2 encoded by the first heterologous sequence and activated by an exogenous agent), the second heterologous sequence can be transcribed and the protein expressed.
- Cre recombinase such as CreER T or CreER T2 encoded by the first heterologous sequence and activated by an exogenous agent
- the same heterologous sequence encodes a toxin or exotoxin and contains a cell- specific promoter.
- the toxin can be a diptheria toxin or subunit thereof, such as the A subunit.
- the promoter contains an upstream enhancer region which is blocked and once released after the addition of an inducer, as in the pdual expression vector system (Strategene), expression of the heterologous sequence which encodes for a toxin or exotoxin occurs.
- the floxed region includes one or more markers, such as fluorescent protein markers or drug-resistant markers.
- markers such as fluorescent protein markers or drug-resistant markers.
- Non-exclusive examples of marker genes that can be used in the present invention include reef coral fluorescent proteins (RCFPs), HcRedl, AmCyanl, AsRed2, mRFPl, DsRedl, jellyfish fluorescent protein (FP) variants, red fluorescent protein, green fluorescent protein (GFP), blue fluorescent protein, luciferase, GFP mutant H9, GFP H9-40, eGFP, tetramethybhodamine, Lissamine, Texas Red, EBFP, ECFP, EYFP, Citrine, Kaede, Azami Green, Midori Cyan, Kusabira Orange and naphthofluorescein, or enhanced functional variants thereof.
- RCFPs reef coral fluorescent proteins
- HcRedl HcRedl
- AmCyanl AsRed2
- AsRed2 AsRe
- fluorophore proteins markers are known in the art, which are capable of use herein (See for example website: ⁇ cgr.harvard.edu/thornlab/gfps.htm>). Mutated version of fluorescence proteins that emit light of greater intensity or which exhibit wavelength shifts can also be utilized in the compositions and methods of the present invention; such variants are known in the art and commercially available. (See for example Clontech Catalogue, 2005).
- the second heterologous sequence encoding the toxin is operably linked to a glial-cell specific promoter, such as an endogenous glial-cell specific promoter.
- the promoter can be specific for astroglia, oligodendrocytes or Schwann cells.
- the promoter is for a gene that is highly expressed in mature, differentiating, or non-proliferating glial cells, such as mature oligodendrocytes or Schwann cells.
- the promoter can be for a gene that is highly expressed in myelinating cells.
- the promoter can be for the proteolipid protein (PLP), myelin basic protein (MBP), oligodendrocyte specific protein (OSP), myelin oligodendrocyte glycoprotein (MOG), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), oligodendrocyte -myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), or protein 2 (P2).
- PLP proteolipid protein
- MBP myelin basic protein
- OSP oligodendrocyte specific protein
- MOG myelin oligodendrocyte glycoprotein
- CGT ceramide galactosyltransferase
- MAG myelin associated glycoprotein
- OMG oligodendrocyte -myelin glycoprotein
- CNP cyclic nu
- the second heterologous sequence is operably linked to a promoter specific to proliferating oligodendrocyte progenitors, such as platelet derived growth factor alpha receptor (PDGFRa), a promoter specific to astrocytes, such as glial fibrillary acidic gene (GFAP), or a promoter specific to neurons, such as neuron specific enolase (NSE), tyrosine hydroxylase, and BSF1.
- a promoter specific to proliferating oligodendrocyte progenitors such as platelet derived growth factor alpha receptor (PDGFRa), a promoter specific to astrocytes, such as glial fibrillary acidic gene (GFAP), or a promoter specific to neurons, such as neuron specific enolase (NSE), tyrosine hydroxylase, and BSF1.
- PDGFRa platelet derived growth factor alpha receptor
- GFAP glial fibrillary acidic gene
- NSE neuron specific enolase
- the second heterologous sequence is a component of a stoplight cassette, such as shown in FIG. 1, where the floxed region includes eGFP and the second heterologous sequence encodes DTA.
- the stoplight cassette can be stably integrated into the genome of a transgenic mouse, such as into the ROSA26 locus (see e.g. FIG. 1).
- a transgenic animal comprising a first heterologous nucleotide sequence and a second heterologous nucleotide sequence in its genome can be generated, by mating a first animal comprising the first heterologous sequence with a second animal comprising the second heterologous sequence, such as depicted in FIG. 1.
- a transgenic animal comprising a stoplight cassette with floxed eGFP upstream of DTA integrated into the ROSA26 locus (ROSA26-eGFP-DTA) is mated with a transgenic animal comprising CreER T under the control of the endogenous PLP promoter (PLP/CreER T ), which can result in an animal comprising the stoplight cassette and CreER T under the control of the endogenous PLP promoter (PLP/CreER T ;ROSA26-eGFP-DTA).
- DTA is not expressed as the floxed region comprises a transcription termination signal (e.g. stop codon).
- CreER T is activated and the floxed region is recombined such that the transcription termination signal is removed and DTA can be transcribed and expressed. Furthermore, since CreER T activity is inducible, DTA expression can be effected in a time -controlled manner, as well as a cell- specific manner, resulting in specific ablation, or cell death, of specific cell types. For example, in the
- PLP/CreER T ;ROSA26-eGFP-DTA mice there is specific ablation of PLP-expressing cells when the mice are treated with tamoxifen. Timing of the ablation can be controlled through the administration of the tamoxifen.
- the transgenic animals such as the ROSA26-eGFP-DTA animal and the PLP/CreER T animal, can be designed utilizing gene targeting techniques known in the art (see e.g. Ivanovo et al, Genesis, 43:129-135 (2005); Doerflinger et al, Genesis 35:63-72 (2003)).
- Gene targeting represents the directed modification of a chromosome locus by homologous recombination with an exogenous DNA sequence homologous with the targeted endogenous sequence. A distinction is made between different types of gene targeting.
- gene targeting can be used to modify, and usually increase, the expression of one or several endogenous genes, or to replace an endogenous gene by an exogenous gene, or to place an exogenous gene under the control of elements regulating the gene expression of the particular endogenous gene that remains active.
- gene targeting is called “Knock-in” (KI).
- gene targeting can be used to reduce or eliminate the expression of one or several genes, and this type of gene targeting is called “Knock-out” (KO) or “Knock-down” (KD) (See, e.g., Bolkey et al, Ann. Rev. Genet. 23:199-225 (1989)).
- transgenes disclosed herein and used for generating the transgenic animals can include in a linearized or non-linearized vector or in the form of a vector fragment, can be introduced into the host cell by standard methods for example such as micro-injection into the nucleus (U.S. Pat. No. 4,873,191), transfection by precipitation with calcium phosphate, lipofection, electroporation (Lo, Mol. Cell. Biol.
- a transgenic animal can be engineered by insertion of a genetic construct into the pronucleus (such as the male pronucleus) of a mammalian zygote, allowing stable genomic integration to occur naturally. The zygote can then be transferred to a receptive uterus, and allowed to develop to term. While the mouse can be used, other species, such as rats, rabbits and other non-human animals are also potential candidates for pronuclear insertion.
- the genetic construct which renders the zygote transgenic comprises a gene construct that targets an endogenous gene to be exploited (e.g., PDGFa receptor gene), which gene can be mutated and/or further modified to comprise desired elements (e.g., a exogenous promoter/enhancer element and/or a gene of interest).
- a gene construct that targets an endogenous gene to be exploited e.g., PDGFa receptor gene
- desired elements e.g., a exogenous promoter/enhancer element and/or a gene of interest.
- Heterologous DNA can also be introduced into fertilized mammalian ova as well.
- totipotent or pluripotent stem cells can be transformed by microinjection, calcium phosphate mediated precipitation, liposome fusion, retroviral infection or other means.
- the transformed cells are then introduced into the embryo, and the embryo will then develop into a transgenic animal.
- developing embryos are infected with a viral vector containing a desired transgene so that the transgenic animals expressing the transgene can be produced from the infected embryo.
- a desired transgene is coinjected into the pronucleus or cytoplasm of the embryo, preferably at the single cell stage, and the embryo is allowed to develop into a mature transgenic animal.
- a desired transgene can be integrated as a single copy or in concatamers, e.g., head-to-head tandems or head-to-tail tandems.
- the desired transgene can also be selectively introduced into and activated in a particular tissue or cell type, preferably cells within the central nervous system.
- the regulatory sequences required for such a cell-type specific activation will depend upon the particular cell type of interest, and will be apparent to those of skill in the art.
- the targeted cell types are located in the nervous systems, including the central and peripheral nervous systems.
- transgenic animals can be broadly categorized into two types: “knockouts” and “knockins”.
- a “knockout” has an alteration in the target gene via the introduction of transgenic sequences that result in a decrease of function of the target gene, preferably such that target gene expression is insignificant or undetectable.
- a “knockin” is a transgenic animal having an alteration in a host cell genome that results in an augmented expression of a target gene, e.g., by introduction of an additional copy of the target gene, or by operatively inserting a regulatory sequence that provides for enhanced expression of an endogenous copy of the target gene.
- the knock-in or knock-out transgenic animals can be heterozygous or homozygous with respect to the target genes.
- Bigenic animals have at least two host cell genes being altered.
- a some bigenic animal carries a transgene encoding a neural cell-specific recombinase and another transgenic sequence that encodes neural cell-specific marker genes.
- the transgenic animals of the present invention can broadly be classified as Knockins.
- the transgenic animals disclosed herein include but are not limited to mammals, such as primates and rodents. Non-limiting examples include rats, mice, guinea pigs, cats, dogs, rabbits, pigs, goats, sheep, horses, cows, llamas, and monkeys.
- the animal is a rodent.
- the animal is a mouse, such as a young or old mouse.
- the mice can be at least approximately 5, 6, 7, 8, 9, 10, 11, or 12 weeks old.
- the mice can be between approximately 3 to 8 weeks old, approximately 5 to 7 weeks old, or approximately 6 to 8 weeks old.
- the mice are at least approximately 4 to 6 months old.
- the mice are adults and greater than 6 months old.
- the mice are aged or elderly mice.
- the mice can be at least approximately 7, 8, 9, 10, 11, 12, 15, 18, 21, or 24 months old. In some embodiments, the mice are between approximately 5 to 7 months old, 6 to 9 months old or 9 to 12 months old.
- the animal is from a simian species.
- the animal is a marmoset monkey, which can be utilized in examining neurological diseases (e.g., Eslamboi, Brain Res. Bull. 68:140-149 (2005); Kirik et al, Proc. Natl. Acad. Sci. 100:2884-2889 (2004)).
- the transgenic animals disclosed herein may also include but are not limited to non-mammals, such as fish, birds, and insects. Non-limiting examples include zebra fish, chickens and flies.
- the transgenic animals disclosed here provide a system that can be utilized in assaying remyelination. Such a model system will provide insights into elucidating mechanisms of remyelination, as well as development of therapeutic strategies for promoting remyelination.
- the transgenic animals can be temporally controlled to ablate cells in a cell-specific manner by inducing activation of a first heterologous protein, which in turn induces expression of a second heterologous protein that induces cell death.
- the cell death can be cell type specific as the expression of the first heterologous protein can be under the control of cell-type specific promoter or regulatory sequence, in particular those available for expression in the central or peripheral nervous systems.
- the expression of the first heterologous protein can be under the control of neural cell-type specific promoter, such as disclosed in U.S. Patent Application Publication No. 2003/0110524; See also, the website ⁇ chinook.uoregon.edu/promoters.html>.
- the transcriptional regulatory sequence can include, but not be limited to, transcriptional regulatory sequences selected from the genes encoding the following proteins: the PDGFRa, proteolipid protein (PLP), the glial fibrillary acidic gene (GFAP), myelin basic protein (MBP), neuron specific enolase (NSE), oligodendrocyte specific protein (OSP), myelin oligodendrocyte glycoprotein (MOG) and microtubule-associated protein IB (MAP1B), Thyl .2, ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), oligodendrocyte-myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), protein 2 (P2), tyrosine hydroxylase, BSF1, dopamine 3 -hydroxylase, Serotonin 2 receptor, cho
- the regulatory sequence or promoter is specific for glial cells such as astroglia, oligodendrocytes or Schwann cells.
- the promoter is for a gene that is highly expressed or specifically expressed in mature, differentiating, or non-proliferating glial cells, such as mature oligodendrocytes or Schwann cells.
- the promoter can be for a gene that is highly expressed or specifically expressed in myelinating cells.
- the promoter or regulatory sequence is, but not limited to, proteolipid protein (PLP), myelin basic protein (MBP), oligodendrocyte specific protein (OSP), myelin oligodendrocyte glycoprotein (MOG), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), oligodendrocyte-myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), or protein 2 (P2).
- the promoter is for PLP, MBP, and CNP.
- the promoter is for a gene specific to proliferating oligodendrocyte progenitors, such as platelet derived growth factor alpha receptor (PDGFRa), a promoter specific to astrocytes, such as glial fibrillary acidic gene (GFAP), or a promoter specific to neurons, such as neuron specific enolase (NSE), tyrosine hydroxylase, and BSF1.
- PDGFRa platelet derived growth factor alpha receptor
- GFAP glial fibrillary acidic gene
- NSE neuron specific enolase
- BSF1 neuron specific enolase
- the first heterologous sequence encodes a Cre recombinase, such as CreER T2 or CreER T2 and is under the control of an aforementioned promoter or regulatory sequence.
- the regulatory sequence can be altered or modified to enhance expression (i.e., increase promoter strength).
- intronic sequences comprising enhancer function can be utilized to increase promoter function.
- the myelin proteolipid protein (PLP) gene comprises an intronic sequence that functions as an enhancer element.
- This regulatory element/region ASE for antisilencer/enhancer is situated approximately 1 kb downstream of exon 1 DNA and encompasses nearly 100 bp. See, Meng et al., J. Neurosci. Res. 82:346-356 (2005).
- the first heterologous protein such as a Cre recombinase (e.g. CreER T2 or CreER T2 ) can be expressed and activated in specific cell types and induce expression of the second heterologous protein, such as a toxin, in the same specific cell types.
- the Cre recombinase e.g. CreER or CreER
- the Cre recombinase is expressed in oligodendrocytes by being under the control or regulation of an oligodendrocyte-speciiic promoter or regulatory sequence.
- the Cre recombainse When the Cre recombainse is activated by tamoxifen, expression of the second heterologous protein, such as a toxin such as DTA, is induced in oligodendrocytes. The toxin can then promote cell death of the oligodendrocytes.
- the Cre recombinase e.g. CreER or CreER
- the Cre recombinase can be activated by tamoxifen, which induces expression of the toxin in Schwann cells, causing cell death of the Schwann cells.
- the cell death of the myelinating cells such as oligodendrocytes, Schwann cells, or both, can result in demyelination in the CNS, PNS, or both, of the animal.
- the first heterologous protein can also be activated in a temporal manner, and thus, the resulting ablation or cell death can be temporally controlled.
- the first heterologous protein can be activated in non- proliferating cells, such as mature or differentiated, neural cells.
- the activation of the first heterologous protein is in mature, or non-proliferating, cells of the CNS, PNS, or both, resulting in expression of the second heterologous protein and subsequent cell death of the mature, or non-proliferating, cells.
- the ablation is of non-proliferating myelinating cells, such as oligodendroctyes or Schwann cells.
- the activation can be temporally controlled by an exogenous agent, such as administration of the exogenous agent that activates the first heterologous protein.
- the exogenous agent can be administered to the animal when the glial cells are in the proliferating stage or non-proliferating stage.
- the exogenous agent can be administered to the animal when the Schwann cells or oligodendrocytes are in the proliferating stage.
- the exogenous agent is administered to the animal when the Schwann cells or oligodendrocytes are mature or non-proliferating.
- the exogenous agent is administered when the mouse is at least approximately 5, 6, 7, 8, 9, 10, 11, or 12 weeks old.
- the mice are treated with the exogenous agent when the mice are between approximately 3 to 8 weeks old, approximately 5 to 7 weeks old, or approximately 6 to 8 weeks old. In some embodiments, the mice are at least approximately 4 to 6 months old. In yet other embodiments, the mice can be at least approximately 7, 8, 9, 10, 11, 12, 15, 18, 21, or 24 months old. In some embodiments, the mice are between approximately 5 to 7 months old, 6 to 9 months old or 9 to 12 months old.
- the invention is to control the expression of a first heterologous sequence, wherein the expression is controlled by tissue specific promoter, and expression is blocked until unblocked by the addition of an inducing agent, allowing transcriptional access to the tissue specific promoter and expression of a first heterologous sequence encoding a protein which can then induce expression of a second heterologous sequence encoding a for protein which induces cell death.
- tissue specific promoter a first heterologous sequence encoding a protein which can then induce expression of a second heterologous sequence encoding a for protein which induces cell death.
- the transgenic animal comprises a first heterologous sequence encoding an inducible Cre recombinase such as CreER T , which is under the control of an endogenous cell-specific promoter.
- the animal further comprises a second heterologous sequence encoding a toxin such as DTA, which is downstream of a floxed region comprises a transcription termination signal (e.g. stop codon).
- the animal expresses CreER T in oligodendrocytes, however, without being bound by theory, the CreER T is unable to translocate into the nucleus and perform recombination. As a result, the animal does not express DTA.
- CreER T upon treatment with tamoxifen, CreER T is activated and the floxed region comprising the transcription termination signal is removed and DTA can be transcribed and expressed, which induces cell death.
- the transgenic animal comprises a first heterologous sequence encoding an inducible Cre recombinase such as CreER T , which is under the control of an endogenous glial cell-specific promoter, such as PLP.
- the animal further comprises a second heterologous sequence encoding a toxin such as DTA, which is downstream of a floxed region comprises a transcription termination signal (e.g. stop codon).
- the animal expresses CreER T in oligodendrocytes, however, without being bound by theory, the CreER T is unable to translocate into the nucleus and perform recombination. As a result, the animal does not express DTA.
- CreER T is activated and the floxed region comprising the transcription termination signal is removed and DTA can be transcribed and expressed, which induces cell death in the cells that express the CreER T , such as oligodendrocytes.
- treatment with tamoxifen can be controlled temporally to regulate the timing of the ablation of the oligodendrocytes.
- the tamoxifen, or an analog thereof can be administered to the animal at any stage of its development.
- the tamoxifen, or an analog thereof can be administered once or more than once to the animal, at one or more stages of development.
- the tamoxifen can be administered to the animal when the glial cells are mature, such as when the oligodendrocytes or Schwann cells are mature or non-proliferating.
- the animal is a mouse, and the tamofixen, or an anlaog thereof, is administered when the mouse is at least approximately 5, 6, 7, 8, 9, 10, 11, or 12 weeks old.
- the mice are treated with tamoxifen, or an analog thereof when the mice are between approximately 3 to 8 weeks old, approximately 5 to 7 weeks old, or approximately 6 to 8 weeks old.
- the mice are treated with tamoxifen, or an analog thereof when the mice are at least approximately 6 months old.
- the mice are treated with tamoxifen, or an analog thereof when the mice are at least approximately 7, 8, 9, 10, 11, 12, 15, 18, 21, or 24 months old.
- the mice are treated with tamoxifen, or an analog thereof when the mice are between approximately 5 to 7 months old, 6 to 9 months old or 9 to 12 months old.
- the animal is a mouse, and the tamofixen, or an analog thereof, is administered when the mouse is an adult mouse.
- glial cells such as non-proliferating glial cells such as mature
- oligodendrocytes or Schwann cells in the non-human transgenic animals disclosed herein can result in demyelination in the animal.
- the non-human transgenic animals remain viable.
- the demyelination yields one or more phenotypic changes characteristic of a demyelination condition in the animal.
- the one or more phenotypic changes characteristic of a demyelination condition in the animal are reversed.
- a phenotype characteristic of a demyelination condition refers to a phenotype characteristic of a demyelination condition that is ascertainable without analysis of axons, myelinating cells, or other molecular or cellular analyses, such as electron microscopy of axons or determining gene expression of neural cells, such as oligodendrocytes or Schwann cells.
- a phenotype change characteristic of a demyelination condition can be a decrease in motor control, balance, or CNS conduction, which can be measured by means such as a rotarod behavioral assay or spinal somatosensory evoked potential.
- phenotypes characteristic of a demyelination condition include phenotypes such as wobbly gait, hind limb paralysis, tremors, death, weight loss, ataxia, or any combination thereof.
- the phenotypes can be characteristic of a demyelination disorder is selected from the group consisting of Progressive Multifocal Leukoencephalopathy (PML), Encephalomyelitis, Central Pontine Myelolysis (CPM), Anti-MAG Disease, Leukodystrophies: Adrenoleukodystrophy (ALD), Alexander's Disease, Canavan Disease, Krabbe Disease, Metachromatic Leukodystrophy (MLD), Pelizaeus-Merzbacher Disease, Refsum Disease, Cockayne Syndrome, Van der Knapp Syndrome, and Zellweger Syndrome, Guillain-Barre Syndrome (GBS), chronic inflammatory demyelinating polyneuropathy (CIDP), multifocual motor neuropathy (MMN), Alzheimer's disease or
- the animal disclosed herein exhibits one or more phenotypic changes characteristic of a demyelination condition after an initial activation of the inducible Cre being expressed specifically in its glial cells, preferably mature or non-proliferating glial cells, such as oligodendrocytes, Schwann cells, or both.
- the animal further exhibits a reversal of one or more of these phenotypic changes after the initial activation and exhibition of the one or more phenotypic changes.
- an animal that expresses an inducible Cre recombinase in myelinating cells and further comprises a heterologous sequence encoding DTA, wherein a floxed termination signal resides upstream of the sequence encoding DTA the animal is treated with tamoxifen, which induces the myelinating cells undergo cell death.
- the animal exhibits demyelination, such as myelin sheath degeneration and vacuolation in distinct white -matter rich areas.
- the animal exhibits one or more phenotypic changes characteristic of a demyelination condition, such as decrease in motor control, decrease in balance, decrease in CNS conduction, wobbly gait, hind limb paralysis, tremors, weight loss, ataxia, or any combination thereof, which can be compared to control animals, such as wild type animals or animals with the same genetic background but not administered or treated with tamoxifen.
- a demyelination condition such as decrease in motor control, decrease in balance, decrease in CNS conduction, wobbly gait, hind limb paralysis, tremors, weight loss, ataxia, or any combination thereof.
- the animal displays a reversal of the one or more phenotypes, such as an increase in motor control, increase in balance, improvement of CNS conduction, decrease in wobbly gait, decrease in hind limb paralysis, decrease in tremors, weight gain, decrease in ataxia, or any combination thereof.
- a reversal of the one or more phenotypes such as an increase in motor control, increase in balance, improvement of CNS conduction, decrease in wobbly gait, decrease in hind limb paralysis, decrease in tremors, weight gain, decrease in ataxia, or any combination thereof.
- the reversal can be a complete reversal, wherein the animal recovers from the one or more phenotypic changes characteristic of a demyelination condition such that the animal exhibits phenotypes that a wild-type animal or an animal with the same genetic background but not induced to exhibit selective ablation of non-proliferating glial cells exhibits.
- a reversal of a phenotype is when the phenotype improves.
- a reversal of a phenotype may be when there is a complete loss of a function, such as motor function or CNS conduction, and reversal is a gain in function, such as gain of motor function or CNS conduction. The gain can be a slight improvement in function.
- the reversal can be regaining complete function, such as the to the same level of function as a wild-type animal or an animal with the same genetic background but not induced to exhibit selective ablation of non-proliferating glial cells.
- the animal displays a reversal of the one or more phenotypes characteristic of a demyelination disorder about 14 days or more, about 21 days or more, about 35 days or more, about 40 days or more, about 42 days or more, about 45 days or more, about 48 days or more, about 50 days or more, about 55 days or more, about 60 days or more, about 65 days or more, about 70 days or more, about 75 days or more, about 80 days or more, or about 90 days or more after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- the animal displays a reversal of the one or more phenotypes characteristic of a demyelination disorder about 35 days or more or about 70 days or more after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase.
- the reversal begins about 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, or 16 weeks after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- the reversal begins between about 2 to 12 weeks, about 3 to 12 weeks, about 4 to 12 weeks, about 5 to 12 weeks, about 5 to 11 weeks, or about 6 to 11 weeks after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- the reversal can be a complete reversal, wherein the animal recovers from the one or more phenotypic changes characteristic of a demyelination condition such that the animal exhibits phenotypes that a wild-type animal or an animal with the same genetic background but not induced to exhibit selective ablation of non-proliferating glial cells exhibits.
- a reversal of a phenotype is when the phenotype improves.
- a mouse exhibiting one or more one or more phenotypes characteristic of a demyelination disorder displays a reversal in the phenotype at about 42 days after administration of tamoxifen (see for example, FIG. 14), wherein the reversal is an improvement from essentially no motor control to gain of some motor control, though not yet to that of a control animal.
- the mouse exhibits one or more one or more phenotypes characteristic of a demyelination disorder, such as decreased CNS conduction such as determined by sensory evoked potential, displays a reversal in the phenotype at about 77 days after administration of tamoxifen (see for example, FIG. 16), wherein the reversal is an improvement from essentially no CNS conduction to having CNS conduction, though not equal to that of a control animal.
- a demyelination disorder such as decreased CNS conduction
- tamoxifen see for example, FIG. 16
- the non-human transgenic animals disclosed herein can be treated with an exogenous agent that activates the first heterologous protein more than once.
- a transgenic animal preferably a mouse, comprising a first heterologous sequence encoding an inducible Cre recombinase such as CreER T and a second heterologous sequence encoding a toxin such as DTA, which is downstream of a floxed region comprising a transcription termination signal, can be given a first treatment of tamoxifen or an analog thereof, followed by one, two, three, four, five or more additional treatments of tamoxifen.
- the subsequent administration with the exogenous agent is after the reversal of the one or more phenotypes characteristic of a demyelination disorder.
- a mouse exhibiting one or more one or more phenotypes characteristic of a demyelination disorder after an initial treatment with tamoxifen is administered a second treatment of tamoxifen after the reversal of one or more phenotypes characteristic of a demyelination disorder.
- a third administration of the exogenous agent can be performed.
- the subsequent administration of the exogenous agent after the initial administration can be of a higher, equal, or lower amount of the exogenous agent as compared to the initial, previous, or subsequent amount of the exogenous agent.
- the subsequent administration of the exogenous agent that activates the first heterelogous protein is about 14 days or more, about 21 days or more, about 35 days or more, about 40 days or more, about 42 days or more, about 45 days or more, about 48 days or more, about 50 days or more, about 55 days or more, about 60 days or more, about 65 days or more, about 70 days or more, about 75 days or more, about 80 days or more, or about 90 days or more after an initial administration of the exogenous agent, or initial activation of the first heterelogous protein (ie. inducible Cre recombinase).
- the subsequent administration of the exogenous agent that activates the first heterelogous protein is about 70 days after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase. In other embodiments, the subsequent administration of the exogenous agent that activates the first heterelogous protein (ie. inducible Cre recombinase) is about 70 days after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase. In other embodiments, the subsequent administration of the exogenous agent that activates the first heterelogous protein (ie.
- inducible Cre recombinase is about 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, or 16 weeks after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- non-human transgenic animals disclosed herein can be treated with an exogenous agent that induces activation of a first heterologous protein, such as inducible Cre recombinase, and can further be administered with an immune-response inducing, or inflammation inducing agent such as an endotoxin.
- the non-human transgenic animal is administered an exogenous agent that induces activation of a heterologous protein and an endotoxin such as hpopolysaccharides (LPS).
- the LPS can be administered prior to, concurrent with, or subsequent to, the administration of the exogenous agent that activates the heterologous protein (ie. tamoxifen or an analog thereof). More than one administration of LPS is also contemplated herein. For example, for each administration of tamoxifen, an administration of LPS is also given to the non-human transgenic animal.
- a transgenic animal preferably a mouse, comprising a first heterologous sequence encoding an inducible Cre recombinase such as CreER T and a second heterologous sequence encoding a toxin such as DTA, which is downstream of a floxed region comprising a transcription termination signal, can be given a first treatment of tamoxifen or an analog thereof, followed by administration of LPS.
- the subsequent administration with LPS is prior to animal exhibiting one or more phenotypes characteristic of a demyelination disorder.
- the LPS can be administered about 7 days or less, about 14 days or less, about 21 days or less, about 35 days or less, about 40 days or less, about 42 days or less, about 45 days or less, about 48 days or less, about 50 days or less, about 55 days or less, about 60 days or less, about 65 days or less, about 70 days or less, about 75 days or less, about 80 days or less, or about 90 days or less after an initial activation of the first heterelogous protein, such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- an initial activation of the first heterelogous protein such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- the administration of LPS is about 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, or 16 weeks after an initial activation of the first heterologous protein, such as after activation of the inducible Cre recombinase in the animal or after administration of the exogenous agent that activates the inducible Cre recombinase.
- the exogenous agent for inducing activation of a first heterologous protein in a non-human transgenic animal can be administered by any means known in the art including, but not limited to, oral or parenteral routes, including intravenous, intramuscular, intraperitoneal, subcutaneous, transdermal, and airway (aerosol) administration.
- oral or parenteral routes including intravenous, intramuscular, intraperitoneal, subcutaneous, transdermal, and airway (aerosol) administration.
- more than one dose of the exogenous agent for inducing activation of a first heterologous protein is administered to the non-human transgenic animal disclosed herein.
- the one or more doses can be administered by the same or different means.
- an immune -response inducing agent such as LPS
- the immune -response inducing agent, such as LPS can be administered by any means known in the art including, but not limited to, oral or parenteral routes, including intravenous, intramuscular, intraperitoneal, subcutaneous, transdermal, and airway (aerosol) administration.
- the administration of the immune-response inducing agent, such as LPS can be administered by the same or different means as administration of the exogenous agent for inducing activation of a first heterologous protein (ie. tamoxifen or an analog thereof).
- more than one dose of immune -response inducing agent can be administered to the non-human transgenic animal disclosed herein.
- the one or more doses can be administered by the same or different means used for administering the other doses of LPS.
- the exogenous agent such as tamoxifen or an analog thereof, can be administered to a non-human transgenic animal together with the immune- response inducing agent, such as LPS, in a single composition. Alternatively, they can be administered substantially simultaneously, sequentially, at preset intervals throughout the day or treatment period, at different frequencies, or using the same or different routes of administration.
- the exogenous agent, such as tamoxifen or an analog thereof, and the immune -response inducing agent, such as LPS can be administered to the non-human transgenic animal by the same or different means.
- the exogenous agent for inducing activation of a first heterologous protein in a non-human transgenic animal can be administered focally or systemically.
- the immune-response inducing agent such as LPS, can also be administered focally or systemically.
- Focal administration can be to the CNS, PNS, or the specific regions of the CNS or PNS.
- the administration can be specifically to the brain, spinal cord, or optic nerve.
- the animal administered an immune -response inducing agent can also have the expression of inflammation markers, such as, but not limited to, granulocyte/neturophil antigen 4/7, T cell antigen CD3, IBA1, and CD1 lb determined.
- inflammation markers such as, but not limited to, granulocyte/neturophil antigen 4/7, T cell antigen CD3, IBA1, and CD1 lb determined.
- the non-human transgenic animals and methods disclosed herein provide a specific utility.
- the non- human transgenic animals and methods disclosed herein are useful for elucidating mechanisms of remyelination, as well as development of therapeutic strategies for promoting remyelination.
- This provides a real world application towards study of human diseases relating to demyelinating conditions, such as those described previously.
- the mice described herein are more applicable to target validation during drug development, as the demyelination and remyelination events are highly reproducible, they occur at distinct timepoints in discrete locations, and are both clearly associated with a quantitative behavioral readout.
- this model system should allow for the exploration of factors that contribute to age-related decline in remyelination potential, such is in the diseases previously listed where subjects suffer from demyelination conditions.
- the methods described herein for screening agents modulating myelination may be applied to identifying both enhancers and inhibitors of myelination, as both may be valuable targets for developing therapeutics for myelination disorders.
- the non-human transgenic animal is used to screen candidate agents for an agent, or biologically active agent, that promotes remyelination or inhibit demyelination.
- the method of selecting an agent comprises activating the first heterologous protein, such as inducible Cre recombinase, in the non-human transgenic animal, administering a candidate agent to said animal, determining one or more phenotypic changes characteristic of a demyelination condition in the animal; and, selecting the agent when the one or more phenotypic changes is reversed more quickly as compared to a control animal not administered the candidate agent.
- the method of selecting an agent that promotes remyelination comprises activating the first heterologous protein, such as inducible Cre recombinse, in a non- human transgenic animal disclosed herein, administering a candidate agent to the animal, determining remyelination in the animal; and selecting the agent when the animal displays increased remyelination as compared to a control non-transgenic animal not administered the candidate agent.
- the first heterologous protein such as inducible Cre recombinse
- the non-human transgenic animal is capable of being induced to exhibit selective ablation of non-proliferating glial cells or proliferating glial cells.
- the animal is induced to specifically ablate non-proliferating glial cells.
- the induction of glial cell ablation can result in demyelination in the animal and the animal can exhibits one or more phenotypic changes characteristic of a demyelination condition, wherein the one or more phenotypic changes is reversed after the initial induction.
- the animal is a mouse, which comprises within its genome a first heterologous sequence encoding an inducible Cre recombinse, such as CreER T or CreER T2 , operably linked to a promoter or regulatory region specific to neural cells, such as oligodendrocyte or Schwann cell specific promoters.
- the mouse also comprises a second heterologous sequence that encodes DTA, wherein DTA is expressed when the inducible Cre recombinase is activated by an exogenous agent, such as tamoxifen or an analog thereof. The expression of DTA can then induce cell death.
- Expression of DTA can be cell specific, such as specifically in neural cells, such as glial cells due to the expression of the Cre recombinase specifically in neural cells.
- expression of DTA can induce the cell-specific death, or cell-specific ablation, of oligodendrocytes, Schwann cells, or astrocytes.
- the glial cells are non-proliferating glial cells, such as in the CNS, PNS, or both, wherein death of the non-proliferating glial cell results in demyelination in the CNS, PNS, or both.
- the induction of inducible Cre recombinase results in mature oligodendrocyte cell death.
- the administration of a candidate agent can be prior to, concurrent with, or after induction of the inducible Cre recombinase, such administration of the exogenous agent that activates the Cre recombinse (ie. tamoxifen or an analog thereof for the activation of CreER T or CreER T2 ).
- the candidate agent is administered to the animal after induction of the inducible Cre recombinase, such as after administration of the exogenous agent that activates the Cre recombinse (ie. tamoxifen or an analog thereof for the activation of CreER T or CreER T2 ).
- the candidate agent can be administered by any means known in the art including, but not limited to, oral or parenteral routes, including intravenous, intramuscular, intraperitoneal, subcutaneous, transdermal, and airway (aerosol) administration.
- more than one dose of the candidate agent is administered to the non-human transgenic animal disclosed herein.
- one or more candidate agents can be administered.
- the one or more doses, or one or more candidate agents can be administered by the same or different means.
- the animal can also be administered one or more doses of the exogenous agent.
- one or more doses of an immune-response inducing agent can also be administered to the animal prior to, concurrent with, or subsequent to administration of the candidate agent.
- the candidate agent can be administered to a non-human transgenic animal together with the exogenous agent that activates inducible Cre recombinase (ie. as tamoxifen or an analog thereof), and optionally, the immune-response inducing agent (ie. LPS), in a single composition.
- the candidate agent can be administered substantially simultaneously, sequentially, at preset intervals throughout the day or treatment period, at different frequencies, or using the same or different routes of administration as the exogenous agent that activates inducible Cre recombinase, and optionally, LPS.
- the candidate agent, as well as the exogenous agent, and optionally, LPS, can be administered focally or systemically.
- Focal administration can be to the CNS, PNS, or the specific regions of the CNS or PNS.
- the administration can be specifically to the brain, spinal cord, or optic nerve.
- the administration of a candidate agent can be prior to, concurrent with, or after the exhibition of the one or more phenotypic changes characteristic of a demyelination conditions, such as, but not limited to, wobbly gait, hind limb paralysis, tremors, decreased motor control, decrease balance, decreased CNS conduction, or any combination thereof.
- An agent can then be selected when the one or more phenotypic changes is reversed more quickly as compared to a control animal not administered the candidate agent.
- an agent in an animal that exhibits reversal of the one or more phenotypes characteristic of a demyelination disorder about 35 days or more after the activation of the Cre recombinase, or administration of an exogenous agent that activates the inducible Cre recombinase, an agent can be selected if an animal administered the candidate agent displays a reversal of the one or more phenotypes characteristic of a demyelination disorder in less than about 35 days.
- an agent in an animal that exhibits reversal of the one or more phenotypes characteristic of a demyelination disorder about 70 days or more after the activation of the Cre recombinase, or administration of an exogenous agent that activates the inducible Cre recombinase, an agent can be selected if an animal administered the candidate agent displays reversal of the one or more phenotypes characteristic of a demyelination disorder in less than about 70 days.
- a mouse administered tamoxifen to activate the inducible Cre recombinase expressed in mature oligodendroctyes exhibits decreased latency on a rotarod assay (see for example, FIG.
- the agent is selected when the reversal of the one or more phenotypes characteristic of a demyelination disorder in an animal administered the agent is about l/2 nd , l/3 rd , l/4 th , l/5 th , l/6 th , 1/7*, 1/8*, 1/9*, l/10 th , 1/11 th , l/12 th , l/14 th , l/21 st , l/28 th , l/35 th , l/42 nd , l/49 th , l/56 th , l/63 rd , 1/70*, or 1/77* or less than the time for the reversal of the one or more pheno
- detection and analysis (such as, but not limited to, video taping, weight measurements, rotarod assays, SEP assays, visual observations) is made at various time points and administration of a test agent can be repeated during the course of the assay, as well as using different dosing regimens.
- an agent is selected with the reversal of the one or more phenotypes characteristic of a demyelination disorder in an animal is faster or more quick than in an animal not administered the agent.
- the control animal not administered the candidate agent typically has the same genetic background as the animal administered the candidate agent, and also has its first heterologous protein (ie. inducible Cre recombinase) activated.
- an agent is selected when the animal administered the candidate agent exhibits to a lesser degree (such as a lesser severity, lesser extent, or no exhibition) the one or more phenotypic changes characteristic of a demyehnation condition as compared to a control animal not administered the candidate agent, wherein both animals have activated inducible Cre reombinase.
- an agent is selected when the animal administered the candidate agent has a delay in the exhibition of one or more phenotypic changes characteristic of a demyehnation condition as compared to a control animal not administered the candidate agent.
- an agent is selected when the animal administered the agent displays increased remyelination as compared to a control non-transgenic animal not administered the agent.
- the animal after activation of the inducible Cre recombinase in non-proliferating myelinating cells in a non-human transgenic animal disclosed herein, the animal expresses DTA in the cells, which induces cell death, resulting in demyelination in the animal.
- the demyelination condition can be characterized by a decrease in myelinated axons in the nervous systems (e.g., the central or peripheral nervous system), or by a reduction in the levels of markers of myelinating cells, such as oligodendrocytes and Schwann cells.
- myelinated axons in the nervous systems e.g., the central or peripheral nervous system
- markers of myelinating cells such as oligodendrocytes and Schwann cells.
- neuronal demyelination can be characterized by a loss of oligodendrocytes in the central nervous system or Schwann cells in the peripheral nervous system. It can also be determined by a decrease in myelinated axons in the nervous system, or by a reduction in the levels of oligodendrocyte or Schwann cell markers.
- oligodendrocytes or Schwann cells include, but are not limited to, CC1, myelin basic protein (MBP), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), myelin oligodendrocyte glycoprotein (MOG), oligodendrocyte -myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), protein 2 (P2), galactocerebroside (GalC), sulfatide and proteolipid protein (PLP).
- the candidate agents identified by the subject method encompass substances that can inhibit the deleterious morphological characteristics of neuronal demyelination.
- the remyelination is characterized by myelinated axons.
- myelinated axons can be detected using any means known in the arts, such as by electron microscopy.
- remyelination can be characterized by expression of markers for astrocytes or microglia cells, for example, decreased expression of microglial cell markers representing decreased microglial cells.
- remyelination is characterized by the expression of one or more oligodendrocyte cell markers.
- the expression of one or more remyelination-specific marker proteins of an animal treated with a candidate agent can be compared to a control or reference animal.
- RNA level or mRNA level of the marker is detected, such as by PCR, RT-PCR, or other means known in the arts.
- the oligodendrocyte cell marker can be selected from the group consisting of, but not limited to, CC1, myelin basic protein (MBP), ceramide galactosyltransferase (CGT), myelin associated glycoprotein (MAG), myelin oligodendrocyte glycoprotein (MOG), oligodendrocyte -myelin glycoprotein (OMG), cyclic nucleotide phosphodiesterase (CNP), NOGO, myelin protein zero (MPZ), peripheral myelin protein 22 (PMP22), protein 2 (P2), galactocerebroside (GalC), sulfatide and proteolipid protein (PLP).
- CC1 myelin basic protein
- CCT myelin associated glycoprotein
- MOG myelin oligodendrocyte glycoprotein
- OMG oligodendrocyte -myelin glycoprotein
- CNP cyclic nucleotide phosphodiesterase
- the expression of remyelination-specific marker proteins is measured in the test animal and a control or reference animal, in determining whether a candidate agent has remyelination inhibiting or reducing activity.
- a candidate agent can be categorized as a remyelination inhibitor or remyelination toxin.
- remyelination can be ascertained by observing an increase in the cell-specific expression of a marker gene/gene product (e.g., in the central or peripheral nervous system).
- Fluorescence of the marker proteins can be detected using in vitro or in vivo methods known in the art for detection of fluorescence in small animals. In vivo fluorescence can be detected and/or quantified utilizing devices available in the relevant art. Visualization, imaging or detection can be made through invasive, minimally invasive or non-invasive techniques. Typically, microscopy techniques are utilized to detect or image fluorescence from cells/tissue obtained from the transgenic animals, from living cells, or through in vivo imaging techniques.
- Luminescent, fluorescent or bioluminescent signals are easily detected and quantified with any one of a variety of automated and/or high-throughput instrumentation systems including fluorescence multi-well plate readers, fluorescence activated cell sorters (FACS) and automated cell-based imaging systems that provide spatial resolution of the signal.
- FACS fluorescence activated cell sorters
- a variety of instrumentation systems have been developed to automate HCS (high- content screening) including the automated fluorescence imaging and automated microscopy systems developed by Cellomics, Amersham, TTP, Q3DM, Evotec, Universal Imaging and Zeiss. Fluorescence recovery after photobleaching (FRAP) and time lapse fluorescence microscopy have also been used to study protein mobility in living cells.
- Visualizing fluorescence can be conducted with microscopy techniques, either through examining cell/tissue samples obtained from an animal (e.g., through sectioning and imaging using a confocal microscope), examining living cells or detection of fluorescence in vivo.
- Visualization techniques include but are not limited utilization of confocal microscopy or photo-optical scanning techniques known in the art.
- fluorescence labels with emission wavelengths in the near-infrared are more amenable to deep-tissue imaging because both scattering and autofluorescence, which increase background noise, are reduced as wavelengths are increase. Examples of in vivo imaging are known in the art, such as disclosed by Mansfield et al., J.
- demyelination/remyelination phenomena can be observed by immunohistochemical means or protein analysis known in the art.
- sections of the test animal's brain can be stained with antibodies that specifically recognize an oligodendrocyte marker.
- the expression levels of oligodendrocyte markers can be quantified by immunoblotting, hybridization means, and amplification procedures, and any other methods that are well-established in the art. e.g., Mukouyama et al., Proc. Natl. Acad. Sci. 103: 1551-1556 (2006); Zhang et al., supra; Girard et al., J. Neurosci. 25:7924-7933 (2005); and U.S. Patent Nos. 6,909,031 ; 6,891,081 ; 6,903,244; 6,905,823; 6,781,029; and 6,753,456, the disclosure of each of which is herein incorporated by reference.
- cell/tissue from the central or peripheral nervous system can be excised and processed for protein, e.g., tissue is homogenized and protein is separated on an SDS-10% polyacylamide gel and then transferred to nitrocellulose membrane to detect marker proteins.
- Fluorescent protein levels can be detected utilizing primary antibody/antisera (e.g., goat polyclonal raised against a particular marker protein; BD Gentest, Woburn, MA) and peroxidase-conjugated secondary antibody rabbit anti-goat IgG (Sigma- Aldrich).
- primary antibody/antisera e.g., goat polyclonal raised against a particular marker protein; BD Gentest, Woburn, MA
- peroxidase-conjugated secondary antibody rabbit anti-goat IgG Sigma- Aldrich
- the transgenic animals disclosed herein can be the source for cell/tissue culture.
- a cell from an animal disclosed herein can be used for cell-based assays for providing a comparison of the expression of a gene or gene product or the activity of said gene product in a test neural cell (e.g., transgenic oligodendrocyte or Schwann cell) relative to a control cell, a cell obtained from a control animal.
- the cell can be a proliferating cell or a non-proliferating cell, such as a mature or differentiated oligodendrocyte or Schwann cell.
- the test neural cell can be isolated from the CNS or PNS, or cell culture derived from the cells of the transgenic animals, the progeny thereof, and section or smear prepared from the source, or any other samples of the brain that contain, for example, oligodendrocytes or Schwann cells or their progenitors. Where desired, one can choose to use enriched cell cultures that are substantially free of other neural cell types such as neurons, microglial cells, and astrocytes.
- Various methods of isolating, generating or maintaining matured oligodendrocytes and Schwann cells are known in the art (Baerwald et al, J. Neurosci. Res. 52:230-239 (1998); Levi et al, J Neurosci. Meth. 68:21-26 (1998)) and are exemplified herein.
- a candidate agent or a biologically active agent that is selected, which can include, but not be limited to a biological or chemical compound such as a simple or complex organic or inorganic molecule, peptide, peptide mimetic, protein (e.g. antibody), liposome, small interfering RNA, or a polynucleotide (e.g. anti-sense).
- a biological or chemical compound such as a simple or complex organic or inorganic molecule, peptide, peptide mimetic, protein (e.g. antibody), liposome, small interfering RNA, or a polynucleotide (e.g. anti-sense).
- a vast array of compounds can be synthesized, for example polymers, such as polypeptides and polynucleotides, and synthetic organic compounds based on various core structures, and these are also contemplated herein.
- various natural sources can provide compounds for screening, such as plant or animal extracts, and the like. It should be understood, although not always explicitly
- a candidate agent such as a therapeutic/drug, assayed in one or more methods disclosed herein, can be used in the model systems such as the transgenic animals disclosed herein to determined if there is an overall difference in response to the drug compared at different time points, as well as compared to reference or controls.
- the transgenic animal can be used to determine whether a candidate agent modulates remyelination and to what degree.
- a candidate agent modulates remyelination and to what degree.
- a candidate therapeutic/drug is being assayed in one or more methods of the invention, then it can be determined if there is an overall difference in response to the drug compared at different time points, as well as compared to reference or controls.
- a marker which is differentially expressed in a single subpopulation of glial cells e.g., progenitor oligodendrocytes
- the transgenic animal in the foregoing example is used to obtain various data, which include whether remyeliantion is occurring post insult and whether a candidate agent modulates such remyelination and to what degree.
- a marker which is differentially expressed in a single subpopulation of glial cells e.g., progenitor oligodendrocytes
- the transgenic animal in the foregoing example is used to obtain various data, which include whether remyeliantion is occurring post insult and whether a candidate agent modulates such remyelination and to what degree.
- the foregoing is merely one example for
- the one or more methods disclosed herein can be utilized to select a biologically active agent that can subsequently be implemented in treatment of demyelination, by inhibiting demyelination or promoting remyelination.
- the selected biologically active agents effective to modulate remyelination can be used for the preparation of medicaments for treating neuronal demyelination disorders.
- the demyelination disorder referred herein is multiple sclerosis.
- the demyelination disorder is selected from the group consisting of Progressive Multifocal Leukoencephalopathy (PML), Encephalomyelitis, Central Pontine Myelolysis (CPM), Anti-MAG Disease, Leukodystrophies: Adrenoleukodystrophy (ALD), Alexander's Disease, Canavan Disease, Krabbe Disease, Metachromatic Leukodystrophy (MLD), Pelizaeus- Merzbacher Disease, Refsum Disease, Cockayne Syndrome, Van der Knapp Syndrome, and Zellweger Syndrome, Guillain-Barre Syndrome (GBS), chronic inflammatory demyelinating polyneuropathy (CIDP), and multifocual motor neuropathy (MMN).
- PML Progressive Multifocal Leukoencephalopathy
- CPM Central Pontine Myelolysis
- Anti-MAG Disease Leukodystrophies: Adrenoleukodystrophy (ALD), Alexander's Disease, Canavan Disease, Krabbe Disease, Metachromatic Leukodys
- an identified/selected biologically active agent of this invention can be administered to treat neuronal demyelination inflicted by pathogens such as bacteria and viruses.
- the selected agent can be used to treat neuronal demyelination caused by toxic substances or accumulation of toxic metabolites in the body as in, e.g., central pontine myelinolysis and vitamin deficiencies.
- the agent can be used to treat demyelination caused by physical injury, such as spinal cord injury.
- the agent can be administered to treat demyelination manifested in disorders having genetic attributes, genetic disorders including but not limited to leukodystrophies, adrenoleukodystrophy, degenerative multi-system atrophy, Binsw anger encephalopathy, tumors in the central nervous system, and multiple sclerosis.
- the identified/selected biologically active agent of the invention can also be delivered with, prior to, or subsequent to, other products of interest that include, but not be limited to: a growth factor, cytokine, nerve growth factor, anti-sense RNA, siRNA, immuno-suppressants, anti-inflammatories, anti-proliferatives, anti- migratory agents, anti-fibrotic agents, pro-apoptotics, antibodies, anti-thrombotic agents, anti-platelet agents, Ilblllla agents, angiogenic factors, anti-angiogenic factors, antiviral agents, nerve growth factor, NGF family of proteins, NGF, Beta-NGF, Neurotrophin-3 precursor (NT-3), HDNF,Nerve growth factor 2 (NGF-2), Brain- derived neurotrophic factor (BDNF), Neurotrophin-5 (NT-5), Neurotrophin-4 (NT -4), or precursors and combinations thereof.
- a growth factor cytokine
- nerve growth factor anti-sense RNA, siRNA
- immuno-suppressants
- Various delivery systems are known and can be used to administer a biologically active agent, e.g., encapsulation in liposomes, microparticles, microcapsules, expression by recombinant cells, receptor-mediated endocytosis (see, e.g., Wu and Wu, J. Biol. Chem. 262:4429-4432 (1987)), construction of a therapeutic nucleic acid as part of a retroviral or other vector, etc.
- Methods of delivery include but are not limited to intra-arterial, intra-muscular, intravenous, intranasal, and oral routes.
- the agents can be desirable to administer the pharmaceutical compositions of the invention locally to the area in need of treatment; this can be achieved by, for example, and not by way of limitation, local infusion during surgery, by injection, or by means of a catheter.
- the agents are delivered to a subject's nerve systems, preferably the central nervous system.
- the agents are administered to neural tissues undergoing remyelination.
- Administration of the selected agent can be effected in one dose, continuously, or intermittently throughout the course of treatment. Methods of determining the most effective means and dosage of administration are well known to those of skill in the art and will vary with the composition used for therapy, the purpose of the therapy, the target cell being treated, and the subject being treated. Single or multiple administrations can be carried out with the dose level and pattern being selected by the treating physician.
- compositions of this invention are conducted in accordance with generally accepted procedures for the preparation of pharmaceutical preparations. See, for example, Remington's
- processing can include mixing with appropriate nontoxic and non-interfering components, sterilizing, dividing into dose units, and enclosing in a delivery device.
- compositions for oral, intranasal, or topical administration can be supplied in solid, semisolid or liquid forms, including tablets, capsules, powders, liquids, and suspensions.
- Compositions for injection can be supplied as liquid solutions or suspensions, as emulsions, or as solid forms suitable for dissolution or suspension in liquid prior to injection.
- a some composition is one that provides a solid, powder, or aerosol when used with an appropriate aerosolizer device.
- Liquid pharmaceutically acceptable compositions can, for example, be prepared by dissolving or dispersing a polypeptide embodied herein in a liquid excipient, such as water, saline, aqueous dextrose, glycerol, or ethanol.
- a liquid excipient such as water, saline, aqueous dextrose, glycerol, or ethanol.
- the composition can also contain other medicinal agents, pharmaceutical agents, adjuvants, carriers, and auxiliary substances such as wetting or emulsifying agents, and pH buffering agents.
- Example 1 Generation of PLP/CreER T ;ROSA26-eGFP-DTA Mice and Induction of Cre Recombinase Activity
- a mouse comprising the ROSA26-eGFP-DTA allele ⁇ Ivanovo et al, Genesis 43:129-135 (2005)), which harbors the gene of the Diptheria toxin A chain (DT-A) in a functionally inactive form due to the presence of the upstream floxed DNA sequence region that contain eGFP and Neo genes, was crossed with a mouse with a PLP/CreER T allele (Doerflinger et al, Genesis, 35:63-72 (2003)), which express the tamoxifen-related version of the Cre recombinase in oligodendrocytes. The mating resulted in compound heterozygous PLP/CreER T ;ROSA26- eGFP-DTA mice, in which Cre -mediated excision of the floxed region is induced with tamoxifen in the
- mice were administered 1 mg of tamoxifen a day for five to seven days, intraperitoneally (IP).
- IP intraperitoneally
- CTTAACGCTTTCGCCTGTTC'3' was used and the binding sites are depicted in FIG. 1.
- the PI and P2 primers amplify the approximately 650bp (DTA) product as depicted in FIG. 2.
- the control lane depicts the PCR result from the ROSA26-eGFP-DTA mice without induced expression of DTA and the results from the tamoxifen- treated mice treated at 7, 14, and 21 days after the first tamoxifen injection (dpi) are depicted in lanes mut-D7, mut-D14, and mut-D21, respectively.
- the eventual decrease in DTA expression can be attributed to the death, and lack of, cells.
- the tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA mice were characterized to detect the loss of oligodendrocytes.
- Oligodendrocyte cell loss was a maximum in most CNS areas of the tamoxifen-treated mice PLP/CreER T ;ROSA26-eGFP-DTA mice by 21 dpi (see for example, FIG. 4, 5).
- mouse PLP sense primer CACTTACAACTTCGCCGTCCT
- mouse PLP anti-sense primer GGGAGTTTCTATGGGAGCTCAGA
- mouse PLP probe AACTCATGGGCCGAGGCACCAA
- mouse MBP sense primer GCTCCCTGCCCCAGAAGT
- mouse MBP anti-sense primer TGTCACAATGTTCTTGAAGAAATGG
- mouse MBP probe AGCACGGCCGGACCCAAGATG
- mouse GAPDH sense primer CTCAACTACATGGTCTACATGTTCCA
- mouse GAPDH anti-sense primer CCATTCTCGGCCTTGACTGT
- mouse GAPDH probe TGACTCCACTCACGGCAAATTCAACG
- CNS myelination was determined by electron microscopy (EM) and toluidine blue staining of the spinal cord and Western blotting of MAG and MBP protein expression in the brain.
- EM electron microscopy
- the impact of oligodendrocyte cell loss was minimal in the tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice 21 dpi (FIG. 7).
- the mice displayed phenotypes characteristic of a demyelination condition.
- the mice exhibited tremors and an ataxic uncoordinated gait. By 21 dpi, some mice become very weak and died.
- the ground electrode was applied to the tail upon stimulation of the nerve and recordings were made from the low lumbar or the mid-thoracic level.
- mice were unable to perform on the rotarod (FIG. 14).
- the mice were tested for the time (latency) they maintained themselves on the rod rotating at the accelerating speed mode (5 to 65 rpm) during a 5 minute trial session.
- the latency time was monitored for each mouse by performing 4 sessions a day, once a week, for 7 consecutive weeks.
- mice showed increased ataxia and tremor, and toluidine blue staining of the cerebellum, brain stem, spinal cord, and optic nerve of the mice revealed massive oligodendrocyte loss throughout the CNS resulted in myelin sheath degeneration and vacuolation in distinct white matter-rich areas (FIG. 10).
- An EM of the cervical spinal cord-ventral white matter at 35 dpi also demonstrated demyelination (FIG. 11).
- Microglia activation as determined by CD1 lb staining of microglia in the cerebellum, also correlated with demyelination at 35 dpi (FIG. 12).
- the tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA mice were able to remyelinate and displayed reversal of the phenotype characteristics of demyelination. The animals showed a remarkable phenotypic recovery. As described in Example 2, the tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA mice were unable to perform on the rotarod at 35 dpi and even 42 dpi.
- mice started to regain their motor function after 42 dpi and by 77 dpi, the latency time of the tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA mice was eventually approximately that of the control mice (FIG. 14).
- the tamoxifen-treated mice started to regain their motor function after 42 dpi and by 77 dpi, the latency time of the tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA mice was eventually approximately that of the control mice (FIG. 14).
- tamoxifen-treated PLP/CreER T ;ROSA26-eGFP-DTA mice were replenishing and repairing the oligodendrocyte-depleted areas.
- the oligodendrocyte cell numbers were increasing by 35 dpi, with even more by 70 dpi, as indicated by CC1 immunostaining (FIG. 8).
- RT-PCR analysis oiMbp and Pip mRNA expression showed a similar trend, where by 70 dpi, the levels were even higher than control mice (FIG. 9).
- Toluidine blue staining of the cerebellum, brain stem, spinal cord, and optic nerve of the mice also revealed remyelination at 70 dpi (FIG. 10), as did EM of the cervical spinal cord-ventral white matter also indicated remyelination (FIG. 11).
- Microglia activation had also decreased, correlating with remyelination (FIG. 12).
- OPC oligodendrocyte precuresor cells
- PDGFRa positive cells in the brain stem and cerebellum was also increased as compared to the control mice (FIG. 13).
- FIG. 19 A summary of the demyelination and display of the phenotypes characteristic of a demyelination disorder, and the unexpected remyelination and reversal of the phenotypes is shown in FIG. 19.
- PLP/CreER T ;ROSA26-eGFP-DTA mice are administered various amounts of tamoxifen or 4- hydroxytamoxifen (4-OHT) of various regimens to evaluate the range of demyelination and phenotypic changes characteristic of a demyelination disorder.
- Doses ranging from approximately 1-7 mg of 4-OHT is administered IP to different groups of mice.
- the dosing regimen, of approximately once a day for 3 to 7 sequential days, is also varied for different groups of mice.
- the different groups of mice also comprise younger mice (5-6 weeks of age) and older mice (6-9 months of age).
- mice are characterized by CC1 immunostaining, CD1 lb staining, EM, toluidine blue staining, Mbp and Pip gene expression, rotarod assay, analysis of the gait by the treadmill DigiGait assay, and SEP assay. Immunohistochemistry is also performed. The extent of phenotypic changes, such as lower severity of clinical symptoms, longer time to show clinical symptoms, or faster recovery time is expected with lower dosages or shorter times of administration as compared to the regimen described in Example 1. The mice with lower dosages and can also have lower percentage of mice dying. The effect and any differences, such as time for recovery or extent of recovery, of the younger versus older mice are also analyzed.
- tamoxifen is injected into the mouse by stereotaxic injection.
- a stereotaxic instrument is used to implant an injection probe for delivering the tamoxifen solution through a cannula to the preselected location, which is defined by co-ordinates from the mouse brain atlas. Approximately 10 to 100 microgram/day, for 1 to 3 days, is administered to the mouse continuously.
- mice The intracerebral injection is performed in younger mice (5-6 weeks of age) and older mice (6-9 months of age).
- the mice are characterized by CC1 immunostaining, CD1 lb staining, EM, toluidine blue staining, Mbp and Pip gene expression, rotarod assay, analysis of the gait by the treadmill DigiGait assay, and SEP assay.
- Immunohistochemistry is also performed. The effect and any differences, such as time for recovery or extent of recovery, of the younger versus older mice are analyzed.
- mice To determine the remyelination potential and phenotype reversal potential of the mice, tamoxifen treated PLP/CreER T ;ROSA26-eGFP-DTA younger mice (5-6 weeks of age) and older mice (6-9 months of age) that have recovered (such as described in Example 3) or after an amount or dose of tamoxifen that was administered as determined in Example 4, by IP.
- the second injection of tamoxifen is 120 days PI.
- mice are characterized by CC1 immunostaining, CD1 lb staining, EM, toluidine blue staining, Mbp and Pip gene expression, rotarod assay, analysis of the gait by the treadmill DigiGait assay, and SEP assay.
- the PLP/CreER T ;ROSA26-eGFP-DTA younger mice (5-6 weeks of age) and older mice (6-9 months of age) are administered tamoxifen, an amount or dose as described in Example 1 or determined in Example 4, by IP.
- a single dose of LPS of 200 micrograms is administered IP at 7 and 14 dpi, or by injecting a daily dose of 10 micrograms for 7 continuous days starting at 7 or 14 dpi, prior to the animal exhibiting phenotypic characteristics of a demyelination disorder.
- mice are characterized by CC1 immunostaining, CD1 lb staining, EM, toluidine blue staining, Mbp and Pip gene expression, rotarod assay, analysis of the gait by the treadmill DigiGait assay, and SEP assay.
- Immunohistochemistry is also performed.
- the influx of immune cells into the brain is also determined by looking at the following markers: granulocyte/neutrophil antigen 4/7, T cell antigen CD3, and IBA1.
- the effect and any differences, such as time for recovery or extent of recovery, of the mice that were treated with LPS are compared to mice that were administered tamoxifen but not treated with LPS.
- the mice treated with LPS can have a faster recovery time.
- the effect and any differences, such as time for recovery or extent of recovery, of the younger versus older mice are also analyzed.
- the PLP/CreER T ;ROSA26-eGFP-DTA mice is administered tamoxifen as described in Example 1 or an amount or dosage as determined in Example 4, by IP.
- a candidate agent is administered by IP to the mouse 14 days PI, prior to the animal exhibiting phenotypic characteristics of a demyelination disorder.
- mice are characterized by rotarod assay and analysis of the gait by the treadmill DigiGait assay at various time points.
- the agent is selected for further development as a therapeutic when the mouse recovers its motor control faster than the PLP/CreER T ;ROSA26-eGFP-DTA mice that are administered tamoxifen but not the candidate agent.
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WO2015197639A1 (en) * | 2014-06-23 | 2015-12-30 | Vib Vzw | Tissue-specific cell depletion with two chimeric proteins |
WO2020172587A1 (en) * | 2019-02-21 | 2020-08-27 | Nemametrix Inc | Monogenic or polygenic disease model organisms humanized with two or more genes |
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JP6363096B2 (en) * | 2012-12-19 | 2018-07-25 | ザ リージェンツ オブ ザ ユニバーシティ オブ カリフォルニア | Micropillar array for assaying myelin formation |
CN107586791B (en) * | 2017-10-26 | 2018-09-21 | 四川省人民医院 | A kind of construction method of incoordination animal model and application |
KR102171241B1 (en) * | 2017-11-16 | 2020-10-28 | 한국과학기술연구원 | Transgenic animal inducing reactive astrocyte and preparation method thereof |
CN115667503A (en) * | 2020-05-01 | 2023-01-31 | 儿童医疗中心有限公司 | Compositions and methods for promoting myelination |
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US20080096202A1 (en) * | 2005-06-14 | 2008-04-24 | Brian Popko | Animal models for demyelination disorders |
US20090010873A1 (en) * | 2004-11-29 | 2009-01-08 | Yeda Research And Development Co. Ltd. | Methods of Cell Therapy, Neurogenesis and Oligodendrogenesis |
US20090019554A1 (en) * | 2007-06-12 | 2009-01-15 | Selkirk Stephen M | Targeted cell death |
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US20090010873A1 (en) * | 2004-11-29 | 2009-01-08 | Yeda Research And Development Co. Ltd. | Methods of Cell Therapy, Neurogenesis and Oligodendrogenesis |
US20080096202A1 (en) * | 2005-06-14 | 2008-04-24 | Brian Popko | Animal models for demyelination disorders |
US20090019554A1 (en) * | 2007-06-12 | 2009-01-15 | Selkirk Stephen M | Targeted cell death |
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WO2015197639A1 (en) * | 2014-06-23 | 2015-12-30 | Vib Vzw | Tissue-specific cell depletion with two chimeric proteins |
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