Abstract
Background and Purpose: Amyotrophic lateral sclerosis (ALS) is a
devastating neurodegenerative disease with limited treatment options.
ALS pathogenesis involves intricate processes within motor neurons
(MNs), characterized by dysregulated Ca2+ influx and buffering in early
ALS-affected MNs. This study proposes the modulation of ryanodine
receptors (RyRs), key mediators of intracellular Ca2+, as a therapeutic
target. Experimental Approach: A novel class of novel FKBP12 ligands
that show activity as cytosolic calcium modulators through stabilizing
RyR channel activity, were tested in the SOD1G93A mouse model of ALS.
Different outcomes were used to assess treatment efficacy including
electrophysiology, histopathology, neuromuscular function, and survival.
Key Results: Among the novel FKBP12 ligands, MP-010 was chosen for its
central nervous system availability. Chronic administration of MP-010 to
SOD1G93A mice produced a dose-dependent preservation of motor nerve
conduction, with the 61 mg/kg dose significantly delaying the onset of
motor impairment. This was accompanied by improved motor coordination,
increased innervated endplates, and significant preservation of MNs in
the spinal cord of treated mice. Notably, MP-010 treatment significantly
extended lifespan by an average of 10 days compared to vehicle.
Conclusions and Implications: FKBP12 ligands, particularly MP-010,
exhibit promising neuroprotective effects in ALS, highlighting their
potential as novel therapeutic agents. Further investigations into the
molecular mechanisms and clinical translatability of these compounds are
needed for their application in ALS treatment.