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Berardo A, Bacaglio CR, Báez BB, Sambuelli R, Sheikh KA, Lopez PHH. Blockade of Rho-associated kinase prevents inhibition of axon regeneration of peripheral nerves induced by anti-ganglioside antibodies. Neural Regen Res 2024; 19:895-899. [PMID: 37843226 PMCID: PMC10664126 DOI: 10.4103/1673-5374.382258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 06/08/2023] [Accepted: 07/19/2023] [Indexed: 10/17/2023] Open
Abstract
Anti-ganglioside antibodies are associated with delayed/poor clinical recovery in Guillain-Barrè syndrome, mostly related to halted axon regeneration. Cross-linking of cell surface gangliosides by anti-ganglioside antibodies triggers inhibition of nerve repair in in vitro and in vivo paradigms of axon regeneration. These effects involve the activation of the small GTPase RhoA/ROCK signaling pathways, which negatively modulate growth cone cytoskeleton, similarly to well stablished inhibitors of axon regeneration described so far. The aim of this work was to perform a proof of concept study to demonstrate the effectiveness of Y-27632, a selective pharmacological inhibitor of ROCK, in a mouse model of axon regeneration of peripheral nerves, where the passive immunization with a monoclonal antibody targeting gangliosides GD1a and GT1b was previously reported to exert a potent inhibitory effect on regeneration of both myelinated and unmyelinated fibers. Our results demonstrate a differential sensitivity of myelinated and unmyelinated axons to the pro-regenerative effect of Y-27632. Treatment with a total dosage of 9 mg/kg of Y-27632 resulted in a complete prevention of anti-GD1a/GT1b monoclonal antibody-mediated inhibition of axon regeneration of unmyelinated fibers to skin and the functional recovery of mechanical cutaneous sensitivity. In contrast, the same dose showed toxic effects on the regeneration of myelinated fibers. Interestingly, scale down of the dosage of Y-27632 to 5 mg/kg resulted in a significant although not complete recovery of regenerated myelinated axons exposed to anti-GD1a/GT1b monoclonal antibody in the absence of toxicity in animals exposed to only Y-27632. Overall, these findings confirm the in vivo participation of RhoA/ROCK signaling pathways in the molecular mechanisms associated with the inhibition of axon regeneration induced by anti-GD1a/GT1b monoclonal antibody. Our findings open the possibility of therapeutic pharmacological intervention targeting RhoA/Rock pathway in immune neuropathies associated with the presence of anti-ganglioside antibodies and delayed or incomplete clinical recovery after injury in the peripheral nervous system.
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Affiliation(s)
- Andrés Berardo
- Laboratorio de Neurobiología, Instituto de Investigación Médica Mercedes y Martin Ferreyra, (INIMEC)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-Universidad Nacional de Córdoba, Córdoba, Argentina
| | - Cristian R. Bacaglio
- Laboratorio de Neurobiología, Instituto de Investigación Médica Mercedes y Martin Ferreyra, (INIMEC)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-Universidad Nacional de Córdoba, Córdoba, Argentina
- Departamento de Química Biológica-Centro de Investigaciones en Química Biológica de Córdoba (CIQUIBIC)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Facultad de Cs. Químicas, Universidad Nacional de Córdoba, Córdoba, Argentina
| | - Bárbara B. Báez
- Laboratorio de Neurobiología, Instituto de Investigación Médica Mercedes y Martin Ferreyra, (INIMEC)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-Universidad Nacional de Córdoba, Córdoba, Argentina
- Departamento de Química Biológica-Centro de Investigaciones en Química Biológica de Córdoba (CIQUIBIC)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Facultad de Cs. Químicas, Universidad Nacional de Córdoba, Córdoba, Argentina
| | - Rubén Sambuelli
- Servicio de Anatomía Patológica, Clínica Universitaria Reina Fabiola, Universidad Católica de Córdoba, Córdoba, Argentina
| | - Kazim A. Sheikh
- Department of Neurology, University of Texas Medical School at Houston, Houston, TX, USA
| | - Pablo H. H. Lopez
- Laboratorio de Neurobiología, Instituto de Investigación Médica Mercedes y Martin Ferreyra, (INIMEC)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)-Universidad Nacional de Córdoba, Córdoba, Argentina
- Departamento de Química Biológica-Centro de Investigaciones en Química Biológica de Córdoba (CIQUIBIC)- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Facultad de Cs. Químicas, Universidad Nacional de Córdoba, Córdoba, Argentina
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Affiliation(s)
| | - Jayantee Kalita
- Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
| | - Usha Kant Misra
- Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
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Srivastava A, Taly AB, Gupta A, Moin A, Murali T. Guillain-Barré syndrome following snake bite: An unusual complication. Ann Indian Acad Neurol 2011; 13:67-8. [PMID: 20436752 PMCID: PMC2859593 DOI: 10.4103/0972-2327.61284] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2008] [Revised: 09/07/2008] [Accepted: 03/21/2009] [Indexed: 11/04/2022] Open
Abstract
A 40-year-old man presented with a nonhealing wound on the left ankle for the last 5 weeks, a tingling sensation in both hands for 20 days, and weakness in all four limbs for 10 days. He had been bitten by a snake while working in a sugarcane field 6 weeks earlier and had received tetanus toxoid and anti-snake venom on the day of the bite. He had clinical, biochemical, and electrophysiological features of Guillain-Barré syndrome, with motor and sensory neuropathy-primarily suggestive of demyelination with secondary axonal degeneration. Recognition of this unusual complication following snake bite or use of anti-snake venom / tetanus toxoid has considerable epidemiological, therapeutic, and prognostic significance.
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Affiliation(s)
- Abhishek Srivastava
- Department of Physical Medicine and Rehabilitation, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, 400 053, Mumbai
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