ALS researchers encouraged by new mouse model

A new mouse model of amyotrophic lateral sclerosis (ALS) closely resembles the paralyzing disorder in humans, School of Medicine researchers report.

Like humans with ALS, also called Lou Gehrig’s disease, the new genetically engineered mouse develops progressive paralysis; loses muscle mass and specific types of motor neurons, or nerve cells that control muscles; and dies of the disorder.

“As far as we know, this is the first mouse model that recapitulates ‘typical’ ALS to be produced in more than a decade,” said senior author Robert Baloh, M.D., Ph.D., assistant professor of neurology. “That could make it very helpful for our efforts to better understand and identify treatments for this terrible disorder.”

Scientists reported the details of the new mouse model online in the Proceedings of the National Academy of Sciences.

Baloh’s work with the mice was made possible in part by the Hope Center for Neurological Disorders, a collaboration between the School of Medicine and Hope Happens, a nonprofit foundation that raises funds for research into neurodegenerative disorders such as ALS.

Christopher Hobler, a St. Louis native who died of ALS in 2005, and his family established the foundation.

The mouse model has a point mutation or single letter of erroneous DNA code in the gene for a protein called TDP-43. University of Pennsylvania researchers linked TDP-43 to inherited forms of ALS in 2006.

School of Medicine scientists Nigel Cairns, Ph.D., research associate professor of neurology and of pathology and immunology, and Alison Goate, Ph.D., professor of genetics in psychiatry, of neurology and of genetics, sequenced a point mutation in the TDP-43 gene of a St. Louis family with an inherited form of ALS, and Baloh’s lab created a mouse line with the family’s mutation.

“Ten percent of all ALS cases are inherited, but only a small portion of the known inherited forms of the disorder are clinically indistinguishable from sporadic ALS,” Baloh said.

“TDP-43 is only the second gene to be linked to an inherited form of ALS that appears clinically identical to sporadic ALS, and it’s very promising that this similarity allows the symptoms of sporadic ALS to be accurately modeled in mice,” Baloh said.

While mice typically live more than two years, mice with the TDP-43 mutation live only five months. Like humans, the mice develop problems with walking, lose muscle mass and eventually become paralyzed.

“The mice have damage to both upper motor neurons, which extend from the brain to the spinal cord, and lower motor neurons, which reach from the spinal cord to the muscles,” Baloh said. “In humans, damage to both upper and lower motor neurons is required for a diagnosis of ALS.”

Clumps of unidentified proteins develop within the motor neurons of the mice, another symptom that echoes human ALS pathology.

Scientists know that the TDP-43 protein is both a transcription and a splicing factor, which means that it binds to both RNA and DNA to regulate the creation of particular proteins. But they don’t yet know enough details about its normal function to determine how TDP-43 mutations cause ALS.

“The mutation could be making the TDP-43 protein toxic to nerve cells, or it could be blocking a normal function of the protein that is essential for those cells,” Baloh said. “The mice will help us test both of these possibilities.”

The new mouse model also may provide an important tool for screening new drugs, according to Baloh. Scientists already have another mouse model of ALS with a mutation in SOD1, the first gene to be linked to an inherited form of ALS with typical symptoms, but Baloh said it hasn’t always been the best tool for predicting if treatments will work in humans.

“If we use the two models together to test potential treatments, though, that might provide us with a much finer screen,” Baloh said. “This could help relieve some frustration in the field because there are a number of new drugs ready to be tested in humans, and we urgently need ways to determine which should be tried first.”