Delayed administration of the human anti-RGMa monoclonal antibody elezanumab promotes functional recovery including spontaneous voiding after spinal cord injury in rats

Bibliographic Details
Title: Delayed administration of the human anti-RGMa monoclonal antibody elezanumab promotes functional recovery including spontaneous voiding after spinal cord injury in rats
Authors: Andrea J. Mothe, Marlon Coelho, Lili Huang, Philippe P. Monnier, Yi-Fang Cui, Bernhard K. Mueller, Peer B. Jacobson, Charles H. Tator
Source: Neurobiology of Disease, Vol 143, Iss , Pp 104995- (2020)
Publisher Information: Elsevier, 2020.
Publication Year: 2020
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: Repulsive Guidance Molecule A (RGMa), Spinal cord injury, Clip impact-compression, Neuronal survival, Axonal plasticity, Bladder function, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Spinal cord injury (SCI) often results in permanent functional loss due to a series of degenerative events including cell death, axonal damage, and the upregulation of inhibitory proteins that impede regeneration. Repulsive Guidance Molecule A (RGMa) is a potent inhibitor of axonal growth that is rapidly upregulated following injury in both the rodent and human central nervous system (CNS). Previously, we showed that monoclonal antibodies that specifically block inhibitory RGMa signaling promote neuroprotective and regenerative effects when administered acutely in a clinically relevant rat model of thoracic SCI. However, it is unknown whether systemic administration of RGMa blocking antibodies are effective for SCI after delayed administration. Here, we administered elezanumab, a human monoclonal antibody targeting RGMa, intravenously either acutely or at 3 h or 24 h following thoracic clip impact-compression SCI. Rats treated with elezanumab acutely and at 3 h post-injury showed improvements in overground locomotion and fine motor function and gait. Rats treated 24 h post-SCI trended towards better recovery demonstrating significantly greater stride length and swing speed. Treated rats also showed greater tissue preservation with reduced lesion areas. As seen with acute treatment, delayed administration of elezanumab at 3 h post-SCI also increased perilesional neuronal sparing and serotonergic and corticospinal axonal plasticity. In addition, all elezanumab treated rats showed earlier spontaneous voiding ability and less post-trauma bladder wall hypertrophy. Together, our data demonstrate the therapeutic efficacy of delayed systemic administration of elezanumab in a rat model of SCI, and uncovers a new role for RGMa inhibition in bladder recovery following SCI.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1095-953X
Relation: http://www.sciencedirect.com/science/article/pii/S0969996120302709; https://doaj.org/toc/1095-953X
DOI: 10.1016/j.nbd.2020.104995
Access URL: https://doaj.org/article/0705e8cb2a934da099c36c454f69f541
Accession Number: edsdoj.0705e8cb2a934da099c36c454f69f541
Database: Directory of Open Access Journals
More Details
ISSN:1095953X
DOI:10.1016/j.nbd.2020.104995
Published in:Neurobiology of Disease
Language:English