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The Journal of Neuroscience, March 1, 2002, 22(5):1592-1599
Therapeutic Effects of Coenzyme Q10 and Remacemide in
Transgenic Mouse Models of Huntington's Disease
Robert J.
Ferrante1, 2,
Ole A.
Andreassen3,
Alpaslan
Dedeoglu1, 2,
Kimberly L.
Ferrante5,
Bruce G.
Jenkins4,
Steven
M.
Hersch6, and
M. Flint
Beal5
1 Geriatric Research Education and Clinical Center,
Bedford Veterans Administration Medical Center, Bedford,
Massachusetts 01730, 2 Neurology, Pathology, and Psychiatry
Departments, Boston University School of Medicine, Boston,
Massachusetts 02118, 3 Neurochemistry Laboratory, Neurology
Service, and 4 Department of Radiology, Massachusetts
General Hospital and Harvard Medical School, Boston, Massachusetts
02114, 5 Department of Neurology and Neuroscience, Weill
Medical College of Cornell University, New York Presbyterian Hospital,
New York, New York 10021, and 6 Center for Aging, Genetics
and Neurodegeneration, Neurology Service, Massachusetts General
Hospital and Harvard Medical School, Boston, Massachusetts 02114
There is substantial evidence that bioenergetic defects and
excitotoxicity may play a role in the pathogenesis of Huntington's disease (HD). Potential therapeutic strategies for neurodegenerative diseases in which there is reduced energy metabolism and
NMDA-mediated excitotoxicity are the administration of the
mitochondrial cofactor coenzyme Q10 and the NMDA antagonist
remacemide. We found that oral administration of either coenzyme
Q10 or remacemide significantly extended survival and
delayed the development of motor deficits, weight loss, cerebral
atrophy, and neuronal intranuclear inclusions in the R6/2 transgenic
mouse model of HD. The combined treatment, using coenzyme
Q10 and remacemide together, was more efficacious than
either compound alone, resulting in a ~32 and 17% increase in
survival in the R6/2 and N171-82Q mice, respectively. Magnetic resonance imaging showed that combined treatment significantly attenuated ventricular enlargement in vivo. These
studies further implicate defective energy metabolism and
excitotoxicity in the R6/2 and N171-82Q transgenic mouse models of HD
and are of interest in comparison with the outcome of a recent clinical
trial examining coenzyme Q10 and remacemide in HD patients.
Key words:
Huntington's disease; excitotoxicity; coenzyme
Q10; remacemide; mitochondria; transgenic
Copyright © 2002 Society for Neuroscience 0270-6474/02/2251592-08$05.00/0
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