RT Journal Article SR Electronic T1 Anti-Muscarinic Adjunct Therapy Accelerates Functional Human Oligodendrocyte Repair JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 3676 OP 3688 DO 10.1523/JNEUROSCI.3510-14.2015 VO 35 IS 8 A1 Kavitha Abiraman A1 Suyog U. Pol A1 Melanie A. O'Bara A1 Guang-Di Chen A1 Zainab M. Khaku A1 Jing Wang A1 David Thorn A1 Bansi H. Vedia A1 Ezinne C. Ekwegbalu A1 Jun-Xu Li A1 Richard J. Salvi A1 Fraser J. Sim YR 2015 UL http://www.jneurosci.org/content/35/8/3676.abstract AB Therapeutic repair of myelin disorders may be limited by the relatively slow rate of human oligodendrocyte differentiation. To identify appropriate pharmacological targets with which to accelerate differentiation of human oligodendrocyte progenitors (hOPCs) directly, we used CD140a/O4-based FACS of human forebrain and microarray to hOPC-specific receptors. Among these, we identified CHRM3, a M3R muscarinic acetylcholine receptor, as being restricted to oligodendrocyte-biased CD140a+O4+ cells. Muscarinic agonist treatment of hOPCs resulted in a specific and dose-dependent blockade of oligodendrocyte commitment. Conversely, when hOPCs were cocultured with human neurons, M3R antagonist treatment stimulated oligodendrocytic differentiation. Systemic treatment with solifenacin, an FDA-approved muscarinic receptor antagonist, increased oligodendrocyte differentiation of transplanted hOPCs in hypomyelinated shiverer/rag2 brain. Importantly, solifenacin treatment of engrafted animals reduced auditory brainstem response interpeak latency, indicative of increased conduction velocity and thereby enhanced functional repair. Therefore, solifenacin and other selective muscarinic antagonists represent new adjunct approaches to accelerate repair by engrafted human progenitors.