Oral treatment with desipramine improves breathing and life span in Rett syndrome mouse model

Respir Physiol Neurobiol. 2008 Jan 1;160(1):116-21. doi: 10.1016/j.resp.2007.08.009. Epub 2007 Aug 26.

Abstract

Rett syndrome is a neurodevelopmental disease due to Mecp2 gene mutations that is associated to complex neurological symptoms, with bioaminergic deficits and life-threatening apneas related to sudden and unexpected death. In male mice, Mecp2-deficiency similarly induces medullary bioaminergic deficits, severe apneas and short life span. Here, we show that long-term oral treatment of Mecp2-deficient male mice with desipramine, an old drug of clinical use known to block norepinephrine uptake and to strengthen its synaptic effects, significantly alleviates their breathing symptoms and prolongs their life span. Although these mouse results identify desipramine as the first oral pharmacological treatment potentially able to alleviate breathing symptoms of Rett syndrome, we recommend further studies of desipramine effects in Mecp2-deficient mice before attempting any clinical trials in Rett patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antidepressive Agents, Tricyclic / therapeutic use*
  • Apnea / physiopathology
  • Desipramine / therapeutic use*
  • Female
  • Locomotion / drug effects
  • Longevity / drug effects*
  • Medulla Oblongata / metabolism
  • Methyl-CpG-Binding Protein 2 / genetics
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microcephaly / genetics
  • Microcephaly / prevention & control
  • Norepinephrine / metabolism
  • Plethysmography
  • Respiratory Mechanics / drug effects*
  • Rett Syndrome / drug therapy*
  • Rett Syndrome / physiopathology

Substances

  • Antidepressive Agents, Tricyclic
  • Mecp2 protein, mouse
  • Methyl-CpG-Binding Protein 2
  • Desipramine
  • Norepinephrine