Molecular technologies have produced diverse arrays of animal models for studying genetic diseases and potential therapeutics. Many have neonatal phenotypes. Spinal muscular atrophy (SMA) is a neuromuscular disorder primarily affecting children, and is of great interest in translational medicine. The most widely used SMA mouse models require all phenotyping to be performed in neonates since they do not survive much past weaning. Pre-clinical studies in neonate mice can be hindered by toxicity and a lack of quality phenotyping assays, since many assays are invalid in pups or require subjective scoring with poor inter-rater variability. We find, however, that passive electrocardiography (ECG) recording in conscious 11-day old SMA mice provides sensitive outcome measures, detecting large differences in heart rate, cardiac conduction, and autonomic control resulting from disease. We find significant drug benefits upon treatment with G418, an aminoglycoside targeting the underlying protein deficiency, even in the absence of overt effects on growth and survival. These findings provide several quantitative physiological biomarkers for SMA preclinical studies, and will be of utility to diverse disease models featuring neonatal cardiac arrhythmias.
INTRODUCTIONSpinal muscular atrophy (SMA) results from a clearly defined genetic deficit ultimately leading to death in children affected by its most frequent form (Type I, or Werdnig-Hoffman disease). SMA can be modeled and treated in animals. From patient studies, SMA is caused by insufficient dosage of the survival motor neuron (SMN) gene product. This insufficiency typically results from homozygous deletion of the SMN1 gene (1, 2). In most organisms Send correspondence to: Christine J. DiDonato, Ann and Robert H. Lurie Children's Hospital, 225 E. Chicago Ave., Chicago, IL 60611, Box 211,. (6), and aminoglycoside antibiotics which work through a translational readthrough drug mechanism to stabilize the SMNdelta7 protein (7-9).
HHS Public AccessPreclinical mouse studies have been important in drug discovery for disorders in which heart rhythms are affected by disease (10-12). Recently, we found multiple mouse models of SMA display cardiac arrhythmias (13)(14)(15). These models present relatively severe phenotypes, in which mice are grossly undersized and die within days or weeks after birth (13,15,16). Studies of these models require that phenotyping assays be performed in neonates. However, many functional outcome measures are invalid in neonates due to mouse size, assay invasiveness, equipment incompatibility, or the large number of mice required (17). For electrocardiography (ECG) in particular, the invasiveness, restraint or surgery required by many systems can interfere with the heart rate itself or endanger the life of a fragile, neonatal disease model mouse (18)(19)(20)(21)(22). Preclinical outcome measures used in place of established clinical tests in neonates typically have a subjective component that demands inter-rater reliability testing, and that can...