Early IGF-1 receptor inhibition in mice mimics preterm human brain disorders and reveals a therapeutic target

Sci Adv. 2024 Mar;10(9):eadk8123. doi: 10.1126/sciadv.adk8123. Epub 2024 Mar 1.

Abstract

Besides recent advances in neonatal care, preterm newborns still develop sex-biased behavioral alterations. Preterms fail to receive placental insulin-like growth factor-1 (IGF-1), a major fetal growth hormone in utero, and low IGF-1 serum levels correlate with preterm poor neurodevelopmental outcomes. Here, we mimicked IGF-1 deficiency of preterm newborns in mice by perinatal administration of an IGF-1 receptor antagonist. This resulted in sex-biased brain microstructural, functional, and behavioral alterations, resembling those of ex-preterm children, which we characterized performing parallel mouse/human behavioral tests. Pharmacological enhancement of GABAergic tonic inhibition by the U.S. Food and Drug Administration-approved drug ganaxolone rescued functional/behavioral alterations in mice. Establishing an unprecedented mouse model of prematurity, our work dissects the mechanisms at the core of abnormal behaviors and identifies a readily translatable therapeutic strategy for preterm brain disorders.

MeSH terms

  • Animals
  • Brain Diseases* / drug therapy
  • Child
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Insulin-Like Growth Factor I*
  • Mice
  • Placenta
  • Pregnancy
  • Receptor, IGF Type 1
  • United States

Substances

  • Insulin-Like Growth Factor I
  • Receptor, IGF Type 1