Tolerance of chronic HDACi treatment for neurological, visceral and lung Niemann-Pick Type C disease in mice

Sci Rep. 2018 Mar 1;8(1):3875. doi: 10.1038/s41598-018-22162-7.

Abstract

Histone deacetylase (HDAC) inhibitors are of significant interest as drugs. However, their use to treat neurological disorders has raised concern because HDACs are required for brain function. We have previously shown that a triple combination formulation (TCF) of the pan HDACi vorinostat (Vo), 2-hydroxypropyl-beta-cyclodextrin (HPBCD) and polyethylene glycol (PEG) 400 improves pharmacokinetic exposure and entry of Vo into the brain. TCF treatment significantly delayed both neurodegeneration and death in the Npc1 nmf164 murine model of Niemann-Pick Type C (NPC) disease. The TCF induces no metabolic toxicity, but its risk to normal brain functions and potential utility in treating lung disease, a major NPC clinical complication, remain unknown. Here we report that TCF administered in healthy mice for 8-10 months was not detrimental to the brain or neuromuscular functions based on quantitative analyses of Purkinje neurons, neuroinflammation, neurocognitive/muscular disease symptom progression, cerebellar/hippocampal nerve fiber-staining, and Hdac gene-expression. The TCF also improved delivery of Vo to lungs and reduced accumulation of foamy macrophages in Npc1 nmf164 mice, with no injury. Together, these data support feasibility of tolerable, chronic administration of an HDACi formulation that treats murine NPC neurological disease and lung pathology, a frequent cause of death in this and possibly additional disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 2-Hydroxypropyl-beta-cyclodextrin / pharmacology
  • Animals
  • Brain / drug effects
  • Brain / pathology
  • Disease Models, Animal
  • Disease Progression
  • Drug Combinations
  • Drug Tolerance
  • Female
  • Histone Deacetylase Inhibitors / pharmacology*
  • Histone Deacetylases / metabolism
  • Immune Tolerance
  • Intracellular Signaling Peptides and Proteins
  • Lung / drug effects
  • Lung / pathology
  • Lung Diseases / pathology
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Muscle, Skeletal / drug effects
  • Muscle, Skeletal / metabolism
  • Niemann-Pick C1 Protein
  • Niemann-Pick Disease, Type C / drug therapy*
  • Niemann-Pick Disease, Type C / metabolism
  • Niemann-Pick Disease, Type C / physiopathology
  • Polyethylene Glycols / pharmacology
  • Proteins / metabolism
  • Purkinje Cells / drug effects
  • Purkinje Cells / metabolism
  • Vorinostat / metabolism
  • Vorinostat / pharmacology

Substances

  • Drug Combinations
  • Histone Deacetylase Inhibitors
  • Intracellular Signaling Peptides and Proteins
  • Niemann-Pick C1 Protein
  • Npc1 protein, mouse
  • Proteins
  • 2-Hydroxypropyl-beta-cyclodextrin
  • Polyethylene Glycols
  • Vorinostat
  • polyethylene glycol 400
  • Histone Deacetylases