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A Brief Review of Preclinical Researches and Clinical Trials of Oxytocin on Behavior-Related Phenotypes in Prader-Willi Syndrome

  • Kim, Jiyeon (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2021.05.24
  • Accepted : 2021.06.14
  • Published : 2021.06.30

Abstract

Prader-Willi syndrome (PWS) is a rare genetic neurodevelopmental disorder of hyperphagia leading to severe obesity, intellectual deficits, compulsivity, and other behavioral problems. PWS is caused by the inactivation of contiguous genes on chromosome 15q11-q13, which complicates the development of targeted, effective therapeutics. Various preclinical studies have been conducted by developing mouse models that exhibit phenotypes similar to PWS. Oxytocin deficiency in PWS is associated with hyperphagia with impaired satiety and, food-seeking and behavior disorders. Here, we summarize the oxytocin study of ingestion behavior tested in the PWS mouse model and published data from clinical trials that have evaluated treatment effectiveness on ingestion behavior and social dysfunction in patients with PWS.

Keywords

References

  1. Kalsner L, Chamberlain SJ. Prader-Willi, Angelman, and 15q11-q13 Duplication Syndromes. Pediatr. Clin. North Am 2015;62:587-606. https://doi.org/10.1016/j.pcl.2015.03.004
  2. Carias KV, Wevrick R. Preclinical Testing in Translational Animal Models of Prader-Willi Syndrome: Overview and Gap Analysis. Mol Ther Methods Clin Dev 2019;13:344-58. https://doi.org/10.1016/j.omtm.2019.03.001
  3. Kendrick KM, et al. Overview of human oxytocin research. Curr Top Behav Neurosci 2018;35:321-48. https://doi.org/10.1007/7854_2017_19
  4. Swaab DF, Purba JS, Hofman MA. Alterations in the hypothalamic paraventricular nucleus and its oxytocin neurons (putative satiety cells) in PraderWilli syndrome: a study of five cases. J Clin Endocrinol Metab 1995; 80:573-9. https://doi.org/10.1210/jcem.80.2.7852523
  5. Muscatelli F, Abrous DN, Massacrier A, et al. Disruption of the mouse Necdin gene results in hypothalamic and behavioral alterations reminiscent of the human Prader-Willi syndrome. Hum Mol Gen 2000;9:3101-10. https://doi.org/10.1093/hmg/9.20.3101
  6. Schaller F, Watrin F, Sturny R, et al. A single postnatal injection of oxytocin rescues the lethal feeding behaviour in mouse newborns deficient for the imprinted Magel2 gene. Hum Mol Gen 2010;19:4895-905. https://doi.org/10.1093/hmg/ddq424
  7. Meziane H, Schaller F, Bauer S, et al. An early postnatal oxytocin treatment prevents social and learning deficits in adult mice deficient for Magel2, a gene involved in Prader-Willi syndrome and autism. Biol Psychiatry 2015; 78:85-94. https://doi.org/10.1016/j.biopsych.2014.11.010
  8. Rice LJ, Einfeld SL, Hu N, Carter CS. A review of clinical trials of oxytocin in Prader-Willi syndrome. Curr Opin Psychiatry 2018;31:123-7. https://doi.org/10.1097/YCO.0000000000000391
  9. Tauber M, Mantoulan C, Copet P, et al. Oxytocin may be useful to increase trust in others and decrease disruptive behaviours in patients with Prader-Willi syndrome: a randomised placebo-controlled trial in 24 patients. Orphanet J Rare Dis 2011;6:47. https://doi.org/10.1186/1750-1172-6-47
  10. Einfeld SL, Smith E, McGregor IS, et al. A double-blind randomized controlled trial of oxytocin nasal spray in Prader Willi syndrome. Am J Med Genet A 2014;164A:2232-9.
  11. Kuppens RJ, Donze SH, Hokkens-Koelega ACS. Promising effects of oxytocin on social and food-related beahvior in young children with Prader-Willi syndrome: a randomized, double-blind, controlled crossover trial. Clin Endocrinol 2016;85:979-87. https://doi.org/10.1111/cen.13169
  12. Miller JL, Tamura R, Butler MG, et al. Oxytocin treatment in children with Prader-Willi syndrome: a double-blind, placebo-controlled, crossover study. Am J Med Genet A 2017;173:1243-50. https://doi.org/10.1002/ajmg.a.38160
  13. Tauber M, Boulanouar K, Diene G, et al. The use of oxytocin to improve feeding and social skills in infants with PraderWilli syndrome. Pediatrics 2017;139:e20162976. https://doi.org/10.1542/peds.2016-2976
  14. Dykens EM, Miller J, Angulo M, Roof E, Reidy M, Hatoum HT, et al. Intranasal carbetocin reduces hyperphagia in individuals with Prader-Willi syndrome. JCI Insight 2018;3:e98333. https://doi.org/10.1172/jci.insight.98333