Thyrotropin-releasing hormone (TRH) and the TRH mimetic taltirelin have been used in Japan for the treatment of
spinocerebellar degeneration (SCD), a type of progressive
ataxia. A TRH mimetic,
rovatirelin, ameliorates
ataxia symptoms in the rolling mouse Nagoya, a hereditary SCD model. The aim of this study was to verify the effects of
oral administration of
rovatirelin on a
cytosine arabinoside (
Ara-C)-induced
ataxia rat model, a sporadic SCD model characterized by gait abnormalities and falls because of cerebellar
atrophy and investigate the central nervous system mechanism associated with
rovatirelin-mediated amelioration of motor dysfunction in these rats.
Rovatirelin at ≥3 mg/kg significantly decreased the fall index, which is a primary endpoint of improved motor function calculated by dividing the number of falls by the locomotor activity, in both male and female rats with
Ara-C-induced
ataxia. Furthermore,
rovatirelin caused a significant increase in locomotor activity in a dose-dependent manner. Taltirelin at ≥30 mg/kg ameliorated motor dysfunction in ataxic rats. Moreover,
rovatirelin significantly increased
acetylcholine (ACh) levels in the medial prefrontal cortex (mPFC) and
dopamine (DA) levels in the nucleus accumbens (NAc) at ≥3 mg/kg and significantly increased DA levels in the dorsal striatum at ≥10 mg/kg in normal rats. In conclusion,
oral administration of
rovatirelin ameliorates motor dysfunction in rats with
Ara-C-induced
ataxia, owing to its ACh-increasing effects in the mPFC and DA-increasing effects in the dorsal striatum and NAc. Furthermore, the effects of
rovatirelin were more potent than those of taltirelin.