# Patent

## Title
STXBP1 overexpressing mouse and its uses in screening of treatments for neuropsychiatric illness

## Abstract

A non-human transgenic animal having a polynucleotide encoding an STXBP1 polypeptide, which polynucleotide is operably linked to a promoter, wherein said transgenic animal has greater than wild-type expression of the STXBP1 polypeptide in at least one brain region, as well as related vectors, methods of producing transgenic animals, in vitro and in vivo screening methods for potential therapeutic agents, and methods for treating and diagnosing neuropsychiatric illness are disclosed.

## Background
CROSS REFERENCE TO RELATED APPLICATIONS
This is the U.S. National Stage of International Application No. PCT/EP2009/060674, filed Aug. 18, 2009, which was published in English under PCT Article 21(2), which in turn claims the benefit of U.S. Provisional Application No. 61/090,607, filed Aug. 20, 2008, which is incorporated herein in its entirety.


FIELD OF THE INVENTION
The present invention relates to a marker for psychiatric illness, particularly schizophrenia and bipolar disorder, to animal models utilising the marker and to methods of screening for agents that affect the marker and which may have therapeutic potential.
BACKGROUND TO THE INVENTION
Psychiatric disorders such as schizophrenia are becoming one of the major public-health problems on a global scale. The causes of these disorders are as yet poorly understood, although genetic factors undoubtedly play an important role in their aetiology. Furthermore, this illness does not develop because of the alteration of one single gene but more likely due to changes in a group of genes, which makes this a multi-factor illness.
According to the WHO, around 24 million people are currently suffering from schizophrenia, which is approaching 1% of the world's population, and its prevalence is similar in both men and women. Schizophrenia generally appears at the end of adolescence or early in adult life, and it produces profound changes in thought processes, perception and emotions. Its progress varies, and it can range from a single episode with complete recovery to a serious deterioration and suicide. Although patients with schizophrenia represent less than 40% of those that require psychiatric hospitalisation, the morbidity and chronicity experienced by patients with schizophrenia mean that it has become the most serious and incapacitating mental illness of early and middle adult life. Indeed, the direct cost of schizophrenia in industrialised countries has been estimated to be between 1.6 and 2.6% of total health expenditure [Rössler, 2005].
The classical neurobiological hypothesis to explain schizophrenia invokes hyperactivity of the brain's dopaminergic system. Antipsychotic drugs would therefore produce their therapeutic effect by antagonising these dopamine receptors. This hypothesis was subsequently refined by suggesting that hypoactivity of the cortical glutamatergic system could be responsible for the dopaminergic hyperactivity observed in schizophrenia. Indeed, control of the sub-cortical dopaminergic system by the cortical glutamatergic system might be consistent with the classical postulates. Recent studies have demonstrated important neuronal and/or glial deficiencies in the cortex, possibly linked to changes in the early development of the nervous system associated with schizophrenia. It is therefore more likely that schizophrenia is caused by abnormal neuronal connections rather than by neuronal loss [Horner, 2002].
Genetic studies have identified a number of susceptibility genes linked to schizophrenia [Weinberger, 2005]. Despite this, reliable biomarkers for schizophrenia are currently lacking. One of the candidate molecular substrates for a type of abnormal neuronal connectivity is a group of neuronal proteins known as SNARE (soluble N-ethylmaleimide-sensitive factors attachment protein receptors), which serve as a fundamental elements in the molecular control of neurotransmission [Sollner, 1993a; Sollner, 1993b]. This neurotransmission process is activated in response to an influx of Ca2+ activated by an action potential provoking the fusion of the synaptic vesicles containing the neurotransmitters with the pre-synaptic membranes and the release of their content into the synaptic cleft, where these molecules diffuse towards the post-synaptic terminal. Two types of SNARE proteins have been identified depending on their sub-cellular location: a) v-SNARE proteins, which were first described in the neurotransmitter vesicles and which include the VAMP/synaptobrevin protein; and b) t-SNARE proteins, which were first described in the pre-synaptic region of the target plasma membrane and that include syntaxin and the synaptosomal-associated protein of 25 kDa, or SNAP25. This group of proteins is characterised by having a conserved region of about 60 amino acids, known as the SNARE motif, and they generally possess a region involved in membrane anchoring. It is currently thought that SNARE proteins are intimately involved in membrane fusion, although they require other accessory proteins for their activity. These accessory proteins include N-ethylmaleimide-sensitive factor or NSF (an ATPase associated with a variety of cell activities) and the family of SM proteins, which contains the Sec1p protein and Munc-18 protein (also known as syntaxin binding protein 1 (STXBP1)). These proteins are essential for membrane fusion as this event is much slower in vitro in their absence. The role of STXBP1 in neurotransmitter release has been clearly demonstrated by a series of experiments showing that there is no vesicular synaptic transmission during the development of animals that do not express the gene encoding this protein [Verhage, 2000]. The most widely accepted model to explain the molecular mechanism of vesicular neurotransmitter release suggests that STXBP1 binds to syntaxin, thereby inhibiting the binding of this protein to the rest of the SNARE complex. When STXBP1 is freed from its association with syntaxin, the latter can interact with SNAP25 and VAMP to form the SNARE complex. When coupled with an increase in intracellular calcium, this complex is responsible for promoting the docking of the vesicles to the plasmatic membrane, thereby inducing the release of neurotransmitters from the synaptic vesicles [Voets, 2001].
Several recent studies have demonstrated that some psychiatric and neurodegenerative illnesses show changes in the expression (both of messenger RNA and the protein) of certain components of the SNARE complex. For example, changes in the levels of VAMP and SNAP-25 proteins have been found post-mortem in the prefrontal cerebral cortex of human schizophrenic patients [Honer, 2002; Halim, 2003]. Similarly, abnormal levels of SNAP-25 have been found post-mortem in the hippocampus and cerebellum of schizophrenic brains [Young, 1998; Fatemi, 2001; Mukaetova-Landiska, 2002], and other groups have found abnormal SNAP-25 levels in the cerebrospinal fluid of patients diagnosed with schizophrenia [Thompson, 2003]. Significant schizophrenia-associated changes were, however, not found in NSF proteins, which are also associated with the SNARE complex [Imai, 2001; Gray, 2006]. Increased expression of STXBP1 has been reported in membrane microdomains of dorsolateral prefrontal cortex from schizophrenic patients [Behan, 2008]. However, down-regulation of STXBP1 has been reported in postpubertal neonatally ventral hippocampal (nVH) lesioned rats, an extensively used neurodevelopmental model of schizophrenia-like behaviours [Vercauteren, 2007].
Mouse models that mimic the full phenotypic spectrum of a psychiatric disorder, such as schizophrenia, are virtually impossible. However, a recreation of some phenotypic components is feasible and animal models of schizophrenia often try to mimic some of the positive and/or negative symptoms of the disorder. In this context, animal models have a central role in discovering the causes of psychiatric disorders and generating novel mechanism-based treatments [Arguello & Gogos, 2006]. Transgenic animals are desired as a method of studying functions of genes in a living body, or as a model animal for developing therapeutic agents. However, it is difficult to prepare a model reflecting a human disease having a mechanism of development which is unknown, such as schizophrenia. Furthermore, finding animal correlates of the positive symptoms of schizophrenia (such as paranoid delusions, hallucinations, and disordered speech and thinking) is challenging. Nevertheless, hyperactivity in response to stress or novelty have been suggested as useful correlates that can be modelled in rodents and have been extensively used in the validation and assessment of pharmacological models [Geyer and Moghaddam, 2002]. Less extensively modelled are the negative symptoms (such as blunted emotional expression, low motivation, and social withdrawal). These symptoms represent a significant portion of the psychopathology in major depression and, considering the substantial comorbidity between schizophrenia and depression, many of these deficits may be secondary symptoms in schizophrenia [Ellenbroek and Cools, 2000]. Impaired social interactions, anxiety and depression-like behaviour in animals are often used to model negative symptoms of schizophrenia. Moreover, schizophrenia patients display various forms of memory deficits including impaired working and episodic memory. To date, there are numerous working memory tasks employed in animals, such as novel object recognition task. Almost all behavioural animal models include a locomotor component. For this reason, it is important to assess the locomotor activity of the animals to be tested before applying the test to discard the possible limitations in the movement ability of the transgenic mice.
There is at present an unmet need for animal models of schizophrenia. A significant difficulty remains the translation of genetic association studies into models that are effective for evaluating the efficacy of candidate therapeutic compounds. In particular, the complexity of the disorder means that it is not normally possible to predict whether a genetic alteration associated with the disorder has a causal role and will produce behavioural changes of relevance to schizophrenia.
DISCLOSURE OF THE INVENTION
The present inventors have now found that STXBP1 is expressed much more strongly in the prefrontal cortex of schizophrenics who died by suicide and who were not undergoing drug treatment when compared with samples taken from the same brain region of control individuals with no history of mental illness and who died accidentally. Interestingly, the STXBP1 levels in schizophrenic patients undergoing treatment with antipsychotic drugs who died by suicide were found to be lower than those of untreated schizophrenics, and they were similar to those of the control subjects. Furthermore, the findings disclosed herein indicate that enhanced expression of STXBP1 is not merely a consequential change associated with schizophrenia, but appears to have a causal role, as shown by schizophrenia-related behavioural changes in transgenic mice that overexpress STXBP1 in the frontal cortex. The difference observed in STXBP1 levels in drug-treated and drug-free schizophrenics makes STXBP1 an attractive drug target and screening tool for candidate therapeutics for psychiatric conditions, including schizophrenia.
Accordingly, in a first aspect the present invention provides a non-human transgenic animal having a polynucleotide encoding an STXBP1 polypeptide, which polynucleotide is operably linked to a promoter, wherein said transgenic animal has greater than wild-type expression of the STXBP1 polypeptide in at least one brain region. Preferably, the transgenic animal exhibits one or more schizophrenia-related behaviours, for example: reduced motor activity in an open-field test; reduced time spent in open arms of an elevated plus maze; reduced social interaction; and increased recognition index in a novel object recognition task.
The transgenic animal of the invention may contain a foreign gene or promoter (i.e. genetic material from another species) or it may not contain any foreign gene or promoter. The latter case is considered transgenic herein by virtue of an alteration in the location, copy number or sequence of an STXBP1-encoding polynucleotide and/or an alternation in the promoter controlling expression of the STXBP1-encoding polynucleotide. In certain cases, the transgenic animal of the invention may have said polynucleotide encoding an STXBP1 polypeptide present in a higher than wild-type copy number. For example, the transgenic animal may carry a native or non-native stxbp1 gene in higher than diploid copy number. The transgenic animal of the invention may have the polynucleotide encoding an STXBP1 polypeptide operably linked to a promoter which is other than an stxbp1 gene promoter. Thus, for example, the promoter may be an endogenous or exogenous promoter from another gene, preferably a promoter from a gene which exhibits brain-specific or largely brain-specific expression.
In certain cases of the transgenic animal according to the invention said polynucleotide encodes an STXBP1 polypeptide which is a mouse, rat or human STXBP1 polypeptide, a variant (such as a splice variant), derivative (such as a post-translationally processed polypeptide), homologue or orthologue from another species (preferably a mammalian homologue or orthologue) or fragment. The STXBP1 polypeptide or fragment thereof preferably exhibits biological activity, particularly the ability to bind to a syntaxin polypeptide. In preferred cases of the transgenic animal according to the invention said polynucleotide encodes:

    
    
        (i) an STXBP1 polypeptide having an amino acid sequence having at least 80%, 90%, 95% or 99% amino acid sequence identity to the sequence of SEQ ID NO: 2;
        (ii) an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 2
        (iii) an STXBP1 polypeptide having an amino acid sequence having at least 80%, 90%, 95% or 99% amino acid sequence identity to the sequence of SEQ ID NO: 4;
        (iv) an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 4; or
        (v) an active fragment of any one of (i)-(iv) having at least 200, 250, 300, 350, 400, 450, 500 or 550 amino acids, wherein said STXBP1 polypeptide of any one of (i)-(iv) or said active fragment of (v) is capable of binding to a syntaxin polypeptide.
    
    


In certain cases of the transgenic animal according to the invention said promoter is a brain-specific promoter. Preferably, the promoter is specific for glutamatergic neurons. A particularly preferred promoter is the promoter of the EAAT3 gene, especially an EAAT3 promoter of the same species as the transgenic animal. The EAAT3 promoter may comprise or consist of a polynucleotide having at least 80%, 90%, 95% or 99% nucleotide sequence identity to the sequence of SEQ ID NO: 6 or may comprise or consist of a polynucleotide having the sequence of SEQ ID NO: 6. The present inventors have found that the EAAT3 promoter permits elevated expression of STXBP1 in a targeted manner; expression is largely confined to glutamatergic neurons. Thus, use of the EAAT3 promoter to drive expression of STXBP1 provides an advantageous way to induce the desired schizophrenia-like phenotype of certain embodiments of the transgenic animal of the invention.
Preferably, the transgenic animal of the invention has greater than wild-type expression of the STXBP1 polypeptide, as defined herein, in at least one brain region selected from: cortex, striatum, hippocampus and cerebellum. Results disclosed herein indicate that elevated expression of STXBP1 in one or more of these brain regions contributes to or underlies the schizophrenia-like phenotype observed. The elevated expression may in some cases be a relatively modest increase in expression compared with wild-type (e.g. compared with the expression in the same brain region of a species-, gender- and age-matched wild-type animal which does not carry any genetic alteration relating to STXBP1 or its promoter). In some cases elevated expression may be at least 10%, 20%, 30%, 50% or greater expression of the STXBP1 polypeptide in said at least one brain region. A variety of techniques are available for measuring expression of STXBP1, including techniques for direct measurement of protein levels (e.g. Western blot, immunofluorescence) and techniques for indirect measurement based on measurement of mRNA encoding the STXBP1 polypeptide (e.g. qPCR).
As used herein in relation to this and other aspects of the present invention, greater or elevated expression of STXBP1 may include elevated expression in a cytosolic fraction, a non-cytosolic fraction or both cytosolic and non-cytosolic fractions of one or more brain regions. Without wishing to be bound by theory, it is presently believed that a redistribution of STXBP1 from a membrane fraction to a cytosolic fraction may contribute to or underlie schizophrenia.
The transgenic animal of the invention is preferably a rodent, such as a mouse or rat. In some cases the transgenic animal of the invention may be a non-human primate or other laboratory animal such as a dog or cat. Most preferably, the transgenic animal is a mouse (e.g. Mus musculus).
In a second aspect the present invention provides a vector comprising a polynucleotide encoding an STXBP1 polypeptide operably linked to a brain-specific promoter which is other than an stxbp1 gene promoter and, optionally, further regulatory sequences. Preferably, said polynucleotide encodes an STXBP1 polypeptide which is a mouse, rat or human STXBP1 polypeptide, a variant (such as a splice variant), derivative (such as a post-translationally processed polypeptide), homologue or orthologue from another species (preferably a mammalian homologue or orthologue) or fragment. The STXBP1 polypeptide or fragment thereof preferably exhibits biological activity, particularly the ability to bind to a syntaxin polypeptide. In preferred cases of the vector of this aspect of the invention said polynucleotide encodes:

    
    
        (i) an STXBP1 polypeptide having an amino acid sequence having at least 80%, 90%, 95% or 99% amino acid sequence identity to the sequence of SEQ ID NO: 2;
        (ii) an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 2
        (iii) an STXBP1 polypeptide having an amino acid sequence having at least 80%, 90%, 95% or 99% amino acid sequence identity to the sequence of SEQ ID NO: 4;
        (iv) an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 4; or
        (v) an active fragment of any one of (i)-(iv) having at least 200, 250, 300, 350, 400, 450, 500 or 550 amino acids, and wherein said STXBP1 polypeptide of any one of (i)-(iv) or said active fragment of (v) is capable of binding to a syntaxin polypeptide.
    
    


Said promoter of the vector of this aspect of the invention may be specific or largely specific for glutamatergic neurons. A preferred promoter of the vector of this aspect of the invention is an EAAT3 promoter. The EAAT3 promoter may comprise or consist of a polynucleotide having at least 80%, 90%, 95% or 99% nucleotide sequence identity to the sequence of SEQ ID NO: 6 or may comprise or consist of a polynucleotide having the sequence of SEQ ID NO: 6.
In a third aspect the present invention provides a method for producing a transgenic animal of the invention, comprising:

    
    
        introducing a vector of the second aspect of the invention into one or more cells of the animal at an embryonic stage; and
        optionally, subsequently extracting DNA from the animal to confirm the incorporation of the polynucleotide into the genome of the animal. The method of this aspect of the invention may further comprise breeding heterozygous transgenic animals produced by the method of this aspect of the invention in order to produce offspring, in particular offspring homozygous or heterozygous for the incorporated polynucleotide.
    
    


In a fourth aspect the present invention provides an in vitro method for identifying an agent (e.g. a small molecule, a nucleic acid or a protein) for use in the treatment of neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder, comprising:

    
    
        (i) contacting a cell that expresses an STXBP1 polypeptide with a test agent and measuring, directly or indirectly, expression of the STXBP1 polypeptide relative to expression of the STXBP1 polypeptide in a control cell which has not been exposed to the test agent; and/or
        (ii) contacting an STXBP1 polypeptide with a test agent and measuring, directly or indirectly, binding of the STXBP1 polypeptide to a syntaxin polypeptide relative to the binding of a control STXBP1 polypeptide which has not been exposed to the test agent to a syntaxin polypeptide,
        wherein a reduction in said expression in (i) and/or a reduction in said binding in (ii) due to the test agent indicates that the test agent is potentially useful in the treatment of neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder. Preferably, said cell that expresses an STXBP1 polypeptide is a neuronal cell or non-neuronal cell obtained from:
        a patient having a neuropsychiatric illness, particularly schizophrenia or bipolar disorder; or
        a transgenic animal of the invention; or
        a cell that has been transfected or transformed with a polynucleotide encoding an STXBP1 polypeptide or with a vector in accordance with the second aspect of the invention.
    
    


Expression of STXBP1 polypeptide may be measured at any stage of expression of the STXBP1-encoding gene (e.g. measuring mRNA level or protein level). In preferred cases of the method of this aspect of the invention the test agent is found to reduce said expression in (i) and/or said binding in (ii). Such test agents may be regarded as functional antagonists of the STXBP1 polypeptide (whether they act pre- or post-translationally). Test agents that are found to reduce said expression in (i) and/or said binding in (ii) may be subjected to further screening (including in vivo screening as described further herein). In some cases the method of this aspect of the invention which further comprises isolating the test agent and, optionally, formulating the test agent into a pharmaceutical composition with at least one pharmaceutically acceptable salt, carrier or excipient.
In a further aspect the present invention provides an in vitro screening method comprising:

    
    
        contacting at least one cell that expresses an STXBP1 polypeptide with a test agent; and
        detecting whether said test agent alters an STXBP1-related activity as compared with said activity in the absence of the test agent.
    
    


The method may comprise detecting a change in STXBP1-related activity in the presence of the test agent as compared with said STXBP1-related activity in the absence of the test agent. The method may comprise comparing the STXBP1-related activity of a cell exposed to the test agent with said STXBP1-related activity of a (second) “control cell” which has not been exposed to the test agent. Additionally or alternatively, the method may comprise comparing the STXBP1-related activity of a cell exposed to the test agent with said STXBP1-related activity of the same cell in the absence of the test agent. For example a “baseline” of said STXBP1-related activity may be established prior to addition of the test agent and the STXBP1-related activity assessed (e.g. relative to said baseline) after exposing the cell to the test agent. Preferably, the cell is a cell that has been transfected or transformed with a vector comprising a polynucleotide that encodes said STXBP1 polypeptide, e.g. a vector in accordance with the second aspect of the invention. In particular, the cell may be a neuronal cell line (e.g. a human or animal, such as rodent, derived cell line) or a stem cell-derived neuronal cell. The altered STXBP1-related activity may be selected from: altered binding of STXBP1 to syntaxin; altered syntaxin binding to a SNARE complex; altered synaptic vesicle-plasma membrane fusion; altered synaptic vesicle exocytosis; and altered neuronal signalling. For example, the method may comprise detecting a change in the synaptic vesicle release process (e.g. increased or decreased synaptic vesicle release) in the presence of the test agent as compared with the synaptic vesicle release in the absence of the test agent. Preferably, the test agent is found to inhibit at least one STXBP1-related activity. The cell used in the method according to this aspect of the invention may comprise a vector comprising a polynucleotide that encodes an STXBP1 polypeptide operably linked to a promoter, such as a promoter that permits variable expression of the STXBP1. The promoter may be an EAAT3 promoter as defined in accordance with the tenth aspect of the invention. Alternatively or additionally, a plurality of cells each comprising a vector comprising a polynucleotide that encodes an STXBP1 polypeptide operably linked to a promoter may be used in accordance with the method of this aspect of the invention. In some cases, the plurality of cells may comprise sub-sets of cells, wherein the cell of each sub-set has a vector having a promoter that differs from the promoter of the vectors of cells of other of said sub-sets, such that the expression level of STXBP1 differs between said sub-sets of cells. Preferably, a first sub-set of cells is characterised by relatively low expression of STXBP1 and a second sub-set of cells is characterised by higher expression of STXBP1 relative to said first sub-set of cells.
In a fifth aspect the present invention provides an in vivo method for identifying an agent for use in the treatment of neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder, comprising:

    
    
        (i) administering a test agent to a transgenic animal of the invention and subsequently measuring, directly or indirectly, the expression of an STXBP1 polypeptide in at least one brain region relative to the expression of the STXBP1 polypeptide in at least one brain region of a control transgenic animal of the invention, which has not been exposed to the test compound; and/or
        (ii) administering a test agent to a transgenic animal of the invention and subsequently assessing the presence and/or severity of one or more schizophrenia-related behaviours in the transgenic animal relative to the one or more schizophrenia-related behaviours in a control transgenic animal of the invention, which has not been exposed to the test agent,

wherein a reduction in said expression in (i) and/or said one or more schizophrenia-related behaviours in (ii) due to the test agent indicates that the test agent is potentially useful in the treatment of neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder. Said one or more schizophrenia-related behaviours may be selected from: reduced motor activity in an open-field test; reduced time spent in open arms of an elevated plus maze; reduced social interaction; increased recognition index in a novel object recognition task; and decreased prepulse inhibition of startle response. Preferably, in the method of this aspect of the invention the test agent is found to reduce said expression in (i) and/or said one or more schizophrenia-related behaviours in (ii). Such test agents may be regarded as in vivo functional antagonists of STXBP1 and/or STXBP1-associated schizophrenia-like behaviour. In some cases the test agent is an agent which has previously been tested in a method of the fourth aspect of the invention. In this way an initial in vitro screen may be used to target subsequent in vivo screening on more promising candidate agents.

    
    


The method of this aspect of the invention may further comprise isolating the test agent and, optionally, formulating the test agent into a pharmaceutical composition with at least one pharmaceutically acceptable salt, carrier or excipient.
In a sixth aspect the present invention provides an agent identified or identifiable by a method of the fourth or fifth aspect of the invention. The agent may be for use in medicine. Preferably, the agent is for use in a method of treating a neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder. Preferably, the agent comprises:

    
    
        an antibody molecule or binding fragment thereof capable of binding to an STXBP1 polypeptide (e.g. an STXBP1 polypeptide as defined in relation to any aspect of the present invention); or
        an antisense nucleic acid, ribozyme, triple helix molecule, siRNA or other nucleic acid capable of inhibiting STXBP1 gene expression (e.g. which is capable of hybridising to at least a portion of a polynucleotide that encodes an STXBP1 polypeptide as defined in relation to any aspect of the present invention or which is capable of hybridising to at least a portion of a polynucleotide which is complementary to the polypeptide that encodes the STXBP1 polypeptide).
    
    


In a seventh aspect the present invention provides use of an agent identified or identifiable by a method of the fourth or fifth aspect of the invention in the preparation of a medicament for treatment of a neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder. Said agent may be as defined in relation to the sixth aspect of the invention.
In an eighth aspect the present invention provides a method for treating a neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder, in a subject (e.g. a human patient in need of said treatment), comprising administering a therapeutically effective amount of an agent identified or identifiable by a method of the fourth or fifth aspect of the invention. Said agent may be as defined in relation to the sixth aspect of the invention.
In a ninth aspect the present invention provides a method of assessing the presence of or susceptibility to a neuropsychiatric illness, particularly schizophrenia and/or bipolar disorder, in a test subject, comprising:

    
    
        detecting and/or determining the amount of an STXBP1 polypeptide and/or the amount of an mRNA or cDNA encoding an STXBP1 polypeptide in a sample which has been obtained from said test subject; and
        comparing said amount of the STXBP1 polypeptide and/or said amount of the mRNA or cDNA encoding the STXBP1 polypeptide with one or more reference values corresponding to the amount of the STXBP1 polypeptide and/or the amount of the mRNA or cDNA encoding the STXBP1 polypeptide in a control sample obtained from a control subject not having a neuropsychiatric illness. The sample may comprise blood, plasma, serum or tissue. Preferably, the sample comprises central nervous system tissue (e.g. prefrontal cortex tissue).
    
    


In certain cases of the method of this aspect of the invention the test subject has not previously been diagnosed as having a neuropsychiatric illness. In certain other cases of the method of this aspect of the invention the test subject has previously been diagnosed as having a neuropsychiatric illness. The method of this aspect of the invention may be used to assess the stage and/or severity of the neuropsychiatric illness or to monitor the effect of a treatment administered to the test subject.
In a tenth aspect the present invention provides a vector comprising a polynucleotide encoding a neuropathology-associated polypeptide operably linked to an EAAT3 promoter and optionally further regulatory sequences. Preferably, the EAAT3 promoter comprises or consists of a polynucleotide having at least 80%, 90%, 95% or 99% nucleic acid sequence identity to the sequence of SEQ ID NO: 6 or the EAAT3 promoter comprises of consists of a polynucleotide having the sequence of SEQ ID NO: 6. The polynucleotide encoding a neuropathology-associated polypeptide is preferably a gene, the elevated expression of which has been found to be associated with a neuropsychiatric illness (e.g. schizophrenia or bipolar disorder).
In an eleventh aspect the present invention provides use of a vector of the tenth aspect of the invention in the production of a transgenic animal having greater than wild-type expression of said neuropathology-associated polypeptide in at least one brain region. The transgenic animal so produced and its offspring may be utilised in screening of test agents for potential treatments of the neuropathology.
The present invention includes the combination of the aspects and preferred features described except where such a combination is clearly impermissible or is stated to be expressly avoided. These and further aspects and embodiments of the invention are described in further detail below and with reference to the accompanying examples and figures.



DESCRIPTION OF THE FIGURES
FIG. 1 shows a sample of human cerebral prefrontal cortex separated on a 2D polyacrylamide gel with a known pore size (12%) and stained with silver nitrate to visualise the proteins. The area containing the spots that correspond to the STXBP1 protein has been magnified.
FIGS. 2A and 2B show box-and-whiskers plots of the spot intensities. The maximum and minimum values are given for each variable, along with the lower and upper quartiles (percentiles 75 and 25, respectively) and the median (percentile 50). The box is defined by the lower and upper quartiles and is crossed from one side to the other by the median. Lines extend from the box to the maximum and minimum values, and the values beyond the maxima and minima indicated by a circle are outliers. FIG. 2A) The non-normalised spot intensity values, and FIG. 2B) the values normalised by applying a base 2 logarithm, which gives a more homogeneous distribution.
FIG. 3 shows a plot of the mean normalised optical intensity values obtained on bi-dimensional gels for the post mortem STXBP1 levels in the prefrontal cortex (Brodmann area 9) of human brain from control subjects (n=8), untreated subjects diagnosed with schizophrenia who died by suicide (n=7), or those treated with antipsychotic drugs (n=6). The data are given as a percentage of the mean value±SEM (standard error). It can be seen that the group of total schizophrenic subjects has a mean intensity higher than the controls (35%, n=14, p<0.004). When the group of total schizophrenic subjects is separated into untreated and treated a significant increase can be seen for the untreated subjects with respect to the controls (62%, n=8, p<0.0001), whilst the treated group remains at the same level as the controls.
FIGS. 4A and 4B show quantification of STXBP1 in the cytosolic fraction. FIG. 4A) Immunoreactivity for the STXBP1 protein determined in the cytosolic fraction of the prefrontal cortex (Brodmann area 9) of schizophrenic subjects who died by suicide (n=14) and separated into untreated (drug-free; DF, n=8) and treated with antipsychotic drugs (treated; T, n=6). The data are expressed as a percentage of the mean value±SEM (standard error) relative to controls fixed at 100±1%. The total group (All) of schizophrenic subjects (135±10%, n=14, +*p<0.004, one-sample t-test) and the group of untreated schizophrenic subjects give higher values than the controls (162±7%, n=8, +*p<0.0001, one-sample t-test). However, the group of treated subjects does not change with respect to the control group (100±9%, n=6, not significant). There is a significant difference between the STXBP1 levels in untreated and treated subjects, as determined by analysing the unidimensional variance (one-way ANOVA) and then applying a Bonferroni multiple comparison test (*p<0.01). FIG. 4B) Representative autoradiograms (“immunoblots”) of the protein STXBP1 in post-mortem human brain (prefrontal cortex, Brodmann area 9) of untreated schizophrenic subjects who died by suicide (drug-free; DF), those treated with antipsychotic drugs (treated; T) and their respective controls (C). Brain samples containing 2 μg of total protein each were loaded onto 10% polyacrylamide gels. [C1=♂, 27 years, 10 hours PMD; DF1=♀, 25 years, 19 hours PMD; T1=♂, 30 years, 19 hours PMD; C2=♂, 28 years, 15 hours PMD; DF2=♀, 30 years, 13 hours PMD; T2=♂, 32 years, 8 hours PMD, where PMD is the time between death and autopsy].
FIGS. 5A and 5B show quantification of STXBP1 in the membrane fraction. FIG. 5A) Immunoreactivity for the STXBP1 protein determined in the non-cytosolic fraction of the prefrontal cortex (Brodmann area 9) of schizophrenic subjects who died by suicide (n=14), and separated into untreated (drug-free; DF, n=8) and treated with antipsychotic drugs (treated; T, n=6). The data are expressed as a percentage of the mean value±SEM (standard error) relative to controls fixed at 100±1%. The total group (All) of schizophrenic subjects (92±9%, n=13, not significant) and the group of untreated schizophrenic subjects (86±8%, n=8, not significant) are significantly lower than the controls. However, the group of treated subjects does not change with respect to the control group (101±22%, n=5, not significant). FIG. 5B) Representative autoradiogram (“immunoblots”) of the STXBP1 protein in human brain post mortem (prefrontal cortex, Brodmann area 9) of untreated schizophrenic subjects who died by suicide (drug-free; DF), those treated with antipsychotic drugs (treated; T) and their respective controls (C). Samples containing 2 μg of total protein each were loaded onto 10% polyacrylamide gels. [C1=♂, 48 years, 16 hours PMD; DF1=F, 46 years, 19 hours PMD; T1=♂, 43 years, 65 hours PMD, where PMD is the time between death and autopsy].
FIG. 6 shows agarose gel microphotography following PCR amplification (WT: wild type mouse; Tg: transgenic mouse).
FIG. 7 shows immunofluorescence experiments in striatum region of the brain in control and in transgenic mice (L3, L7 and L8) for STXBP1, EAAT3, Hoetstch and merge.
FIGS. 8A-8F show quantification of STXBP1. Immunoreactivity for the STXBP1 protein determined in (FIGS. 8A, 8C and 8E) the cytosolic fraction and (FIGS. 8B, 8D and 8F) non-cytosolic fraction of cerebral cortex, striatum (that include also thalamus and hypothalamus regions) and cerebellum (respectively) of wild type control mice and transgenic mice (L3, L7 and L8). The data are expressed as a percentage of the mean value±SEM (standard error) and expressed as percentage of control group. *p<0.05, when compared with the corresponding control group (the two-tailed one-sample t-test).
FIGS. 9A-9F show results of behavioural tests. FIG. 9A) Assessment of spontaneous locomotor activity in controls and transgenic mice in the open field. Motor activity was measured in a 5-min session, (n=6-7). Columns represent the means and vertical lines±SEM of steps in mice; * means values from transgenic mice that are significantly different (p<0.05, One-way ANOVA) in each line from control mice. FIG. 9B) Assessment of motor coordination in controls and transgenic mice in the rotarod test (n=6-7). Columns represent the means and vertical lines±SEM of time spent (seconds) in the rotarod. Assessment of anxiety-like behaviours in transgenic and wild-type mice in the elevated plus maze: FIG. 9C) Percent of time that mice remain in the open arms; FIG. 9D) Number of entries in open arms. Behaviour was evaluated for a period of 5 min. Columns represent the means and vertical lines±SEM of percentage of time in open arms in 5-7 mice; Values from transgenic mice (black columns) that are significantly different (*p<0.05, **p<0.006 One Way ANOVA) from control mice (white columns). FIG. 9E) Assessment of social interaction in transgenic and wild-type mice. Behaviour in each test was evaluated for a period of 5 min. Columns represent the mean and vertical lines±SEM of time (seconds) in 6-7 mice; * values from transgenic mice (black columns) that are significantly different (p<0.05, One Way ANOVA) from wild-type mice (white columns). FIG. 9F) Assessment of working memory performance in transgenic and wild-type mice. Behaviour in each test was evaluated for a period of 5 min. Columns represent the mean and vertical lines±SEM of recognition index in 5-7 mice; * values from transgenic mice (black columns) that are significantly different (p<0.05, One Way ANOVA) from wild-type mice (white columns).
FIGS. 10A to 10B show the mouse (Mus musculus) STXBP1 cDNA sequence available under NCBI Accession No. BC031728 [gi: 21594763] (SEQ ID NO: 1).
FIG. 11 shows the mouse (Mus musculus) STXBP1 predicted translated protein sequence available under NCBI Accession No. BC031728 [gi: 21594763] (SEQ ID NO: 2).
FIGS. 12A to 12B show the human syntaxin binding protein 1 (STXBP1), transcript variant 1 cDNA sequence available under NCBI Accession No. NM—003165 [gi: 4507296] (SEQ ID NO: 3).
FIG. 13 shows the human STXBP1 amino acid sequence available under Uniprot Accession No. P61764 (SEQ ID NO: 4).
FIGS. 14A to 14B show the mouse (Mus musculus) solute carrier family 1 (neuronal/epithelial high affinity glutamate transporter, system Xag), member 1, (“EAAT3”) cDNA sequence available under NCBI Accession No. BC031728 [gi: 21594763] (SEQ ID NO: 5).
FIGS. 15A to 15B show the mouse (Mus musculus) promoter sequence of solute carrier family 1 (neuronal/epithelial high affinity glutamate transporter, system Xag), member 1, (“EAAT3”) from the nucleotide 94024 to 96872 of the sequence GeneBank NCBI AC155724.8 [gi: 66793527] (SEQ ID NO: 6).



The Sequence Listing is submitted as an ASCII text file in the form of the file named Sequence_Listing.txt, which was created on Feb. 16, 2011, and is 29,979 bytes, which is incorporated by reference herein.
DETAILED DESCRIPTION OF THE INVENTION
The terms “subject” or “individual” refer to members of mammalian animal species and include, but are not limited to, domestic animals, primates and humans; the subject is preferably a male or female human being of any age or race.
The term “neuropsychiatric illness” includes a wide range of undesirable psychiatric and neurological conditions, such as schizophrenia, bipolar disorder, major depression, schizoaffective disorder, psychiatric conditions (defined in the DMS IV manual) and neurological illnesses caused by alterations of the central nervous system.
The term “gene” refers to a region of a molecular chain of deoxyribonucleotides that encodes a protein and which could represent the complete coding sequence or a portion of it.
The term “DNA” refers to deoxyribonucleic acid. A DNA sequence is a sequence of deoxyribonucleotides.
The term “RNA” refers to ribonucleic acid. An RNA sequence is a sequence of ribonucleotides.
The term “mRNA” refers to messenger ribonucleic acid, which is the fraction of total RNA that is translated into proteins.
The term “cDNA” refers to a sequence of nucleotides that is complementary to an mRNA sequence.
The phrase “mRNA transcribed from” refers to the transcription of the gene (DNA) into mRNA, as the first step for the gene to be expressed and translated into protein.
The term “nucleotide sequence” refers equally to a sequence of ribonucleotides (RNA) or deoxyribonucleotides (DNA).
The term “protein” refers to a molecular chain of amino acids joined by covalent or non-covalent bonds. This term includes all types of post-translational modification, such as glycosylation, phosphorylation or acetylation.
The terms “peptide” and “polypeptide” refer to molecular chains of amino acids that represent a protein fragment. The terms “protein” and “peptide” are used indistinctly.
The term “antibody” refers to a glycoprotein that displays specific binding to a target molecule, which is termed the “antigen”. The term “antibody” includes monoclonal antibodies or polyclonal antisera, either intact or fragments thereof; it includes human, humanised and non-human antibodies. “Monoclonal antibodies” are homogeneous populations of highly specific antibodies that target a unique antigenic site or “determinant”. “Polyclonal antisera” include heterogeneous populations of antibodies that target different antigenic determinants.
The term “epitope”, as used in the present invention, refers to an antigenic determinant of a protein, which is the amino acid sequence of the protein that a specific antibody recognises.
The term “solid phase”, as used in the present invention, refers to a non-aqueous matrix to which an antibody can be bound. Examples of solid phase materials include glass, polysaccharides such as agarose, polyacrylamide, polystyrene, polyvinyl alcohol and silicones. Examples of solid phase forms are the well of a test plate or a purification column.
The terms “oligonucleotide” and “oligonucleotide primer” are used indistinctly and as used in the present invention, refer to nucleotide sequences that are complementary to a nucleotide sequence in the stxbp1 gene. Each primer hybridises with its target nucleotide sequence and acts as a starting point for nucleotide polymerisation catalysed by DNA polymerase, RNA polymerase or reverse transcriptase.
The term “probe”, as used in the present invention, refers to a nucleotide sequence that is complementary to a nucleotide sequence derived from the stxbp1 gene and which can be used to detect this nucleotide sequence derived from the stxbp1 gene.
The term “therapeutic target” refers to nucleotide or peptide sequences against which a drug or therapeutic compound can be designed and applied clinically.
The term “antagonist” refers to any molecule that inhibits the biological activity of the antagonised molecule. Examples of antagonists include, amongst others, proteins, peptides, sequence variations of natural peptides and small organic molecules (molecular weights of less than 500 Daltons).
The term “exogenous promoter” as used herein means a promoter other than the STXBP1 gene promoter.
The term “to exhibit schizophrenic symptoms” means, but is no means limited to, particularly to show a reduction in the elevated plus maze as described below.
The term “model animal of schizophrenia” means an animal which may be used in detecting an effect of a test substance on the treatment for schizophrenia or screening for an agent for treating schizophrenia.
The term “negative symptoms” means, but is by no means limited to, particularly to exhibit disorder of social behaviour in the social behaviour test.
The term “cognitive impairment” means, but is by no means limited to, particularly to exhibit memory and learning disorders in the novel object recognition task as described below.
STXBP1
As used herein STXBP1 polypeptide may be a native STXBP1 polypeptide from a mammalian species, particularly a mouse, human or rat. STXBP1 is also known by the names: ANC18HA, Munc18-1, n-sec1, N-Sec1, NSEC1A, p67, rbSec1, rbSec1A, rbSec1B, Sect, Syntaxin-binding protein 1, Unc-18-1, Unc18a, Unc-18A and Unc-18 homolog. Also encompassed by the term STXBP1 polypeptide as used herein are variants (such as a splice variant), derivatives (such as a post-translationally processed polypeptide) and fragments thereof. The STXBP1 polypeptide or fragment thereof preferably exhibits biological activity, particularly the ability to bind to a syntaxin polypeptide such as syntaxin 1a (for example a syntaxin polypeptide of the same species). Preferably, the STXBP1 polypeptide has the ability to bind to a syntaxin polypeptide and to prevent or limit the ability of syntaxin to interact with component members of the SNARE complex. The STXBP1 polypeptide may comprise:

    
    
        (i) an STXBP1 polypeptide having an amino acid sequence having at least 80%, 90%, 95% or 99% amino acid sequence identity to the sequence of SEQ ID NO: 2;
        (ii) an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 2;
        (iii) an STXBP1 polypeptide having an amino acid sequence having at least 80%, 90%, 95% or 99% amino acid sequence identity to the sequence of SEQ ID NO: 4;
        (iv) an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 4; or
        (v) an active fragment of any one of (i)-(iv) having at least 200, 250, 300, 350, 400, 450, 500 or 550 amino acids, wherein said STXBP1 polypeptide of any one of (i)-(iv) or said active fragment of (v) is capable of binding to a syntaxin polypeptide.
    
    


As used herein an STXBP1-encoding polynucleotide or similar expression refers to any nucleic acid (DNA or RNA) that encodes an STXBP1 polypeptide as defined herein. Preferred STXBP1-encoding polynucleotides include those having at least 80%, 90%, 95% or 99% nucleotide sequence identity to the polynucleotide sequence of SEQ ID NO: 1 or 3. Particularly preferred STXBP1-encoding polynucleotides comprise or consist of a polynucleotide having the polynucleotide sequence of SEQ ID NO: 1 or 3.
EAAT3 Promoter
The nucleotide sequence of the mouse wild-type EAAT3 gene is shown in FIG. 14 (SEQ ID NO: 5). The nucleotide sequence of the wild-type promoter of the mouse EAAT3 gene is shown in FIG. 15 (SEQ ID NO: 6). The sequence spans nucleotides 94024 to 96872 inclusive, of the sequence of the GeneBank accession NCBI AC155724.8. This sequence covers the promoter and the 5′′-untranslated region immediately upstream to the first initiating AUG codon of the EAAT3 gene.
As used herein the EAAT3 promoter may be a variant or homologue from a non-mouse species, wherein said variant or homologue comprises or consists of a polynucleotide sequence having at least 80%, 90%, 95% or 99% sequence identity to the polynucleotide sequence of SEQ ID NO: 6, or a fragment thereof having promoter activity. Preferably, the EAAT3 promoter comprises or consists of a polynucleotide sequence having the polynucleotide sequence of SEQ ID NO: 6.
Transgenic Animals
The non-human transgenic animal of the invention is preferably a rodent, most preferably a mouse. A variety of suitable techniques may be used to alter the mouse genome to enhance STXBP1 expression in at least one brain region. Preferably, a vector of the invention is introduced into a non-human embryo. The incorporated polynucleotide encoding an STXBP1 polypeptide and under control of a promoter is preferably transmissible between generations. This facilitates establishment of a colony of transgenic animals. Preferably, genomic incorporation of the polynucleotide is verified by extraction and characterisation of DNA from the transgenic animal and/or its offspring.
Screening Methods and Test Agents
When an agent reduces the expression levels of the stxbp1 gene or reverses the effects due to increased expression of said gene, this agent becomes a candidate for the treatment of neuropsychiatric disorders.
Thus, the invention relates to the use of nucleotide or peptide sequences from the stxbp1 gene in methods to search for, identify, develop and assess the efficacy of compounds to treat neuropsychiatric illnesses, especially schizophrenia. The importance of screening methods in the search for drugs based on the binding, competitive or otherwise, of a potential drug molecule to the therapeutic target should be stressed.
Another object of the invention consists of providing agents characterised by their inhibition of the expression and/or activity of the STXBP1 protein. Those agents which can be identified and assessed according to the present invention may be chosen from the group formed by:
a) a specific antibody, or combination of antibodies, against one or more epitopes present in the protein STXBP1, preferably a human or humanised monoclonal antibody, which can also include an antibody fragment, a simple chain antibody or an anti-idiotype antibody;

b) cytotoxic agents, such as toxins, molecules containing radioactive atoms, or chemotherapy agents, including but not limited to, small organic and inorganic molecules, peptides, phosphopeptides, antisense molecules, ribozymes, siRNAs, triple helix molecules, etc., which inhibit the expression and/or activity of the STXBP1 protein; and

c) antagonists of the STXBP1 protein that inhibit one or more functions of said protein.

The crystal structure of squid neuronal Sec-1, a homologue of STXBP1 has been resolved [22; the contents of which are expressly incorporated herein by reference in their entirety]. Accordingly, a preferred test agent is a compound that binds to STXBP1 and prevents its interaction with one or more t-SNAREs from the syntaxin family. A test compound may be a compound which is predicted to bind to STXBP1 in the region of the effector-molecule binding-pocket formed by residues from domains 1 and 2 of STXBP1/Sec-1 [22]. Alternatively or additionally, a test compound may be a compound which is predicted to bind to STXBP1 in the syntaxin 1a interaction site which is involved in binding syntaxin 1a through contacts formed by residues from domains 1 and 3 of STXBP1/Sec-1 [22].
The present invention also provides a pharmaceutical composition that contains a therapeutically effective quantity of one or more agents identified in a screening method of the invention (in vitro or in vivo method) together with one or more excipients and/or transport substances. Furthermore, said composition may comprise a further active ingredient that inhibits the function of the STXBP1 protein.
The excipients, transport substances and auxiliary substances should be pharmaceutically and pharmacologically acceptable such that they can be combined with other components of the formulation or preparation and they do not cause adverse effects on the treated organism. The pharmaceutical compositions or formulations include those that are appropriate for oral or parenteral (including subcutaneous, intradermal, intramuscular and intravenous) administration, although the best administration route depends on the state of the patient. The formulations can be in the form of simple doses and the formulations are prepared according to known methods in the field of pharmacology. The amounts of active substances to be administered can vary depending on the therapeutic needs.
Diagnostic Methods
Methods of the present invention for assessing the presence of or susceptibility to a neuropsychiatric illness are based on the observation that subjects or individuals diagnosed with neuropsychiatric illnesses, especially schizophrenia, present much higher levels of the protein coded for in the stxbp1 gene (STXBP1 protein) than the corresponding levels in subjects with no clinical history of these illnesses.
The method presented involves a subject sampling step, and can work with different biological fluids such as, for example: blood, plasma, serum or cerebrospinal fluid. Preferably the sample comprises CNS tissue.
The samples can be taken from subjects previously diagnosed with a given neuropsychiatric illness or from undiagnosed individuals, as well as from a subject receiving treatment or who has been treated previously for a neuropsychiatric illness, particularly schizophrenia.
The present method may also involve an extraction step, either to obtain the protein extract from the sample or to obtain the total RNA extract.
Any conventional in vitro test can be used for measurement of levels of mRNA transcribed from the stxbp1 gene or its complementary cDNA, or the concentration of the STXBP1 protein, in samples collected from the individuals to be analysed and from control individuals.
Thus, in some cases the present invention provides an in vitro method for detecting the presence of neuropsychiatric illnesses in an individual, especially schizophrenia, to determine the state or severity of this illness in the individual, or to monitor the effect of a treatment administered to an individual who presents this illness, based either on measuring the concentration of the STXBP1 protein or the expression of the stxbp1 gene.
If the concentration of the STXBP1 protein is to be determined, the method may comprise an initial step where the protein extract from the sample is mixed with one or more specific antibodies against one or more epitopes of the STXBP1 protein, and a second step where the complexes formed between these antibodies and the protein STXBP1 are quantified.
A wide variety of immunological tests can be used to detect the formation of specific antigen-antibody complexes and several competitive and non-competitive protein binding assays have been described previously, a large number of which are available commercially.
Thus, the STXBP1 protein can be quantified with antibodies such as specific monoclonal and polyclonal antibodies, either intact or recombinant fragments thereof, combibodies, and Fab or scFv antibody fragments against the STXBP1 protein. These antibodies can be human, humanised or non-human in origin. The antibodies used in these tests can be labelled or not and the unlabelled antibodies can be used in clumping tests while the marked antibodies can be used in a wide range of tests. The labelling molecules that can be used to label the antibodies include radionuclides, enzymes, fluorophores, chemoluminescent reagents, enzymatic substrates or cofactors, enzyme inhibitors, particles, colorants and derivatives.
A wide range of well-known tests that use unlabelled (primary antibody) and labelled antibodies (secondary antibody) can be used with the invention dealt with hear. These techniques include the Western blot or Western transfer, ELISA (Enzyme-Linked immunosorbent assay), RIA (Radioimmunoassay), competitive EIA (competitive enzyme immunoassay), DAS-ELISA (double antibody sandwich-ELISA), immunocytochemical and immunohistochemical techniques, techniques based on the use of biochips or protein microarrays that include specific antibodies or tests based on colloidal precipitation in formats such as dipsticks. Other methods of detecting and quantifying the STXBP1 protein include affinity chromatography techniques, ligand binding tests or lectin binding tests.
If the mRNA or cDNA corresponding to the stxbp1 gene is to be detected in addition to or as an alternative to detecting the protein, the method of the invention may comprise extraction of RNA (such as total RNA). The mRNA or cDNA corresponding to the stxbp1 gene is detected by amplifying the total RNA extract or the corresponding cDNA synthesised by reverse transcription from the mRNA template in a first step, followed by a second step that involves quantification of the product amplified from the mRNA or cDNA from the stxbp1 gene. An example of mRNA amplification consists of reverse transcribing the mRNA into cDNA (RT), and then performing a polymerase chain reaction (PCR) with primer oligonucleotides. PCR is a technique that is used to amplify a certain nucleotide sequence (target) contained in a mixture of nucleotide sequences. PCR uses an excess of a pair of primer oligonucleotides that hybridise with the complementary strands of the target nucleotide sequence. Next, an enzyme with polymerase activity (Taq DNA polymerase) extends each primer by using the target nucleotide sequence as a template. The extension products are then converted into target sequences upon dissociation of the original target strand. New primer molecules then hybridise to them and the polymerase extends them. This cycle is repeated to increase the number of target sequences exponentially and it is a technique described in the U.S. Pat. No. 4,683,195 and U.S. Pat. No. 4,683,202. Many methods for detecting and quantifying the products of PCR amplification, any of which can be used in this invention, have been described previously. In a preferred method of the invention, the amplified product is detected by agarose gel electrophoresis as follows: five microliters of the amplification product is separated by electrophoresis on a 2% agarose gel in a TBE 0.5× buffer at 100 vdc for one hour. After electrophoresis, the gel is stained with ethidium bromide and the amplification product visualised by illuminating the gel with ultraviolet (uv) light. As an alternative to staining and also as a preferred technique, the amplification product can be transferred to a nylon membrane by the Southern blotting technique and detected with a specific, appropriately labelled probe for the cDNA of the stxbp1 gene.
In another example the mRNA is detected by transferring the mRNA to a nylon membrane by transfer techniques such as Northern blot and detection with specific probes for the mRNA or the corresponding cDNA for the stxbp1 gene. In another specific assay, the mRNA corresponding to the mucn18-1 gene may be amplified and quantified at the same time by real-time quantitative RT-PCR (Q-PCR).
The method may involve comparing the amount of the STXBP1 protein, the amount of mRNA from the stxbp1 gene or the amount of the corresponding cDNA detected in the sample taken from the subject with the amount of STXBP1 protein, the amount of mRNA from the stxbp1 gene or the amount of the corresponding cDNA detected in samples from one or more control subjects or with one or more pre-determined reference values. An increase of around 10%, preferably 20%, 30%, 50% or greater may indicate the presence of or susceptibility to a neuropsychiatric illness in the subject.
The following is presented by way of example and is not to be construed as a limitation to the scope of the claims.
EXAMPLES
Example 1
Analysis of Brain Tissue Using Bi-Dimensional Electrophoresis
Twenty four samples of human cerebral prefrontal cortex tissue (Brodmann area 9) from individuals diagnosed with schizophrenia who died by suicide or by natural or accidental causes (n=14) and from control subjects with no known psychiatric history who died of accidental or natural causes (n=10) were analysed. These samples were obtained from the Basque Institute of Legal Medicine (Instituto Vasco de Medicina Legal) under ethical and lawful conditions. The samples were processed and stored at −80° C. immediately after the autopsy (Table 1).







TABLE 1







Samples included in the study.















Cause of
Sex
Age
Post-mortem
Toxicology in


Samples
Diagnosis
death
(Male/Female)
(years)
Interval (hours)
plasma





PK 1
Schizophrenia
Suicide
Male
27
17
Clozapine


PK 2
Schizophrenia
Suicide
Male
41
16
(—)


PK 3
Schizophrenia
Suicide
Female
25
19
(—)


PK 4
Schizophrenia
Suicide
Male
30
13
(—)


PK 5
Schizophrenia
Accidental
Female
39
11
(—)


PK 6
Schizophrenia
Natural
Male
43
65
Clozapine


PK 7
Schizophrenia
Natural
Male
43
19
(—)


PK 15
Schizophrenia
Suicide
Male
66
57
Olanzapine


PK 18
Schizophrenia
Suicide
Male
57
19
Quetiapine








Phenobarbital


PK 19
Schizophrenia
Suicide
Male
48
19
(—)


PK 21
Schizophrenia
Suicide
Male
30
19
Olanzapine


PK 22
Schizophrenia
Suicide
Male
24
45
(—)


PK 24
Schizophrenia
Suicide
Male
32
 8
Quetiapine,








Lorazepan








Paracetamol


PK 25
Schizophrenia
Suicide
Male
31
11
(—)





12 Males
38 ± 12
24 ± 17





2 Females
years
Hours



Control
Natural
Male
30


PK 8




10
(—)


PK 9
Control
Natural
Female
30
15
(—)


PK 11
Control
Natural
Male
27
10
(—)


PK 12
Control
Accidental
Female
35
 8
(—)


PK 13
Control
Accidental
Male
38
59
(—)


PK 14
Control
Accidental
Male
48
16
(—)


PK 17
Control
Accidental
Male
70
41
Alcohol


PK 20
Control
Accidental
Male
54
26
(—)


PK 23
Control
Accidental
Male
28
15
Alcohol


PK 26
Control
Accidental
Male
32
28
Alcohol,








Amphetamine





8 Males
39 ± 13
23 ± 16





2 Females
years
Hours









In Table 1 the information associated with each sample is distributed in columns. The first of these corresponds to the diagnosis and is followed by the cause of death, sex, age, post mortem interval (PMI), and finally the toxicological data ((−) corresponds to negative toxicology).
The proteins were extracted from human cerebral prefrontal cortex tissue post mortem, and a volume of 1 ml of lysis buffer (urea 7M; thiourea 2M; CHAPS 2%, D-Streak 0.2%, 20 μl protease inhibitors) was added to 0.1 g of tissue. The mixture was sonicated in 20 second cycles for two minutes and then centrifuged at a speed of 75000 rpm for one hour at a temperature of 4° C. The supernatant was collected and the protein concentration determined using the Bradford test. The concentration range of the samples was between 2 and 12 μg/μl in an approximate volume of 1 ml.
Next, 250 μg of protein from each sample was resuspended in 450 μl of hydration buffer (urea 7M; thiourea 2M; CHAPS 2%, IPG buffer pH 3-10 2%, D-streak 2% and bromophenol blue 0.002%) and it was solubilised at room temperature for at least one hour.
Once all the samples had been solubilised, the proteins were separated in two dimensions by bi-dimensional electrophoresis. This technique involves two phases, a first phase in which the proteins and separated according to their charge (IEF, or isoelectric focusing) and a second phase in which they are separated according to their molecular weight (SDS-PAGE).
The IEF was performed on mini-gels that support an immobilised pH gradient (3-10). The first step consisted in introducing the previously solubilised proteins into the gel by applying a voltage of 30 V for 15 hours (active rehydration) and then gradually increasing the voltage to 8000 V. The IEF finished when the total volts reached 120,000. Under no circumstances can the resistance of each gel exceed 50 μA (microamps).
Separation of the proteins in the second dimension according to their molecular weight was performed on previously polymerised 12.5% acrylamide gels with dimensions of 26×20 cm (Ettan DALT twelve Gel Caster Amersham). Once the proteins had been separated, they were visualised by silver staining (Amersham). The result is a spot map in which each spot represents a protein (FIG. 1). The gels were scanned and analysed with specialist software (Progenesis PG 220 ver. 2006 from Nonlinear Dynamics). For this analysis, the images must be in a format of 300 dpi (dots per inch) and 8 bits/channel. The software delimits the outline of each spot and calculates its intensity as a function of area and grey scale, transforming the flat image into a volume. The result is a table which contains the number of spots with their intensity as a “raw value” obtained from each gel.
Example 2
Determination of STXBP1 as a Biological Marker for Schizophrenia
A 2D map of the human prefrontal cortex was generated using the multiple 2D images that include both the common and additional spots found in all human brain samples. The data obtained were normalised experimentally by dividing the “raw” intensity of each spot by a certain value: the total spot volume and/or the spots that appeared in all samples. The object of this normalisation was to ensure that the differences observed are not due to different amounts of protein loaded onto the gels. The normalised data were exported to a MS Excel® sheet for statistical analysis. A large number of statistical tests require the data to follow a normal distribution. The spot/variable intensity distributions are clearly asymmetric and far from normal (FIG. 2, Graphic 1), although application of a logarithm homogenises and normalises these distributions (FIG. 2, Graphic 2).
The statistical analysis was undertaken by performing a parametric comparison test of the median values of the two groups established (total cases vs. controls or untreated cases vs. controls) and those spots with p≦0.05 were selected. The rate of change was calculated for the spots that were found to be significant by a quotient between the medians of the two established groups.
Those spots that were found to be significant were excised from the gels, digested in situ with trypsin and the peptides eluted and identified by MALDI-TOF (Matrix-Assisted Laser-Desorption/Ionization Time of Flight) mass spectrometry. The molecular mass fingerprint obtained for each spot was compared with an in silico database, which allowed the corresponding protein to be identified.
A total of 15 spots from the 24 gels (cases and controls) were matched and identified. The proteins were quantified as described previously and one spot (number 2999) was found to correspond to STXBP1 (FIG. 1).
The statistical analysis showed that only the comparisons between untreated or drug-free cases and controls, and untreated or drug-free cases and treated cases, produce a statistically significant difference (FIG. 3). The remaining comparisons, in other words total cases versus controls and treated cases versus controls, do not display significant changes (FIG. 3; only controls that were paired with either untreated or treated cases were used for the comparisons).
Example 3
Validation by Western Blotting of STXBP1 as a Biological Marker for Schizophrenia
The levels of STXBP1 protein in 24 human cerebral prefrontal cortex samples (Brodmann area 9) from individuals diagnosed with schizophrenia who died by suicide and who had (n=6) or who had not (n=8) received antipsychotic treatment and control subjects with no history of psychiatric illness who died accidentally (n=10) were validated by Western blotting with an antibody that specifically recognises said protein. The samples from schizophrenics were paired with control samples on the basis of sex, age and time post mortem. The proteins were then extracted using the same extraction procedure as that used to prepare the bi-dimensional gels. It was decided to measure the STXBP1 levels in both the cytosolic fraction and the membrane fraction for Western blot validation. Briefly, 1 ml of lysis buffer (urea 7M; thiourea 2M; CHAPS 2%, D-Streak 0.2%, 20 μl of protease inhibitors) was added to 0.1 g of tissue. The mixture was sonicated in 20 second cycles for two minutes and then centrifuged at a speed of 75000 rpm for one hour at a temperature of 4° C. The supernatant was collected and the protein concentration determined using the Bradford test. The pellet was resuspended in 100 μl of lysis buffer and the quantity of protein determined by the Bradford method. Laemmli 5× buffer (Tris 0.5M pH 6.8, SDS 20% and bromophenol blue 0.01%) was added just prior to loading the sample onto the gel. Once the sample had been prepared, β-mercaptoethanol was added at a ratio of 1/7. The total protein concentration was adjusted to 1.2 μg/μl for all the samples from the cytosolic fraction and to 0.5 μg/μl for those from the membrane fraction. Once prepared, the sample was heated to 100° C. for five minutes and then centrifuged for 15 seconds at 4° C. Two micrograms of total protein per sample was loaded onto a 10% acrylamide gel for both the cytosolic and the membrane fractions. A minimum of two experiments were performed for each sample and the arithmetic mean of all the individual values was calculated. A significant increase in the levels of STXBP1 protein was observed in the cytosolic fraction of prefrontal cortex samples from schizophrenic subjects when compared with the levels of the same protein in control subjects with no clinical history of psychiatric illness (135±10, n=14, p<0.004). Furthermore, it was found that the expression of STXBP1 protein was much higher in the prefrontal cortex of schizophrenics who had died by suicide and who had not received pharmacological treatment when compared with samples from the same brain region of control individuals with no history of psychiatric illness and who had died accidentally (162±7, n=8, p<0.0001).
Interestingly, it was found that the STXBP1 levels in schizophrenic subjects who had been treated with antipsychotic drugs but who had also died by suicide were lower than those in untreated individuals and were similar to the control levels (100±9, n=6, not significant; FIG. 4). On the other hand, it was found that there was a non-significant reduction in the density of the STXBP1 immunosignal in the non-cytosolic fraction of prefrontal cortex samples from schizophrenic individuals when compared with control subjects with no clinical history of psychiatric illness (92±9, n=13, not significant). Furthermore, STXBP1 expression was lower, although not significantly so, in the prefrontal cortex of schizophrenics who had not received pharmacological treatment when compared with samples from the same brain region of control individuals (86±8, n=8, not significant). Finally, there was no change in the STXBP1 levels in the group of subjects treated with antipsychotic drugs with respect to the control group (101±22, n=5, not significant; FIG. 5).
Example 4
Method of Preparing Transgenic Animal
The polynucleotide to be introduced contains a promoter sequence capable of controlling the expression of the schizophrenia-related protein and, if desired, may further contain an enhancer sequence. The schizophrenia-related protein may be expressed specifically in the brain. The promoter for preparing the model animal in the present example was specifically chosen. This promoter is the EAAT3 (Glutamate transporter type 3), also known which as solute carrier family 1 (neuronal/epithelial high affinity glutamate transporter, system Xag), member 1 (SLc1a1). The EAAT3 gene is a neuronal gene specifically expressed in glutamatergic neurons. Therefore, a desired gene (in this case STXBP1) can be selectively expressed in the brain, particularly in glutamatergic neurons, by using the promoter region of an EAAT3 gene. The transgenic mice were found to exhibit schizophrenic symptoms as a result of overexpression of STXBP1 in the brain.
To prepare the promoter region the primers used were: 5′′:ttgtcgacttcgcgagcttcgccttcggaatctggag (SEQ ID NO: 7); and 5′′:ttggtaccatagtccaaccagagacagagcacactc (SEQ ID NO: 8).
2848 nucleotides of the promoter of EAAT3 (SEQ ID NO: 6) (Glutamate transporter type 3), also known as solute carrier family 1 (neuronal/epithelial high affinity glutamate transporter, system Xag), member 1 (Slc1a1) (see FIG. 15) were amplified by a polymerase chain reaction (PCR). The neuronal expression promoter was cloned in Kpn I-Sal I in the right anterior position to the cDNA to be expressed (NIH_MGC—94) in the pCMV-Sport6 commercial vector. The construct was digested with Kpn I and Cla I to produce the transgene that was microinjected in mouse embryos. These transgene fragments, in addition to EAAT3 and cDNA contained a sv40 polyadenylated site for stabilizing the mRNA. Four transgenic founders were developed and three of them transmitted the transgene fragment: line 3 (L3), line 7 (L7) and line 8 (L8).
Successful introduction of the gene may be determined by extracting DNA from a part of the body (for example the tail tip) and confirming the presence of the introducing polynucleotide. Animals testing positive for the introduced gene are regarded as founders. The introduced polynucleotide is transmitted to 50% of the offspring, and is possible to efficiently prepare wild type and mutated animals (FIG. 6).
The transgenic animal prepared as described above and its offspring exhibiting schizophrenic symptoms are useful in detecting a therapeutic effect on schizophrenia and screening for a therapeutic agent or agents for schizophrenia.
Example 5
Validation of Levels of STXBP1 in the Brain of Transgenic Mice: Immunofluorescence and Western Blotting
Immunofluorescence was performed in 30 μm coronal adult brain free-floating sections of mice. Three different brain regions, cortex, striatum and hippocampus [Paxinos, 2003] were incubated with polyclonal rabbit anti-STXBP1 (Sigma) and polyclonal goat anti-EAAT3 (Santa Cruz Biotechnology) antibodies, followed by secondary staining for rabbit and mouse IgGs with highly cross-adsorbed AlexaFluor 594 and AlexaFluor 488, secondary antibodies (Invitrogen), respectively. Cellular nuclei were stained with the DNA-intercalating agent Hoechst. Preparations were examined using a Confocal Olympus Fluoview.
These results showed an increase in the levels of STXBP1 in the three transgenic lines (L3, L7 and L8) and principally in striatum when compared with controls animals (FIG. 7).
The levels of STXBP1 protein in mouse cerebral cortex, striatum and cerebellum samples from control mice (wild type, n=4), transgenic mice from L3 (n=4), transgenic mice from L7 (n=4) and transgenic mice from line 8 (n=4) were validated by Western blotting with an antibody that specifically recognises the STXBP1 protein. The proteins were then extracted using the same extraction procedure as that used to prepare the bi-dimensional gels and in human samples. It was decided to measure the STXBP1 levels in both the cytosolic fraction and the non-cytosolic fraction for Western blot validation.
Briefly, 1 ml of lysis buffer (urea 7M; thiourea 2M; CHAPS 2%, D-Streak 0.2%, 20 μl of protease inhibitors) was added to 150 mg of cerebral cortex. Similarly 400 μl of lysis buffer was added to 40 mg of striatum region. Finally, 300 μl of lysis buffer was added to 30 mg of cerebellum. The mixture was sonicated in 20 second cycles for two minutes and then centrifuged at a speed of 75000 rpm for one hour at a temperature of 4° C. The supernatant was collected and the protein concentration determined using the Bradford test. The pellet was resuspended in 30 (cerebral cortex), 20 (striatum) or 10 (cerebellum) μl of lysis buffer and the quantity of protein determined by the Bradford method. Laemmli 5× buffer (Tris 0.5M pH 6.8, SDS 20% and bromophenol blue 0.01%) was added just prior to loading the sample onto the gel. Once the sample had been prepared, β-mercaptoethanol was added at a ratio of 1/7. The total protein concentration was adjusted to 1 μg/μl for all the samples from the cytosolic fraction and to 1 μg/μl for those from the non-cytosolic fraction. Once prepared, the sample was heated to 100° C. for five minutes and then centrifuged for 15 seconds at 4° C. Four micrograms of total protein per sample was loaded onto a 10% acrylamide gel for both the cytosolic and the non-cytosolic fractions. A minimum of two experiments were performed for each sample and the arithmetic mean of all the individual values was calculated.
A significant increase in the levels of STXBP1 protein was observed in both the cytosolic and non-cytosolic fractions of striatum samples from L7 when compared with the levels of the same protein in control animals (123±7, n=4, p=0.06 and 134±5, n=4, p=0.03 respectively). For the lines L3 and L8 there is also an increase of the STXBP1 levels but not significantly different from control animals (L3 cytosolic fraction 118±7, n=4, p=0.06 and non-cytosolic fraction 114±3, n=3, p=0.09; L8 cytosolic fraction 118±6, n=4, p=0.09 and non-cytosolic fraction 107±13, n=4, p=0.6). Furthermore, it was found that the expression of STXBP1 protein was much higher in the cerebellum of transgenic mice lines (L3, L7 and L8) compared with samples from the same brain region of control animals (L3 cytosolic fraction 137±7, n=4, p=0.02 and non-cytosolic fraction 171±3, n=4, p=0.01; L7 cytosolic fraction 93±5, n=4, p=0.5 and non-cytosolic fraction 138±20, n=4, p=0.2; L8 cytosolic fraction 148±11, n=4, p=0.01 and non-cytosolic fraction 145±17, n=4, p=0.05). Interestingly, it was found that the STXBP1 levels in transgenic mice lines (L3, L7 and L8) were similar to the control levels (L3 cytosolic fraction 92±4, n=4, ns and non-cytosolic fraction 74±11, n=4, ns; L7 cytosolic fraction 90±6, n=4, ns and non-cytosolic fraction 76±9, n=3, ns; L8 cytosolic fraction 100±7, n=4, ns and non-cytosolic fraction 129±13, n=4, ns) (FIG. 8). These results are similar that results obtained in using the immunofluorescence approach.
Example 6
Behavioural Testing
It is possible to detect whether or not a transgenic mouse shows schizophrenic symptoms by conventional methods of measuring schizophrenia-related disorders, such as the following methods described in items 1) to 4):
1) Motor Activity-Open Field Test
The open field consists of an opaque black walls square cage 25 cm×25 cm×25 cm (PanLab, Barcelona, Spain). The base of the cage consists of sensors able to detect horizontal movements of the mice. Testing was conducted in a silent room with constant light. Mice were individually placed in the centre of the apparatus to initiate a 10-min test session. To determine whether modification in the expression of STXBP1 alters the spontaneous motor activity, we compared transgenic and control mice in the open field for a period of 5 min. No differences were found between transgenic line 3 and wild-type animals. However, subtle changes were found when comparing transgenic lines 7 and 8 versus controls. The results revealed that distance in the open field significantly decreased in line 7 and line 8 (One-way ANOVA followed by Tukey test: F(21,24)=14.42; p<0.05) (FIG. 9A).
2) Rotarod Motor Coordination Test
Motor coordination was assessed by means of an automated rotarod apparatus (PanLab, Barcelona, Spain). A computer recorded the latency to fall in seconds. First, the mice were trained in the rotarod at a constant speed of 20 rpm until all the mice were able to spend at least 3 min. on the rod. Then, the mice were tested three consecutive times.
No significant differences were found between transgenic lines and wild-type animals in the Rotarod test (FIG. 9B). These results indicate that the impairments shown in the open-field test are not due to an impairment in the motility coordination of transgenic mice.
3) Assessment of Anxiety-Like Behaviours
3.1—Elevated Plus Maze
The elevated plus-maze is a commonly used test for measuring anxiety-like behaviour and innate fear in rodents [Crawley, 2000; Rogers and Cole, 1994]. The maze consists of two open (25 cm×5 cm) and two enclosed arms (25 cm×5 cm×30 cm), arranged such that the two arms of each type are opposite each other and extend from a central platform (5 cm×5 cm). The floor and side walls of the maze consist of opaque Plexiglass material. The maze is elevated to a height of 50 cm. Testing was performed in a dimly lit experimental room. Mice were individually introduced to the centre, the head facing the open arm. Behavioural parameters were recorded by a observer for 5 minutes. The percentage of each of the following parameters was measured: 1) open arms time 2) open arms entries. The maze was cleaned between sessions using 70% ethanol.
In the elevated plus maze, the percentage (%) of time spent in the open arms was significantly decreased in the three lines of transgenic mice (One-way ANOVA followed by a Tukey's Test F(19,22)=5.476, p<0.006) when compared with control animals (FIG. 8C). Similarly, the three lines of transgenic mice showed a significant decrease in the numbers of entries in the open arms (One-way ANOVA followed by a Tukey's Test F(19,22)=4.469, p<0.02) (FIG. 9D).
3.2—Social Interaction
When two mice from separate cages are placed together in a small chamber in which neither has established territory, they engage in social interaction which includes a variety of behavioural patterns: sniffing, following, grooming, kicking, crawling under or over the partner, and touching or nearly touching of faces.
On the day of the experiment, pairs of mice from different home cages were placed together in a small plastic cage (20 cm×40 cm×10 cm) with a cardboard lid and fresh wood litter on the floor (no change in the light level). The time that mice socially interacted was measured for 5 min.
In the social interaction test, the time in which mice from separate cages (unfamiliar situation) engaged in social interaction was significantly lower (p<0.001) in transgenic mice (One Way ANOVA followed by Tukey's Test F(20,23)=8.026 p<0.05) when compared with controls animals (FIG. 9E).
4) Novel Object Recognition Task (NORT)
The NORT was conducted in an transparent Plexiglas arena (35 cm×45.5 cm×36 cm) with objects that could not be displaced by the mice. Adult male mice were habituated to the arena, in the absence of objects, for 30 min. on each of 3 successive days prior to the test day. On the test day, the mice were habituated to the arena for 1 min. and then two different objects were placed in the cage in two adjacent corners (7.5 cm from each wall). During the sample phase, each mouse was placed in the centre of the arena, and the time it spent exploring each object was recorded over a 5-min. period with stopwatches. The next day, the mouse was returned to the arena for the choice phase, with one object from the sample phase (familiar object) and a novel object. Individuals unaware of the treatment conditions or the mouse's genotype recorded the time the mouse spent exploring each object over a 3-min. period using stopwatches. Exploration was defined as directing the nose toward the object at a distance of less than 1 cm and included placing one or more paws on the object. The total time spent investigating both objects in the sample phase was recorded and compared among the three mouse genotypes. In the choice phase, the proportion of time the mouse spent with the novel object was determined by subtracting the time spent with the familiar object from that spent with the novel object and dividing this time by the total time spent exploring both objects. The resultant value was a discrimination ratio, whereby a value of 0 indicated that equal time was spent investigating both objects and a value of 1 indicated that all time was spent investigating the novel object.
In the NORT, the recognition index significantly increased in the three lines of transgenic mice, 3, 7 and 8, (One-way ANOVA followed by a Tukey's Test F(20,23)=5.927; p<0.05 for line 3 and 7 and p<0.001 for line 8) when compared with their controls (FIG. 9F). This increase in the recognition index is believed to be due to an increase in the stress response of the animal due to presence of a new object.
The transgenic mouse line in accordance with the invention was compared with wild-type mice in a range of behavioural tests. The results are described in Table 2 below.







TABLE 2







Results of behavioural testing








Test
Results





Open field
The open field test is designed to measure



behavioral responses such as locomotor



activity, hyperactivity, and exploratory



behaviors. The open field test is also used as



a measure of anxiety. In our experiments the



transgenic mice spent less time in the centre



of the open field when compared with the wild



type group, this behaviour is associated with



anxiety-like responses. This phenotype is



considered to reflect a decreased motivation on



the part of the transgenic animals to explore,



which might be related to the negative symptoms



of schizophrenia (decreased motivation, and



social withdrawal) and has been observed in



other animal models [Hattori et al., 2008].


Elevated plus
The transgenic mice showed an increase in the


maze
time spent in the closed arms of the elevated



plus maze (EPM) in comparison to the wild type



group. The behaviour observed in the EPM test



followed the same trend as the results obtained



with the open field experiments. This



behaviour is considered an anxiety-like



response with similarities to the negative



symptoms observed in schizophrenia [Hattori et



al., 2008]


Pre-pulse
The transgenic mice showed a reduced pre-pulse


inhibition
inhibition (PPI) response when compared to the



control group. There have been numerous



reports of a deficiency in the PPI response in



schizophrenia patients, a reduced PPI response



has been suggested to meet the criteria as an



endophenotype for genetic studies of



schizophrenia [Powell et al., 2009].


Fear
The transgenic mice showed a reduction in the


conditioning
percentage of time spent in a freezing response



when compared with the control group. The



result suggests that the transgenic animals



exhibit an altered fear memory. This feature



has been described in other animal models of



schizophrenia and belongs to the group of



cognitive symptoms observed in schizophrenia



[Bhardwaj et al., 2009].


Social
In the social interaction test the transgenic


interaction
mice showed a significant decrease in the



number of social contacts compared with wild-



type mice. Reduced social interaction is a



common behavioural phenotype present in



schizophrenia correlating with other negative



symptoms [Koike et al., 2009].


Novel object
In this test the mice were found to have a


recognition
reduction in their short term memory. The time



spent in the presence of novel objects



presented to the transgenic group related to



their total exploration time is reduced when



compared to the wild type group. Deficiencies



in short term memory are considered among the



cognitive symptoms associated with



schizophrenia and has been observed in other



animal models of the disease [McLean et al.,



2009].









Example 7
Method of Screening Agents as Potential Schizophrenia Therapeutics
A potential therapeutic agent for the treatment of schizophrenia can be tested by administering the test substance to a transgenic animal of the invention. Following the administration of the substance, the behavioural tests (for example behavioural tests as disclosed in Example 6 above) are repeated, in order to evaluate whether the compound modifies the results observed prior to administration of the compound. Preferably, the one or more behavioural tests are additionally performed on one or more untreated transgenic animals of the invention to act as controls.
A potential therapeutic agent may be classified as a candidate for further investigation on the basis of a positive screening result. A positive screening result may be one in which the test agent is found to restore or normalise a behavioural outcome of an animal of the invention to or towards the behavioural outcome of a normal animal (e.g. an animal not having altered levels of STXBP1 but otherwise identical to the animal of the invention). In some cases, the behavioural outcome may be quantified and the degree of restoration or normalisation of the behavioural outcome measured. In this way a pre-determined threshold level may be set to allow classification of an agent being screened as positive or negative for restoration or normalisation of behaviour. Agents classified as positive in this way may then be subjected to further animal testing and/or human clinical testing for safety and/or efficacy in the treatment of a psychiatric illness, e.g. schizophrenia.
The substances which can used for the screening method are not limited, but may include for example: commercially available compounds, various known compounds registered in compound databases, compounds obtained by combinatorial chemical files, compounds obtained by combinatorial chemistry techniques, or chemically or biologically modified compounds derived from other compounds, culture supernatants of microorganisms, natural components derived from plants or marine organisms, animal tissue, interference RNA, peptides and antibodies. Preferably, the agent is a compound capable of passing through the blood-brain barrier (BBB) such that it is “centrally active”.
Preferably, one or more positive control compounds, which are known to have therapeutic activity in the treatment of psychiatric illness, particularly schizophrenia, are used in the screening method as a reference against which to compare the effects of any test agent. Preferred positive control compounds include atypical antipsychotics such as: Clozapine, Risperidone, Olanzapine, Quetiapine, Ziprasidone, Aripiprazole, Paliperidone, Asenapine, Iloperidone, Sertindole, Zotepine, Amisulpride, Bifeprunox and Melperone and typical antipsychotics such as: Chlorpromazine, Fluphenazine, Haloperidol, Molindone, Thiothixene, Thioridazine, Trifluoperazine, Loxapine, Perphenazine, Prochlorperazine, Pimozide and Zuclopenthixol.
All references cited herein are incorporated herein by reference in their entirety and for all purposes to the same extent as if each individual publication or patent or patent application was specifically and individually indicated to be incorporated by reference in its entirety.
The specific embodiments described herein are offered by way of example, not by way of limitation. Any sub-titles herein are included for convenience only, and are not to be construed as limiting the disclosure in any way.
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## Claims

1. A transgenic mouse whose genome comprises a polynucleotide encoding a syntaxin-binding protein 1 (STXBP1) polypeptide having at least 90% sequence identity with SEQ ID NO: 2 operably linked to an excitatory amino acid transporter 3 (EAAT3) promoter, wherein said transgenic mouse has greater than wild-type expression of the STXBP1 polypeptide in at least its brain cortex, and wherein the transgenic mouse exhibits one or more behaviours selected from the group consisting of reduced motor activity in an open field test, reduced time spent in open arms of an elevated plus maze, reduced social interaction, increased recognition index in a novel object recognition task, and decreased prepulse inhibition of startle response.

2. The transgenic mouse according to claim 1, wherein said polynucleotide is present in a higher than wild-type copy number.

3. The transgenic mouse according to claim 1, wherein said polynucleotide encodes an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 2.

4. The transgenic mouse according to claim 1, wherein the EAAT3 promoter comprises a polynucleotide having at least 80% nucleic acid sequence identity to the sequence of SEQ ID NO: 6 or a polynucleotide having the sequence of SEQ ID NO: 6.

5. The transgenic mouse according to claim 1, having at least 10% greater expression of the STXBP1 polypeptide in said at least brain cortex, as measured by Western blot, immunofluorescence or qPCR of an STXBP1 mRNA.

6. A method of producing the transgenic mouse of claim 1, comprising:
introducing a vector comprising a polynucleotide encoding a syntaxin-binding protein 1 (STXBP1) polypeptide having at least 90% sequence identity with SEQ ID NO: 2 operably linked to an excitatory amino acid transporter 3 (EAAT3) promoter and optionally further regulatory sequences into one or more cells of the mouse at an embryonic stage, such that the transgenic mouse of claim 1 is obtained.

7. The method of claim 6, wherein the EAAT3 promoter comprises a polynucleotide having at least 80% nucleic acid sequence identity to the sequence of SEQ ID NO: 6 or a polynucleotide having the sequence of SEQ ID NO: 6.

8. The method according to claim 6, wherein said polynucleotide encodes
an STXBP1 polypeptide having the amino acid sequence of SEQ ID NO: 2.

9. The method of claim 6, further comprising extracting DNA from the mouse to confirm the incorporation of the polynucleotide into the genome of the mouse.

10. An in vivo method for identifying an agent that reduces the presence or severity of one or more behaviours in a mouse, said one or more behaviours being selected from the group consisting of reduced motor activity in an open field test, reduced time spent in open arms of an elevated plus maze, reduced social interaction, increased recognition index in a novel object recognition task, and decreased prepulse inhibition of startle response, the method comprising:
a) administering a test agent to the transgenic mouse of claim 1; and
b) subsequently assessing the presence or severity of said one or more behaviours;
wherein a reduction in said one or more behaviours relative to the same one or more behaviours in a control transgenic mouse of claim 1 that has not been administered the test agent indicates that the test agent reduces the presence or severity of the one or more behaviours in the mouse.