GDNF Receptor Agonist Alleviates Motor Imbalance in Unilateral 6-Hydroxydopamine Model of Parkinson's Disease.

Juho-Matti Renko, Merja H Voutilainen, Tanel Visnapuu, Yulia A Sidorova, Mart Saarma, Raimo K Tuominen
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Abstract

Parkinson's disease (PD) is an incurable neurodegenerative disorder affecting up to 10 million people in the world. Diagnostic motor symptoms of PD appear as a result of progressive degeneration and death of nigrostriatal dopamine neurons. Current PD treatments only relieve symptoms without halting the progression of the disease, and their use is complicated by severe adverse effects emerging as the disease progresses. Therefore, there is an urgent need for new therapies for PD management. We developed a small molecule compound, BT13, targeting receptor tyrosine kinase RET. RET is the signalling receptor for a known survival factor for dopamine neurons called glial cell line-derived neurotrophic factor (GDNF). Previously we showed that BT13 prevents the death of cultured dopamine neurons, stimulates dopamine release and activates pro-survival signalling cascades in naïve rodent brain. In the present study, we evaluate the effects of BT13 on motor imbalance and nigrostriatal dopamine neurons in a unilateral 6-hydroxydopamine rat model of PD. We show that BT13 alleviates motor dysfunction in experimental animals. Further studies are needed to make a conclusion whether BT13 can protect the integrity of the nigrostriatal dopamine system since even the positive control, GDNF protein, was unable to produce a clear neuroprotective effect in the model used in the present work. In contrast to GDNF, BT13 is able to cross the blood-brain barrier, which together with the ability to reduce motor symptoms of the disease makes it a valuable lead for further development as a potential disease-modifying agent to treat PD.

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GDNF受体激动剂缓解帕金森病单侧6-羟多巴胺模型运动失衡。
帕金森氏症(PD)是一种无法治愈的神经退行性疾病,影响着世界上多达1000万人。PD的诊断性运动症状表现为黑质纹状体多巴胺神经元进行性变性和死亡的结果。目前的PD治疗只能缓解症状,而不能阻止疾病的进展,而且随着疾病的进展,它们的使用会出现严重的不良反应。因此,迫切需要新的PD治疗方法。我们开发了一种靶向受体酪氨酸激酶RET的小分子化合物BT13, RET是多巴胺神经元已知生存因子胶质细胞系衍生神经营养因子(GDNF)的信号受体。先前我们发现BT13可以防止培养的多巴胺神经元死亡,刺激多巴胺释放并激活naïve啮齿动物大脑中促生存信号级联反应。在本研究中,我们评估了BT13对单侧6-羟多巴胺大鼠PD模型运动失衡和黑质纹状体多巴胺神经元的影响。我们发现BT13可以减轻实验动物的运动功能障碍。BT13是否能够保护黑质纹状体多巴胺系统的完整性还需要进一步的研究,因为在本研究中使用的模型中,即使是阳性对照GDNF蛋白也不能产生明显的神经保护作用。与GDNF相比,BT13能够穿过血脑屏障,这与减少疾病的运动症状的能力一起使其成为进一步开发治疗PD的潜在疾病调节剂的有价值的线索。
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