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Wake up dormant dopaminergic neurons to reverse Parkinson’s disease

- Astrocytic GABA identified as the novel therapeutic target of motor symptoms in Parkinson’s disease -

video_Wake up dormant dopaminergic neurons to reverse Parkinson’s diseaseClick to watch the video

As many as seven to 10 million people in the world are thought to live with Parkinson’s disease (PD). Being the second most common neurodegenerative disease, PD severely affects patients’ quality of life, not just brining movement abnormalities. Despite its prevalence and negative impact, current medical treatments for PD rely on alleviating PD symptoms with little efforts to explore ways to reverse the symptoms.

It has been firmly believed that abnormal movements of PD begin in the brain where the production of dopamine, a neurotransmitter for movement control, is irreversibly impaired, i.e. in a state of neuronal death. Currently, L-DOPA, a potent PD medication is mainly prescribed to replenish dopamine in the deprived brain. However, such a treatment is symptomatic therapy, rather than a disease-modifying therapy. Long-term use of L-DOPA is well-known to cause serious side effects such as involuntary, erratic, and writhing movements.

Led by Dr. C. Justin Lee along with Dr. Hoon Ryu and Dr. Sang Ryong Jeon, researchers at the Center for Cognition and Sociality within the Institute for Basic Science (IBS), Korea Institute of Science and Technology (KIST), and Asan Medical Center (AMC) have discovered a new mechanism for PD pathology. The researchers reported that the symptoms of PD begin when dopaminergic neurons are “non-functional”, even before they die off. Though the neuronal death had been till now believed to be the obvious cause of PD, the study found that the movement abnormalities of PD begin in the earlier stage when dopaminergic neurons, though being alive, cannot synthesize dopamine (in a dormant state). “Everyone has been so trapped in the conventional idea of the neuronal death as the single cause of PD. That hampers efforts to investigate roles of other neuronal activities, such as surrounding astrocytes,” said Dr. C. Justin Lee, the corresponding author of the study. Lee adds, “The neuronal death ruled out any possibility to reverse PD. Since dormant neurons can be awakened to resume their production capability, this finding will allow us to give PD patients hopes to live a new life without PD.”

Figure 1 Reactive astrocytes in SNpc produce excessive GABA via MAO-B in animal models of PD. Aberrant tonic inhibition of dopaminergic neurons causes reduced dopamine production in neurons and motor deficits. The Parkinsonian motor deficits and reduced dopamine production can be recovered by MAO-B inhibition or optogenetic activation of SNpc neurons.
Figure 1. Reactive astrocytes in SNpc produce excessive GABA via MAO-B in animal models of PD. Aberrant tonic inhibition of dopaminergic neurons causes reduced dopamine production in neurons and motor deficits. The Parkinsonian motor deficits and reduced dopamine production can be recovered by MAO-B inhibition or optogenetic activation of SNpc neurons.

The researchers observed when the number of astrocytes abnormally increases due to the destruction of nearby neurons, GABA, an inhibitory neurotransmitter is released in the brains of both animal PD models and human patients in an excessive amount. This excessive output of GABA suppresses dopaminergic neurons, putting the production of dopamine on a hold. Notably, they confirmed that the dormant dopaminergic neurons are alive with the existence of DOPA decarboxylase. Furthermore, they revealed that these neurons could be awakened by treatment with MAO-B inhibitor, which blocks astrocytic GABA synthesis. The awakening of dormant dopaminergic neurons leads to a significant alleviation of PD motor symptoms.

They also used optogenetic tools to inhibit dopaminergic neuron of normal rats, inducing Parkinsonian motor deficits. They also demonstrated that activating the dormant dopaminergic neurons by the optogenetic treatment can alleviate PD motor symptoms. “This research refutes the common belief that there is no disease-modifying treatment for PD due to its basis on neuronal cell death,” said Dr. Hoon Ryu of Brain Science Institute at KIST. “The significance of this study lies in its potential as the new form of treatment for patients in early stages of PD.”

Dr. Sang Ryong Jeon of AMC explained, “So far, it had been firmly believed that idiopathic PD is caused by the death of dopaminergic neurons in substantia nigra. However, this research demonstrates that functional inhibition of dopaminergic neurons by surrounding astrocytes is the core cause of PD. It should be a drastic turning point in understanding and treating PD and possibly other neurodegenerative disease as well.” With this study, the researchers suggest that disinhibiting dormant dopaminergic neurons by blocking excessive astrocytic GABA could be an effective therapeutic strategy against PD, especially in early stages of PD in which non-functional yet live dopaminergic neurons are waiting to be awaken.

Dahee Carol Kim
IBS Communications Team

Notes for editors

- References
Jun Young Heo†, Min-Ho Nam†, Hyung Ho Yoon†, Jeongyeon Kim†, Yu Jin Hwang†, Woojin Won, Dong Ho Woo, Ji Ae Lee, Hyun-Jung Park, Seonmi Jo, Min Joung Lee, Sunpil Kim, Jeong-Eun Shim, Dong-Pyo Jang, Kyoung I. Kim, Sue H. Huh, Jae Y. Jeong, Neil W. Kowall, Junghee Lee, Hyeonjoo Im, Jong Hyun Park, Bo Ko Jang, Ki Duk Park, Hyunjoo J. Lee, Hyogeun Shin, Il-Joo Cho, Eun Mi Hwang, YoungSoo Kim, Hye Yun Kim, Soo-Jin Oh, Seung Eun Lee, Sun Ha Paek, Jong-Hyuk Yoon, Byung K. Jin, Gi Ryang Kweon, Insop Shim, Onyou Hwang, Hoon Ryu*, Sang Ryong Jeon*, and C. Justin Lee* Aberrant tonic inhibition of dopaminergic neuronal activity causes motor symptoms in animal models of Parkinson’s disease. Current Biology.

- Media Contact
For further information or to request media assistance, please contact C. Justin Lee (+82-42-878-9150); Mr. Kyungyoon Min, Head of IBS Communications Team (+82-42-878-8156, kymin@ibs.re.kr); or Ms. Carol Kim, Public Information Officer of IBS & Science Communicator (+82-42-878-8133, clitie620@ibs.re.kr)

- About the Institute for Basic Science (IBS)
IBS was founded in 2011 by the government of the Republic of Korea with the sole purpose of driving forward the development of basic science in South Korea. IBS has launched 30 research centers as of January 2020. There are ten physics, two mathematics, six chemistry, six life science, one earth science, and five interdisciplinary research centers.

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    Last Update 2019-12-17 14:52