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Inhibition of Ras-guanine nucleotide-releasing factor 1 (Ras-GRF1) signaling in the striatum reverts motor symptoms associated with L-dopa-induced dyskinesia.

Abstract
L-dopa-induced dyskinesia (LID) is a common debilitating complication of dopamine replacement therapy in Parkinson's disease. Recent evidence suggests that LID may be linked causally to a hyperactivation of the Ras-ERK signaling cascade in the basal ganglia. We set out to determine whether specific targeting of Ras-guanine nucleotide-releasing factor 1 (Ras-GRF1), a brain-specific activator of the Ras-ERK pathway, may provide a therapy for LID. On the rodent abnormal involuntary movements scale, Ras-GRF1-deficient mice were significantly resistant to the development of dyskinesia during chronic L-dopa treatment. Furthermore, in a nonhuman primate model of LID, lentiviral vectors expressing dominant negative forms of Ras-GRF1 caused a dramatic reversion of dyskinesia severity leaving intact the therapeutic effect of L-dopa. These data reveal the central role of Ras-GRF1 in governing striatal adaptations to dopamine replacement therapy and validate a viable treatment for LID based on intracellular signaling modulation.
AuthorsStefania Fasano, Erwan Bezard, Angela D'Antoni, Veronica Francardo, Marzia Indrigo, Li Qin, Sandra Doveró, Milica Cerovic, M Angela Cenci, Riccardo Brambilla
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 107 Issue 50 Pg. 21824-9 (Dec 14 2010) ISSN: 1091-6490 [Electronic] United States
PMID21115823 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • ras-GRF1
  • Levodopa
  • Extracellular Signal-Regulated MAP Kinases
Topics
  • Animals
  • Corpus Striatum (cytology, drug effects, physiology)
  • Disease Models, Animal
  • Dyskinesia, Drug-Induced (physiopathology)
  • Extracellular Signal-Regulated MAP Kinases (genetics, metabolism)
  • Humans
  • Levodopa (pharmacology)
  • Mice
  • Mice, Knockout
  • Neurons (cytology, metabolism)
  • Signal Transduction (physiology)
  • ras-GRF1 (genetics, metabolism)

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