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Liedhegner EAS, Steller KM, Mieyal JJ. Levodopa activates apoptosis signaling kinase 1 (ASK1) and promotes apoptosis in a neuronal model: implications for the treatment of Parkinson's disease. Chem Res Toxicol 2011; 24:1644-52. [PMID: 21815648 DOI: 10.1021/tx200082h] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Oxidative stress is implicated in the etiology of Parkinson's disease (PD), the second most common neurodegenerative disease. PD is treated with chronic administration of l-3,4-dihydroxyphenylalanine (levodopa, L-DOPA), and typically, increasing doses are used during progression of the disease. Paradoxically, L-DOPA is a pro-oxidant and induces cell death in cellular models of PD through disruption of sulfhydryl homeostasis involving loss of the thiol-disulfide oxidoreductase functions of the glutaredoxin (Grx1) and thioredoxin (Trx1) enzyme systems [Sabens, E. A., Distler, A. M., and Mieyal, J. J. (2010) Biochemistry 49 (12), 2715-2724]. Considering this loss of both Grx1 and Trx1 activities upon L-DOPA treatment, we sought to elucidate the mechanism(s) of L-DOPA-induced apoptosis. In other contexts, both the NFκB (nuclear factor κB) pathway and the ASK1 (apoptosis signaling kinase 1) pathway have been shown to be regulated by both Grx1 and Trx1, and both pathways have been implicated in cell death signaling in model systems of PD. Moreover, mixed lineage kinase (MLK) has been considered as a potential therapeutic target for PD. Using SHSY5Y cells as model dopaminergic neurons, we found that NFκB activity was not altered by L-DOPA treatment, and the selective MLK inhibitor (CEP-1347) did not protect the cells from L-DOPA. In contrast, ASK1 was activated with L-DOPA treatment as indicated by phosphorylation of its downstream mitogen-activated protein kinases (MAPK), p38 and JNK. Chemical inhibition of either p38 or JNK provided protection from L-DOPA-induced apoptosis. Moreover, direct knockdown of ASK1 protected from L-DOPA-induced neuronal cell death. These results identify ASK1 as the main pro-apoptotic pathway activated in response to L-DOPA treatment, implicating it as a potential target for adjunct therapy in PD.
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Affiliation(s)
- Elizabeth A Sabens Liedhegner
- Department of Pharmacology, Case Western Reserve University, School of Medicine, 2109 Adelbert Road, Cleveland, OH 44106-4965, United States
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Uutela P, Karhu L, Piepponen P, Käenmäki M, Ketola RA, Kostiainen R. Discovery of Dopamine Glucuronide in Rat and Mouse Brain Microdialysis Samples Using Liquid Chromatography Tandem Mass Spectrometry. Anal Chem 2008; 81:427-34. [DOI: 10.1021/ac801846w] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Päivi Uutela
- Division of Pharmaceutical Chemistry, Division of Pharmacology and Toxicology, and Centre for Drug Research (CDR), Faculty of Pharmacy, P.O. Box 56, FI-00014 University of Helsinki, Helsinki, Finland
| | - Laura Karhu
- Division of Pharmaceutical Chemistry, Division of Pharmacology and Toxicology, and Centre for Drug Research (CDR), Faculty of Pharmacy, P.O. Box 56, FI-00014 University of Helsinki, Helsinki, Finland
| | - Petteri Piepponen
- Division of Pharmaceutical Chemistry, Division of Pharmacology and Toxicology, and Centre for Drug Research (CDR), Faculty of Pharmacy, P.O. Box 56, FI-00014 University of Helsinki, Helsinki, Finland
| | - Mikko Käenmäki
- Division of Pharmaceutical Chemistry, Division of Pharmacology and Toxicology, and Centre for Drug Research (CDR), Faculty of Pharmacy, P.O. Box 56, FI-00014 University of Helsinki, Helsinki, Finland
| | - Raimo A. Ketola
- Division of Pharmaceutical Chemistry, Division of Pharmacology and Toxicology, and Centre for Drug Research (CDR), Faculty of Pharmacy, P.O. Box 56, FI-00014 University of Helsinki, Helsinki, Finland
| | - Risto Kostiainen
- Division of Pharmaceutical Chemistry, Division of Pharmacology and Toxicology, and Centre for Drug Research (CDR), Faculty of Pharmacy, P.O. Box 56, FI-00014 University of Helsinki, Helsinki, Finland
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Tang J, Donsante A, Desai V, Patronas N, Kaler SG. Clinical outcomes in Menkes disease patients with a copper-responsive ATP7A mutation, G727R. Mol Genet Metab 2008; 95:174-81. [PMID: 18752978 PMCID: PMC2654537 DOI: 10.1016/j.ymgme.2008.06.015] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2007] [Revised: 06/26/2008] [Accepted: 06/26/2008] [Indexed: 11/28/2022]
Abstract
Menkes disease is a fatal neurodegenerative disorder of infancy caused by defects in an X-linked copper transport gene, ATP7A. Evidence from a recent clinical trial indicates that favorable response to early treatment of this disorder with copper injections involves mutations that retain some copper transport capacity. In three unrelated infants, we identified the same mutation, G727R, in the second transmembrane segment of ATP7A that complemented a Saccharomyces cerevisiae copper transport mutant, consistent with partial copper transport activity. Quantitative reverse transcription-polymerase chain reaction studies showed approximately normal levels of ATP7A(G727R) transcript in two patients' fibroblasts compared to wild-type controls, but Western blot analyses showed markedly reduced quantities of ATP7A, suggesting post-translational degradation. We confirmed the latter by comparing degradation rates of mutant and wild-type ATP7A via cyclohexamide treatment of cultured fibroblasts; half-life of the G727R mutant was 2.9h and for the wild-type, 11.4h. We also documented a X-box binding protein 1 splice variant in G727R cells-known to be associated with the cellular misfolded protein response. Patient A, diagnosed 6 months of age, began treatment at 228days (7.6 months) of age. At his current age (2.5 years), his overall neurodevelopment remains at a 2- to 4-month level. In contrast, patient B and patient C were diagnosed in the neonatal period, began treatment within 25 days of age, and show near normal neurodevelopment at their current ages, 3years (patient B), and 7 months (patient C). The poor clinical outcome in patient A with the same missense mutation as patient A and patient B with near normal oucomes, confirms the importance of early medical intervention in Menkes disease and highlights the critical potential benefit of newborn screening for this disorder.
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Affiliation(s)
- Jingrong Tang
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
| | - Anthony Donsante
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
| | - Vishal Desai
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
| | - Nicholas Patronas
- Imaging Sciences Program, Mark O. Hatfield Clinical Center, National Institutes of Health, Bethesda, MD
| | - Stephen G. Kaler
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD
- Correspondent: Stephen G. Kaler, MD, National Institutes of Health, Building 10; Room 5-2571, 10 Center Drive MSC 1832, Bethesda, Maryland 20892-1832, Phone: 301 496-8368; FAX: 301 402-1073, E-mail:
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Kaler SG, Holmes CS, Goldstein DS, Tang J, Godwin SC, Donsante A, Liew CJ, Sato S, Patronas N. Neonatal diagnosis and treatment of Menkes disease. N Engl J Med 2008; 358:605-14. [PMID: 18256395 PMCID: PMC3477514 DOI: 10.1056/nejmoa070613] [Citation(s) in RCA: 181] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND Menkes disease is a fatal neurodegenerative disorder of infancy caused by diverse mutations in a copper-transport gene, ATP7A. Early treatment with copper injections may prevent death and illness, but presymptomatic detection is hindered by the inadequate sensitivity and specificity of diagnostic tests. Exploiting the deficiency of a copper enzyme, dopamine-beta-hydroxylase, we prospectively evaluated the diagnostic usefulness of plasma neurochemical levels, assessed the clinical effect of early detection, and investigated the molecular bases for treatment outcomes. METHODS Between May 1997 and July 2005, we measured plasma dopamine, norepinephrine, dihydroxyphenylacetic acid, and dihydroxyphenylglycol in 81 infants at risk. In 12 newborns who met the eligibility criteria and began copper-replacement therapy within 22 days after birth, we tracked survival and neurodevelopment longitudinally for 1.5 to 8 years. We characterized ATP7A mutations using yeast complementation, reverse-transcriptase-polymerase-chain-reaction analysis, and immunohistochemical analysis. RESULTS Of 81 infants at risk, 46 had abnormal neurochemical findings indicating low dopamine-beta-hydroxylase activity. On the basis of longitudinal follow-up, patients were classified as affected or unaffected by Menkes disease, and the neurochemical profiles were shown to have high sensitivity and specificity for detecting disease. Among 12 newborns with positive screening tests who were treated early with copper, survival at a median follow-up of 4.6 years was 92%, as compared with 13% at a median follow-up of 1.8 years for a historical control group of 15 late-diagnosis and late-treatment patients. Two of the 12 patients had normal neurodevelopment and brain myelination; 1 of these patients had a mutation that complemented a Saccharomyces cerevisiae copper-transport mutation, indicating partial ATPase activity, and the other had a mutation that allowed some correct ATP7A splicing. CONCLUSIONS Neonatal diagnosis of Menkes disease by plasma neurochemical measurements and early treatment with copper may improve clinical outcomes. Affected newborns who have mutations that do not completely abrogate ATP7A function may be especially responsive to early copper treatment. (ClinicalTrials.gov number, NCT00001262.)
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Affiliation(s)
- Stephen G. Kaler
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Courtney S. Holmes
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - David S. Goldstein
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Jingrong Tang
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Sarah C. Godwin
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Anthony Donsante
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Clarissa J. Liew
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Susumu Sato
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
| | - Nicholas Patronas
- Unit on Pediatric Genetics, Program in Molecular Medicine, National Institute of Child Health and Human Development (S.G.K., J.T., S.C.G., A.D.), the Clinical Neurocardiology Section (C.S.H., D.S.G.), and the Electroencephalography Section (C.J.L., S.S.), National Institute of Neurological Disorders and Stroke, and the Imaging Sciences Program, Mark O. Hatfield Clinical Center (N.P.) — all at the National Institutes of Health, Bethesda, MD. Address reprint requests to Dr. Kaler at the National Institute of Child Health and Human Development, National Institutes of Health, Bldg. 10, Rm. 5-2571, 10 Center Dr., MSC 1832, Bethesda, MD 20892-1832, or at
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