GDNF-expressing macrophages mitigate loss of dopamine neurons and improve Parkinsonian symptoms in MitoPark mice.

GDNF-expressing macrophages mitigate loss of dopamine neurons and improve Parkinsonian symptoms in MitoPark mice.
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DOI:
10.1038/s41598-018-23795-4
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发表时间:
2018-04-03
期刊:
影响因子:
4.6
通讯作者:
Li S
Li S
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Chen C;Li X;Ge G;Liu J;Biju KC;Laing SD;Qian Y;Ballard C;He Z;Masliah E;Clark RA;O'Connor JC;Li S

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胶质细胞源性神经营养因子 (GDNF) 是在帕金森病 (PD) 细胞和动物模型中测试的最有效的神经保护剂。然而,中枢神经系统输送 GDNF 受到血脑屏障 (BBB) 的限制。我们之前报道,使用全身照射作为移植预处理,基于造血干细胞(HSC)移植(HSCT)的巨噬细胞介导的基因治疗可以将GDNF递送至大脑,以防止急性小鼠神经毒性模型中黑质纹状体多巴胺(DA)神经元的变性。在这里,我们在慢性进行性 PD 模型(MitoPark 小鼠)中验证了这种治疗方法,该模型采用头部屏蔽以避免诱发神经炎症和损害 BBB 完整性。用表达巨噬细胞启动子驱动的 GDNF 的慢病毒载体离体转导骨髓 HSC,并将其移植到表现出发育良好的 PD 样损伤的 MitoPark 小鼠中。表达转基因的巨噬细胞渗入 MitoPark 小鼠的中脑,但不渗入正常同窝小鼠的中脑,并在局部递送 GDNF。巨噬细胞 GDNF 的递送显着改善了运动和非运动症状,并显着减轻了黑质中 DA 神经元和纹状体中酪氨酸羟化酶阳性轴突末端的损失。我们的数据支持进一步开发这种基于 HSCT 的巨噬细胞介导的 GDNF 递送方法,以解决 PD 疾病缓解疗法的未满足需求。
Glial cell line-derived neurotrophic factor (GDNF) is the most potent neuroprotective agent tested in cellular and animal models of Parkinson’s disease (PD). However, CNS delivery of GDNF is restricted by the blood-brain barrier (BBB). Using total body irradiation as transplant preconditioning, we previously reported that hematopoietic stem cell (HSC) transplantation (HSCT)-based macrophage-mediated gene therapy could deliver GDNF to the brain to prevent degeneration of nigrostriatal dopamine (DA) neurons in an acute murine neurotoxicity model. Here, we validate this therapeutic approach in a chronic progressive PD model – the MitoPark mouse, with head shielding to avoid inducing neuroinflammation and compromising BBB integrity. Bone marrow HSCs were transduced ex vivo with a lentiviral vector expressing macrophage promoter-driven GDNF and transplanted into MitoPark mice exhibiting well developed PD-like impairments. Transgene-expressing macrophages infiltrated the midbrains of MitoPark mice, but not normal littermates, and delivered GDNF locally. Macrophage GDNF delivery markedly improved both motor and non-motor symptoms, and dramatically mitigated the loss of both DA neurons in the substantia nigra and tyrosine hydroxylase-positive axonal terminals in the striatum. Our data support further development of this HSCT-based macrophage-mediated GDNF delivery approach in order to address the unmet need for a disease-modifying therapy for PD.
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