Thursday, January 23, 2020

New ray of hope for people living with Parkinson’s disease

A non-invasive technique which could be used later to treat Parkinson’s disease has been discovered by the scientists that helps to successfully target a highly specific group of brain cells which play a key role in the development of the condition.

Parkinson’s disease is a disorder of the central nervous system that affects movement, often including tremors.

The study was published in the journal Neurotherapeutics.

Earlier in 2015, a form of gene therapy was demonstrated by the scientists that could target and stimulate a group of nerve cells affected by the disease, called cholinergic neurons. These cells degenerate as the disease progresses.

With the advent of brain imaging technology, scientists now have discovered that their method, which targets cells that produce specific brain chemicals, can also successfully stimulate another type of neuron through cell-to-cell interactions.

A revelation of clear communication of two major neurotransmitter systems found in the brain, cholinergic neurons and dopaminergic neurons, was found by Dr Ilse Pienaar, Lecturer in Pharmacology at the University of Sussex, along with colleagues at Imperial College London and Invicro.

In Parkinson’s disease dopaminergic neurons produce dopamine, but the levels of which are reduced as neurons deactivate and eventually die. This can cause a number of symptoms, including impaired movement.

The team used a type of gene therapy in a rat model of Parkinson’s, and Dr Pienaar and her colleagues targeted cholinergic neurons, only to realise that a therapeutic knock-on effect was also felt by dopaminergic neurons.

The originally stimulated cell was able to evoke a positive reaction in the receptive cell type, restoring dopaminergic functions.

With both groups of nerve cells stimulated, test subjects were seen to make a complete recovery including showing no more signs of movement and postural impairment.

Dr Ilse Pienaar, senior author of the study said: “When we used brain imaging, we found that as we activated cholinergic neurons, they then interacted directly with dopaminergic neurons.

“This seems to be a knock-on effect so by targeting this one set of neurons, we now know that we are able to also stimulate dopaminergic neurons, effectively restarting the production of dopamine and reducing symptoms,” Dr Ilse added.

“This is really important as it reveals more about how nerve systems in the brain interact, but also that we can successfully target two major systems which are affected by Parkinson’s disease, in a more precise manner.” The disease is currently being managed by drugs, which can become ineffective after five years and also present a number of side effects. But the technique identified could, in future, provide a less invasive and more effective way to treat Parkinson’s patients.


 

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Wednesday, January 01, 2020

Alzheimer's, Parkinson's decoded

Scientists at the University of Virginia School of Medicine have identified a potential explanation for the mysterious death of specific brain cells seen in Alzheimer's, Parkinson's and other neurodegenerative diseases.

According to the new research, the cells may die because of naturally occurring gene variation in brain cells that were, until recently, assumed to be genetically identical.

The variation, called ‘somatic mosaicism,’ could explain why neurons in the temporal lobe are the first to die in Alzheimer's, for example and why dopaminergic neurons are the first to die in Parkinson's.

Speaking about it, neuroscientist Michael McConnell said, “This has been a big open question in neuroscience, particularly in various neurodegenerative diseases,” adding, "What is this selective vulnerability? What underlies it? And so now, with our work, the hypotheses moving forward are that it could be that different regions of the brain actually have a different garden of these [variations] in young individuals and that sets up different regions for decline later in life."

The findings of the unexpected variation in the genetic makeup of individual brain cells emerged from McConnell's investigations into schizophrenia. That discovery may help explain not just schizophrenia but depression, bipolar disorder, autism and other conditions.

McConnell expected that this mosaicism would increase with age that mutations would accumulate over time. What he and his collaborators at Johns Hopkins found is exactly the opposite – younger people had the most mosaicism and older people had the least.

Based on the finding, McConnell believes that the neurons with significant genetic variation, known as CNV neurons, may be the most vulnerable to dying. And that could explain the idiosyncratic death of specific neurons in different neurodegenerative diseases. People with the most CNV neurons in the temporal lobe, for example, might be likely to develop Alzheimer's. "Because I'm collaborating with the Lieber Institute and they have this fantastic brain bank, now I can look at individuals' frontal cortex [for the schizophrenia research] and I can look at the temporal lobe in those same individuals," McConnell said.

"So now I can really start to map things out more carefully, building an atlas of different brain regions from many individuals." That research could greatly advance understanding of both neurodegenerative diseases and the cognitive decline that besets us with age, potentially leading to new treatments. 

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