PD Pathogenesis Essay

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1. THE IDEA: The lack of neuroprotective therapies and limited treatment strategies intensify the urgency for the development of novel approaches to treat Parkinson’s disease (PD). Here we propose fast axonal transport (FAT) as a novel target for therapeutics development for PD. The underlying logic behind this proposal is two fold. First, several studies have reported defects in axonal transport in PD and suggested its possible contribution to the degeneration of neuronal processes in PD. Second, our laboratory has made several key contributions to FAT and neural plasticity and memory storage. Hence we are in an ideal position to study the function of key mediators of FAT in PD in order to identify novel targets for therapeutics development. …show more content…

FAT and PD: Kinesin heavy chain (KHC), kinesin light chain (KLC) and microtubules (MTs) are the three main components of FAT to synapses from the cell body. KHC and KLC mediate transport of cargos such as proteins, RNAs, and organelles, such as mitochondria, along MTs to synapses. Here we discuss several studies that suggest an important role for FAT in PD pathogenesis. A recent study using immunohistochemistry suggests a significant decrease in the level of KHC and KLC1 in nigral neurons in sporadic PD cases as well as in the rat genetic PD model (overexpression of human mutant α-synuclein (A30P)), which lead to other nigral cell-related pathology (Chu et al., 2012). This reduction was significantly greater in nigral neurons containing α-synuclein inclusions. Furthermore, the viral overexpression of A53T α-synuclein has been demonstrated to reduce the expression of kinesins Kif1A, Kif1B, Kif2A and Kif3A in the striatum (Chung et al., 2009). PD-associated α-synuclein mutants (A30P or A53T) have also been found to precede reduced axonal transport of α-synuclein, which contributes to the perikaryal accumulation of α-synuclein, Lewy body formation and neuritic abnormalities in diseased brain (Saha et al., 2004). α-synuclein also affects the phosphorylation status of molecular motors and thereby negatively regulating the transport. The failure of axonal transport may lead to further protein depositions of α-synuclein and tau within the cell body (Lei et al., 2010).

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