Department of Pharmacology and Therapeutics, Faculty of Pharmacy, Pharos University in Alexandria, Alexandria, Egypt.
Department of Medical physiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
Biomed Pharmacother. 2022 Apr;148:112776. doi: 10.1016/j.biopha.2022.112776. Epub 2022 Mar 7.
Parkinson's disease (PD) is the second most common neurodegenerative disorder and a leading cause of disability. The current gold standard for PD treatment, L-Dopa, has limited clinical efficacy and multiple side effects. Evidence suggests that activation of α7 nicotinic acetylcholine receptors (α7nAChRs) abrogates neuronal and inflammatory insults. Here we tested whether PNU-120596 (PNU), a type II positive allosteric modulator of α7 nAChR, has a critical role in regulating motor dysfunction and neuroinflammation correlated with the associated PD dysfunction. Neuroprotective mechanisms were investigated through neurobehavioral, molecular, histopathological, and immunohistochemical studies. PNU reversed motor incoordination and hypokinesia induced via the intrastriatal injection of 6-hydroxydopamine and manifested by lower falling latency in the rotarod test, short ambulation time and low rearing incidence in open field test. Tyrosine hydroxylase immunostaining showed a significant restoration of dopaminergic neurons following PNU treatment, in addition to histopathological restoration in nigrostriatal tissues. PNU halted striatal neuroinflammation manifested as a suppressed expression of JAK2/NF-κB/GSk3β accompanied by a parallel decline in the protein expression of TNF-α in nigrostriatal tissue denoting the modulator anti-inflammatory capacity. Moreover, the protective effects of PNU were partially reversed by the α7 nAChR antagonist, methyllycaconitine, indicating the role of α7 nAChR modulation in the mechanism of action of PNU. This is the first study to reveal the positive effects of PNU-120596 on motor derangements of PD via JAK2/NF-κB/GSk3β/ TNF-α neuroinflammatory pathways, which could offer a potential therapeutic strategy for PD.
帕金森病(PD)是第二常见的神经退行性疾病,也是导致残疾的主要原因。目前治疗 PD 的金标准——左旋多巴,其临床疗效有限,且有多种副作用。有证据表明,激活α7 烟碱型乙酰胆碱受体(α7nAChRs)可以减轻神经元和炎症损伤。在这里,我们测试了 PNU-120596(PNU)——一种α7nAChR 型 2 类正变构调节剂——在调节与 PD 相关的运动功能障碍和神经炎症方面是否具有关键作用。通过神经行为学、分子、组织病理学和免疫组织化学研究来研究神经保护机制。PNU 通过逆转纹状体注射 6-羟多巴胺诱导的运动不协调和运动迟缓,在旋转棒测试中表现为跌倒潜伏期降低、旷场测试中短距离移动时间和低直立发生率,从而逆转运动障碍。酪氨酸羟化酶免疫染色显示,PNU 治疗后多巴胺能神经元显著恢复,黑质纹状体组织的组织病理学也得到恢复。PNU 阻止了纹状体神经炎症,表现为 JAK2/NF-κB/GSk3β 表达受到抑制,同时黑质纹状体组织中 TNF-α 的蛋白表达平行下降,表明该调节剂具有抗炎能力。此外,α7nAChR 拮抗剂甲基lycaconitine 部分逆转了 PNU 的保护作用,表明α7nAChR 调节在 PNU 作用机制中的作用。这是第一项研究,揭示了 PNU-120596 通过 JAK2/NF-κB/GSk3β/TNF-α 神经炎症途径对 PD 运动障碍的积极影响,这为 PD 提供了一种潜在的治疗策略。