Inhibition of rho kinase enhances survival of dopaminergic neurons and attenuates axonal loss in a mouse model of Parkinson’s disease
Open accessAbstract
Axonal degeneration is one of the earliest features of Parkinson's disease pathology, which is followed by neuronal death in the substantia nigra and other parts of the brain. Inhibition of axonal degeneration combined with cellular neuroprotection therefore seem key to targeting an early stage in Parkinson's disease progression. Based on our previous studies in traumatic and neurodegenerative disease models, we have identified rho kinase as a molecular target that can be manipulated to disinhibit axonal regeneration and improve survival of lesioned central nervous system neurons. In this study, we examined the neuroprotective potential of pharmacological rho kinase inhibition mediated by fasudil in the in vitro 1-methyl-4-phenylpyridinium cell culture model and in the subchronic in vivo 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine mouse model of Parkinson's disease. Application of fasudil resulted in a significant attenuation of dopaminergic cell loss in both paradigms. Furthermore, dopaminergic terminals were preserved as demonstrated by analysis of neurite network in vitro, striatal fibre density and by neurochemical analysis of the levels of dopamine and its metabolites in the striatum. Behavioural tests demonstrated a clear improvement in motor performance after fasudil treatment. The Akt survival pathway was identified as an important molecular mediator for neuroprotective effects of rho kinase inhibition in our paradigm. We conclude that inhibition of rho kinase using the clinically approved small molecule inhibitor fasudil may be a promising new therapeutic strategy for Parkinson's disease.
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ROCK inhibition protects against MPTP-induced dopaminergic cell death in both mice and primary cultures of dopaminergic neurons.
“ROCK inhibition was found to protect against the MPTP-induced dopaminergic cell death in both mice and primary cultures of dopaminergic neurons [172,173].”
From RhoA Signaling in Neurodegenerative Diseases (2022) · cites this paper as [172]
The Results section reports that fasudil, a ROCK inhibitor, protected dopaminergic neurons in MPTP-treated mice and improved survival in midbrain dopaminergic neuron cultures. The distinction is that the cultures were exposed to MPP+, not MPTP; the claim attributes MPTP-induced cell death to both settings. Page numbers were not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe neuroprotective effect of ROCK inhibition in MPTP models is attributed to inhibition of the MPTP-induced microglial inflammatory response and to a direct protective effect on the dopaminergic neuritic network in vitro and the striatal axonal innervation in vivo.
“The neuroprotective effect was attributed to inhibition of the MPTP-induced microglial inflammatory response [171,173,174] and to a direct protective effect on the dopaminergic neuritic network in vitro and the striatal axonal innervation in vivo [172,174].”
From RhoA Signaling in Neurodegenerative Diseases (2022) · cites this paper as [172]
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Cites
Clinical progression in Parkinson disease and the neurobiology of axons
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“…experimental approaches have not adequately focused on prevention or restoration of axonal pathology in Parkinson’s disease, which is at least as important for the development of clinical disease as is the cellular damage of substantia nigra pars compacta neurons (Burke, 2010; Cheng et al., 2010).”
BackgroundAxon degeneration mechanisms: Commonality amid diversity
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“However, these findings were never successfully translated into the clinic (Lang, 2006; Olanow et al., 2006; Storch et al., 2007).”
BackgroundKim, S. R., Kareva, T., Yarygina, O., Kholodilov, N., & Burke, R. E. (2012) · Molecular Therapy · doi:10.1038/mt.2011.213 · Cited by 107 · see citing works
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- Authors
- Tonges, L., Frank, T., Tatenhorst, L., Saal, K. A., Koch, J. C., Szego, E. M., Bahr, M., Weishaupt, J. H., & Lingor, P.
- Affiliations
- Universitätsmedizin Göttingen (DE)
- Universität Ulm (DE)
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-10-19
- Volume
- 135
- Issue
- 11
- Pages
- 3355-3370
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- PMC
- PMC3501973
- OpenAlex
- W2018644247
- Cited by
- 176
- References
- 6
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 10 · 2023: 4 · 2022: 10 · 2021: 17 · 2020: 17 · 2019: 9 · 2018: 15 · 2017: 16 · 2016: 16 · 2015: 21 · 2014: 19 · 2013: 10
- FWCI
- 10.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Brain (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by-nc)
- GRO (submittedVersion, cc-by-nc)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nuclear Receptors and Signaling
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Keywords
- Parkinson's disease, Rho kinase inhibition, fasudil, dopaminergic neurons, axonal degeneration, neuroprotection, axon regeneration, MPP+, MPTP mouse model, substantia nigra, striatal dopamine, motor performance
- MeSH terms
- Animals, Axons, Behavior, Animal, Cell Survival, Cells, Cultured, Corpus Striatum, Disease Models, Animal, Dopamine, Male, Mice, Inbred C57BL, Nerve Degeneration, Parkinson Disease, Secondary, Substantia Nigra, 1-Methyl-4-phenylpyridinium, Neurites, Rats, Wistar, Neuroprotective Agents, 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine, MPTP Poisoning, Proto-Oncogene Proteins c-akt, Mice, Rats, rho-Associated Kinases, Dopaminergic Neurons
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