Fasudil attenuates aggregation of α-synuclein in models of Parkinson’s disease
Open accessAbstract
Parkinson's disease (PD) is the most common neurodegenerative movement disorder, yet disease-modifying treatments do not currently exist. Rho-associated protein kinase (ROCK) was recently described as a novel neuroprotective target in PD. Since alpha-synuclein (α-Syn) aggregation is a major hallmark in the pathogenesis of PD, we aimed to evaluate the anti-aggregative potential of pharmacological ROCK inhibition using the isoquinoline derivative Fasudil, a small molecule inhibitor already approved for clinical use in humans. Fasudil treatment significantly reduced α-Syn aggregation in vitro in a H4 cell culture model as well as in a cell-free assay. Nuclear magnetic resonance spectroscopy analysis revealed a direct binding of Fasudil to tyrosine residues Y133 and Y136 in the C-terminal region of α-Syn. Importantly, this binding was shown to be biologically relevant using site-directed mutagenesis of these residues in the cell culture model. Furthermore, we evaluated the impact of long-term Fasudil treatment on α-Syn pathology in vivo in a transgenic mouse model overexpressing human α-Syn bearing the A53T mutation (α-Syn(A53T) mice). Fasudil treatment improved motor and cognitive functions in α-Syn(A53T) mice as determined by Catwalk(TM) gait analysis and novel object recognition (NOR), without apparent side effects. Finally, immunohistochemical analysis revealed a significant reduction of α-Syn pathology in the midbrain of α-Syn(A53T) mice after Fasudil treatment. Our results demonstrate that Fasudil, next to its effects mediated by ROCK-inhibition, directly interacts with α-Syn and attenuates α-Syn pathology. This underscores the translational potential of Fasudil as a disease-modifying drug for the treatment of PD and other synucleinopathies.
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In vivo, ROCK inhibition using Fasudil decreases midbrain α-synuclein pathology and improves motor and cognitive functions in a transgenic mouse model expressing human α-synuclein with the A53T PD mutation.
“In vivo, ROCK inhibition using Fasudil was shown to decrease midbrain α-synuclein pathology and improve motor and cognitive functions in a transgenic mouse model expressing human α-synuclein with the A53T PD mutation [175].”
From RhoA Signaling in Neurodegenerative Diseases (2022) · cites this paper as [175]
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- Authors
- Tatenhorst, L., Eckermann, K., Dambeck, V., Fonseca-Ornelas, L., Walle, H., Lopes da Fonseca, T., Koch, J. C., Becker, S., Tönges, L., Bähr, M., Outeiro, T. F., Zweckstetter, M., & Lingor, P.
- Affiliations
- Universitätsmedizin Göttingen (DE)
- Max Planck Institute for Biophysical Chemistry (DE)
- German Center for Neurodegenerative Diseases (DE)
- Corresponding author
- Lingor, Paul
- ORCID
- Venue
- Acta Neuropathologica Communications
- Published
- 2016-04-22
- Volume
- 4
- Issue
- 1
- Pages
- 39-39
- ISSN
- 2051-5960 (ISSN-L)
- PMC
- PMC4840958
- OpenAlex
- W2339242828
- Cited by
- 158
- References
- 1
- Citations by year
- 2026: 6 · 2025: 21 · 2024: 23 · 2023: 23 · 2022: 18 · 2021: 16 · 2020: 16 · 2019: 16 · 2018: 12 · 2017: 7
- FWCI
- 7.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Acta Neuropathologica Communications (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion, cc-by)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by)
- DZNE Pub (submittedVersion, other-oa)
- GRO (submittedVersion, cc-by)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- Else Kröner-Fresenius-Stiftung
- Fundação para a Ciência e a Tecnologia (SFRH/BD/74881/2010)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nuclear Receptors and Signaling
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- fasudil, alpha-synuclein aggregation, Parkinson's disease, A53T alpha-synuclein, transgenic mouse model, disease-modifying therapy, synucleinopathies, motor and cognitive function, drug repurposing
- MeSH terms
- Amides, Animals, Brain, Carrier Proteins, Disease Models, Animal, Enzyme Inhibitors, Gene Expression Regulation, Humans, Mice, Transgenic, Mutation, Nerve Tissue Proteins, Parkinson Disease, Psychomotor Performance, Pyridines, Time Factors, Tyrosine 3-Monooxygenase, 1-(5-Isoquinolinesulfonyl)-2-Methylpiperazine, Recognition, Psychology, Cell Line, Tumor, Protein Kinase Inhibitors, Mice, alpha-Synuclein, Protein Aggregates
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