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Brain
protein central to both Parkinson's, drug
addiction identified
Astrocytes come under scrutiny for yet
another neurodegenerative disorder
NEW YORK, May 4, 2009 – Scientists have
identified a protein that appears not only
to be central to the process that causes
Parkinson's disease but could also play a
role in muting the high from methamphetamine
and other addictive drugs.
The action of the protein, known as organic
cation transporter 3 or oct3, fills a
longstanding gap in scientists'
understanding of the brain damage that
causes symptoms like tremor, stiffness,
slowness of movement and postural
instability.
While these are found mainly in patients
with Parkinson's disease, there are more
than three dozen other known causes of this
array of symptoms, known as "parkinsonism."
In a paper published online in the
Proceedings of the National Academy of
Sciences, scientists at Columbia University
Medical Center and the University of
Rochester Medical Center have shown that
oct3, a protein that shepherds molecules
into and out of cells, plays a critical
role, bringing toxic chemicals to the
doorstep of the brain cells that die in
patients with Parkinson's disease.
The team found that oct3 is involved in the
brain's response to addictive drugs like
methamphetamine as well.
Precisely what causes Parkinson's disease
remains largely a mystery.
Some cases have a known genetic basis, and
most others are attributed to environmental
causes or a combination of gene-environment
interactions.
Doctors know that symptoms of Parkinson's
stem from the death of a very small,
specialized group of brain cells known as
dopamine neurons, which produce a chemical
needed by another area of the brain to help
us move freely.
It's not until most of those brain cells
have already died that patients begin to
show symptoms.
For decades, scientists have been trying to
understand why those cells die. The latest
paper supports a role for astrocytes, a type
of cell that is the most common in the brain
but which has been often overlooked by
scientists focused more on cells known as
neurons that send electrical signals.
Astrocytes' role in Parkinson's is no
surprise to brain experts who have also
identified them as a player in Alzheimer's
disease, amyotrophic lateral sclerosis,
epilepsy, and other diseases.
"Astrocytes are definitely much more than
support cells in the brain," said Kim Tieu,
Ph.D., a corresponding author of the paper
and assistant professor in the Department of
Environmental Medicine at the University of
Rochester Medical Center.
"Scientists are discovering their
involvement in many diseases. The latest
results point to their role in Parkinson's
disease."
Tieu initiated the study while a
post-doctoral research associate in the
laboratory of Serge Przedborski, M.D.,
Ph.D., the Page and William Black Professor
of Neurology at Columbia University and a
corresponding author.
They chose to study how the brain handles a
chemical known as MPTP, which ultimately
damages the exact same brain cells that are
injured in patients with Parkinson's
disease.
While
MPTP does not cause Parkinson's disease,
scientists regularly use it as a model for
the disease because it causes an identical
type of brain damage.
In the brain, MPTP is converted primarily in
astrocytes to a chemical called MPP+, which
is deadly to dopamine neurons.
More than 20 years ago, as a graduate
student with Solomon Snyder, M.D., Jonathan
Javitch, M.D., Ph.D., now professor of
psychiatry and pharmacology at Columbia and
an author on the current paper, concluded
that MPP+ is released from astrocytes before
it kills dopaminergic neurons. But exactly
how MPP+ is freed from astrocytes was
unknown.
In this week's PNAS paper, the scientists
finger oct3 as the shepherd that escorts
toxic MPP+ out of the astrocytes and into
the space surrounding dopamine neurons.
That's where another molecule known as the
dopamine transporter picks it up and brings
it into the neuron itself.
When the team blocked or genetically removed
oct3 in mice, the dopamine neurons in the
brains did not die despite the presence of
MPTP in the brain.
Without oct3, MPP+ remained sequestered
inside astrocytes and did not affect the
dopamine neurons. And when oct3 was present
in the usual amounts, dopamine neurons died
as expected.
"The neurons affected in Parkinson's disease
don't live in isolation in the brain," said
Przedborski.
"You must understand the brain environment
as a whole to understand disease. For many
years, people had a neuron-centric view of
neurodegenerative diseases.
But more and more scientists are realizing
that if you wish to understand the process
of neurodegeneration, you must take into
account the astrocytes, the microglia, as
well as the neurons.
Astrocytes maintain an intimate relationship
with neurons, and to understand one, you
have to understand the other."
The team also analyzed brain tissue from
people who died of Parkinson's disease and
found that oct3 is active in astrocytes in
the brain region affected by Parkinson's
disease. They found the same thing in mice,
where the absence of oct3 correlated exactly
to areas of the brain where neurons were not
damaged.
The team also showed that oct3 plays a role
in the brain's response to methamphetamine.
Oct3 is critical for helping astrocytes soak
up excess dopamine in the space around
neurons. When dopamine isn't removed as
quickly or thoroughly as usual, people can
feel euphoric, but they can also experience
brain damage. The finding that oct3 may play
a role matches other scientists'
observations that people in whom oct3
activity is reduced have a higher potential
for addiction.
The molecule might also offer a new target
for treating depression. Many
anti-depressants work by allowing the brain
chemical serotonin to stay available in the
brain longer than it otherwise would. Since
one of oct3's functions is to remove
serotonin from the brain, blocking it may
offer a new avenue to treat depression.
The chemicals that the team used to block
oct3 in mice would be toxic in people, and
there is no drug available for people now
that blocks or boosts oct3, Tieu and
Przedborski said. But such a drug might be
useful for Parkinson's, drug addiction, and
depression.
"How you choose to manipulate the function
of oct3 depends on the source of the toxic
molecules," said Tieu, who is also a
scientist in the University's Center for
Neural Development and Disease. "You would
try to lessen its effects in a condition
where it makes a toxic molecule available to
vulnerable cells, as illustrated in the
current model of Parkinson's disease. But in
the case of drug addiction, you might try to
increase it, to lessen the impact of a drug
like methamphetamine."
###
Other authors at the University of Rochester
include post-doctoral research associates
Mei Cui, Ph.D., Radha Aras, Ph.D., and
Mamata Hatwar, Ph.D.; graduate student
Whitney Christian; medical and graduate
student Phillip Rappold; former
undergraduate student Joseph Panza; and Ned
Ballatori, Ph.D., professor of environmental
medicine. At Columbia, Vernice
Jackson-Lewis, Ph.D., associate research
scientist, also contributed to the research.
The work was funded by the National
Institute of Environmental Health Sciences.
Columbia
University Medical Center provides
international leadership in basic,
pre-clinical and clinical research, in
medical and health sciences education, and
in patient care.
The medical center trains future leaders and
includes the dedicated work of many
physicians, scientists, public health
professionals, dentists, and nurses at the
College of Physicians and Surgeons, the
Mailman School of Public Health, the College
of Dental Medicine, the School of Nursing,
the biomedical departments of the Graduate
School of Arts and Sciences, and allied
research centers and institutions.
Established in 1767, Columbia's College of
Physicians and Surgeons was the first
institution in the country to grant the M.D.
degree and is now among the most selective
medical schools in the country.
Columbia University Medical Center is home
to the most comprehensive medical research
enterprise in New York City and state and
one of the largest in the United States.
Columbia University Medical Center is
affiliated with NewYork-Presbyterian
Hospital, the nation's largest
not-for-profit hospital provider. For more
information, please visit
http://www.cumc.columbia.edu.
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