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1.
Brain ; 142(8): 2402-2416, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31243443

RESUMO

Ever since its introduction 40 years ago l-3,4-dihydroxyphenylalanine (l-DOPA) therapy has retained its role as the leading standard medication for patients with Parkinson's disease. With time, however, the shortcomings of oral l-DOPA treatment have become apparent, particularly the motor fluctuations and troublesome dyskinetic side effects. These side effects, which are caused by the excessive swings in striatal dopamine caused by intermittent oral delivery, can be avoided by delivering l-DOPA in a more continuous manner. Local gene delivery of the l-DOPA synthesizing enzymes, tyrosine hydroxylase and guanosine-tri-phosphate-cyclohydrolase-1, offers a new approach to a more refined dopaminergic therapy where l-DOPA is delivered continuously at the site where it is needed i.e. the striatum. In this study we have explored the therapeutic efficacy of adeno-associated viral vector-mediated l-DOPA delivery to the putamen in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated rhesus monkeys, the standard non-human primate model of Parkinson's disease. Viral vector delivery of the two enzymes, tyrosine hydroxylase and guanosine-5'-tri-phosphate-cyclohydrolase-1, bilaterally into the dopamine-depleted putamen, induced a significant, dose-dependent improvement of motor behaviour up to a level identical to that obtained with the optimal dose of peripheral l-DOPA. Importantly, this improvement in motor function was obtained without any adverse dyskinetic effects. These results provide proof-of-principle for continuous vector-mediated l-DOPA synthesis as a novel therapeutic strategy for Parkinson's disease. The constant, local supply of l-DOPA obtained with this approach holds promise as an efficient one-time treatment that can provide long-lasting clinical improvement and at the same time prevent the appearance of motor fluctuations and dyskinetic side effects associated with standard oral dopaminergic medication.


Assuntos
Antiparkinsonianos/administração & dosagem , GTP Cicloidrolase/administração & dosagem , Vetores Genéticos/uso terapêutico , Levodopa/biossíntese , Transtornos Parkinsonianos/terapia , Putamen/metabolismo , Tirosina 3-Mono-Oxigenase/administração & dosagem , 1-Metil-4-Fenil-1,2,3,6-Tetra-Hidropiridina/efeitos adversos , 1-Metil-4-Fenil-1,2,3,6-Tetra-Hidropiridina/análogos & derivados , Animais , Antiparkinsonianos/uso terapêutico , Dependovirus/genética , Avaliação Pré-Clínica de Medicamentos , Feminino , GTP Cicloidrolase/análise , GTP Cicloidrolase/genética , GTP Cicloidrolase/metabolismo , Genes Reporter , Genes Sintéticos , Vetores Genéticos/administração & dosagem , Humanos , Macaca mulatta , Masculino , Atividade Motora/efeitos dos fármacos , Transtornos Parkinsonianos/induzido quimicamente , Parte Compacta da Substância Negra/química , Parte Compacta da Substância Negra/patologia , Estudo de Prova de Conceito , Ratos , Ratos Sprague-Dawley , Proteínas Recombinantes/administração & dosagem , Proteínas Recombinantes/análise , Proteínas Recombinantes/uso terapêutico , Tirosina 3-Mono-Oxigenase/análise , Tirosina 3-Mono-Oxigenase/genética , Tirosina 3-Mono-Oxigenase/metabolismo
2.
Neuroimmunomodulation ; 25(4): 225-237, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30566959

RESUMO

OBJECTIVES: The appearance of endogenous tyrosine hydroxylase-positive cells (TH+ cells) in collagen-induced arthritis was associated with an anti-inflammatory effect. Here we investigated putative anti-inflammatory and antinociceptive effects of the transfer of induced, bone marrow stem cell-derived TH+ cells (iTH+ cells) on murine antigen-induced arthritis (AIA). METHODS: Bone marrow-derived stem cells were differentiated into iTH+ cells. These cells were transferred to mice immunized against methylated bovine serum albumin (mBSA) 2 days before AIA was induced by injection of mBSA into one knee joint. In AIA control mice and iTH+-treated mice the severity of AIA, pain-related behavior, humoral and cellular responses, and the invasion of macrophages into the dorsal root ganglia were assessed. RESULTS: The intravenous transfer of iTH+ cells before AIA induction did not cause a sustained suppression of AIA severity but significantly reduced inflammation-evoked pain-related behavior. The iTH+ cells used for transfer exhibited enormous production of interleukin-4. A major difference between AIA control mice and iTH+-treated AIA mice was a massive invasion of the dorsal root ganglia by iNOS-negative, arginine 1-positive macrophages corresponding to an M2 phenotype. The differences in other cellular and humoral immune parameters such as release of cytokines from stimulated lymphocytes between AIA control mice and iTH+-treated mice were small. CONCLUSIONS: The transfer of iTH+ cells may cause a long-lasting reduction of arthritis-induced pain even if it does not ameliorate inflammation. The invasion of M2 macrophages into the dorsal root ganglia is likely to be an important mechanism of antinociception.


Assuntos
Manejo da Dor/métodos , Dor/enzimologia , Transplante de Células-Tronco/métodos , Tirosina 3-Mono-Oxigenase/administração & dosagem , Animais , Células Cultivadas , Feminino , Inflamação/enzimologia , Inflamação/patologia , Inflamação/terapia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Dor/patologia , Manejo da Dor/tendências , Transplante de Células-Tronco/tendências , Resultado do Tratamento
3.
Bioconjug Chem ; 29(2): 493-502, 2018 02 21.
Artigo em Inglês | MEDLINE | ID: mdl-29299922

RESUMO

Enzyme replacement therapy (ERT) is a therapeutic approach envisioned decades ago for the correction of genetic disorders, but ERT has been less successful for the correction of disorders with neurological manifestations. In this work, we have tested the functionality of nanoparticles (NP) composed of maltodextrin with a lipid core to bind and stabilize tyrosine hydroxylase (TH). This is a complex and unstable brain enzyme that catalyzes the rate-limiting step in the synthesis of dopamine and other catecholamine neurotransmitters. We have characterized these TH-loaded NPs to evaluate their potential for ERT in diseases associated with TH dysfunction. Our results show that TH can be loaded into the lipid core maltodextrin NPs with high efficiency, and both stability and activity are maintained through loading and are preserved during storage. Binding to NPs also favored the uptake of TH to neuronal cells, both in cell culture and in the brain. The internalized NP-bound TH was active as we measured an increase in intracellular L-Dopa synthesis following NP uptake. Our approach seems promising for the use of catalytically active NPs in ERT to treat neurodegenerative and neuropsychiatric disorders characterized by dopamine deficiency, notably Parkinson's disease.


Assuntos
Encéfalo/metabolismo , Portadores de Fármacos/química , Nanopartículas/química , Neurônios/metabolismo , Polissacarídeos/química , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/farmacocinética , Animais , Linhagem Celular , Estabilidade Enzimática , Terapia Enzimática , Feminino , Humanos , Masculino , Modelos Moleculares , Doença de Parkinson/tratamento farmacológico , Doença de Parkinson/enzimologia
4.
Lancet ; 383(9923): 1138-46, 2014 Mar 29.
Artigo em Inglês | MEDLINE | ID: mdl-24412048

RESUMO

BACKGROUND: Parkinson's disease is typically treated with oral dopamine replacement therapies; however, long-term treatment leads to motor complications and, occasionally, impulse control disorders caused by intermittent stimulation of dopamine receptors and off-target effects, respectively. We aimed to assess the safety, tolerability, and efficacy of bilateral, intrastriatal delivery of ProSavin, a lentiviral vector-based gene therapy aimed at restoring local and continuous dopamine production in patients with advanced Parkinson's disease. METHODS: We undertook a phase 1/2 open-label trial with 12-month follow-up at two study sites (France and UK) to assess the safety and efficacy of ProSavin after bilateral injection into the putamen of patients with Parkinson's disease. All patients were then enrolled in a separate open-label follow-up study of long-term safety. Three doses were assessed in separate cohorts: low dose (1·9×10(7) transducing units [TU]); mid dose (4·0×10(7) TU); and high dose (1×10(8) TU). Inclusion criteria were age 48-65 years, disease duration 5 years or longer, motor fluctuations, and 50% or higher motor response to oral dopaminergic therapy. The primary endpoints of the phase 1/2 study were the number and severity of adverse events associated with ProSavin and motor responses as assessed with Unified Parkinson's Disease Rating Scale (UPDRS) part III (off medication) scores, at 6 months after vector administration. Both trials are registered at ClinicalTrials.gov, NCT00627588 and NCT01856439. FINDINGS: 15 patients received ProSavin and were followed up (three at low dose, six mid dose, six high dose). During the first 12 months of follow-up, 54 drug-related adverse events were reported (51 mild, three moderate). Most common were increased on-medication dyskinesias (20 events, 11 patients) and on-off phenomena (12 events, nine patients). No serious adverse events related to the study drug or surgical procedure were reported. A significant improvement in mean UPDRS part III motor scores off medication was recorded in all patients at 6 months (mean score 38 [SD 9] vs 26 [8], n=15, p=0·0001) and 12 months (38 vs 27 [8]; n=15, p=0·0001) compared with baseline. INTERPRETATION: ProSavin was safe and well tolerated in patients with advanced Parkinson's disease. Improvement in motor behaviour was observed in all patients. FUNDING: Oxford BioMedica.


Assuntos
Antiparkinsonianos/administração & dosagem , Terapia Genética/métodos , Vetores Genéticos/administração & dosagem , Vírus da Anemia Infecciosa Equina/genética , Doença de Parkinson/terapia , Transfecção/métodos , Idoso , Antiparkinsonianos/efeitos adversos , Dopa Descarboxilase/genética , Dopamina/biossíntese , Neurônios Dopaminérgicos/metabolismo , Neurônios Dopaminérgicos/virologia , Seguimentos , GTP Cicloidrolase/administração & dosagem , GTP Cicloidrolase/efeitos adversos , GTP Cicloidrolase/genética , Terapia Genética/efeitos adversos , Vetores Genéticos/efeitos adversos , Humanos , Injeções Intralesionais , Masculino , Pessoa de Meia-Idade , Putamen , Transgenes/genética , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/efeitos adversos , Tirosina 3-Mono-Oxigenase/genética
5.
CNS Neurol Disord Drug Targets ; 11(4): 410-8, 2012 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-22483311

RESUMO

Although researchers are pursuing "disease modifying" medications to slow or stop Parkinson's disease (PD) progression, a myriad of agents with protective properties in cell cultures and animal models have yielded few treatments in clinical practice. Developing safe and effective treatments with disease-modifying/neuroprotective mechanisms of action and identifying patients in the pre-motor phase will be a challenge. The implication of tyrosine hydroxylase (TH), the enzyme that catalyzes the formation of L-3,4-dihydroxyphenylalanine, in the pathogenesis of PD at different levels makes it a promising candidate for developing efficient treatment based on correcting or bypassing the enzyme deficiency. TH is also the key enzyme for immunorreactivity in PD models and is used to assess the efficacy of novel disease-modifying medications. PD animal models are genetic: alpha-synuclein models, parkin (PINK 1 and DJ1) and leucine-rich repeat kinase 2 or pharmacological and neurotoxic: reserpine, 6-hydroxydopamine, 1-methyl-4-phenyl-1,2,3,6- tetrahydropyridine, rotenone, paraquat/maneb, and trichloroethylene. This review is focused on the state of art of PD models, the relationship with TH, and potential neuroprotective agents to treat PD. The latter include gene therapy, transplantation, erythropoietin, natural phenolic compounds, doxycycline, ethyl pyruvate, 9-methyl-beta-carboline, vascular endothelial growth factor, simvastatin, zonisamide, modafinil, melatonin, cannabinoids, rottlerin, fluoxetine, paroxetine, coenzyme Q10, N-acetylcysteine and vaccines like Bacille Calmette-Guerin, with different proposed mechanisms of action. Also of note is the link between hypovitaminosis D and neurodegeneration opening new perspectives in research with TH genes and PD models treated with vitamin D. Translational scientists can contribute to a better understanding of the pathogenesis of PD and lead to more effective treatments.


Assuntos
Dopamina/metabolismo , Fármacos Neuroprotetores/farmacologia , Doença de Parkinson/terapia , Tirosina 3-Mono-Oxigenase/metabolismo , alfa-Sinucleína/metabolismo , Animais , Modelos Animais de Doenças , Humanos , Fármacos Neuroprotetores/uso terapêutico , Doença de Parkinson/enzimologia , Tirosina 3-Mono-Oxigenase/administração & dosagem
6.
Biochem Biophys Res Commun ; 351(1): 140-5, 2006 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-17054915

RESUMO

Tyrosine hydroxylase (tyrosine 3-monooxygenase, EC 1.14.16.2, TH) is the rate-limiting enzyme in the biosynthesis of catecholamine neurotransmitters, dopamine (DA), noradrenaline (NE), and adrenaline, in the neurons. The regulated activity of TH is thought to play a critical role in modulating the functional activity of catecholaminergic neuronal systems in the brain. It is well known that the catecholaminergic neuronal systems are associated with depression. Here we showed that TH, delivered by protein transduction domain (PTD), passed through the blood-brain barrier and entered the neurons. Systemic TH treatment improved the behavioral despair in the forced swim test (FST) and the tail suspension test (TST), the two models widely used to screen the potential anti-depressant efficacy. The results indicated a novel and potential therapeutic use of TH in the depression disorder.


Assuntos
Comportamento Animal/efeitos dos fármacos , Encéfalo/metabolismo , Depressão/tratamento farmacológico , Depressão/metabolismo , Neurônios/metabolismo , Tirosina 3-Mono-Oxigenase/administração & dosagem , Animais , Antidepressivos/administração & dosagem , Encéfalo/efeitos dos fármacos , Masculino , Camundongos , Camundongos Endogâmicos ICR , Neurônios/efeitos dos fármacos , Resultado do Tratamento
7.
Biochem Biophys Res Commun ; 346(1): 1-6, 2006 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-16762325

RESUMO

The present study aimed to evaluate whether the protein transduction domain (PTD)-conjugated human tyrosine hydroxylase (TH) fusion protein was effective on the 6-hydroxydopamine (6-OHDA)-induced Parkinson's disease (PD) model rats. An expression vector pET-PTD-TH harbouring the PTD-TH gene was constructed and transformed to the Escherichia coli BL21 cells for expression. The expressed recombinant PTD-TH with a molecular weight of 61 kD was successfully transduced (1 microM) into the dopaminergic SH-sy5y human neuroblastoma cells in vitro and visualized by immunohistochemical assay. An in vivo experiment in rats showed that the iv administered PTD-TH protein (8 mg/kg) permeated across the blood-brain barrier, penetrated into the striatum and midbrain, and peaked at 5-8 h after the injection. The behavioral effects of PTD-TH on the apomorphine-induced rotations in the PD model rats 8 weeks after the 6-OHDA lesion showed that a single bolus of PTD-TH (8 mg/kg) iv injection caused a decrement of 60% of the contralateral turns on day 1 and 40% on days 5-17. The results imply that iv delivery of PTD-TH is therapeutically effective on the 6-OHDA-induced PD in rats, the PTD-mediated human TH treatment opening a promising therapeutic direction in treatment of PD.


Assuntos
Doença de Parkinson Secundária/tratamento farmacológico , Proteínas Recombinantes de Fusão/uso terapêutico , Tirosina 3-Mono-Oxigenase/uso terapêutico , Animais , Apomorfina/farmacologia , Barreira Hematoencefálica , Química Encefálica , Linhagem Celular Tumoral , Produtos do Gene tat/genética , Humanos , Masculino , Oxidopamina , Doença de Parkinson Secundária/induzido quimicamente , Fragmentos de Peptídeos/genética , Estrutura Terciária de Proteína , Ratos , Ratos Sprague-Dawley , Proteínas Recombinantes de Fusão/administração & dosagem , Rotação , Comportamento Estereotipado/efeitos dos fármacos , Transdução Genética , Tirosina 3-Mono-Oxigenase/administração & dosagem , Produtos do Gene tat do Vírus da Imunodeficiência Humana
8.
Psychopharmacology (Berl) ; 178(4): 431-9, 2005 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15765258

RESUMO

RATIONALE: In adult rats, the partial D(2)-like agonist terguride acts as an antagonist at normosensitive D(2)-like post-synaptic receptors, while it acts as an agonist at the same receptors during states of low dopaminergic tone. OBJECTIVE: The purpose of the present study was to determine whether partial D(2)-like agonists exhibit both antagonistic and agonistic actions during the preweanling period. METHODS: In experiments 1 and 2 (examining the agonistic actions of terguride), preweanling rats were either given an escalating regimen of amphetamine to induce a state of amphetamine withdrawal or pretreated with the tyrosine hydroxylase inhibitor AMPT. Distance traveled was measured after rats were injected with saline, terguride (0.4-1.6 mg/kg), or the full D(2)-like receptor agonist NPA (0.01 mg/kg). In experiment 3 (examining the antagonistic actions of terguride), preweanling rats were pretreated with terguride 30 min before they were tested with saline, NPA (0.05 mg/kg), or amphetamine (1.5 mg/kg). RESULTS: NPA had an exaggerated locomotor activating effect when tested under conditions of amphetamine withdrawal, while the partial D(2)-like agonist did not enhance distance traveled under any circumstance. Similarly, NPA increased and terguride did not affect the distance-traveled scores of AMPT-pretreated rats. In experiment 3, terguride pretreatment significantly reduced the distance traveled of amphetamine-treated and NPA-treated rats. CONCLUSIONS: The behavioral evidence indicates that, during the preweanling period, terguride antagonizes D(2)-like post-synaptic receptors in a state of high dopaminergic tone; however, there is no evidence that terguride is capable of stimulating D(2)-like post-synaptic receptors during states of low dopaminergic tone.


Assuntos
Antagonistas de Dopamina/farmacologia , Dopamina/fisiologia , Lisurida/análogos & derivados , Receptores de Dopamina D2/administração & dosagem , Receptores de Dopamina D2/agonistas , Animais , Animais Recém-Nascidos , Apomorfina/efeitos adversos , Apomorfina/análogos & derivados , Apomorfina/farmacologia , Peso Corporal/efeitos dos fármacos , Corpo Estriado/química , Corpo Estriado/efeitos dos fármacos , Corpo Estriado/metabolismo , Dextroanfetamina/administração & dosagem , Dextroanfetamina/efeitos adversos , Dextroanfetamina/metabolismo , Antagonistas dos Receptores de Dopamina D2 , Hipercinese/induzido quimicamente , Lisurida/farmacologia , Metiltirosinas/administração & dosagem , Metiltirosinas/farmacocinética , Atividade Motora/efeitos dos fármacos , Ratos , Ratos Sprague-Dawley , Síndrome de Abstinência a Substâncias/metabolismo , Síndrome de Abstinência a Substâncias/fisiopatologia , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/antagonistas & inibidores , Tirosina 3-Mono-Oxigenase/farmacocinética
9.
Hum Gene Ther ; 15(4): 339-50, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15053859

RESUMO

The goal of this work was to normalize striatal tyrosine hydroxylase (TH) activity with intravenous nonviral TH gene therapy and at the same time eliminate ectopic TH gene expression in peripheral organs such as liver in the rat. TH-expression plasmids, containing either the SV40 promoter or the glial fibrillary acidic protein (GFAP) gene promoter, were globally delivered to the brain across the blood-brain barrier (BBB) after intravenous administration of pegylated immunoliposomes (PILs). The GFAP-TH- or SV40-TH-expression plasmids were encapsulated in the interior of 85-nm PILs, which were targeted across both the BBB and the neuronal cell membrane with a monoclonal antibody (mAb) to the transferrin receptor (TfR). Striatal TH activity was 98% depleted with the unilateral intracerebral injection of 6-hydroxydopamine. TH in the striatum ipsilateral to the lesion was normalized 3 days after the intravenous injection of 10 microg per rat of either the SV40-TH or the GFAP-TH plasmid DNA. Whereas the SV40-TH gene caused a 10-fold increase in hepatic TH activity, there was no increase in liver TH with the GFAP-TH gene. The GFAP-TH gene therapy caused an 82% reduction in apomorphine-induced rotation in the lesioned rats. Confocal microscopy using antibodies to TH, GFAP, and neuronal nuclei (NeuN) showed the GFAP-TH gene was selectively expressed in nigra-striatal neurons, with no expression in either cortical neurons, or astrocytes. These studies demonstrate that global delivery of exogenous genes to the brain is possible with intravenous nonviral gene transfer, and that ectopic gene expression is eliminated with the use of brain-specific gene promoters.


Assuntos
Corpo Estriado/enzimologia , Terapia Genética , Lipossomos , Atividade Motora/efeitos dos fármacos , Doença de Parkinson/terapia , Tirosina 3-Mono-Oxigenase/genética , Animais , Anticorpos Monoclonais/administração & dosagem , Anticorpos Monoclonais/genética , Barreira Hematoencefálica/efeitos dos fármacos , Núcleo Celular/metabolismo , Núcleo Celular/patologia , Neoplasias do Sistema Nervoso Central/genética , Corpo Estriado/efeitos dos fármacos , Corpo Estriado/patologia , Glioma/enzimologia , Glioma/genética , Injeções Intravenosas , Masculino , Neurônios/efeitos dos fármacos , Oxidopamina/metabolismo , Doença de Parkinson/fisiopatologia , Regiões Promotoras Genéticas/genética , Ratos , Ratos Sprague-Dawley , Receptores da Transferrina/administração & dosagem , Receptores da Transferrina/genética , Receptores da Transferrina/imunologia , Recuperação de Função Fisiológica/efeitos dos fármacos , Recuperação de Função Fisiológica/genética , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/metabolismo
10.
Br J Pharmacol ; 141(1): 132-40, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14662736

RESUMO

1. The ORL1 agonists nociceptin and Ro 64-6198 were compared in their ability to modify spontaneous locomotor activity in male NMRI mice not habituated to the test environment. 2. Higher doses of nociceptin (>5 nmol i.c.v.) reduced whereas lower doses (<1 nmol i.c.v.) stimulated locomotor activity. Both effects were blocked by the putative ORL1 antagonists [NPhe1]nociceptin(1-13)NH2 (10 nmol i.c.v.) and UFP101 (10 nmol, i.c.v.). The effects were also blocked by naloxone benzoylhydrazone (1 mg x kg(-1) s.c.), but not by the nonselective opioid antagonist naloxone (1 mg x kg(-1) s.c.). 3 In contrast to nociceptin, the synthetic ORL1 agonist Ro 64-6198 (0.01-1.0 mg x kg(-1) i.p.) produced monophasic inhibition of locomotor activity, which was insensitive to the treatment with [NPhe1]nociceptin(1-13)NH2 or naloxone benzoylhydrazone. Treatment with UFP101 abolished the locomotor inhibition induced by Ro 64-6198 (1.0 mg x kg(-1)), whereas naloxone (1.0 mg x kg(-1), s.c.) further increased the locomotor-inhibitory effects. 4. Naloxone benzoylhydrazone (0.3; 1.0 and 3.0 mg x kg(-1) s.c.) increased locomotor activity, although the effect was statistically significant only with the highest dose used. 5. Pretreatment with the tyrosine hydroxylase inhibitor H44-68 totally eliminated the motor-stimulatory effects of low doses of nociceptin, probably via dopamine depletion. 6. The results suggest that nociceptin stimulates locomotor activity at low doses if dopamine activity is intact. High doses of nociceptin and all the tested doses of Ro 64-6198 seem to interact with a functionally different subset of ORL1 receptors. In addition, the effects of Ro 64-6198 are modulated by tonic opioid receptor activity.


Assuntos
Atividade Motora/fisiologia , Naloxona/análogos & derivados , Receptores Opioides/fisiologia , Animais , Líquido Cefalorraquidiano/química , Líquido Cefalorraquidiano/fisiologia , Relação Dose-Resposta a Droga , Combinação de Medicamentos , Sinergismo Farmacológico , Imidazóis/administração & dosagem , Imidazóis/antagonistas & inibidores , Imidazóis/farmacocinética , Injeções Intraperitoneais , Injeções Intraventriculares , Injeções Subcutâneas , Masculino , Métodos , Metiltirosinas/administração & dosagem , Metiltirosinas/farmacocinética , Camundongos , Camundongos Endogâmicos , Atividade Motora/efeitos dos fármacos , Naloxona/administração & dosagem , Naloxona/farmacocinética , Antagonistas de Entorpecentes , Peptídeos Opioides/administração & dosagem , Peptídeos Opioides/antagonistas & inibidores , Peptídeos Opioides/química , Peptídeos Opioides/farmacocinética , Receptores Opioides/administração & dosagem , Compostos de Espiro/administração & dosagem , Compostos de Espiro/antagonistas & inibidores , Compostos de Espiro/farmacocinética , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/antagonistas & inibidores , Tirosina 3-Mono-Oxigenase/farmacocinética , Receptor de Nociceptina , Nociceptina
11.
Hum Gene Ther ; 14(1): 1-12, 2003 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-12573054

RESUMO

Brain gene-targeting technology is used to reversibly normalize tyrosine hydroxylase (TH) activity in the striatum of adult rats, using the experimental 6-hydroxydopamine model of Parkinson's disease. The TH expression plasmid is encapsulated inside an 85-nm PEGylated immunoliposome (PIL) that is targeted with either the OX26 murine monoclonal antibody (MAb) to the rat transferrin receptor (TfR) or with the mouse IgG2a isotype control antibody. TfRMAb-PIL, or mIgG2a-PIL, is injected intravenously at a dose of 10 microg of plasmid DNA per rat. TfRMAb-PIL, but not mIgG2a-PIL, enters the brain via the transvascular route. The targeting TfRMAb enables the nanocontainer carrying the gene to undergo both receptor-mediated transcytosis across the blood-brain barrier (BBB) and receptor-mediated endocytosis into neurons behind the BBB by accessing the TfR. With this approach, the striatal TH activity ipsilateral to the intracerebral injection of the neurotoxin was normalized and increased from 738 +/- 179 to 5486 +/- 899 pmol/hr per milligram of protein. The TH enzyme activity measurements were corroborated by TH immunocytochemistry, which showed that the entire striatum was immunoreactive for TH after intravenous gene therapy. The normalization of striatal biochemistry was associated with a reversal of apomorphine-induced rotation behavior. Lesioned animals treated with the apomorphine exhibited 20 +/- 5 and 6 +/- 2 rotations/min, respectively, after intravenous administration of the TH plasmid encapsulated in mIgG2a-PIL and TfRMAb-PIL. These studies demonstrate that it is possible to normalize brain enzyme activity by intravenous administration and nonviral gene transfer.


Assuntos
Terapia Genética/métodos , Atividade Motora , Doença de Parkinson/terapia , Recuperação de Função Fisiológica , Tirosina 3-Mono-Oxigenase/genética , Animais , Anticorpos Monoclonais/administração & dosagem , Anticorpos Monoclonais/genética , Barreira Hematoencefálica/efeitos dos fármacos , Células Cultivadas , Neoplasias do Sistema Nervoso Central/genética , Corpo Estriado/efeitos dos fármacos , Corpo Estriado/enzimologia , Corpo Estriado/patologia , DNA/administração & dosagem , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Glioma/enzimologia , Glioma/genética , Humanos , Injeções Intravenosas , Lipossomos , Fígado/efeitos dos fármacos , Fígado/enzimologia , Masculino , Atividade Motora/efeitos dos fármacos , Doença de Parkinson/fisiopatologia , Plasmídeos , Ratos , Ratos Sprague-Dawley , Receptores da Transferrina/administração & dosagem , Receptores da Transferrina/genética , Recuperação de Função Fisiológica/efeitos dos fármacos , Recuperação de Função Fisiológica/genética , Fatores de Tempo , Transfecção/métodos , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/imunologia , Tirosina 3-Mono-Oxigenase/metabolismo
12.
J Neurosci ; 22(23): 10302-12, 2002 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-12451130

RESUMO

Parkinson's disease (PD) is a neurodegenerative disorder characterized by the selective loss of dopaminergic neurons in the substantia nigra. This loss leads to complete dopamine depletion in the striatum and severe motor impairment. It has been demonstrated previously that a lentiviral vector system based on equine infectious anemia virus (EIAV) gives rise to highly efficient and sustained transduction of neurons in the rat brain. Therefore, a dopamine replacement strategy using EIAV has been investigated as a treatment in the 6-hydroxydopamine (6-OHDA) animal model of PD. A self-inactivating EIAV minimal lentiviral vector that expresses tyrosine hydroxylase (TH), aromatic amino acid dopa decarboxylase (AADC), and GTP cyclohydrolase 1 (CH1) in a single transcription unit has been generated. In cultured striatal neurons transduced with this vector, TH, AADC, and CH1 proteins can all be detected. After stereotactic delivery into the dopamine-denervated striatum of the 6-OHDA-lesioned rat, sustained expression of each enzyme and effective production of catecholamines were detected, resulting in significant reduction of apomorphine-induced motor asymmetry compared with control animals (p < 0.003). Expression of each enzyme in the striatum was observed for up to 5 months after injection. These data indicate that the delivery of three catecholaminergic synthetic enzymes by a single lentiviral vector can achieve functional improvement and thus open the potential for the use of this vector for gene therapy of late-stage PD patients.


Assuntos
Corpo Estriado/efeitos dos fármacos , Dopamina/biossíntese , Vetores Genéticos/administração & dosagem , Transtornos Parkinsonianos/terapia , Animais , Descarboxilases de Aminoácido-L-Aromático/administração & dosagem , Descarboxilases de Aminoácido-L-Aromático/biossíntese , Descarboxilases de Aminoácido-L-Aromático/genética , Catecolaminas/metabolismo , Células Cultivadas , Corpo Estriado/patologia , Corpo Estriado/fisiopatologia , Modelos Animais de Doenças , GTP Cicloidrolase/administração & dosagem , GTP Cicloidrolase/biossíntese , GTP Cicloidrolase/genética , Expressão Gênica/efeitos dos fármacos , Técnicas de Transferência de Genes , Genes/genética , Terapia Genética/métodos , Vetores Genéticos/genética , Humanos , Rim/citologia , Rim/metabolismo , Lentivirus/genética , Masculino , Neurônios/citologia , Neurônios/efeitos dos fármacos , Neurônios/metabolismo , Oxidopamina , Transtornos Parkinsonianos/induzido quimicamente , Transtornos Parkinsonianos/fisiopatologia , Ratos , Ratos Wistar , Recuperação de Função Fisiológica/efeitos dos fármacos , Transgenes , Resultado do Tratamento , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/biossíntese , Tirosina 3-Mono-Oxigenase/genética
13.
Parasite Immunol ; 23(4): 213-7, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11298298

RESUMO

We have previously reported on the cloning of the 14-3-3 protein of Schistosoma mansoni. Here, we evaluate the potential use of this protein as a vaccine candidate against infection by S. mansoni. Sm14-3-3 was expressed and purified either as a free protein or as a fusion protein to SjGST or MBP. Sera from mice infected with S. mansoni recognized both SjGST and 14-3-3, indicating that antibodies against these two proteins are induced in the course of the natural infection. Furthermore, mice immunized with either 14-3-3, GST or 14-3-3-GST, reacted with cercaria lysate. A cellular immune response was also detected, particularly in mice immunized with 14-3-3-GST. With respect to the effect on biological functions, antibodies to 14-3-3 and 14-3-3-GST caused 23-32% complement-mediated cytotoxcity of S. mansoni schistosomula compared to only 10-11% induced by either normal mouse serum, or GST alone. In challenge infection with S. mansoni, immunization with 14-3-3, either as a fusion protein or as a free protein, led to protection ranging from 25-46%, as determined by reduction of adult worm burden, while SjGST alone elicited only 0-8% protection and MBP alone did not elicit any protection.


Assuntos
Antígenos de Helmintos/administração & dosagem , Proteínas de Helminto/administração & dosagem , Schistosoma mansoni , Esquistossomose/prevenção & controle , Vacinas/administração & dosagem , Proteínas 14-3-3 , Animais , Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/imunologia , Glutationa Transferase/imunologia , Proteínas de Helminto/imunologia , Camundongos , Camundongos Endogâmicos C57BL , Proteínas Recombinantes de Fusão/administração & dosagem , Proteínas Recombinantes/administração & dosagem , Schistosoma mansoni/imunologia , Schistosoma mansoni/isolamento & purificação , Esquistossomose/imunologia , Esquistossomose/parasitologia , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/imunologia , Vacinação , Vacinas Sintéticas/administração & dosagem , Vacinas Sintéticas/imunologia
14.
Neuroreport ; 11(6): 1145-51, 2000 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-10817582

RESUMO

Parkinson's disease (PD) is a leading candidate for neurological gene therapy, given our increasing knowledge of the functional anatomy of the striatonigral system and the localized nature of the affected cell populations. Here we report that stereotactic introduction of a human tyrosine hydroxylase (TH-2) gene using multi-site partitioned doses resulted in behavioral recovery in 6-OHDA-lesioned rats, with transient 100% recovery observed in some animals. We also show correlation between numbers of TH-immunoreactive cells and loss of apomorphine induced rotation, with a near-linear relationship between TH expression and phenotypic recovery. Furthermore, the data suggest that only a fraction of striatal cells need to be transduced in order to exert phenotypic effects, and therefore TH partitioned gene transfer may have clinical potential in PD.


Assuntos
Técnicas de Transferência de Genes , Terapia Genética , Doença de Parkinson Secundária/terapia , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/genética , Adenoviridae/genética , Adrenérgicos , Análise de Variância , Animais , Apomorfina , Comportamento Animal , Contagem de Células , Corpo Estriado/enzimologia , Corpo Estriado/patologia , Modelos Animais de Doenças , Vetores Genéticos/administração & dosagem , Vetores Genéticos/genética , Humanos , Masculino , Atividade Motora , Oxidopamina , Doença de Parkinson Secundária/induzido quimicamente , Doença de Parkinson Secundária/diagnóstico , Doença de Parkinson Secundária/genética , Fenótipo , Ratos , Ratos Endogâmicos F344 , Recuperação de Função Fisiológica , Resultado do Tratamento , Tirosina 3-Mono-Oxigenase/metabolismo
15.
Hum Gene Ther ; 6(11): 1497-501, 1995 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8573622

RESUMO

Lipofectin-mediated gene transfer was used to introduce plasmid harboring the tyrosine hydroxylase (TH) gene into the striatum of rats with lesions of the nigrostriatal pathway. The rotational asymmetry of Parkinson disease model rat was reduced quickly and significantly, suggesting that plasmid-DNA-transfected brain cells can generate L-dopa locally in the striatum in quantities sufficient to compensate partially for the loss of intrinsic striatal dopaminergic input. Immunohistochemical staining and reverse transcription polymerase chain reaction (RT-PCR) also confirm that striatal cells can express exogenous TH gene. Such in vivo plasmid DNA transfer strategy may be useful in other neurologic disease therapy, especially acute brain insults.


Assuntos
Terapia Genética , Doença de Parkinson/terapia , Fosfatidiletanolaminas , Plasmídeos/genética , Tirosina 3-Mono-Oxigenase/genética , Animais , Sequência de Bases , Comportamento Animal , Primers do DNA , Modelos Animais de Doenças , Técnicas de Transferência de Genes , Imuno-Histoquímica , Injeções , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Ratos , Transcrição Gênica , Tirosina 3-Mono-Oxigenase/administração & dosagem , Tirosina 3-Mono-Oxigenase/uso terapêutico
16.
Auris Nasus Larynx ; 19(2): 63-8, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1358050

RESUMO

The distribution of tyrosine hydroxylase (TH)-like immunofluorescence was analyzed in the guinea pig vestibular ganglia and end organs using a monoclonal antibody to TH. TH was chosen as a marker for the sympathetic fibers because TH regulates the first step of catecholamine synthesis by converting tyrosine to dopa. In the vestibular ganglia, there were TH-positive nerve fibers having distinct varicosities surrounding the vestibular ganglion cells. In the sensory areas, there was a sympathetic plexus in the subepithelial tissue of the saccule, the utricle, and the crista ampullaris. We speculated that the sympathetic innervation has a direct influence on the vestibular ganglion cells and diffuse influence on the capillary permeability.


Assuntos
Fibras Adrenérgicas/efeitos dos fármacos , Gânglios Simpáticos/citologia , Tirosina 3-Mono-Oxigenase , Nervo Vestibular/citologia , Animais , Células Cultivadas , Cóclea/citologia , Cóclea/fisiologia , Feminino , Imunofluorescência , Cobaias , Masculino , Órgão Espiral/citologia , Órgão Espiral/efeitos dos fármacos , Simpatectomia , Tirosina 3-Mono-Oxigenase/administração & dosagem
17.
Jpn J Med ; 29(3): 329-33, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-1980321

RESUMO

A 47-year-old man had surgery for paraaortic paraganglioma in 1980 and 1985. In 1987, his urinary excretion of catecholamines and metabolites was extremely high. Scintigraphy with 131I-metaiodobenzylguanidine (MIBG) showed multiple bone and liver metastases. He was treated twice with infusions of 3.7 GBq of 131I-MIBG. After the first treatment, he had transient hypertension and pain in the back and right leg. Subsequent 131I-MIBG scintigraphy showed that the number of metastatic tumors had decreased. The second treatment was less effective. Excess catecholamines were treated with alpha-methyl-p-tyrosine (MPT), a catecholamine synthesis inhibitor, at doses between 250 and 2000 mg/day, which significantly decreased urinary NE excretion. This is the first case treated with 131I-MIBG in Japan.


Assuntos
Neoplasias das Glândulas Suprarrenais/tratamento farmacológico , Iodobenzenos/uso terapêutico , Metiltirosinas/uso terapêutico , Feocromocitoma/tratamento farmacológico , 3-Iodobenzilguanidina , Neoplasias das Glândulas Suprarrenais/diagnóstico , Neoplasias das Glândulas Suprarrenais/metabolismo , Antineoplásicos/uso terapêutico , Análise Química do Sangue , Epinefrina/metabolismo , Humanos , Radioisótopos do Iodo/uso terapêutico , Masculino , Metanefrina/metabolismo , Pessoa de Meia-Idade , Norepinefrina/metabolismo , Normetanefrina/metabolismo , Feocromocitoma/diagnóstico , Feocromocitoma/metabolismo , Cintilografia , Tirosina 3-Mono-Oxigenase/administração & dosagem , Ácido Vanilmandélico/metabolismo , alfa-Metiltirosina
18.
Int J Obes ; 2(3): 303-7, 1978.
Artigo em Inglês | MEDLINE | ID: mdl-31336

RESUMO

DL-alpha-methyl-p-tyrosine methyl ester hydrochloride affected the hyperphagia and hypothermia characteristic of the genetically obese mouse (genotype, ob/ob) throughout an experimental period of 5 days. Intraperitoneal injections of 100 mg/kg body weight, daily, resulted in a significant increase in the average daily food consumption by 60 per cent, already elevated 35 per cent above that of lean litter-mates. The drug, administered at the same dose, caused a similar percentage elevation of food intake in the lean litter-mates. Rectal temperatures of obese mice were raised significantly throughout the 5-day period by an average of 0.95 degrees C, following administration of the drug. There was a significant rise of 0.75 degrees C in the rectal temperature of lean mice on 2 of the 5 days in the period. Body weight remained unchanged. Further experiments are necessary to determine the site of action at which DL-alpha-methyl-p-tyrosine brings about these effects at this dose in lean and obese mice.


Assuntos
Apetite/efeitos dos fármacos , Temperatura Corporal/efeitos dos fármacos , Inibidores Enzimáticos/farmacologia , Comportamento Alimentar/efeitos dos fármacos , Transtornos da Alimentação e da Ingestão de Alimentos/induzido quimicamente , Obesidade/genética , Tirosina 3-Mono-Oxigenase/administração & dosagem , Animais , Peso Corporal/efeitos dos fármacos , Inibidores Enzimáticos/administração & dosagem , Genótipo , Humanos , Hipotálamo/efeitos dos fármacos , Injeções Intraperitoneais , Camundongos , Norepinefrina/metabolismo , Estimulação Química , Tirosina 3-Mono-Oxigenase/antagonistas & inibidores
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