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05/24/06 -- Researchers at the Burnham Institute for Medical Research have
discovered a mechanistic link between cellular stress caused by free radicals
and accumulation of misfolded proteins that lead to nerve cell injury and
death in neurodegenerative disorders such as Alzheimer's and Parkinson's
Disease. That link is Protein Disulphide Isomerase (PDI), a chaperone protein
that is necessary for proper protein folding in times of cellular stress.
Published in today's issue of Nature, these findings revealed that in
patients with Alzheimer's and Parkinson's Disease, overproduction of free
radicals, specifically nitric oxide (NO), causes inhibition of PDI by a
reaction called S-nitrosylation, thereby reducing PDI's neuroprotective
benefits. This data provides the first molecular link between NO free
radicals and protein misfolding, which is currently thought to be a common
pathway in the pathogenesis of virtually all neurodegenerative conditions.
Such conditions also include ALS (or Lou Gehrig's disease), Huntington's
disease, and many others. Understanding the PDI pathway may lead to the
development of new therapeutic approaches for these neurodegenerative
diseases and other disorders associated with abnormal protein accumulations
due to cellular stress.

   "To our knowledge, this is the first published evidence of a link between
protein misfolding due to enzymatic machinery malfunction found in a number
of degenerative diseases and free radical stress in nerve cells," said Stuart
A. Lipton, M.D., Ph.D., Professor and Director of the Del E. Webb Center for
Neurosciences and Aging at the Burnham Institute and senior author of the
study. Dr. Lipton is also a clinical neurologist in La Jolla. "Our data
demonstrate a previously unrecognized relationship between NO and protein
misfolding in degenerative disorders, showing that PDI can be a target of NO
in cellular models of Parkinson's disease and human neurodegenerative
disease."
A protein's structure determines its function. Genetic defects as well as
exposure to free radicals or possibly other types of cellular stress can
cause small structural defects that lead to protein misfolding. If the
misfolded proteins cannot be refolded properly or degraded, they may build up
in the cell to cause dysfunction. Defects in either the protein folding or
degradation pathways can lead to accumulation of misfolded proteins. The
accumulation of misfolded proteins is a common pathogenic mechanism in many
diseases, including neurodegenerative disorders.
In normal circumstances, PDI levels increase in response to accumulation of
misfolded proteins due to cellular stress. PDI acts as a chaperone for
aggregated proteins, rearranging their chemical bonds and thus refolding the
proteins to function normally. The new research by Dr. Lipton and his
colleagues shows that molecules related to the free radical NO, which is
present in elevated levels in neurodegenerative diseases, attacks PDI via a
chemical S-nitroyslation reaction, altering PDI's structure and blocking its
normal neuroprotective function, which ultimately leads to nerve cell injury
and even death. These new results also show that this altered form of PDI is
present in elevated amounts in patients with Alzheimer's and Parkinson's
Disease, indicating that it is a potential marker for the disease as well as
a potential therapeutic target.
Source: Burnham Institute

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