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A protein called HIPK2 is essential for the survival of dopamine neurons, the
cells lost in Parkinsons disease, according to a study in mice. The results
suggest that the molecular pathway in which the protein functions could be a
possible new target for therapy, the study authors say.

(Media-Newswire.com) - Parkinsons disease is a degenerative disorder of the
central nervous system in which dopamine neurons die. Normally, these cells
produce the neurotransmitter dopamine, which transmits signals along brain
pathways to allow smooth, coordinated function of the body's muscles and
movement. The loss of the cells leads to progressive impairment in motor
skills and speech.

Scientists have speculated that HIPK2 might play a role in the survival of
dopamine neurons, says principal investigator Eric J. Huang, MD, PhD, a staff
physician at the San Francisco VA Medical Center, but this is the first
demonstration in a living organism that knocking out HIPK2 leads to the death
of these cells.

The study appears in the January 2007 issue of Nature Neuroscience. It was
carried out using genetically engineered mice, developed in Huangs lab, that
lack the gene for HIPK2, which is a transcription factor a protein that
regulates the expression of genes.

In the study, the team demonstrated that lack of HIPK2 causes the absence of
TGFbeta3, a neurotrophin a protein that promotes the survival of brain and
nerve cells. Lack of TGFbeta3 in turn leads to the death of dopamine neurons,
resulting in mice that are born with Parkinsons-like movement impairments.

Scientists do not know why dopamine neurons die in Parkinsons disease, but the
current finding suggests that TGFbeta3 deficiency may be a key, says Huang,
who is also an associate professor of pathology at the University of
California, San Francisco.

In the study, Huang and his research team compared the brains of the
genetically engineered mice with those of normal, or wild-type, mice. They
found that among the genetically engineered mice, the midbrains, where
dopamine neurons are usually concentrated, had 40 to 50 percent fewer
dopamine neurons.

Our results support the model that HIPK2 and TGFbeta3 regulate the survival of
dopamine neurons, concludes Huang. Whether we can actually manipulate this
system to help Parkinsons patients is unclear right now, and there are
ongoing experiments to address that issue.

Currently, the standard medication for Parkinsons disease is the amino acid
L-dopa, which is converted to dopamine in the brain. It works to some extent,
but a lot of patients suffer from side effects such as involuntary movement
because of the uncontrolled release of the dopamine, Huang notes. In
addition, patients may develop a tolerance for the drug and require
increasingly larger doses.

Huang and his research team are also using the mice as a model to test the
hypothesis that one cause of Parkinsons disease might be exposure to
neurotoxins substances in the environment that are poisonous to brain and
nerve tissue. We want to see if the HIPK2-TGFbeta3 pathway has a protective
effect on dopamine neurons, and if the lack of that pathway makes those
neurons more vulnerable to neurotoxin damage, he says.

Lead authors of the study are Jiasheng Zhang, PhD, and Vanee Pho, PhD, of
SFVAMC and UCSF; other collaborators include Stephen J. Bonasera, MD, PhD,
Jed Holzmann, BS, Joanna Hellmuth, BS, Patricia H. Janak, PhD, and Laurence
H. Tecott, PhD, of UCSF; and Amy T. Tang, BS, and Siuwah Tang, BS, of SFVAMC
and UCSF.

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