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Rescue of mesencephalic dopamine neurons by anticancer drug cytosine
arabinoside.
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Nanomolar concentrations of cytosine arabinoside (ara-C), a structural
analogue of 2'-deoxycytidine (2'dC) used in the chemotherapy of cancer,
proved to be highly effective in preventing the death of postmitotic
dopaminergic neurons that occurs spontaneously by apoptosis in
mesencephalic cultures.

The rescued cells were totally functional and highly differentiated.

The trophic/neuroprotective effects of ara-C were
(1) specific for dopaminergic neurons;
(2) long-lived, remaining detectable several days after withdrawal of the
nucleoside analogue from the culture medium;
(3) still observed when the treatment was delayed after plating;
(4) abolished by an excess of 2'dC or dCTP, or by exposure to the
neurotoxin 1-methyl-4-phenylpyridinium; and
(5) mimicked by ara-CTP, 5-fluoro-2'-deoxyuridine, and aphidicolin.

Autoradiographic studies revealed that ara-C was incorporated exclusively
into astrocyte nuclei, suggesting that the dopaminotrophic activity was
indirect and resulted from the antiproliferative action of the modified
nucleoside on glial cells at concentrations that were not neurotoxic.

No evidence was found for putative deleterious or trophic molecules
secreted by proliferating or ara-C-treated astrocytes, respectively,
suggesting that neuroglial contact may play a role.

Our results suggest a possible mechanism underlying neurodegeneration in
Parkinson's disease, where selective loss of dopaminergic neurons in the
mesencephalon is accompanied by astrogliosis.


J Neurochem 1997 Oct;69(4):1499-1507
Michel PP, Ruberg M, Agid Y
INSERM U289, Hopital de la Salpetriere, Paris, France.
PMID: 9326279, MUID: 97465559
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