Inducible nitric oxide synthase may be therapeutic target for Parkinson's disease WESTPORT, Dec 06, 1999 (Reuters Health) - Mice lacking the gene that encodes the inducible isoform of nitric oxide synthase (iNOS) are more resistant to experimental Parkinson's disease than wild-type littermates. These findings suggest that inhibitors of iNOS may effectively treat Parkinson's disease, according to a report published in the December issue of Nature Medicine. Dr. Serge Przedborski, from Columbia University in New York, and colleagues there and elsewhere in the US explain that according to previous studies in mice and humans, neuronal NOS may not be the only NOS isoform involved in the deterioration of dopamine-producing neurons seen in Parkinson's disease. Their aim in the present study was to determine whether or not iNOS was involved in dopaminergic neurodegeneration induced by the neurotoxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) in a mouse model of Parkinson's disease.. According to the paper, MPTP treatment induced significant glial activation in the mouse substantia nigra that was "...associated with significant upregulation of inducible nitric oxide synthase." The researchers also found that these changes "...preceded or paralleled MPTP-induced dopaminergic neurodegeneration." This suggests, they say, that nitric oxide and other radicals produced by activated microglial cells may be responsible for neuronal cell loss. Mice deficient in iNOS were significantly more resistant to MPTP-induced dopaminergic cell loss than control mice, and they "...showed significantly smaller increases in ventral midbrain nitrotyrosine levels," a measure of peroxynitrite free radical production. The study team notes, however, that the protective effect was confined to the substantia nigra and was not observed in striatal nerve fibers. Dr. Przedborski and his team conclude "...that inhibition of iNOS may be a valuable target for the development of new therapies for [Parkinson's disease] aimed at attenuating the actual loss of dopaminergic neurons." They also suggest that "...the ideal therapeutic approach for [Parkinson's disease] may require the combination of iNOS inhibitors with other agents that have strong abilities in promoting nerve fiber re-growth and in stimulating dopaminergic function as well as in preserving dopaminergic nerve terminals." In an accompanying News and Views article, Drs. Thomas Grunewald and M. Flint Beal from Cornell University in New York say that the paper "...is not only an important contribution to the elucidation of the neurodegenerative process in idiopathic [Parkinson's disease], but also suggests potential neuroprotective strategies." The editorialists believe that different isoforms of NOS may act together to cause neuronal injury in Parkinson's and other neurodegenerative diseases. Nat Med 1999;5:1354-1355,1403-1409. 1999 Reuters Limited. ~~~~ Judith Richards, London, Ontario, Canada [log in to unmask] ^^^^ \ / \ | / Today’s Research \\ | // ...Tomorrow’s Cure \ | / \|/ ````` ~~~~ Judith Richards, London, Ontario, Canada [log in to unmask] ^^^^ \ / \ | / Today’s Research \\ | // ...Tomorrow’s Cure \ | / \|/ `````