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The brain's ability to effectively deal with stress or to lack that
ability and be more susceptible to depression, depends on a single protein type
in each person's brain, according to a study conducted at the Icahn School of
Medicine at Mount Sinai and published November 12 in the journal Nature.
The Mount Sinai study findings challenge the current thinking about depression and the
drugs currently used to treat the disorder.
"Our findings are distinct from serotonin and other neurotransmitters
previously implicated in depression or resilience against it," says the
study's lead investigator, Eric J. Nestler, MD, PhD, Nash Family Professor,
Chair of the Department of Neuroscience and Director of the Friedman Brain
Institute at the Icahn School of Medicine at Mount Sinai. "These data
provide a new pathway to find novel and potentially more effective
antidepressants."
The protein involved in this new model of depression is beta-catenin
(B-catenin), which is expressed throughout the brain and is known to have many
biological roles. Using mouse models exposed to chronic social stress, Mount
Sinai investigators discovered that it is the activity of the protein in the D2
neurons, a specific set of nerve cells (neurons) in the nucleus accumbens
(NAc), the brain's reward and motivation center, which drives resiliency.
Specifically, the research team found that animals whose brains activated
B-catenin were protected against stress, while those with inactive B-catenin
developed signs of depression in their behavior. The study also showed
suppression of this protein in brain tissue of depressed patients examined post
mortem.
"Our human data are notable in that we show decreased activation of
B-catenin in depressed humans, regardless of whether these individuals were on
or off antidepressants at the time of death," says the study's co-lead
investigator, Caroline Dias, an MD-PhD student at the Icahn School of Medicine
at Mount Sinai. "This implies that the antidepressants were not adequately
targeting this brain system."
In the study, researchers blocked B-catenin in the D2 brain cells in mice
that had previously shown resilience to depression and found the animals became
susceptible to stress. Conversely, activating B-catenin in stress mice
bolstered their resilience to stress.
Nearly all nerve cells in the NAc brain region are called
medium spiny neurons. These cells are divided into two types based on how they
detect the neurotransmitter dopamine, which is important in regulating reward
and motivation. One type of neuron detects dopamine with D1 receptors and the
other with D2 receptors. The Mount Sinai data specifically implicate the D2
neurons in mediating deficits in reward and motivation that contribute to
depression or enhancements that mediate resilience.
Examining the genes regulated by B-catenin, the team then traced the
pathway that was engaged when B-catenin was activated in the D2 neurons and
discovered a novel connection between the protein and Dicer1, an enzyme
important in making microRNAs, small molecules which control gene expression.
"While we have identified some of the genes that are targeted, future
studies will be key to see how these genes affect depression. Presumably, they
are important in mediating the pro-resilient effects of the B-catenin-Dicer
cascade," says Dr. Dias.
While the molecular underpinnings of depression have remained elusive
despite decades of research, the new Mount Sinai study breaks new ground in
understanding depression in three important ways. It is the first report that
B-catenin is deficient in nucleus accumbens in
human depression and mouse depression models; it is the first study to show
that higher activity of B-catenin drives resilience and the first report
demonstrating a strong connection between B-catenin and control of microRNA
synthesis.
The findings also suggest that future therapy for depression could be
aimed at bolstering resilience against stress.
"While most prior efforts in antidepressant drug discovery have
focused on ways to undo the bad effects of stress, our findings provide a
pathway to generate novel antidepressants that instead activate mechanisms of
natural resilience," says Dr. Nestler.
Parkin-expressing cells
(red) are undergoing programmed cell death. Credit: Dr Emilie Hollville and
Professor Seamus Martin, Trinity College Dublin
Scientists at Trinity
College Dublin have made an important breakthrough in our understanding of
Parkin - a protein that regulates the repair and replacement of nerve cells
within the brain. This breakthrough generates a new perspective on how nerve
cells die in Parkinson's disease. The Trinity research group, led by Smurfit
Professor of Medical Genetics, Professor Seamus Martin, has just published its
findings in the internationally renowned, peer-reviewed Cell Press journal, Cell
Reports.
Although mutation of
Parkin has been known to lead to an early onset form of Parkinson's for many
years, understanding what it actually did within cells has been difficult to
solve. Now, Professor Martin and colleagues have discovered that in response to
specific types of cell damage, Parkin can trigger the self-destruction of
'injured' nerve cells
by switching on a controlled process of 'cellular suicide' called apoptosis.
Using cutting-edge
research techniques, the Martin laboratory, funded by Science Foundation
Ireland, found that damage to mitochondria (which function as 'cellular battery
packs') activates the Parkin protein, which results in one of two different
outcomes - either self-destruction or a repair mode. Which outcome was chosen
depended on the degree of damage suffered by the cellular battery packs.
Importantly, these new
findings suggest that one of the problems in Parkinson's disease may be the
failure to clear away sick nerve cells with faulty cellular battery packs, to
make way for healthy replacements. Instead, sickly and dysfunctional nerve
cells may accumulate, which effectively prevents the recruitment of fresh
replacements.
Commenting on the
findings, Professor Martin stated: "This discovery is surprising and turns
on its head the way we thought that Parkin functions. Until now, we have
thought of Parkin as a brake on cell death within nerve cells, helping to delay
their death. However, our new data suggests the contrary: Parkin may in fact
help to weed out injured and sick nerve cells, which probably facilitates their
replacement. This suggests that Parkinson's disease could result from the
accumulation of defective neurons due to the failure of this cellular weeding
process."
Professor Martin also
added: "We are very grateful for the support of Science Foundation
Ireland, who funded this research. This work represents an excellent example of
how basic research leads to fundamental breakthroughs in our understanding of
how diseases arise. Without such knowledge, it would be very difficult to
develop new therapies."
Parkin-expressing cells (red) are undergoing programmed cell death.
Credit: Dr Emilie Hollville and Professor Seamus Martin, Trinity College Dublin
Parkinson's patients may soon have a new
treatment. Scientists have successfully used stem cells to replaced damaged
neurons. Photo courtesy of Shutterstock
Researchers from Lund University took human
embryonic stem cells (hESC) from in vitro fertilization embryos and grew them
into motor neurons. The neurons were transplanted into the brains of rats with
Parkinson’s disease, and over the course of five months, their dopamine levels
rose back to normal. There are currently one million individuals living with
Parkinson’s disease in the United States, and 96 percent of them were diagnosed
after the age of 50.
Parkinson’s is an incurable progressive
disease that takes over your body, rendering you without control, according to
the Parkinson’s Disease Foundation. It affects the nervous system and movement, causing
tremors, stiffness, slow movements, impaired posture and balance, speech changes,
and other life-changing symptoms. This tumbling loss of motor skills is
partially caused by the death of nerve cells that control dopamine in the
brain. Researchers don’t know exactly why the chemical messenger begins to die,
but once dopamine levels decrease, the brain loses the ability to regulate
critical muscle movements.
"Our study represents an important
milestone in the preclinical assessment of hESC-derived dopamine neurons and
provides essential support for their usefulness in treating Parkinson's
disease," said the study’s lead author Malin Parmar of Lund University, in
a press release.
There are medications available for
Parkinson’s patients, however, none have been able to successfully reverse the
effects of the disease. This research is only the first step toward new
treatment, but it's a huge and important finding in Parkinson’s disease
research. Scientists still need to see if they can reverse Parkinson’s symptoms
in animals on a long-term basis. Then, they need to see if they can replicate
their findings in humans. If laboratory testing passes in the future,
researchers may be able to use tissue from aborted human fetuses — one of the
few options, since there's a limited availability of cells. This would help
make stem cell replacement a realistic and therapeutic option for Parkinson’s
patients who need enough hESC to make the treatment effective.
Roger Barker, of Addenbrooke’s Hospital and
the University of Cambridge, reviewed the study and warned that the researchers
must be thorough in their process, without rushing into clinical testing.
"This involves understanding the history of the whole field of cell-based
therapies for Parkinson's disease and some of the mistakes that have
happened," Barker said. "It also requires a knowledge of what the
final product should look like and the need to get there in a collaborative way
without being tempted to take shortcuts, because a premature clinical trial could
impact negatively on the whole field of regenerative medicine."
Source: Parmar M, Grealish S, Diguet E,
Kirkeby A, Mattsson B, and Heuer A, et al. Human ESC-Derived Dopamine Neurons
Show Similar Preclinical Efficacy and Potency to Fetal Neurons when Grafted in
a Rat Model of Parkinson’s Disease. Cell Stem Cell. 2014.