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Updated: May 26, 2026

Rating L-DOPA-Induced Dyskinesias in the Unilaterally 6-OHDA-Lesioned Rat Model of Parkinson's Disease
Published on: October 4, 2021
Rhes, a striatal-enriched small G protein, mediates mTOR signaling and L-DOPA-induced dyskinesia
Srinivasa Subramaniam1, Francesco Napolitano, Robert G Mealer
1The Solomon H. Snyder Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abstract:
L-DOPA-induced dyskinesia, the rate-limiting side effect in the therapy of Parkinson's disease, is mediated by activation of mammalian target of rapamycin (mTOR) signaling in the striatum. We found that Ras homolog enriched in striatum (Rhes), a striatal-specific protein, binds to and activates mTOR. Moreover, Rhes(-/-) mice showed reduced striatal mTOR signaling and diminished dyskinesia, but maintained motor improvement on L-DOPA treatment, suggesting a therapeutic benefit for Rhes-binding drugs.
Insights
Ras homolog enriched in striatum (Rhes) protein activates mTOR signaling, causing L-DOPA-induced dyskinesia in Parkinson's disease therapy. Inhibiting Rhes may reduce side effects while maintaining treatment efficacy.
Area of Science:
- Neuroscience
- Molecular Biology
- Pharmacology
Background:
- L-DOPA is a primary treatment for Parkinson's disease.
- L-DOPA-induced dyskinesia is a significant side effect limiting treatment.
- Mammalian target of rapamycin (mTOR) signaling in the striatum mediates this dyskinesia.
Purpose of the Study:
- To investigate the role of Ras homolog enriched in striatum (Rhes) in L-DOPA-induced dyskinesia.
- To determine if Rhes interacts with and modulates mTOR signaling.
- To evaluate the therapeutic potential of targeting Rhes for Parkinson's disease treatment.
Main Methods:
- Utilized Rhes knockout (Rhes(-/-)) mice.
- Assessed striatal mTOR signaling pathways.
- Evaluated motor function and dyskinesia in response to L-DOPA treatment.
Main Results:
- Rhes binds to and activates mTOR in the striatum.
- Rhes(-/-) mice exhibited reduced striatal mTOR signaling.
- Rhes deficiency diminished L-DOPA-induced dyskinesia without compromising motor improvements.
Conclusions:
- Rhes is a key mediator of L-DOPA-induced dyskinesia via mTOR activation.
- Targeting Rhes represents a promising therapeutic strategy to mitigate Parkinson's disease treatment side effects.
- Rhes-binding drugs could offer a way to improve L-DOPA therapy outcomes.
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