Role of Phosphodiesterases in Huntington's Disease

Francesca R Fusco1, Emanuela Paldino2

  • 1Neuroanatomy Laboratory, Santa Lucia Foundation, Rome, 06501703061, Italy. f.fusco@hsantalucia.it.

Advances in Neurobiology
|September 29, 2017
PubMed

Insights

Cyclic nucleotide phosphodiesterase (PDE) inhibitors show promise for treating Huntington's disease (HD). These drugs may protect against neurodegeneration by boosting cAMP response element-binding protein (CREB) and brain-derived neurotrophic factor (BDNF) levels.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Huntington's disease (HD) is a rare, inherited neurodegenerative disorder caused by a genetic mutation in the huntingtin protein, leading to CAG/polyglutamine expansion.
  • Mutant huntingtin impairs crucial transcription factors, including cAMP response element-binding protein (CREB) and brain-derived neurotrophic factor (BDNF), contributing to HD pathology.
  • Current therapeutic strategies for HD focus on addressing CREB dysfunction and BDNF deficiency.

Purpose of the Study:

  • To summarize evidence supporting cyclic nucleotide phosphodiesterase (PDE) inhibitors as a therapeutic approach for Huntington's disease.
  • To explore the underlying mechanisms of action for PDE inhibitors in mitigating HD-related neurodegeneration.

Main Methods:

  • Review of studies investigating the effects of PDE inhibitors in transgenic mouse models of HD.
  • Analysis of how PDE inhibitors modulate protein levels of CREB and BDNF in the striatum and cortex.

Main Results:

  • Cyclic nucleotide phosphodiesterase (PDE) inhibitors (specifically PDE4, 5, and 10) demonstrated neuroprotective effects in HD mouse models.
  • These inhibitors were found to positively modulate cAMP response element-binding protein (CREB) and brain-derived neurotrophic factor (BDNF) protein levels in affected brain regions.
  • PDE inhibitors reduced striatal and cortical degeneration in HD models.

Conclusions:

  • PDE inhibitors represent a promising therapeutic avenue for Huntington's disease.
  • The neuroprotective effects are attributed to the ability of PDE inhibitors to restore CREB and BDNF signaling pathways.
  • Further research into PDE inhibitors could lead to novel treatments for HD.

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