The Journal of Neuroscience, April 15, 1999, 19(8):3266-3274
Vesicular Monoamine Transporter-2 and Aromatic
L-Amino Acid Decarboxylase Enhance Dopamine Delivery after
L-3,4-Dihydroxyphenylalanine Administration in Parkinsonian
Rats
Won Yong
Lee1,
Jin Woo
Chang1,
Nicole L.
Nemeth1, and
Un Jung
Kang1, 2, 3
Departments of 1 Neurology and
2 Pharmacological and Physiological Sciences, and
3 Committee on Neurobiology, The University of Chicago,
Chicago, Illinois 60637
Medical therapy in Parkinson's disease (PD) is limited by the
short-duration response and development of dyskinesia that result from
chronic L-3,4-dihydroxyphenylalanine (L-DOPA)
therapy. These problems occur partly because the loss of dopamine
storage sites leads to erratic dopamine delivery. Vesicular monoamine
transporter-2 (VMAT-2) plays a critical role in dopamine storage by
packaging dopamine into synaptic vesicles and regulating sustained
release of dopamine. To restore the capacity to produce and store
dopamine in parkinsonian rats, primary skin fibroblast cells (PF) were genetically modified with aromatic L-amino acid
decarboxylase (AADC) and VMAT-2 genes. After incubation with
L-DOPA in culture, the doubly transduced fibroblast cells
(PFVMAA) produced and stored dopamine at a much higher level than the
cells with either gene alone. PFVMAA cells in culture released dopamine
gradually in a constitutive manner. Genetically modified fibroblast
cells were grafted in parkinsonian rat striata, and L-DOPA
was systemically administered. Higher dopamine levels were sustained
for a longer duration in rats grafted with PFVMAA cells than in those
grafted with either control cells or cells with AADC alone. These
findings underscore the importance of dopamine storage capacity in
determining the efficacy of L-DOPA therapy and illustrate a
novel method of gene therapy combined with precursor administration to
overcome the major obstacles of PD treatment.
Key words:
short duration response; wearing-off; gene therapy; Parkinson's disease; dopamine; L-DOPA; AADC; VMAT
Copyright © 1999 Society for Neuroscience 0270-6474/99/1983266-09$05.00/0