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The Journal of Neuroscience, June 27, 2007, 27(26):6995-7005; doi:10.1523/JNEUROSCI.0852-07.2007

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Neurobiology of Disease
Critical Involvement of cAMP/DARPP-32 and Extracellular Signal-Regulated Protein Kinase Signaling in L-DOPA-Induced Dyskinesia

Emanuela Santini,1 Emmanuel Valjent,2,3,4 Alessandro Usiello,5 Manolo Carta,6 Anders Borgkvist,1 Jean-Antoine Girault,2,3,4 Denis Hervé,2,3,4 Paul Greengard,7 and Gilberto Fisone1,7

1Department of Neuroscience, Karolinska Institutet, 17177 Stockholm, Sweden, 2Inserm, Unité 839, 75005 Paris, France, 3Université Pierre et Marie Curie, 75005 Paris, France, 4Institut du Fer à Moulin, 75005 Paris, France, 5Centro di Ingegneria Genetica, Biotecnologie Avanzate, 80145 Naples, Italy, 6Wallenberg Neuroscience Centre, Lund University, 22184 Lund, Sweden, and 7Laboratory of Molecular and Cellular Neuroscience, The Rockefeller University, New York, New York 10021

Correspondence should be addressed to Gilberto Fisone, Department of Neuroscience, Karolinska Institutet, Retzius väg 8, 17177 Stockholm, Sweden. Email: gilberto.fisone{at}ki.se

The molecular basis of L-3,4-dihydroxyphenylalanine (L-DOPA)-induced dyskinesia (LID), one of the major hindrances in the current therapy for Parkinson's disease, is still unclear. We show that attenuation of cAMP signaling in the medium spiny neurons of the striatum, achieved by genetic inactivation of the dopamine and cAMP-regulated phosphoprotein of 32 kDa (DARPP-32), reduces LID. We also show that, in dyskinetic mice, sensitized cAMP/cAMP-dependent protein kinase/DARPP-32 signaling leads to phosphorylation/activation of the extracellular signal-regulated protein kinases 1 and 2 (ERK1/2). The increase in ERK1/2 phosphorylation associated with dyskinesia results in activation of mitogen- and stress-activated kinase-1 (MSK-1) and phosphorylation of histone H3, two downstream targets of ERK involved in transcriptional regulation. In line with these observations, we found that c-Fos expression is abnormally elevated in the striata of mice affected by LID. Persistent enhancement of the ERK signaling cascade is implicated in the generation of LID. Thus, pharmacological inactivation of ERK1/2 achieved using SL327 ({alpha}-[amino[(4-aminophenyl)thio]methylene]-2-(trifluoromethyl)benzeneacetonitrile), an inhibitor of the mitogen-activated kinase/ERK kinase, MEK, during chronic L-DOPA treatment counteracts the induction dyskinesia. Together, these results indicate that a significant proportion of the abnormal involuntary movements developed in response to chronic L-DOPA are attributable to hyperactivation in striatal medium spiny neurons of a signaling pathway including sequential phosphorylation of DARPP-32, ERK1/2, MSK-1, and histone H3.

Key words: mouse; MSK-1; 6-OHDA; Parkinson's disease; SL327; striatum


Received Feb. 26, 2007; revised April 27, 2007; accepted May 15, 2007.

Correspondence should be addressed to Gilberto Fisone, Department of Neuroscience, Karolinska Institutet, Retzius väg 8, 17177 Stockholm, Sweden. Email: gilberto.fisone{at}ki.se




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