Parkinson’s disease (PD) is the second most common neurodegenerative disorder characterized by the selective loss of dopaminergic neurons in substantia nigra pars compacta (SNpc). Although the pathogenic mechanism underlying PD remains largely unknown, decreased nigral glutathione (GSH) in postmortem brains of PD patients supports the presence of oxidative stress in PD. We found that Nicotinamide adenine dinucleotide phosphate (NADPH), which is important for maintaining the level of GSH, protected dopaminergic (DA) neurons from neurotoxicity of MPTP/MPP+. In the present study, NADPH prevented DA neurons from MPTP toxicity with increased GSH and decreased reactive oxygen species (ROS) levels in the ventral midbrain of mice, and improved motor activity. Our present results demonstrated that NADPH inhibited the phosphorylation of p38MAPK, decreased the level of TP53 protein, and inhibited TP53 nuclear translocation in DA neurons of SNpc and in MES23.5 cells. Furthermore, NADPH decreased the protein level of TP53 target gene, Bax, cleavage of PARP, and nuclei condensation. Taken together, NADPH abrogated MPTP-induced p38MAPK phosphorylation, TP53 nuclear translocation, and Bax induction, and finally, MPTP/MPP+-induced apoptosis of DA neurons. This study suggests that NADPH may be a novel therapeutic candidate for PD.
Parkinson’s disease (PD) is recognized as the second most common neurodegenerative disorder , in which progressive loss of midbrain dopaminergic (DA) neurons gives rise to characteristic motor disturbances . Although the etiology of PD remains elusive, the pathogenesis is believed to be associated with glutathione (GSH) depletion-induced oxidative stress , mitochondrial dysfunction , activation of the apoptotic cascade , and so on.
It has been reported that there is a drastic depletion in GSH within the substantia nigra pars compacta (SNpc) of PD patients . Moreover, research in the recent years has indicated that GSH depletion in DA neurons is one of the main pathogenic mechanisms of PD, as it makes DA neurons more vulnerable to oxidative injury . The decrease in GSH level in postmortem brains of PD patients supports the presence of oxidative stress , which triggers a cascade of events leading to the death of DA neurons in PD .
Nicotinamide adenine dinucleotide phosphate (NADPH) is involved in a variety of antioxidant systems , allows the regeneration of GSH which would protect against the toxicity of reactive oxygen species (ROS) . The ratio of NADPH/NADP+ is mainly determined by the pentose phosphate pathway , NADP-isocitrate dehydrogenase  and decarboxylating malic enzyme . Pentose phosphate pathway is a main source of NADPH . However, disruption of pentose phosphate pathway in PD has also been found . Thus, it is rational to study if supplementation of exogenous NADPH could have a neuroprotective effect in PD models. Our previous study has observed the protective effects of NADPH in oxygen and glucose deprivation/reoxygenation (OGD/R)-induced elevation of ROS, reduction of GSH, and dysfunction of mitochondria in a mouse model of ischemic stroke . Therefore, we hypothesized that supplementation of NADPH might protect DA neurons from oxidative damage.
Materials and methods
Animal grouping and treatment
Adult male C57BL/6 mice, weighing 25–30 g, were purchased from Vital River (Beijing, China). All animals were used in accordance with the institutional guidelines for animal use and care, and the study protocol was approved by the ethical committee of Soochow University. Animals were randomly divided into 5 groups, 15 mice in each group. Mice were housed in cages and kept in a room maintained at a constant temperature of 22 °C, 40–70% humidity, and a 12/12 h light–dark cycle. The MPTP group was given 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP, 30 mg/kg, M0896, Sigma-Aldrich, St. Louis, MO) intraperitoneally once a day for 5 consecutive days, and the therapeutic groups were intraperitoneally injected with different doses of NADPH (Roche, L = 2.5 mg/kg, M = 5 mg/kg, H = 10 mg/kg) 2 h after MPTP injection in the first 5 days and twice a day in the next 16 days. Meanwhile, saline was injected as vehicle to the control mice.
After NAPDH treatment for 21 days, mice were anesthetized with 4% sodium pentobarbital and then perfused with ice-cooled 0.01 M phosphate-buffered saline (PBS) and 4% paraformaldehyde sequentially. Following decapitation, the brain was immersed in 4% paraformaldehyde for 6 h and then dehydrated with gradient sucrose solutions (20%, 30%) overnight. Striatum and midbrain were cut into serial sections at 40 μm with a cryostat microtome (Leica CM1950; Leica, Wetzlar, Germany). Free-floating sections were blocked with 5% horse serum containing 0.5% Triton X-100 and incubated with primary antibodies against tyrosine hydroxylase (THase, 1:2000, T1299, Sigma-Aldrich, St. Louis, MO), followed by biotin-conjugated anti-mouse secondary antibody (1:500, Vector Laboratories, Burlingame, CA). The avidin–biotin complex (ABC) method was used to detect antigen signal with ABC Elite kit (1:100, Vector Laboratories, Burlingame, CA) and 3,3′-diaminobenzidine tetrachloride (DAB, Sigma-Aldrich, St. Louis, MO) was used to visualize the final product. The number of DA neurons in the SN was estimated by counting THase-positive neurons from every four consecutive sections. The number of THase-positive neurons and THase-positive optical density of striatum were normalized to control mice.
MES23.5 cells, provided by Professor Wei-Dong Le (Baylor College of Medicine, TX), were cultured in DMEM/F12 (Gibco) with 5% fetal bovine serum (Gibco) and 1% insulin-transferrin-selenium solution (100×) (Gibco) in 5% CO2 at 37 °C. SH-SY5Y cells were cultured in DMEM/F12 (Gibco) with 10% fetal bovine serum (Gibco) in 5% CO2 at 37 °C. For experiments, MES23.5 cells were seeded in plastic flasks at an appropriate density as described correspondingly. Then, the cells were pretreated with NADPH 10 μM (ST360, Beyotime, Nantong, China) for 1 h before 1-methyl-4-phenylpyridinium (MPP+, D048, Sigma-Aldrich, St. Louis, MO) 200 μM treatment.
Cell viability assay
MES23.5 cells were seeded onto a 96-well plate at a density of 5 × 103 cells per well. After pretreated with NADPH (5, 10, and 20 μM) for 1 h, the cells were exposed to 200 μM MPP+ for 24 h. SH-SY5Y cells were seeded in a 96-well plate at a density of 104 cells per well. The cells were exposed to 1 mM MPP+ for 24 h after the pretreatment with NADPH (50, 100, and 200 μM) for 1 h. Then, the cells were incubated with thiazolyl blue tetrazolium bromide (MTT, Sigma, 5 mg/ml) at 37 °C for 4 h in dark. Finally, the cell viability was measured by reading optical density at 490 nm with a microplate reader.
Western blot analysis
After decapitation, ventral midbrain that contains the SNpc and striatum were dissected as followed in The Mouse Brain in Stereotaxic Coordinates (Academic Press, 2nd edn by George Paxinos et al.). The tissues were homogenized with the lysis buffer containing Tris-HCl (pH 7.4) 10 mM, NaCl 150 mM, 1% Triton X-100, 1% sodium dexoxycholate, 0.1% polyacrylamide gel electrophoresis (SDS), edetic acid 5 mM, 1 protease inhibitor cocktail tablet (Roche), and 1 phosphotase inhibitor cocktail tablet (Roche)/10 ml. The lysates were then centrifuged at 12,000 rpm for 15 min at 4 °C and the supernatants were used as the total cell lysates. Meanwhile, MES23.5 cells were seeded in a 6-well plate at a density of 5 × 105 cells per well. After the pretreatment with 10 μM NADPH or 1 μM SB203580 (S1863, Beyotime) for 1 h and followed exposure to MPP+ for 12 h, the cells were harvested and lysed in this lysis buffer. After centrifugation at 12,000 rpm for 15 min at 4 °C, protein concentration was determined with BCA protein assay kit (T9300A, Takara Bio, Shiga, Japan). The protein samples were separated on 8–12% SDS-PAGE and then transferred to 0.45 μm NC membranes. The membrane was incubated with 5% non-fat milk for 1 h at room temperature and then incubated with the primary antibodies against mouse anti-THase (1:5000; Sigma-Aldrich, T1299), rabbit anti-Bax (1:200; Santa Cruz, SC-526), mouse anti-TP53 (1:1000; Cell Signaling, 2524), rabbit anti-p-p38MAPK (1:1000; Cell Signaling, 4511), mouse anti-p38MAPK (1:500; Santa Cruz, SC-7972), mouse anti-extracellular signal regulated kinase (ERK1/2, 1:200; Santa Cruz, SC-3012), rabbit anti-p-ERK1/2 (1:2000; Cell Signaling, 4370), mouse anti-c-Jun N-terminal kinase JNK (1:500; Santa Cruz, SC-6254), rabbit anti-PARP (1:1000; Cell Signaling, 9532), rabbit anti-Lamin B1 (1:5000; Abcam, ab133741), mouse anti-GAPDH (1:5000; Sigma-Aldrich, SAB2100894), and mouse anti-β-actin (1:10000; Sigma-Aldrich, A5441) overnight at 4 °C. After incubation with fluorescent secondary antibodies (1:10000; LI-COR Biosciences, anti-Mouse 926–32212; anti-Rabbit 926–32213) for 2 h at room temperature, the protein was detected with Odyssey Two-Color Infrared Imaging System (LI-COR, Linclon, NE). The proteins were analyzed with ImageJ and normalized to the loading control (β-actin).
Measurement of NADPH and GSH levels
The ventral midbrain was dissected as previously mentioned. The levels of NADPH and GSH in midbrain were determined with the EnzyChrom NADP+/NADPH assay kit (BioAssay Systems, E2ND002, CA) and the GSH kit (Beyotime) following the manufacturer’s instructions.
Reactive oxygen species (ROS) assay
After incubated with primary antibody against THase and fluorescent antibody as described in immunohistochemistry section, the midbrain sections were incubated with 10 μM dihydroethidium (DHE, S0063, Beyotime) in 0.01 M PBS for 30 min in dark at room temperature. Then, the brain sections were washed in 0.01 M PBS twice and dehydrated in a series of graded ethanol. Fluorescence intensity was measured with a laser confocal microscopy after the brain sections were mounted onto microslide and cover-slipped. Meanwhile, MES23.5 cells were seeded in a 24-well plate at a density of 4 × 104 cells per well. The cells were pretreated with 10 μM NADPH or 0.5 mM N-acetyl-l-cysteine (NAC, A9165, Sigma-Aldrich, St. Louis, MO) for 1 h and then exposed to 200 μM MPP+ for 12 h. Then, the cells were incubated with 2 μM DHE for 30 min in dark at 37 °C. Finally, the fluorescence intensity was measured with a laser confocal microscopy.
Hoechst 33342 staining and counting condensed nuclei
Nuclear staining with fluorescent dyes Hoechst 33342 (Yuanye, Shanghai, China) was used to determine cell apoptosis according to a previous protocol. Briefly, MES23.5 cells were seeded in a 12-well plate at a density of 8 × 104 cells per well. The cells were pretreated with 10 μM NADPH or 1 μM SB203580 (S1863, Beyotime, Nantong, China) for 1 h and then exposed to MPP+ (200 μM) for 12 h. After the treatment, the culture medium was aspirated out and the cells were incubated with Hoechst 33342 (10 μg/ml in PBS) in the dark for 10 min at room temperature. Wash the cells twice with PBS and images were captured with a fluorescent microscopy. To count the condensed nuclei, three visual fields were randomly chosen and then the total nuclei and condensed nuclei were determined. The results were expressed as condensed nuclei/total nuclei × 100%. The trials were duplicated three times.
Separation of nuclear and cytoplasmic proteins
MES23.5 cells were seeded in dish with diameter of 10 cm. The cells were pretreated with 10 μM NADPH or 1 μM SB203580 for 1 h and followed by incubation with 200 μM MPP+. After 10 h treatment, the cells were harvested and the nuclear and cytoplasmic proteins were separated with the Nuclear and Cytoplasmic Protein Extraction Kit (Beyotime) following the manufacturer’s protocols. The proteins were detected with western blot analysis.
Open field test
Mice were placed in an open field box (50 × 40 cm) for 5 min without disturbance. The activity of mice was observed and recorded with an instrument (XR-VD1; Xinruan, Shanghai, China).
Mice were placed on an accelerating rotarod cylinder (Ugo basile, Comerio, Italy) for 1 min for training, and the time taken to stay on the rotarod before falling down was measured. Then, the speed of rotation was gradually increased from 4 to 40 rpm within 5 min. The time taken to fall (in seconds, three trials) from the rotarod was recorded.
Beam walk test
A wooden beam, 95 cm long and 35 mm wide, was elevated 57 cm above the floor. The mice were placed on one end of the beam and trained to walk toward the other end. To quantify motor deficits, the time to cross the beam was recorded. The data are presented as the mean of three trials per mice.
Data were presented as mean ± SEM and were evaluated with one-way ANOVA with Student–Newmane–Keuls post hoc test for comparisons of more than two means. Statistical significance was set at P<0.05. All statistical analysis was undertaken using Graghpad 5.
NAPDH reduced the MPTP-induced degeneration of DA neurons
The MPTP-induced PD model has been extensively used for recapitulation of several cardinal features of PD, such as DA neuronal loss in the SNpc and depletion of dopamine level in the striatum . THase is a key enzyme in dopamine production and marker of DA neurons . To determine if NADPH protected DA neurons from MPTP neurotoxicity, western blot was used to assess the levels of THase protein in SNpc and striatum of mice. As shown in Fig. 1a, b, MPTP administration significantly decreased the levels of THase protein in both SNpc and striatum compared with control group, whereas NADPH treatment significantly reduced the decrease in a dose-dependent manner. Similar protective effects of NADPH on THase were observed with the immunohistochemical staining. The number of THase-positive neurons in SNpc and intensity of THase-positive fibers in the striatum significantly decreased after MPTP exposure compared with control group, whereas NADPH treatment significantly reduced THase loss in a dose-dependent manner in both SNpc and striatum (Fig. 1c–f).
MES23.5 cells, a dopaminergic cell line that is hybridized from rat mesencephalic neurons with neuroblastoma–glioma N18TG2 cells , were chose to produce PD model in vitro. As shown in Fig. 2a, MPP+ decreased the cell viability of MES23.5 in a concentration-dependent manner. Treatment of MES23.5 cells with MPP+ at 200 μM for 24 h caused a decrease of about 60% of cell viability, thus this treatment condition was applied in following experiments. As shown in Fig. 2b, pretreatment of NADPH, at the concentration range 5–20 μM (L = 5 μM, M = 10 μM, H = 20 μM), restored the cell viability in a concentration-dependent manner in the presence of 200 μM MPP+. In another study with SH-SY5Y cells, we found that the cell viability was approximate 50% of the control when the cells were exposed to 1 mM MPP+. And on this condition, NADPH also significantly reduced MPP+ toxicity, although required higher concentration of NADPH (Fig. 2c).
NADPH treatment reduced MPTP-induced behavioral impairments
Behavioral deficits, particularly in terms of motor activity, are widely used to investigate the relationship between DA neurons degeneration and recovery processes in MPTP-induced model of PD . To explore the effects of NADPH on behavioral impairments induced by MPTP, open field test, rotarod test, and beam walk test were carried out. As shown in Fig. 3a, b, in open field test, the total distance the mice moved in 5 min and the frequency of line crossing significantly decreased in MPTP group compared with the control group. While NADPH treatment significantly increased both the indexes compared with MPTP mice at all doses. In rotarod test, the time the mice stayed on the rotarod was significantly decreased after MPTP administration, while NADPH treatment significantly prolonged the time (Fig. 3c).
In beam walk test, the time the MPTP mice walked through the beam was significantly increased compared with the control group and NADPH treatment significantly reduced the time in a dose-dependent manner (Fig. 3d).
Obviously, NADPH treatment reduced MPTP-induced behavioral impairments. Combined with the morphology results above, it indicates that NADPH ameliorated MPTP-induced dopaminergic neurodegeneration.
NADPH increased the level of GSH and reduced the production of ROS
There is evidence that the level of GSH decreases in ventral mesencephalon of PD patients . MPTP administration significantly decreased the level of GSH in ventral mesencephalon of mice compared with the control group, while NADPH treatment significantly recovered GSH levels (Fig. 4a, b). The production of ROS in ventral mesencephalon of MPTP-treated mice was robustly increased, while NADPH treatment significantly reduced it (Fig. 4c).
DHE staining of MES23.5 indicated that MPP+ increased ROS production, while the increase was inhibited by the treatment of exogenous NADPH (Fig. 4d). Similarly, addition of N-acetyl-l-cysteine (NAC), an accepted antioxidant which has the effect on scavenging free radicals , which is also used in the clinical studies for PD patients , decreased MPTP-induced ROS production as well.
NADPH inhibited the MPTP-induced phosphorylation of p38MAPK
Several studies revealed that MPTP caused cell-specific activation of phosphorylation cascade of mitogen-activated protein kinase (MAPK) . As shown in Fig. 5c, there was a significant increase in p38MAPK phosphorylation in SNpc of MPTP mice compared with the control group, while the level of p-p38 protein was significantly decreased in NADPH-treated mice compared with MPTP mice. However, there was almost no difference in phosphorylated ERK or JNK in ventral midbrain of each group (Fig. 5a, b).
Moreover, in our earlier experiments, we examined the level of p-p38 protein in MES23.5 cells at different time points after treatment with 200 μM MPP+, and found that the first peak of p-p38 appeared 30 min post the treatment. When examined at this time point, NADPH significantly inhibited MPP+-induced increase in level of p-p38 protein. Similarly, another antioxidant NAC also exerted inhibitory effects on MPP+-induced upregulation of p-p38, suggesting that ROS played a role in phosphorylation of p38MAPK and NADPH may inhibit the activation of p38MAPK through reducing ROS (Fig. 5d).
NADPH inhibited MPTP-induced TP53 nuclear translocation and apoptosis
Considering apoptosis plays an important role in MPTP-induced damage of DA neurons , the effect of NADPH on apoptosis-related proteins was investigated. TP53 is a cellular stress sensor, which triggers apoptosis under various stress . Previous reports found that selective p38MAPK activation resulted in phosphorylation and nuclear translocation of TP53 in MPTP-treated mice . As shown in Fig. 6a, in the MPTP-treated group, the level of TP53 was increased compared with control group. However, the treatment of NADPH significantly attenuated the MPTP-induced increase in TP53 levels. Meanwhile, MPTP induced TP53 nuclear translocation in DA neurons of SNpc, while NADPH treatment prevented MPTP-induced TP53 nuclear translocation (Fig. 6b).
Previous studies reported that MPTP-induced phosphorylation and nuclear translocation of TP53 following p38MAPK activation in the ventral midbrain of MPTP-treated mice . In our earlier experiments in MES23.5 cells, we found that the level of nuclear TP53 protein increased significantly at 12 h of time point. After separation of the nuclear and cytoplasmic proteins at this point, as shown in Fig. 6c, western blot assay showed that both NADPH and SB203580 inhibited MPP+-induced TP53 nuclear translocation, demonstrating that NADPH inhibited MPP+-induced nuclear translocation of TP53 though p38MAPK pathway.
The level of Bax, a downstream regulator of TP53 in triggering cell apoptosis, was detected with western blotting. MPTP induced a remarkable elevation in the level of Bax protein. The treatment with NADPH blunted the increase in Bax (Fig. 7a). To test if the increase in Bax was dependent on p38MAPK, the effect of SB203580 was determined. The level of Bax protein in MES23.5 cells was detected at 12 h of time point, when we found a significant increase in Bax protein level in our earlier experiments. The results showed that MPP+-induced increase in the level of Bax was remarkably downregulated by both NADPH and SB203580, indicating that NADPH decreased the expression of Bax through p38MAPK (Fig. 7b).
Bax provokes apoptosis via activation of intrinsic caspase-dependent pathways in mitochondria, and the active caspase 3 induces subsequent cleavage of PARP to execute the apoptotic process, leading to phosphatidylserine translocation . Our results showed that when MES23.5 cells were exposed to MPP+, the level of cleaved PARP was significantly elevated and both NADPH and SB203580 retarded the increase (Fig. 7c). To confirm if NADPH protects DA neurons from MPP+-induced apoptosis, we stained MES23.5 cells with Hoechst 33342 and examined nuclear condensation as an index of apoptosis. As shown in Fig. 7d, e, exposure of MES23.5 cells to MPP+ for 12 h caused robust nuclear condensation, pretreatment with SB203580, or NADPH significantly attenuated MPP+-induced condensation of nuclei, indicating that NADPH exerted its anti-apoptotic effects by inhibiting the activation of p38MAPK.
In our previous studies, we reported that NADPH has potent neuroprotective effects against ischemic neuronal injury [30,31]. The present study found that NADPH inhibited MPTP/MPP+-induced damage of dopaminergic neurons. Pretreatment with NADPH significantly reduced the loss of dopaminergic neurons in MPTP-induced mice PD model. The recovery of THase immunoactivity in substantial nigra and striatum appeared not as effective as that of the protein levels detected with western blot analysis. These could be caused by different detection methods. In our previous study, we reported that NADPH reduced H2O2 toxicity in cultured primary neurons through reducing ROS . In this study, we also observed potent neuroprotective effects of NADPH in cultured dopaminergic MES23.5 cells and SH-SY5Y cells. NADPH ameliorated MPTP/MPP+ cytotoxicity through reducing ROS, p38MAPK phosphorylation, and TP53 activation. The present study suggests that NADPH may be a candidate of therapeutic drug for PD.
NADPH, the pivotal coenzyme involved in GSH antioxidant systems , can convert oxidized glutathione (GSSG) into GSH to promote GSH regeneration . GSH, the main source of mercapto in a wide majority of living cells, plays a vital role in maintaining redox state of proper protein thiol . In our present study, NADPH reduced the ROS levels in DA neurons of MPTP-treated mice and MES23.5 cells, which were exposed to MPP+.
MAPK, a family of serine/threonine kinase, including ERK1/2, JNK, and p38MAPK, represents important signal transduction machinery and regulates cell signaling in response to various stressors . Previous studies have demonstrated that a variety of physical and chemical stresses, such as hypoxia/ischemia and oxidative stress, could activate the MAPK pathway . It has been reported that accumulated ROS can activate ERKs, JNKs, or p38MAPKs . Although the exact mechanism by which the ROS activate these kinases is still unclear, a plausible mechanism may result from oxidative modifications and resultant activations of the signaling effector proteins and inactivation and degradation of MAPK phosphatases . Nevertheless, a growing body of evidence from experiments in vivo and in vitro suggests that neurotoxins induce selective phosphorylation of p38MAPK within the DA neurons [28,40]. Early animal experiments have proved that inhibitors of p38MAPK increase the survival of DA neurons . Other studies have also shown that p38MAPK inhibitors protect cells against the neurotoxicity that induce PD, such as rotenone, 6-OHDA, and MPTP [40,41,42]. Our present study demonstrated that MPTP significantly increased the phosphorylation of p38MAPK in DA neurons. However, the increase was attenuated by the treatment of NADPH both in vivo and in vitro. Meanwhile, NAC, an effective antioxidant that helps to increase GSH synthesis and directly scavenges ROS , had the similar effects to NADPH in vitro. Based on our previous study and the present data, we think NADPH inhibited p38 phosphorylation through reducing ROS. But exact mechanisms of action of NADPH require more detailed investigation.
p38MAPK pathway has been shown to be involved in apoptosis . In previous study, 6-OHDA induces apoptosis through p38MAPK-dependent, TP53-independent activation of Bax in the rat model of PD . P38MAPK promotes cell apoptosis by activation of TP53. TP53 induces the activation of mitochondrial apoptotic pathways, which including transcription of Bax, and activation of caspases [40,42]. Previous studies reported that MPTP-induced phosphorylation and the nuclear translocation of TP53 following p38MAPK activation in the ventral midbrain of MPTP-treated mice . Consistently with these results, we demonstrated that p38MAPK is activated by MPTP and its activation caused upregulation of Bax in SNpc of MPTP-treated mice and MPP+-treated MES23.5 cells, which might result in apoptosis. Our data showed that both NADPH and SB203580 significantly inhibited the nuclear translocation of TP53, reduced the levels of Bax, and cleaved PARP in MES23.5 cells. Furthermore, both NADPH and SB203580 significantly reduced MPP+-induced nuclear condensation, an index of apoptosis. These results suggest that NADPH suppresses apoptosis through inhibiting the activation of p38MAPK.
However, TP53 can upregulate a variety of apoptotic factors in addition to Bax . It was reported that MPTP/MPP+ increased the expression of pro-apoptotic protein PUMA in PC12 cells , and Fas in the mice brain tissues . There is evidence that MPTP induces the increase of Smac . Moreover, upregulated BAX may link mitochondria with apoptosis via caspase 3-independent pathway .
The cause of PD and the mechanism of neuronal death in PD are not fully understood. Many potential mechanisms have been implicated in pathogenesis of PD [51,52,53,54,55]. In MPTP-induced PD models, multiple mechanisms are involved in neuronal death, including oxidative stress , the mitochondrial apoptotic cascade , excitotoxicity , inflammation , abnormal protein interactions in the ubiquitin-proteasome system (UPS) , and so on . Thus, it should be pointed out that neuroprotection exerted by NADPH may involve other signaling pathways in addition to p53-mediated cell death pathway. Further study is warranted to detail neuroprotective mechanisms of NADPH.
It should also be noted that the MPTP-induced PD model reflects an acute cell death progress, which likely is very different from the slow degeneration process of dopaminergic and other neurons in PD patients that happen over years. Currently, no PD models can fully recapitulate the phenotypes and pathology observed in PD patients, such as progressive deterioration of behaviors and pathology with age, or fluctuations in motor functions. Altghough preclinical studies of antioxidant therapy for PD have shown promising results [62,63,64], the clinical trials have so far generated limited clinical efficacy, and clinical effective antioxidants are yet to be found . As an efficient antioxidant, the clinical effect of NADPH on PD remains to be tested.
In summary, we explored the neuroprotective effects of NADPH in MPP+-treated cellular and MPTP-induced mice models of PD, in vivo and vitro MPTP models. Our results demonstrated that NADPH rescued DA neurons, maintained GSH level, and suppressed ROS. NADPH inhibited the nuclear translocation of TP53, upregulation of Bax, and apoptosis of DA neurons through preventing excessive ROS-mediated p38MAPK phosphorylation (Fig. 8).
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This study was supported by funds from the National Key Basic Science Research Project (973 Project, 2011CB510003); the Natural Science Foundation of China (No.31300893).
The authors declare no competing financial interests.
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Zhou, Js., Zhu, Z., Wu, F. et al. NADPH ameliorates MPTP-induced dopaminergic neurodegeneration through inhibiting p38MAPK activation. Acta Pharmacol Sin 40, 180–191 (2019). https://doi.org/10.1038/s41401-018-0003-0
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