Parkinson’s disease (PD) is characterized by progressive motor impairments caused by the degeneration of dopaminergic (DA) neurons of the substantia nigra pars compacta (SN). Aggregation of the protein α-synuclein is thought to play a key role in the etiology of PD and loss of SN neurons. Currently there is no cure for PD and despite great efforts a disease-modifying therapy for PD is not yet available.
Neurotrophic factors are prime candidates for the development of disease-modifying therapies based on their properties to restore and maintain the functional integrity of neurons that are dysfunctional but not lost. Clinical trials, mostly using a gene therapy approach, demonstrated that these proteins are generally safe, however, they have not been able to meet their primary endpoint. Converging evidence suggests that this lack of efficacy is associated with the inability of the so far tested neurotrophic factors to protect SN neurons against α-synuclein-induced neurotoxicity.
Previously, we found that bone morphogenetic proteins 5/7 (BMP5/7) promotes neurogenesis of DA neurons in vivo and in human induced pluripotent and neural stem cells. Now, we report that in a viral α-synuclein overexpression PD mouse model, BMP5/7 delivered by lentiviral vectors prevent α-synuclein induced loss of DA neurons, projections, motor symptoms and associated gliosis. Moreover, we demonstrate that BMP5/7 treatment significantly reduce α-synuclein accumulation.
Taken together, BMP5/7, delivered by a gene therapy approach, are new promising potential therapeutics for Parkinson’s disease that could change the trajectory of the disorder (Vitic et al., 2020, Brain).