L-dopa-induced dyskinesia (LID) is a common debilitating complication of dopamine replacement therapy in Parkinson's disease. Recent evidence suggests that LID may be linked causally to a hyperactivation of the Ras-ERK signaling cascade in the basal ganglia. We set out to determine whether specific targeting of Ras-guanine nucleotide-releasing factor 1 (Ras-GRF1), a brain-specific activator of the Ras-ERK pathway, may provide a therapy for LID. On the rodent abnormal involuntary movements scale, Ras-GRF1-deficient mice were significantly resistant to the development of dyskinesia during chronic L-dopa treatment. Furthermore, in a nonhuman primate model of LID, lentiviral vectors expressing dominant negative forms of Ras-GRF1 caused a dramatic reversion of dyskinesia severity leaving intact the therapeutic effect of Ldopa. These data reveal the central role of Ras-GRF1 in governing striatal adaptations to dopamine replacement therapy and validate a viable treatment for LID based on intracellular signaling modulation. P arkinson's disease (PD) is a neurodegenerative disorder characterized by a loss of dopaminergic neurons in the substantia nigra pars compacta (SNc) causing dopamine depletion in the striatum, the main input nucleus of the basal ganglia. Dopamine replacement therapy with L-dopa remains the most effective treatment for PD, but its use is associated with motor fluctuations and abnormal involuntary movements (AIMs), termed "L-dopa-induced dyskinesia" (LID), which are doselimiting and potentially disabling (1-3).A key objective for the future treatment of PD is to avoid dyskinesia altogether, but doing so will require an understanding of the molecular mechanisms that are involved. LID is attributed to a sequence of events, largely occurring in the striatum, that include pulsatile stimulation of dopamine D1 receptors, downstream changes in proteins and genes, dendritic alterations, and functional abnormalities in nondopaminergic transmitter systems, all of which concur to modify neuronal firing patterns in the basal ganglia-thalamocortical networks (1-4). Once symptoms have appeared, LID can be triggered easily by a single dose of L-dopa even after several weeks of treatment washout (4). Regulation of striatal gene expression is the likely mechanism underlying neuronal plasticity in LID. The ERK signaling cascade is a key regulator of striatal plasticity and an interesting candidate for drug targeting (5-8). Stimulation of dopamine and glutamate receptors on striatal neurons can switch on the small GTPases of the Ras family, which in turn activate the Raf/Mek/ Erk protein kinase cascade (5-8). Sustained activation of these biochemical pathways leads to synaptic rearrangements requiring de novo gene expression and protein synthesis. Importantly, in neurotoxic models of PD, such as the unilaterally 6-hydroxydopamine (6-OHDA)-lesioned rodent and the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-treated nonhuman primate (NHP), a supersensitivity of striatal D1 receptors leads to ERK hyperactivation in ...

Highlights d Loss of SETD5 impairs brain development and neuronal functions d Setd5 mutant mice exhibit cognitive and sociobehavioral deficits d SETD5 loss leads to an unfavorable chromatin state for RNA elongation and splicing d SETD5 has intrinsic histone methyltransferase activity for H3K36

The lack of technology for direct global-scale targeting of the adult mouse nervous system has hindered research on brain processing and dysfunctions. Currently, gene transfer is normally achieved by intraparenchymal viral injections, but these injections target a restricted brain area. Herein, we demonstrated that intravenous delivery of adeno-associated virus (AAV)-PHP.B viral particles permeated and diffused throughout the neural parenchyma, targeting both the central and the peripheral nervous system in a global pattern. We then established multiple procedures of viral transduction to control gene expression or inactivate gene function exclusively in the adult nervous system and assessed the underlying behavioral effects. Building on these results, we established an effective gene therapy strategy to counteract the widespread accumulation of α-synuclein deposits throughout the forebrain in a mouse model of synucleinopathy. Transduction of A53T-SCNA transgenic mice with AAV-PHP.B-GBA1 restored physiological levels of the enzyme, reduced α-synuclein pathology, and produced significant behavioral recovery. Finally, we provided evidence that AAV-PHP.B brain penetration does not lead to evident dysfunctions in blood-brain barrier integrity or permeability. Altogether, the AAV-PHP.B viral platform enables non-invasive, widespread, and long-lasting global neural expression of therapeutic genes, such as GBA1, providing an invaluable approach to treat neurodegenerative diseases with diffuse brain pathology such as synucleinopathies.

Ras-ERK signalling in the brain plays a central role in drug addiction. However, to date, no clinically relevant inhibitor of this cascade has been tested in experimental models of addiction, a necessary step toward clinical trials. We designed two new cell-penetrating peptides - RB1 and RB3 - that penetrate the brain and, in the micromolar range, inhibit phosphorylation of ERK, histone H3 and S6 ribosomal protein in striatal slices. Furthermore, a screening of small therapeutics currently in clinical trials for cancer therapy revealed PD325901 as a brain-penetrating drug that blocks ERK signalling in the nanomolar range. All three compounds have an inhibitory effect on cocaine-induced ERK activation and reward in mice. In particular, PD325901 persistently blocks cocaine-induced place preference and accelerates extinction following cocaine self-administration. Thus, clinically relevant, systemically administered drugs that attenuate Ras-ERK signalling in the brain may be valuable tools for the treatment of cocaine addiction.DOI: http://dx.doi.org/10.7554/eLife.17111.001