The therapeutic benefits of L-3,4-dihydroxyphenylalanine (L-DOPA) in Parkinson disease (PD) patients diminishes with the onset of abnormal involuntary movements (L-DOPA induced dyskinesia), a debilitating motor side effect. L-DOPA induced dyskinesia are due to altered dopaminergic signaling in the striatum, a brain region that controls motor and cognitive functions.However, the molecular mechanisms that promote L-DOPA-induced dyskinesia remain unclear.Here, we have reported that RasGRP1 (also known as CalDAG-GEF-II) physiologically mediated L-DOPA induced dyskinesia in a 6-hydroxy dopamine (6-OHDA) lesioned mouse model of PD. In this study, L-DOPA treatment rapidly upregulated RasGRP1 in the striatum. Our findings showed that RasGRP1 deleted mice (RasGRP1 -/-) had drastically diminished L-DOPAinduced dyskinesia, and RasGRP1 -/mice did not interfere with the therapeutic benefits of L-DOPA. In terms of its mechanism, RasGRP1 mediates L-DOPA-induced extracellular regulated kinase (ERK), the mammalian target of rapamycin kinase (mTOR) and the cAMP/PKA pathway and binds directly with Ras-homolog-enriched in the brain (Rheb), which is a potent activator of mTOR, both in vitro and in the intact striatum. High-resolution tandem mass tag mass spectrometry analysis of striatal tissue revealed significant targets, such as phosphodiesterase (Pde1c), Pde2a, catechol-o-methyltransferase (comt), and glutamate decarboxylase 1 and 2 (Gad1 and Gad2), which are downstream regulators of RasGRP1 and are linked to L-DOPA-induced dyskinesia vulnerability. Collectively, the findings of this study demonstrated that RasGRP1 is a major regulator of L-DOPA-induced dyskinesia in the striatum. Drugs or genedepletion strategies targeting RasGRP1 may offer novel therapeutic opportunities for preventing L-DOPA-induced dyskinesia in PD patients. induced dyskinesia. RESULTS RasGRP1 promoted L-DOPA-induced dyskinesia in a mouse model of Parkinson disease. We hypothesized that RasGRP1 may be an upstream regulator of L-DOPA-induced dyskinesia due to the following reasons: a) L-DOPA treatment of mice with unilateral 6-hydroxydopamine (6-OHDA) lesions of the nigrostriatal pathway augmented striatal ERK and mTOR signaling 1-3 ; b) Rhes, a striatal-enriched protein that activates mTOR, is involved in L-DOPA-induced dyskinesia 6, 17, 18 ; and c) RasGRP1 regulated the synaptic localization of Rhes and RasGRP1, and Rhes co-expression strongly activated both ERK and mTORC1 signaling in a cell culture 16 .To test our hypothesis, we subjected WT and RasGRP1 -/-(RasGRP1 KO) mice to a wellestablished 6-OHDA lesion model of L-DOPA-induced dyskinesia as in our earlier study 6 . Fig 1A shows the timeline of the 6-OHDA lesion and L-DOPA-induced dyskinesia analysis. We observed 6-OHDA-induced PD-like symptoms in the drag test, rotarod, and turning test, which were similar between WT and RasGRP1 KO mice (Fig. 1B). The open field test did not show obvious differences (Fig. 1B). Daily treatment of unilaterally-6-OHDA lesioned mice with 5 mg/kg L-DOPA produced dyski...