Characterizing the mode of action of super long-acting beta2-adrenergic receptor agonists: A more effective therapeutic for Parkinson's disease.

  • Author / Creator
    Arbabzada, Naik Bakht
  • Parkinson’s disease (PD) is a neurodegenerative disorder characterized by a loss of dopaminergic neurons in the Substantia nigra (SN) resulting in hypokinetic motor movements. The long-acting beta2-adrenergic receptor (β2-AR) agonist salmeterol has been shown to be neuroprotective in animal models of PD. Salmeterol was found to work by inhibiting the inflammatory response of microglial cells (Qian et al., 2011), a key cell in the pathogenesis of PD. Recently, super long-acting β2-AR agonists vilanterol and indacaterol have been described; the objective of this study was to examine the effects of these super long-acting agonists on the inflammatory response of the microglial cell line BV-2, and compare their mode of action to that of the long-acting agonist salmeterol. We report that the super long-acting agonists were more effective in inhibiting TNF-alpha then the long-acting agonists, and that all three agonists enhanced IL-10 cytokine release from stimulated BV-2 cells. Furthermore, like salmeterol, indacaterol and vilanterol also exerted their inhibitory effect on TNF-α through the inhibition of NF-kappaB in a TAK-1 and beta-arrestin2-dependent but PKA-independent manner. In contrast, the IL-10 effect was NF-kappaB, TAK1, and PKA-dependent but beta-arrestin2-independent. Furthermore, inhibition of all three MAPKs (ERK1/2, JNK, and p38) consistently synergized with the long-acting agonist salmeterol to further inhibit TNF-alpha but not with the super long-acting agonists. As well, JNK activity is needed to reverse IL-10 enhancement by all three 2-AR agonists. Combined, our data suggests that beta2-AR agonists mediate an anti-inflammatory conversion in the cytokine phenotype of activated microglial cells. These findings provide insight into how β2-AR agonists’ work to reverse the Central Nervous System (CNS) inflammation that occurs in PD. Characterization and validation of the reported data in in vivo models of PD will assist in selecting the more effective beta2-AR agonist as an adjunct therapy for PD.

  • Subjects / Keywords
  • Graduation date
    Fall 2016
  • Type of Item
  • Degree
    Master of Science
  • DOI
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.