A new age in drug development Improving treatment of neurodegenerative diseases is among the biggest challenges facing modern medicine, yet it is difficult to assess the effectiveness of therapeutic interventions. We spoke to Professor Roland Wolf and Dr Colin Henderson about their work in developing a next-generation platform to help scientists monitor the progression of neurodegenerative disease and identify effective therapies. The development of therapies to combat neurodegenerative diseases is widely recognised as a research priority, with conditions like Alzheimer’s and Parkinson’s set to place an ever-heavier burden on healthcare systems in future. Current treatments are limited in their impact however, while it is difficult to assess the effectiveness of therapeutic interventions, issues central to the work of the New Age project. “One goal of our project is to develop biomarkers that can reflect the progression of a disease at a much earlier timepoint, and give an earlier and more definitive read-out on the efficacy of any therapeutic intervention,” says Professor Roland Wolf, the project’s Principal Investigator. A core aim in the project is to evaluate how informative different stress pathways are as early biomarkers of degenerative disease. “The life and death of cells is dependent on a variety of different pathways. When cells are subject to toxic injury, leading to death, one of these pathways is invariably activated,” explains Professor Wolf. “One major mechanism of the deleterious effects which lead to cell death is through the induction of oxidative stress. That causes damage to the components of cells, leading eventually to cell death.” This is not the initial cause of neurodegenerative disease, yet oxidative stress or DNA damage are thought to play important roles in its progression. Cells are continuously subjected to a certain level of oxidative stress, but normally deleterious effects are prevented through anti-oxidant pathways; in cases of neurodegenerative disease, it is thought that these pathways are overwhelmed by pro-oxidant effects, including free radicals, causing cell death. “The anti-oxidant pathways cannot cope with the level of damage, the level of free radicals that have been generated as a consequence of the toxic effects,” explains Dr Henderson. A reliable method of monitoring levels of oxidative stress could help researchers assess the effectiveness of neurodegenerative disease therapies. “Oxidative stress or DNA damage are integral to the progression of these diseases rather than the initiation, but they go hand-in-hand,” continues 38
Thanks to Rumen Kostov & Francisco Inesta for the preparation of this image.
Professor Wolf. “The main disease models that we are studying are Hutchinson-Gilford Progeria syndrome, Alzheimer’s disease, and Parkinson’s. There’s a significant body of evidence suggesting that oxidative stress and/or DNA damage is an important driver of these diseases.”
disease they become activated,” explains Professor Wolf. The models were developed on the basis that certain genes are known to be regulated by either oxidative stress or DNA damage. “A protein called heme oxygenase 1 is constitutively only expressed at low levels in cells – but is highly inducible by oxidative
One goal of our project is to develop biomarkers that can reflect the progression of a disease at a much earlier timepoint, and give an earlier and more definitive read-out on the efficacy of any therapeutic intervention. Disease models These models are built on earlier research in which genes associated with these three specific diseases were identified. It was previously shown that aberrations, alterations, or mutations in certain pathways result in these diseases; Professor Wolf, Dr Henderson and their colleagues are working with mouse models that reflect these known susceptibilities. “We’ve crossed those disease models with the reporter models of DNA damage, to evaluate whether those pathways are involved in the pathogenesis of the disease and at what time point in the etiology of the
stress,” says Professor Wolf. “Another gene of interest is p21, a marker which responds to DNA damage in cells – another mechanism of cell death. This gene is again only expressed at low levels in many tissues, but it’s highly inducible by DNA damage.” Researchers have introduced a reporter enzyme into either heme oxygenase 1 or p21, from which more can be learned about levels of oxidative stress. When the gene is activated, for example using a compound like paracetamol which is known to cause oxidative stress, a reporter enzyme is produced that allows scientists to monitor
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