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[Preprint]. 2024 Jun 25:2024.06.25.24309481. [Version 1] doi: 10.1101/2024.06.25.24309481

Targeting myeloperoxidase to reduce neuroinflammation in X-linked dystonia parkinsonism

Tiziana Petrozziello, Negin J Motlagh, Ranee ZB Monsanto, Dan Lei, Micaela G Murcar, Ellen B Penney, D Cristopher Bragg, Cara Fernandez-Cerado, G Paul Legarda, Michelle Sy, Edwin Muñoz, Mark C Ang, Cid Czarina E Diesta, Can Zhang, Rudolph E Tanzi, Irfan A Qureshi, John W Chen, Ghazaleh Sadri-Vakili
PMCID: PMC11230314  PMID: 38978657

Abstract

Although the genetic locus of X-linked dystonia parkinsonism (XDP), a neurodegenerative disease endemic in the Philippines, is well-characterized, the exact molecular mechanisms leading to neuronal loss are not yet fully understood. Recently, we demonstrated a significant increase in astrogliosis and microgliosis together with an increase in myeloperoxidase (MPO) levels in XDP post-mortem prefrontal cortex (PFC), suggesting a role for neuroinflammation in XDP pathogenesis. Here, we demonstrated a significant increase in MPO activity in XDP PFC using a novel specific MPO-activatable fluorescent agent (MAFA). Additionally, we demonstrated a significant increase in reactive oxygen species (ROS) in XDP-derived fibroblasts as well as in SH-SY5Y cells treated with post-mortem XDP PFC, further supporting a role for MPO in XDP. To determine whether increases in MPO activity were linked to increases in ROS, MPO content was immuno-depleted from XDP PFC [MPO(-)], which resulted in a significant decrease in ROS in SH-SY5Y cells. Consistently, the treatment with verdiperstat, a potent and selective MPO inhibitor, significantly decreased ROS in both XDP-derived fibroblasts and XDP PFC-treated SH-SY5Y cells. Collectively, our results suggest that MPO inhibition mitigates oxidative stress and may provide a novel therapeutic strategy for XDP treatment.

Highlights

  • MPO activity is increased in XDP post-mortem prefrontal cortex.

  • MPO activity is increased in cellular models of XDP.

  • MPO increases reactive oxygen species (ROS) in vitro.

  • Inhibiting MPO mitigates ROS in XDP.

  • The MPO inhibitor, verdiperstat, dampens ROS suggesting a potential therapeutic strategy for XDP.

Full Text Availability

The license terms selected by the author(s) for this preprint version do not permit archiving in PMC. The full text is available from the preprint server.


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