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CARBON MONOXIDE AT LOW DOSES REDUCES DOPAMINE CELL LOSS AND ALPHA-SYNUCLEIN PATHOLOGY IN MODELS OF PARKINSON’S DISEASE
Abstract
Abstract Body
Aims: Exposure to low doses of carbon monoxide (CO) may underlie the reduced risk of Parkinson’s disease (PD) among smokers. Here, we set out to evaluate the neuroprotective potential of low-dose CO treatment in PD models.
Methods: In the AAV-alpha-synuclein (aSyn) model, rats underwent right nigral injection of AAV1/2- asynA53T and left injection of empty AAV, and were treated with oral CO drug product (HBI-002 10ml/kg, daily by gavage) or vehicle. HBI-002 is under development by Hillhurst Pharmaceuticals. In the short-term MPTP model (40mg/kg, i.p.), mice were treated with inhaled CO (iCO) (250ppm) or air. HPLC measurement of striatal dopamine, immunohistochemistry for nigral aSyn and tyrosine hydroxylase, stereological cell counting, and biochemical analyses were conducted blinded to treatment condition.
Results: Each HBI-002 treatment increased carboxy-hemoglobin to 6%. Administration of HBI-002 in the aSyn model reduced ipsilateral loss of both striatal dopamine and TH-positive neurons in the substantia nigra pars compacta compared to rats treated with HBI-002 vehicle. HBI-002 reduced aSyn aggregates and S129 phosphorylation. MPTP-exposed mice treated with low dose iCO had higher dopamine levels and more TH+ neurons than those treated with air. In saline-treated mice, iCO had no effect on striatal dopamine levels or TH+ cell counts. HBI-002 upregulated heme oxygenase-1 and HIF-1α.
Conclusions: These results demonstrating reduced dopamine cell death and aSyn pathology advance low dose CO as a potential neuroprotective strategy for PD.