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HAND Adjunctive Therapies: Reversing Neuronal Injury

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This entry focuses on the therapeutic potential of small molecule inhibitors of two kinases, leucine-rich repeat kinase 2 (LRRK2) and mixed-lineage kinase 3 (MLK3), for the treatment of HIV-1-associated neurocognitive disorders (HAND). In particular, this entry is focused on these small molecule inhibitors as a way of restoring normal synaptic architecture, the key substrate that is damaged by the neuroinflammatory milieu of HAND.

From a signaling perspective, MLK3 is a canonical MAP kinase kinase kinase (MAPKKK) that controls the phosphorylation state of the MAPKs JNK and possibly p38 (Gallo and Johnson 2002). While only relatively recently implicated in the neuropathogenesis of Parkinson’s disease (PD), LRRK2 activation has also been strongly associated with neurodegeneration and neuroinflammation (Kim et al. 2012; Moehle et al. 2012), and studies of its mechanism of action demonstrate that it may also contribute to the phosphorylation of p38 and JNK (Hsu et al. 2010)....

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References

  • Barnat M, Enslen H, Propst F, Davis RJ, Soares S, Nothias F. Distinct roles of c-Jun N-terminal kinase isoforms in neurite initiation and elongation during axonal regeneration. J Neurosci. 2010;30:7804–16.

    Google Scholar 

  • Borsello T, Forloni G. JNK signalling: a possible target to prevent neurodegeneration. Curr Pharm Des. 2007;13:1875–86.

    Article  CAS  PubMed  Google Scholar 

  • Dash PK, Gendelman HE, Roy U, Balkundi S, Alnouti Y, Mosley RL, Gelbard HA, McMillan J, Gorantla S, Poluektova LY. Long-acting nanoformulated antiretroviral therapy elicits potent antiretroviral and neuroprotective responses in HIV-1-infected humanized mice. Aids. 2012;26:2135–44.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Dhanasekaran DN, Reddy EP. JNK signaling in apoptosis. Oncogene. 2008;27:6245–51.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Ellis RJ, Letendre S, Vaida F, Haubrich R, Heaton RK, Sacktor N, Clifford DB, Best BM, May S, Umlauf A, Cherner M, Sanders C, Ballard C, Simpson DM, Jay C, McCutchan JA. Randomized trial of central nervous system-targeted antiretrovirals for HIV-associated neurocognitive disorder. Clin Infect Dis. 2014;58(7):1015–22.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Gallo KA, Johnson GL. Mixed-lineage kinase control of JNK and p38 MAPK pathways. Nat Rev Mol Cell Biol. 2002;3:663–72.

    Article  CAS  PubMed  Google Scholar 

  • Goodfellow V, Loweth C, Ravula S, Wiemann T, Nguyen T, Xu Y, Todd D, Sheppard D, Pollack S, Polesskaya O, Marker D, Dewhurst S, and Gelbard HA. Discovery, synthesis and characterization of an orally bioavailable, brain penetrant inhibitor of mixed lineage kinase 3. J Med Chem. 2013;56(20):8032–48.

    Google Scholar 

  • Hsu CH, Chan D, Wolozin B. LRRK2 and the stress response: interaction with MKKs and JNK-interacting proteins. Neuro-degenerative diseases. 2010;7:68–75.

    Google Scholar 

  • Kim B, Yang MS, Choi D, Kim JH, Kim HS, Seol W, Choi S, Jou I, Kim EY, Joe EH. Impaired inflammatory responses in murine Lrrk2-knockdown brain microglia. PLoS One. 2012;7:e34693.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Liu Y, Gray NS. Rational design of inhibitors that bind to inactive kinase conformations. Nat Chem Biol. 2006;2:358–64.

    Article  CAS  PubMed  Google Scholar 

  • Lu SM, Tremblay MÈ, King IL, Qi J, Reynolds HM, Marker DF, Varrone JJ, Majewska AK, Dewhurst S, Gelbard HA. HIV-1 Tat-induced microgliosis and synaptic damage via interactions between peripheral and central myeloid cells. PLoS One. 2011;6(9):e23915.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Marker DF, Puccini JM, Mockus TE, Barbieri J, Lu SM, Gelbard HA. LRRK2 kinase inhibition prevents pathological microglial phagocytosis in response to HIV-1 Tat protein. J Neuroinflammation. 2012;9(1):261.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Marker DF, Tremblay M-È, Puccini JM, Barbieri J, Gantz Marker MA, Loweth CJ, Muly EC, Lu S-M, Goodfellow VS, Dewhurst S, Gelbard HA. The new small molecule mixed lineage kinase 3 inhibitor URMC-099 is neuroprotective and anti-inflammatory in models of HIV associated neurocognitive disorders. J Neurosci. 2013;33(24):9998–10010.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Moehle MS, Webber PJ, Tse T, Sukar N, Standaert DG, DeSilva TM, Cowell RM, West AB. LRRK2 inhibition attenuates microglial inflammatory responses. J Neurosci. 2012;32:1602–11.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Parkinson Study Group PRECEPT Investigators. Mixed lineage kinase inhibitor CEP-1347 fails to delay disability in early Parkinson's disease. Neurology. 2007;69(15):1480–90.

    Article  Google Scholar 

  • Zimprich A, Biskup S, Leitner P, Lichtner P, Farrer M, Lincoln S, Kachergus J, Hulihan M, Uitti RJ, Calne DB, Stoessl AJ, Pfeiffer RF, Patenge N, Carbajal IC, Vieregge P, Asmus F, Muller-Myhsok B, Dickson DW, Meitinger T, Strom TM, Wszolek ZK, Gasser T. Mutations in LRRK2 cause autosomal-dominant parkinsonism with pleomorphic pathology. Neuron. 2004;44:601–7.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Harris A. Gelbard .

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© 2015 Springer Science+Business Media New York

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Marker, D.F., Fitzgerald, T., Gelbard, H.A. (2015). HAND Adjunctive Therapies: Reversing Neuronal Injury. In: Hope, T., Stevenson, M., Richman, D. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9610-6_217-1

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  • DOI: https://doi.org/10.1007/978-1-4614-9610-6_217-1

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