UNMC, Moderna study explores Parkinson's therapy

by John Keenan, UNMC strategic communications | May 11, 2021

Image with caption: From left, UNMC researchers R. Lee Mosley, PhD, Howard Gendelman, MD, and Katherine Olson, PhD

From left, UNMC researchers R. Lee Mosley, PhD, Howard Gendelman, MD, and Katherine Olson, PhD

Researchers at UNMC have collaborated with Moderna to provide a proof-of-concept preclinical study that could lead to the first therapeutic Parkinson's immunotherapy. The study used an mRNA-encoded cytokine to reprogram the immune system to fight Parkinson's disease and possibly other neurodegenerative disorders.

Moderna's mRNA platform was employed by Katherine Olson, PhD, R. Lee Mosley, PhD, Howard Gendelman, MD, and colleagues for use as therapy in Parkinson's disease. The paper appears in Biomaterials, the leading biomedical journal of its kind.

"The goal is to generate a potent immune response that will change an inflammatory brain environment into something that will reverse nerve cell damage in Parkinson's disease," said Dr. Olson, instructor in the UNMC Department of Pharmacology and Experimental Neurology and first author on the paper.

During the study, co-led by Moderna researchers, investigators tested a lipid nanoparticle containing messenger RNA (Gm-csf mRNA) encoding for a protein called granulocyte-macrophage colony stimulating factor (GM-CSF) that shifts the immune system from a neurotoxic into a reparative mode by inducing regulatory T-cells (Tregs). This led to protection of vulnerable neurons observed in disease affected brain.

"We've reprogrammed the immune system to protect specific brain cells against damage," Dr. Mosley said.

In Parkinson's disease, neurons in a specific region of the brain responsible for movement and some cognitive and behavioral functions are slowly damaged.

"There is debate as to how the nerve cells are killed, with theories including change in oxidative stress, the accumulation of abnormal proteins, neuroinflammation, exposures to toxic chemicals, and a genetic component," Dr. Gendelman said. "But, no matter the cause, the environment changes in the region of the brain that's afflicted. The supporting cells, called glia, can become toxic, changing the environment to an inflammatory milieu that makes these nerve cells dysfunctional and die."

Researchers at UNMC and elsewhere have demonstrated that decreasing the brain's inflammatory microenvironment through the induction of Tregs can slow and/or attenuate neuronal loss, with the hope of slowing or halting disease progression.

In the published study, the alternative drug delivery system achieved through the collaboration with Moderna led to increased Treg numbers, enhanced immune regulatory function, and potent neuroprotective activities in preclinical models of Parkinson's disease following mRNA treatments. Cytokine profiling and transcriptomic analysis by single-cell RNA sequencing was used to confirm shifts in innate and adaptive immune populations following treatment.

These findings, the researchers say, warrant additional steps toward clinical translation of immune modulating mRNA treatment and have broad therapeutic potential for a range of neurodegenerative diseases.

Kim CF
July 05, 2021 at 12:38 PM

This is incredible work being done. Will/when will future studies or clinical trials become available? And, how can someone volunteer for either?

Julio C. Ferreira
June 30, 2021 at 1:40 PM

I am 67 years old and on the day after my last birthday I was diagnosed with early stages of Parkinson’s disease. This article albeit extremely technical gives us sufferers hope for a possible treatment. Thanks.

Christina Vandoren
May 18, 2021 at 9:11 PM

The prospect of this is immensely exciting. I am 45 years old and I have early stage Parkinson's. I pray for this therapy to become a reality for the sake of my whole family.

Tom O’Connor
May 11, 2021 at 7:51 PM

Awesome work. Congrats to all!

Dhruvkumar Soni
May 11, 2021 at 3:44 PM

Heartly congratulations, Dr. Gendelman and the team.

CB Gurumurthy
May 11, 2021 at 2:46 PM

Very nice work indeed. Congratulations to all and best is yet to come from this collaboration.

Bhavesh Kevadiya
May 11, 2021 at 12:07 PM

Congratulations, Well done !!

Benson Edagwa
May 11, 2021 at 10:55 AM

Congratulations to you ALL!

Jerrie Dayton
May 11, 2021 at 10:40 AM

Wow this is exciting progress. I hope the work continues and Parkinson's sufferers can be helped.

Huangui Xiong
May 11, 2021 at 10:21 AM

Great work! Congratulations to the team led by Dr. Gendelman!