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RESEARCH PAPER

TTP protects against 6-OHDA-induced dopaminergic neurodegeneration via astrocytic Nrf2/HO-1 activation in cellular and rat models of Parkinson's disease.

PMID
42207326
Journal
Metabolic brain disease
Publication Date
2026-05-28
Grade
U

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Abstract

Parkinson's disease (PD) is characterized by progressive dopaminergic neuronal loss driven by oxidative stress, mitochondrial dysfunction, and apoptosis. Adenosine A2A receptor (A2AR) antagonism is clinically validated for symptomatic relief; however, its potential disease-modifying mechanisms remain incompletely defined. We hypothesized that TTP, a novel and highly selective A2AR antagonist, would confer neuroprotection against 6-hydroxydopamine (6-OHDA)-induced toxicity by modulating oxidative stress and activating astrocytic Nrf2/HO-1 antioxidant signaling. In primary midbrain dopaminergic neurons, TTP significantly restored cell viability, reduced ROS accumulation, preserved mitochondrial membrane potential, and attenuated caspase-3 mediated apoptosis following 6-OHDA exposure. TTP also reinstated tyrosine hydroxylase, DJ-1, and dopamine levels. In primary astrocytes, TTP robustly upregulated Nrf2 and its downstream targets HO-1 and NQO1. In a unilateral 6-OHDA rat model, TTP improved apomorphine-induced rotational behavior and depression-like symptoms, restored striatal dopamine and antioxidant enzyme activities, and elevated Nrf2/HO-1 signaling in vivo. These findings indicate that TTP exerts neuroprotective effects through combined antioxidant, anti-apoptotic, and glia-associated mechanisms, supporting its potential as a disease-modifying A2AR antagonist. However, the mechanistic involvement of Nrf2 was not confirmed using loss-of-function approaches, and astrocyte-neuron interactions were not directly examined. Future studies employing targeted Nrf2 inhibition, cell-type specific models, and comprehensive pharmacokinetic profiling will be essential to establish causality and translational feasibility. Collectively, this study provides strong preclinical evidence supporting TTP as a promising therapeutic candidate for modifying PD progression beyond symptomatic control.

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