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Advancing Parkinson's Prevention: Brain-Specific Lipopolyplex Delivery of the GDNF as a Neuroprotective Gene Therapy.

Advancing Parkinson's Prevention: Brain-Specific Lipopolyplex Delivery of the GDNF as a Neuroprotective Gene Therapy.

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CN · Author affiliation · country only

Ministry of Education, Frontiers Science Center for Precision Oncology, Faculty of Health Sciences, University of Macau, Macau, SAR 999078, China.
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Shenzhen, CN · Author affiliation

Research Center for Primate Neuromodulation and Neuroimaging, Institute of Biomedical and Health Engineering, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China.
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HK · Author affiliation · country only

Shenzhen Technological Research Center for Primate Translational Medicine, Shenzhen Key Laboratory for Molecular Biology of Neural Development, Shenzhen-Hong Kong Institute of Brain Science, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China.
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Original abstract

Parkinson's disease (PD) is characterized by progressive dopaminergic neuron loss. Although the glial cell line-derived neurotrophic factor (GDNF) offers therapeutic promise, its clinical translation is hampered by challenges related to delivery methods and the timing of intervention. Here, we developed a brain-targeted lipopolyplex (BAGLPP) for systemic GDNF gene delivery. BAGLPP incorporates an RVG29 peptide-modified lipid shell for blood-brain barrier crossing and a polyethylenimine-condensed AAV plasmid core for efficient transfection. Following intravenous administration, BAGLPP demonstrated superior brain accumulation and expression in PD-relevant regions. In a cellular PD model, BAGLPP pretreatment reduced apoptosis, oxidative stress, and pathological α-synuclein (pS129) accumulation. In MPTP-induced mice, prophylactic BAGLPP treatment established sustained GDNF expression (maintaining levels 3.7-fold higher than controls at 8 weeks postlesion), which activated the PI3K/Akt pro-survival pathway, suppressed pro-apoptotic Bax, and attenuated neuroinflammation. This multifaceted protection preserved dopaminergic neurons and striatal dopamine and improved motor function without significant systemic toxicity. Our findings establish BAGLPP as a durable, nonviral gene therapy platform with strong potential for preventing PD progression.

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