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Treating small fiber neuropathy by topical application of a small molecule modulator of ligand-induced GFR?/RET receptor signaling.


ABSTRACT: Small-fiber neuropathy (SFN) is a disorder of peripheral nerves commonly found in patients with diabetes mellitus, HIV infection, and those receiving chemotherapy. The complexity of disease etiology has led to a scarcity of effective treatments. Using two models of progressive SFN, we show that overexpression of glial cell line-derived neurotrophic factor (GDNF) in skin keratinocytes or topical application of XIB4035, a reported nonpeptidyl agonist of GDNF receptor ?1 (GFR?1), are effective treatments for SFN. We also demonstrate that XIB4035 is not a GFR?1 agonist, but rather it enhances GFR? family receptor signaling in conjunction with ligand stimulation. Taken together, our results indicate that topical application of GFR?/RET receptor signaling modulators may be a unique therapy for SFN, and we have identified XIB4035 as a candidate therapeutic agent.

SUBMITTER: Hedstrom KL 

PROVIDER: S-EPMC3926041 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature

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Treating small fiber neuropathy by topical application of a small molecule modulator of ligand-induced GFRα/RET receptor signaling.

Hedstrom Kristian L KL   Murtie Joshua C JC   Albers Kathryn K   Calcutt Nigel A NA   Corfas Gabriel G  

Proceedings of the National Academy of Sciences of the United States of America 20140121 6


Small-fiber neuropathy (SFN) is a disorder of peripheral nerves commonly found in patients with diabetes mellitus, HIV infection, and those receiving chemotherapy. The complexity of disease etiology has led to a scarcity of effective treatments. Using two models of progressive SFN, we show that overexpression of glial cell line-derived neurotrophic factor (GDNF) in skin keratinocytes or topical application of XIB4035, a reported nonpeptidyl agonist of GDNF receptor α1 (GFRα1), are effective trea  ...[more]

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