Evidence map›Paper›PMID 40752659›Full record

ArticleBrain, behavior, and immunity2025

Crosstalk between DNA damage and cGAS-STING immune pathway drives neuroinflammation and dopaminergic neurodegeneration in Parkinson's disease.

Sazzad Khan, David F Delotterie, Jianfeng Xiao, Ramasamy Thangavel, Roderick Hori, James Koprich, Stephen E Alway, Michael P McDonald, Mohammad Moshahid Khan

Abstract read
In one paragraph

Article in Brain, behavior, and immunity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Review
  2. Article
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  5. NADAlzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sazzad KhanDepartment of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
David F DelotterieDepartment of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Jianfeng XiaoDepartment of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Ramasamy ThangavelDepartment of Neurology, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Roderick HoriDepartment of Microbiology, Immunology and Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
James KoprichAtuka Inc., and Krembil Research Institute, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.
Stephen E AlwayLaboratory of Muscle Biology and Sarcopenia, Department of Physical Therapy, College of Health Professions, University of Tennessee Health Science Center, Memphis, USA; Center for Muscle, Metabolism and Neuropathology, Division of Regenerative and Rehabilitation Sciences and Department of Physical Therapy, College of Health Professions, University of Tennessee Health Science Center, Memphis, TN, USA.
Michael P McDonaldDepartment of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; Neuroscience Institute, University of Tennessee Health Science Center, Memphis, TN, USA; Department of Anatomy & Neurobiology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Mohammad Moshahid KhanDepartment of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; Center for Muscle, Metabolism and Neuropathology, Division of Regenerative and Rehabilitation Sciences and Department of Physical Therapy, College of Health Professions, University of Tennessee Health Science Center, Memphis, TN, USA; Neuroscience Institute, University of Tennessee Health Science Center, Memphis, TN, USA. Electronic address: mkhan26@uthsc.edu.

Funding

Effects of glycomacropeptide on memory and Alzheimer-related neuropathologyR01AG054562 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI MCDONALD, MICHAEL P · 2017 to 2020
$1.5M
Effects of modified erythropoietin on cognition and neuropathologyR01NS094595 · NINDS · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI LIAO, FRANCESCA-FANG, MCDONALD, MICHAEL P · 2016 to 2018
$1.2M
Novel DNA damage-Based Mechanisms and Therapeutics for Parkinson’s diseaseR21NS128519 · NINDS · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI KHAN, MOHAMMAD MOSHAHID · 2022 to 2022
$424k
NIA NIH HHS R01 AG054562NINDS NIH HHS R01 NS094595NINDS NIH HHS R21 NS128519
6 · The paper itself

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disorder marked by substantial degeneration of dopaminergic neurons in the substantia nigra and dopamine depletion in the striatum, leading to debilitating motor and non-motor impairments. Recent studies provide clues on the pathogenic role of DNA damage in age-related neurodegenerative diseases, but the molecular mechanisms of DNA damage response in PD remain poorly understood. We found that the accumulation of DNA double-strand breaks (DDSBs), and/or DNA repair deficits, are key in the pathogenesis of PD and drives cyclic GMP-AMP synthase (cGAS) and stimulator of interferon genes (STING) immune regulatory pathway, contributing to neuroinflammation and dopaminergic neurodegeneration in human postmortem PD and non-PD brains as well as in experimental models of PD. We observed enhanced expression of γ-H2A.X (Ser139) a biomarker of DDSB, and decreased levels of DNA repair proteins in the brains of human PD compared to non-PD brains. This was positively correlated with upregulation of STING immune response pathways, microglial activation, senescence and dopaminergic neurodegeneration. Similarly, we observed increased and sustained DDSB as assessed by γ-H2A.X (Ser139) immunoreactivity, and degeneration of tyrosine hydroxylase-positive neurons in primary neuron/glia cultures and mice treated with 1-methyl-4-phenylpyridine (MPP+) or 1,2,3,6-tetrahydropyridine (MPTP). Next, we employed a mouse model of α-synucleinopathy, which exhibited elevated DDSBs alongside overactivation of the DNA-sensing cGAS-STING pathway and type-I interferon signaling, in association with dopaminergic neurodegeneration. Interestingly, pharmacological and genetic ablation of STING reduces DDSB, limits inflammatory response, improves behavioral function and attenuates the loss of dopaminergic neurons in this model. Our findings suggest that the accumulation of DDSBs and/or dysregulation in DNA repair proteins activate cGAS-STING mediated immune responses in the brain, potentially exacerbating dopaminergic neurodegeneration in PD. Furthermore, regulating these processes is essential for alleviating the pathological effects of PD and may offer potential therapeutic strategies.

Indexed as

DNA DamageMembrane ProteinsNucleotidyltransferasesParkinson DiseaseAgedAnimalsBrainCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseDNA Breaks, Double-StrandedDNA RepairDopaminergic NeuronsFemaleHumansMaleMiceMice, Inbred C57BLcGAS protein, humancGAS protein, mouseCyclic Guanosine Monophosphate-Adenosine Monophosphate SynthaseMembrane ProteinsNucleotidyltransferasesSTING1 protein, humanSting1 protein, mouseSTING ProteinDNA damage responseDopaminergic neuronsImmune responseParkinson’s diseaseTyrosine hydroxylaseα-Synuclein

Identifiers

PMID40752659
PMCPMC12412893

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.