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

First Author  Hedstrom KL Year  2014
Journal  Proc Natl Acad Sci U S A Volume  111
Issue  6 Pages  2325-30
PubMed ID  24449858 Mgi Jnum  J:206435
Mgi Id  MGI:5550287 Doi  10.1073/pnas.1308889111
Citation  Hedstrom KL, et al. (2014) Treating small fiber neuropathy by topical application of a small molecule modulator of ligand-induced GFRalpha/RET receptor signaling. Proc Natl Acad Sci U S A 111(6):2325-30
abstractText  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 alpha1 (GFRalpha1), are effective treatments for SFN. We also demonstrate that XIB4035 is not a GFRalpha1 agonist, but rather it enhances GFRalpha family receptor signaling in conjunction with ligand stimulation. Taken together, our results indicate that topical application of GFRalpha/RET receptor signaling modulators may be a unique therapy for SFN, and we have identified XIB4035 as a candidate therapeutic agent.
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