Target intelligence / Profile preview

Glial cell-derived neurotrophic factor (GDNF) (GDNF)

Target
GDNF
Molecular classification
Growth factor, Neurotrophic factor, TGF-beta superfamily, GDNF family ligand, Cysteine-knot protein
01

Overview

Glial cell-derived neurotrophic factor (GDNF) is a potent survival factor for several neuronal populations, most notably the midbrain dopaminergic neurons that degenerate in Parkinson's disease. A member of the TGF-beta superfamily, GDNF is synthesized as a precursor protein and secreted as a glycosylated, disulfide-bonded homodimer that signals through the RET receptor tyrosine kinase and its co-receptor GFRA1 [2, 4, 13]. Beyond its neuroprotective role, it is essential for the development of the enteric nervous system, kidney morphogenesis (ureteric branching), and the maintenance of spermatogenesis [2, 13]. In therapeutic development, GDNF has been targeted primarily through intracranial infusion of recombinant protein or gene therapy using viral vectors like AAV2 to bypass the blood-brain barrier [1, 8, 12, 15]. While GDNF has demonstrated remarkable restorative effects in animal models of neurodegeneration, clinical success in humans has been complicated by delivery obstacles and the need for precise localization within the brain [6, 8, 12]. Ongoing research continues to explore its potential in disease modification and as a biomarker for neurodegenerative and psychiatric disorders [19, 20].

Other names
Astrocyte-derived trophic factorATF1ATF2HFB1HSCR3
02

Mechanism of action

GDNF binds to the Glial cell line-derived neurotrophic factor receptor alpha-1 (GFRA1) co-receptor, which then recruits and activates the RET receptor tyrosine kinase, initiating downstream signaling through the MAPK/ERK and PI3K/Akt pathways to promote neuronal survival and repair.

03

Biological functions

Neuronal survivalNeuronal differentiationKidney developmentSpermatogenesisSynaptic plasticityRegulation of dopamine uptake
04

Disease associations

Parkinson's diseaseHirschsprung diseaseAmyotrophic lateral sclerosisCongenital central hypoventilation syndromeSchizophreniaAddiction
05

Safety considerations

Delivery challenges across the blood-brain barrierEctopic expression leading to off-target effectsDevelopment of anti-GDNF antibodiesRisk of Lhermitte’s sign (paresthesia)Potential weight loss and sensory changesHistorical concerns regarding cerebellar Purkinje cell loss in preclinical modelsSurgical risks associated with intracranial infusion
06

Interacting drugs

Liatermin (Recombinant human GDNF)

3 more in the full profile.

07

Biomarkers

GDNF levels in cerebrospinal fluid (CSF)Serum GDNF levelsRET receptor expressionDopamine transporter (DAT) imaging (DaTscan)MDS-UPDRS (Movement Disorder Society-Unified Parkinson's Disease Rating Scale) scores

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