Dr. Golds main research objective is to understand the role of neuroimmunophilins and steroid receptor chaperone proteins in nerve regeneration. These studies have great potential for leading to the development of new drugs to treat workplace injuries and neuropathies produced by occupational or environmental toxins.
Neuronal (axonal) degeneration is produced by mechanical injury (as
in carpal tunnel syndrome) following exposure to variety of occupational and environmental
chemicals, and by metabolic and inheritable factors. Recovery of function is dependent
upon regeneration of injured axons, which is a slow process. My laboratory was the
first to discover that the systemic administration of the immunosuppressant drug FK506
dose-dependently accelerates functional recovery by increasing the rate of nerve regeneration
following a peripheral nerve injury in rats. The development of nonimmunosuppressant
and orally efficacious derivatives that enhance nerve regeneration demonstrated that
these two properties are separable. These compounds also increase axonal regeneration
following spinal cord injury and in neurotoxic chemical-induced models of human neurodegenerative
disease (e.g., Parkinsons disease). In regard to their potential clinical use,
FK506 has been recently found to speed nerve regeneration in humans. Cell cultures
are used to examine the underlying mechanism by which these compounds enhance nerve
regeneration. Results from these studies reveal that neurite outgrowth is mediated
via binding to a unique FK506-binding protein, FKBP-52, which is a component of steroid
receptor complexes. Further studies implicate the involvement of the MAP kinase pathway
as a down-stream mediator of FK506s neurotrophic action. Components of steroid
receptor complexes (e.g., FKBP-52 and Hsp-90) represent potential targets for the
development of new drugs for the treatment of neurological disorders.
Gold BG and Yong-Ping Zhong. FK506 requires stimulation of the extracellular signal regulated kinase
1/2 and the steroid receptor chaperone protein p23 for neurite elongation. NeuroSignals, in press.
Gold BG and Villafranca JE. (2003) Neuroimmunophilin ligands: The development of novel neuroregenerative/neuroprotective
compounds. Current Topics in Medicinal Chemistry 3:1368-1375.
Udina E, Ceballos D, Gold BG and Navarro X. (2003) FK506 enhances
reinnervation by regeneration and collateral sprouting of peripheral nerve fibers. Exp Neurol 183:220-231.
Revill WP, Voda J, Reeves CR, Chung L, Schirmer A, Ashley G, Carney JR, Fardis M, Carreras C, Zhou Y,
Tucker E, Robinson D and Gold BG. (2002) Genetically Engineered Analogs of Ascomycin for Nerve Regeneration.
J Pharmacol Exp Therap 302:1278-1285.
Udina E, Ceballos D, Gold BG and Navarro X. (2002) Dose-dependence effects of FK506 on the rate
of axonal regeneration in the mouse peripheral nerve. Muscle & Nerve, 26:348-355.
Gold, B.G. (2002) Immunophilin ligands in nerve regeneration. Science & Medicine March/April, 66-75.
Sulaiman, O.A.R., Voda, J., Gold, B.G. and Gordon, T. (2002) FK506 increases
nerve regeneration afer chronic motoneuron axotomy but not after chronic Schwann cell
denervation. Experimental Neurology, 175:127-137.
Gold, B.G. and Nutt, J. (2002) Neuroimmunophilin ligands in the treatment
of Parkinsons disease. Current Opinion in Pharmacology 2, 82-86.
Navarro, X., Udina, E., Ceballos, D. and Gold, B.G. (2001) Effects of FK506
on nerve regeneration and reinnervation after graft or tube repair of long nerve gaps.
Muscle & Nerve 24, 905-915.
Gold B.G. (2000) Neuroimmunophilin ligands and the role
of steroid hormone chaperone proteins in nerve regeneration. In: Immunophilins in
the Brain. FKBP-ligands: Novel Strategies for the Treatment of Neurodegenerative Disorders
(Gold, B.G., Fischer, G., Herdegen T., eds.) Prous Science, Barcelona pp 3-32.
Wang M.-S. and Gold B.G. (1999) FK506 increases the regeneration
of spinal cord axons in a predegenerated peripheral nerve autograft. Journal of Spinal
Cord Medicine 24, 287-296.
Gold B.G., Densmore V., Shou W., Martin M.M. and Gordon H.S.
(1999) Immunophilin FK506-binding protein 52 (not FK506-binding Protein 12) mediates
the neurotrophic action of FK506. Journal of Pharmacology and Experimental Therapy
289, 1202-1210.