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All Neurology BriefingsBrain: A Journal of Neurology
NeurologyPreclinical5 min read

Filamin-A links transcriptional disruption to dopaminergic decline in progressive supranuclear palsy

With ageing, the coupling was lost, coinciding with dopaminergic exhaustion and deficits in locomotor, cognitive and social behaviours.

Published in Brain: A Journal of NeurologyAnimal models
2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

Source

Animal & Preclinical Data

2/5

Together, these findings suggest that filamin-A-dependent cytoskeletal stress acts as an upstream molecular context in which immediate early gene-centred transcriptional dysregulation emerges and becomes linked to dopaminergic vulnerability in progressive supranuclear palsy.

What Changes?

Neurology · Preclinical

Current Standard

Existing neurology care has lacked direct translational evidence targeting protein · · receptor targeting.

New Finding

Multi-layered analyses revealed cortical monoamine depletion together with early striatal dopaminergic sensitization, indicating a close association between immediate early gene dysregulation and dopaminergic circuit imbalance.

3 Key Takeaways

Plain English Summary
  1. 01Core Finding

    To explore these mechanisms, we performed an integrated multi-omics analysis using a mouse model with overexpression of human filamin-A, a cytoskeletal protein genetically implicated in progressive supranuclear palsy.

  2. 02Study Evidence

    Tested in a animal models (11 individuals) at the preclinical stage.

  3. 03Practical Meaning

    In human analyses, post-mortem brain samples from individuals with progressive supranuclear palsy showed reduced D2 receptor expression compared with neurologically normal controls, together with region-dependent alterations in c-Fos expression and enrichment of activator protein 1-related motifs in regions with reduced chromatin accessibility.

What This Means for You

Multi-layered analyses revealed cortical monoamine depletion together with early striatal dopaminergic sensitization, indicating a close association between immediate early gene dysregulation and dopaminergic circuit imbalance. With ageing, the coupling was lost, coinciding with dopaminergic exhaustion and deficits in locomotor, cognitive and social behaviours. In human analyses, post-mortem brain samples from individuals with progressive supranuclear palsy showed reduced D2 receptor expression compared with neurologically normal controls, together with region-dependent alterations in c-Fos expression and enrichment of activator protein 1-related motifs in regions with reduced chromatin accessibility. Together, these findings suggest that filamin-A-dependent cytoskeletal stress acts as an upstream molecular context in which immediate early gene-centred transcriptional dysregulation emerges and becomes linked to dopaminergic vulnerability in progressive supranuclear palsy.

The Discovery

Progressive supranuclear palsy is a late-onset disorder characterized by aggregation and prominent dopaminergic dysfunction, yet the upstream molecular processes linking transcriptional abnormalities to dopaminergic failure remain poorly understood. To explore these mechanisms, we performed an integrated multi-omics analysis using a mouse model with overexpression of human filamin-A, a cytoskeletal protein genetically implicated in progressive supranuclear palsy. Analyses were conducted in young adult mice (5-7 months) and aged mice (14-16 months) of both sexes, with transcriptomic, epigenomic, biochemical, metabolomic and behavioural profiling performed across multiple brain regions. In parallel, post-mortem human brain tissue from 11 individuals with progressive supranuclear palsy and five neurologically normal controls was analysed for biochemical validation using samples from the frontal cortex and striatum. Transcriptomic profiling identified immediate early gene-centred transcriptional dysregulation as a prominent and early molecular alteration. This change, accompanied by chromatin accessibility alterations, was associated with the activation of activator protein 1-dependent gene programmes and region-specific changes in dopaminergic protein markers across the cortex, striatum and midbrain. Multi-layered analyses revealed cortical monoamine depletion together with early striatal dopaminergic sensitization, indicating a close association between immediate early gene dysregulation and dopaminergic circuit imbalance.

How It Works, Simply

This neurology research focuses on protein · · Receptor targeting. Researchers evaluated it using an animal models (11 individuals) at the preclinical stage of medical research.

3 Key Takeaways

Clinical Takeaways
  1. 01Core Finding

    To explore these mechanisms, we performed an integrated multi-omics analysis using a mouse model with overexpression of human filamin-A, a cytoskeletal protein genetically implicated in progressive supranuclear palsy.

  2. 02Study Evidence

    Tested in a animal models (11 individuals) at the preclinical stage.

  3. 03Practical Meaning

    In human analyses, post-mortem brain samples from individuals with progressive supranuclear palsy showed reduced D2 receptor expression compared with neurologically normal controls, together with region-dependent alterations in c-Fos expression and enrichment of activator protein 1-related motifs in regions with reduced chromatin accessibility.

01

Biological Mechanism & Study Design

Study Design & Cohort

Animal models

Animal models (11 individuals) · Preclinical

Biological Pathway & Modality

protein · · Receptor targeting

Intervention: Filamin-A links transcriptional disruption to dopaminergic decline in progressive

02

Experimental Findings & Endpoints

Progressive supranuclear palsy is a late-onset disorder characterized by aggregation and prominent dopaminergic dysfunction, yet the upstream molecular processes linking transcriptional abnormalities to dopaminergic failure remain poorly understood.

To explore these mechanisms, we performed an integrated multi-omics analysis using a mouse model with overexpression of human filamin-A, a cytoskeletal protein genetically implicated in progressive supranuclear palsy. Analyses were conducted in young adult mice (5-7 months) and aged mice (14-16 months) of both sexes, with transcriptomic, epigenomic, biochemical, metabolomic and behavioural profiling performed across multiple brain regions.

In parallel, post-mortem human brain tissue from 11 individuals with progressive supranuclear palsy and five neurologically normal controls was analysed for biochemical validation using samples from the frontal cortex and striatum. Transcriptomic profiling identified immediate early gene-centred transcriptional dysregulation as a prominent and early molecular alteration.

This change, accompanied by chromatin accessibility alterations, was associated with the activation of activator protein 1-dependent gene programmes and region-specific changes in dopaminergic protein markers across the cortex, striatum and midbrain. Multi-layered analyses revealed cortical monoamine depletion together with early striatal dopaminergic sensitization, indicating a close association between immediate early gene dysregulation and dopaminergic circuit imbalance.

03

Clinical Translation & Practice Context

Multi-layered analyses revealed cortical monoamine depletion together with early striatal dopaminergic sensitization, indicating a close association between immediate early gene dysregulation and dopaminergic circuit imbalance.

With ageing, the coupling was lost, coinciding with dopaminergic exhaustion and deficits in locomotor, cognitive and social behaviours. In human analyses, post-mortem brain samples from individuals with progressive supranuclear palsy showed reduced D2 receptor expression compared with neurologically normal controls, together with region-dependent alterations in c-Fos expression and enrichment of activator protein 1-related motifs in regions with reduced chromatin accessibility.

Together, these findings suggest that filamin-A-dependent cytoskeletal stress acts as an upstream molecular context in which immediate early gene-centred transcriptional dysregulation emerges and becomes linked to dopaminergic vulnerability in progressive supranuclear palsy.

03

The Bottom Line · Clinical Pearl

“Together, these findings suggest that filamin-A-dependent cytoskeletal stress acts as an upstream molecular context in which immediate early gene-centred transcriptional dysregulation emerges and becomes linked to dopaminergic vulnerability in progressive supranuclear palsy.”

Published in Brain: A Journal of Neurology · Current Stage: Preclinical

Practical Next Step

Questions for Your Next Doctor Visit

  1. 1This neurology study in Brain: A Journal of Neurology is still at the preclinical stage—are there already approved options for me today?
  2. 2How do the potential benefits of this approach compare with the standard care I'm currently using?
  3. 3Given the study's key limitation (early laboratory or animal model findings — human trials are still needed to confirm safety and benefit.), what risks or follow-up steps should we watch for?
Neurology · Preclinical
Study Type
Animal models

Animal models (11 individuals)

Evidence Score
2/5 · Animal & Preclinical Data
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

Who It Applies To
Preclinical research (Animal models (11 individuals)) — not yet tested in human patients
Intervention & Mechanism
Filamin-A links transcriptional disruption to dopaminergic decline in progressive

Tau protein · Dopamine · Receptor targeting

Key Limitation
Early laboratory or animal model findings — human trials are still needed to confirm safety and benefit.

Translational Stage

LEVEL 3 · Preclinical

Classified as Animal models along the clinical evidence continuum

  1. 1PreclinicalActive
  2. 2Early Trials
  3. 3Human Evidence
  4. 4Meta & Practice

Indexed Clinical Entities

Original Publication & AMA Citation

Filamin-A links transcriptional disruption to dopaminergic decline in progressive supranuclear palsy. Brain: A Journal of Neurology. Published 2026;Oct 19. Accessed November 15, 2026. https://pubmed.ncbi.nlm.nih.gov/42974760/

Brain: A Journal of Neurology

https://pubmed.ncbi.nlm.nih.gov/42974760/

Read Original Paper

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