Abstract
Parkinson’s disease (PD) is a progressive neurodegenerative disease. Current treatment strategies for PD mainly focus on dopamine replacement and regulation of dopaminergic signaling. Here, we reveal the unique role of the astrocytic dopamine D2 (Drd2) receptor in regulating mitochondrial function, thereby improving Parkinson’s disease-like symptoms in a mouse model. Transcriptome sequencing and metabolomics suggest that deletion of astrocytic Drd2 receptor significantly aggravates mitochondrial dysfunction. Mechanistically, we demonstrate that the Drd2 receptor regulates mitochondrial complex I activity by recruiting the scaffold protein β-arrestin2, which facilitates its interaction with NDUFA4 and NDUFA10, two subunits of mitochondrial complex I. Notably, the neuroprotective effect of Drd2 activation in vivo was completely abolished upon selective knockdown of NDUFA10 in mouse astrocytes. The identification of this novel mechanistic axis not only elucidates how astrocytes maintain neuronal mitochondrial homeostasis via dopaminergic signaling but also establishes a transformative framework for the development of targeted combination therapies that concurrently address mitochondrial dysfunction and dopamine receptor dysregulation as a promising avenue for advancing PD treatment strategies.
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Acknowledgements
The authors thank Jiawei Zhou from Shanghai Institutes for Biological Science, Chinese Academy of Science, for providing Drd2flox/flox mice and Drd2 GFAP CKO mice. This work was supported by grants from the National Key R&D Program of China (No.2021ZD0202901), the Traditional Chinese Medicine Science and Technology Development Youth Foundation of Jiangsu Province (No. QN202407), and the National Natural Science Foundation of China (No. 82003725, No. 81991523).
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HQH and XNZ performed the majority of experimental work. JJG and CYF assisted with the experimental work. YW contributed study-specific materials and details. DJH provided the technical support. HQH wrote the manuscript. YL analyzed the data and prepared the figures. YL and GH conceived and supervised the study and revised the manuscript. YL and GH acquired the funding. All authors reviewed and gave input to improve the manuscript.
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All animal protocols in this study were strictly following the guidelines for the use and management of experimental animals and were approved by the IACUC of Nanjing Medical University and Nanjing University of Traditional Chinese Medicine (No.1903038).
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Huang, QH., Zhang, NX., Guo, JJ. et al. Neuroprotective effect of astrocytic dopamine Drd2 receptor on mitochondrial complex I in a mouse model of Parkinson’s disease through β-arrestin2-NDUFA10 regulation. Cell Death Differ (2026). https://doi.org/10.1038/s41418-026-01756-z
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DOI: https://doi.org/10.1038/s41418-026-01756-z


