Exp Neurobiol.  2015 Mar;24(1):31-40. 10.5607/en.2015.24.1.31.

Amelioration of Cerebral Ischemic Injury by a Synthetic Seco-nucleoside LMT497

• Ryu S
• Kwon J
• Park H
• Choi IY
• Hwang S
• Gajulapati V
• Lee JY
• Choi Y
• Varani K
• Borea PA
• Ju C
• Kim WK

• KMID: 2052850
• DOI: http://doi.org/10.5607/en.2015.24.1.31

Abstract

Recently, we reported that the A3 adenosine receptor (A3AR) agonist LJ529 (2-chloro-N6-(3-iodobnzyl)-5'-N-methylcarbamoyl-4'-thioadenosine) reduces cerebral ischemic injury via inhibition of recruitment of peripheral inflammatory cells into ischemic brain lesion. A3AR agonists, however, are known to possess anti-platelet activity, which may deter the combination therapy with tissue plasminogen activator for the therapy of cerebral ischemic stroke. Thus, the present study investigates the neuroprotective/anti-ischemic effect of a synthetic seco-nucleoside, LMT497 ((S)-2-((R)-1-(2-chloro-6-(3-iodobenzylamino)-9H-purin-9-yl)-2-hydroxyethoxy)-3-hydroxy-N-methylpropanamide) with little anti-platelet activity. LMT497 neither showed A3AR binding activity nor anti-platelet activity. In our present study LMT497 significantly attenuated the injury/death of cortical neurons exposed to oxygen-glucose deprivation (OGD) followed by re-oxygenation (R). LMT497 significantly reduced the ascending cellular level of reactive oxygen species under ischemic conditions by increasing the superoxide dismutase (SOD) levels. LMT497 also inhibited the migration of microglia which mediates inflammatory responses in ischemia. In rats subjected to middle cerebral artery occlusion (MCAO, 1.5 h) followed by reperfusion, LMT497 largely reduced brain infarction volume, and edema, and improved neurological score. Therapeutic efficacy of LMT497 was obtained by twice treatments even at 10 h and 18 h after the onset of ischemia. Collectively, LMT497 could be a therapeutic drug candidate with a wide therapeutic time window for the treatment of cerebral ischemic stroke.

Keyword

cerebral ischemia; MCAO; oxidative stress; inflammation; LMT497; Cl-IB-MECA

MeSH Terms

Animals
Brain
Brain Infarction
Brain Ischemia
Edema
Infarction, Middle Cerebral Artery
Inflammation
Ischemia
Microglia
Neurons
Oxidative Stress
Rats
Reactive Oxygen Species
Receptors, Purinergic P1
Reperfusion
Stroke
Superoxide Dismutase
Tissue Plasminogen Activator
Reactive Oxygen Species
Receptors, Purinergic P1
Superoxide Dismutase
Tissue Plasminogen Activator