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Neuroprotection in cerebral ischemia by neutralization of 3-aminopropanal.

Abstract
Cerebral ischemia stimulates increased activity of polyamine oxidase, a ubiquitous enzyme that catabolizes polyamines to produce 3-aminopropanal. 3-Aminopropanal is a reactive aldehyde that mediates progressive neuronal necrosis and glial apoptosis. Here we report that increased levels of 3-aminopropanal-modified protein levels in humans after aneurysmal subarachnoid hemorrhage correlate with the degree of cerebral injury as measured by admission Hunt/Hess grade. In vitro screening of clinically approved drugs reveals that N-2-mercaptopropionyl glycine (N-2-MPG), an agent clinically approved for prevention of renal stones in patients with cysteinuria, significantly inhibits the cytotoxicity of 3-aminopropanal. N-2-MPG reacts with 3-aminopropanal to yield a nontoxic thioacetal adduct, as confirmed by electrospray ionization mass spectroscopy. Administration of N-2-MPG in clinically relevant doses to rats significantly reduces cerebral 3-aminopropanal-modified protein immunoreactivity and infarct volume in a standardized model of middle cerebral artery occlusion, even when the agent is administered after the onset of ischemia. These results implicate 3-aminopropanal as a therapeutic target for cerebral ischemia.
AuthorsSvetlana Ivanova, Franak Batliwalla, J Mocco, Szilard Kiss, Judy Huang, William Mack, Alexander Coon, John W Eaton, Yousef Al-Abed, Peter K Gregersen, Esther Shohami, E Sander Connolly Jr, Kevin J Tracey
JournalProceedings of the National Academy of Sciences of the United States of America (Proc Natl Acad Sci U S A) Vol. 99 Issue 8 Pg. 5579-84 (Apr 16 2002) ISSN: 0027-8424 [Print] United States
PMID11943872 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Aldehydes
  • Antioxidants
  • N-(2-mercaptoproprionyl)-glycine
  • Propylamines
  • Sulfhydryl Compounds
  • 3-aminopropionaldehyde
  • Glycine
Topics
  • Aldehydes (metabolism)
  • Animals
  • Antioxidants (pharmacology)
  • Brain (pathology)
  • Brain Ischemia (prevention & control)
  • Cell Line
  • Cells, Cultured
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Glycine (analogs & derivatives, pharmacology)
  • Humans
  • Immunoblotting
  • In Situ Nick-End Labeling
  • Microscopy, Fluorescence
  • Models, Chemical
  • Neuroglia (metabolism)
  • Propylamines (metabolism)
  • Protein Binding
  • Rats
  • Spectrometry, Mass, Electrospray Ionization
  • Sulfhydryl Compounds (pharmacology)
  • Time Factors

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