Sodium channel blockers are neuroprotective against
cerebral ischemia in animal models. A novel neuroprotective compound
AM-36, when screened for activity at the most common receptor and
ion channel binding sites, revealed activity at site 2 Na+ channels. Studies then investigated this Na+ channel blocking activity in vitro and in vivo relative to other Na+ channel blockers, including the
neuroprotective agent sipatrigine (
BW619C89).
AM-36 inhibited batrachotoxinin (BTX)-sensitive Na+ channel binding in rat brain homogenates with an IC50 of 0.28 microM.
Veratridine (100 microM)-induced neurotoxicity in murine cerebellar granule cells was completely inhibited by
AM-36 (1.7 microM) compared to only partial inhibition by
sipatrigine (26 microM).
Veratridine-stimulated
glutamate release, as measured through a microdialysis probe in the cortex of anesthetised rats, was inhibited by 90% by superfusion of
AM-36 (1000 microM). In the
endothelin-1 (ET-1) model of
middle cerebral artery occlusion (MCAo) in conscious rats, both
AM-36 (6 mg/kg i.p.) and
sipatrigine (10 mg/kg i.
p.) 30 min post-MCAo significantly reduced cortical, but not striatal
infarct volume. As the refractiveness of the striatum is likely to be dependent on the route and time of
drug administration,
AM-36 (1 mg/kg i.v.) was administered 3 or 5 h after MCAo and significantly reduced both cortical and striatal
infarct volumes. The present studies demonstrate Na+ channel blocking activity of
AM-36 both in vitro and in vivo, together with significant neuroprotection when administration is delayed up to 5 h following experimental
stroke.