In studies designed to evaluate the therapeutic window for treatment of
traumatic brain injury, the
caspase 3 inhibitor
z-DEVD-fmk improved neurologic function and reduced lesion volumes when administered at 1 but not at 4, 8, or 24 hours after injury. Moreover, neither
caspase 3 nor PARP, a
caspase 3 substrate, were cleaved in injured, untreated cortex from 1 to 72 hours after injury. Few cortical neurons expressed active
caspase 3 or were TUNEL positive from 6 to 24 hours after injury, and TUNEL staining was primarily Type I (necrotic). Nissl staining revealed extensive neuronal
necrosis in the injured cortex from 6 to 24 hours after impact. Considered together, these data suggested that
z-DEVD-fmk may reduce neuronal
necrosis, so we used an in vitro model of necrotic cell death induced by
maitotoxin to test this further and explore the potential mechanism(s) involved.
Z-DEVD-fmk (1 nM-100 microM) significantly attenuated
maitotoxin induced neuronal cell death and markedly reduced expression of the 145 kD
calpain-mediated
alpha-spectrin breakdown product after
maitotoxin injury. Neither the 120 kD
caspase-mediated
alpha-spectrin cleavage product nor
cathepsin B were expressed after
maitotoxin injury. In a cell free assay,
z-DEVD-fmk reduced hydrolysis of
casein by purified
calpain I. Finally,
z-DEVD-fmk reduced expression of the 145 kD
calpain-mediated
alpha-spectrin cleavage fragment after
traumatic brain injury in vivo. These data suggest that neuroprotection by
z-DEVD-fmk may, in part, reflect inhibition of
calpain-related necrotic cell death.