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NNZ-2566, a glypromate analog, improves functional recovery and attenuates apoptosis and inflammation in a rat model of penetrating ballistic-type brain injury.

Abstract
Glycine-proline-glutamate (GPE) is an N-terminal tripeptide endogenously cleaved from insulin-like growth factor-1 in the brain and is neuroprotective against hypoxic-ischemic brain injury and neurodegeneration. NNZ-2566 is an analog of GPE designed to have improved bioavailability. In this study, we tested NNZ-2566 in a rat model of penetrating ballistic-type brain injury (PBBI) and assessed its effects on injury-induced histopathology, behavioral deficits, and molecular and cellular events associated with inflammation and apoptosis. In the initial dose-response experiments, NNZ-2566 (0.01-3 mg/kg/h x 12 h intravenous infusion) was given at 30 min post-injury and the therapeutic time window was established by delaying treatments 2-4 h post-injury, but with the addition of a 10- or 30-mg/kg bolus dose. All animals survived 72 h. Neuroprotection was evaluated by balance beam testing and histopathology. The effects of NNZ-2566 on injury-induced changes in Bax and Bcl-2 proteins, activated microgliosis, neutrophil infiltration, and astrocyte reactivity were also examined. Behavioral results demonstrated that NNZ-2566 dose-dependently reduced foot faults by 19-66% after acute treatments, and 35-55% after delayed treatments. Although gross lesion volume was not affected, NNZ-2566 treatment significantly attenuated neutrophil infiltration and reduced the number of activated microglial cells in the peri-lesion regions of the PBBI. PBBI induced a significant upregulation in Bax expression (36%) and a concomitant downregulation in Bcl-2 expression (33%), both of which were significantly reversed by NNZ-2566. Collectively, these results demonstrated that NNZ-2566 treatment promoted functional recovery following PBBI, an effect related to the modulation of injury-induced neural inflammatory and apoptotic mechanisms.
AuthorsXi-Chun May Lu, Ren-Wu Chen, Changping Yao, Hans Wei, Xiaofang Yang, Zhilin Liao, Jitendra R Dave, Frank C Tortella
JournalJournal of neurotrauma (J Neurotrauma) Vol. 26 Issue 1 Pg. 141-54 (Jan 2009) ISSN: 1557-9042 [Electronic] United States
PMID19119917 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anti-Inflammatory Agents
  • Apoptosis Regulatory Proteins
  • NNZ 2566
  • Neuroprotective Agents
  • Oligopeptides
  • glycyl-prolyl-glutamic acid
Topics
  • Animals
  • Anti-Inflammatory Agents (pharmacology, therapeutic use)
  • Apoptosis (drug effects, physiology)
  • Apoptosis Regulatory Proteins (drug effects, metabolism)
  • Astrocytes (drug effects, pathology)
  • Brain (drug effects, pathology, physiopathology)
  • Brain Injuries (drug therapy, metabolism, physiopathology)
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Encephalitis (drug therapy, metabolism, physiopathology)
  • Gliosis (drug therapy, physiopathology, prevention & control)
  • Injections, Intravenous
  • Microglia (drug effects, pathology)
  • Movement Disorders (drug therapy, etiology, physiopathology)
  • Nerve Degeneration (drug therapy, physiopathology, prevention & control)
  • Neuroprotective Agents (pharmacology, therapeutic use)
  • Oligopeptides (agonists, chemistry, pharmacology, therapeutic use)
  • Rats
  • Rats, Sprague-Dawley
  • Recovery of Function (drug effects, physiology)
  • Treatment Outcome

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