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Concurrent blockade of free radical and microsomal prostaglandin E synthase-1-mediated PGE2 production improves safety and efficacy in a mouse model of amyotrophic lateral sclerosis.

Abstract
While free radicals and inflammation constitute major routes of neuronal injury occurring in amyotrophic lateral sclerosis (ALS), neither antioxidants nor non-steroidal anti-inflammatory drugs have shown significant efficacy in human clinical trials. We examined the possibility that concurrent blockade of free radicals and prostaglandin E(2) (PGE(2))-mediated inflammation might constitute a safe and effective therapeutic approach to ALS. We have developed 2-hydroxy-5-[2-(4-trifluoromethylphenyl)-ethylaminobenzoic acid] (AAD-2004) as a derivative of aspirin. AAD-2004 completely removed free radicals at 50 nM as a potent spin-trapping molecule and inhibited microsomal PGE(2) synthase-1 (mPGES-1) activity in response to both lipopolysaccharide-treated BV2 cell with IC(50) of 230 nM and recombinant human mPGES-1 protein with IC(50) of 249 nM in vitro. In superoxide dismutase 1(G93A) transgenic mouse model of ALS, AAD-2004 blocked free radical production, PGE(2) formation, and microglial activation in the spinal cords. As a consequence, AAD-2004 reduced autophagosome formation, axonopathy, and motor neuron degeneration, improving motor function and increasing life span. In these assays, AAD-2004 was superior to riluzole or ibuprofen. Gastric bleeding was not induced by AAD-2004 even at a dose 400-fold higher than that required to obtain maximal therapeutic efficacy in superoxide dismutase 1(G93A). Targeting both mPGES-1-mediated PGE(2) and free radicals may be a promising approach to reduce neurodegeneration in ALS and possibly other neurodegenerative diseases.
AuthorsJin Hee Shin, Young Ae Lee, Jae Keun Lee, Yong Beom Lee, Woong Cho, Doo Soon Im, Jin Hwan Lee, Bok Sun Yun, Joe E Springer, Byoung Joo Gwag
JournalJournal of neurochemistry (J Neurochem) Vol. 122 Issue 5 Pg. 952-61 (Sep 2012) ISSN: 1471-4159 [Electronic] England
PMID22537108 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2012 The Authors. Journal of Neurochemistry © 2012 International Society for Neurochemistry.
Chemical References
  • AAD-2004
  • Aif1 protein, mouse
  • Anti-Inflammatory Agents, Non-Steroidal
  • Calcium-Binding Proteins
  • Free Radical Scavengers
  • Free Radicals
  • Microfilament Proteins
  • 3-nitrotyrosine
  • Sulfasalazine
  • Tyrosine
  • Riluzole
  • 8-Hydroxy-2'-Deoxyguanosine
  • SOD1 G93A protein
  • Superoxide Dismutase
  • Deoxyguanosine
  • Dinoprostone
  • Aspirin
  • Ibuprofen
Topics
  • 8-Hydroxy-2'-Deoxyguanosine
  • Amyotrophic Lateral Sclerosis (drug therapy, genetics, metabolism, physiopathology)
  • Analysis of Variance
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal (pharmacology, therapeutic use)
  • Aspirin (analogs & derivatives, pharmacology, therapeutic use)
  • Calcium-Binding Proteins (metabolism)
  • Cerebral Cortex (pathology)
  • Deoxyguanosine (analogs & derivatives, metabolism)
  • Dinoprostone (metabolism)
  • Disease Models, Animal
  • Encephalitis (chemically induced, drug therapy)
  • Free Radical Scavengers (metabolism)
  • Free Radicals (antagonists & inhibitors, metabolism)
  • Gene Expression Regulation (drug effects, genetics)
  • Humans
  • Ibuprofen (pharmacology, therapeutic use)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Microfilament Proteins (metabolism)
  • Microglia (drug effects, metabolism)
  • Motor Neurons (drug effects, pathology)
  • Oxidative Stress (drug effects)
  • Riluzole (pharmacology, therapeutic use)
  • Spinal Cord (pathology)
  • Sulfasalazine (pharmacology, therapeutic use)
  • Superoxide Dismutase (genetics)
  • Tyrosine (analogs & derivatives, metabolism)

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