The efficacy of the amphipathic ketoamide
calpain inhibitor SNJ-1945 in attenuating
calpain-mediated degradation of the neuronal cytoskeletal
protein α-
spectrin was examined in the controlled cortical impact (CCI)
traumatic brain injury (TBI) model in male CF-1 mice. Using a single early (15 min after CCI-TBI) i.p. bolus administration of
SNJ-1945 (6.25, 12.5, 25, or 50-mg/kg), we identified the most effective dose on α-
spectrin degradation in the cortical tissue of mice at its 24 h peak after severe CCI-TBI. We then investigated the effects of a pharmacokinetically optimized regimen by examining multiple treatment paradigms that varied in dose and
duration of treatment. Finally, using the most effective treatment regimen, the therapeutic window of α-
spectrin degradation attenuation was assessed by delaying treatment from 15 min to 1 or 3 h post-injury. The effect of
SNJ-1945 on α-
spectrin degradation exhibited a U-shaped dose-response curve when treatment was initiated 15 min post-TBI. The most effective 12.5 mg/kg dose of
SNJ-1945 significantly reduced α-
spectrin degradation by ~60% in cortical tissue. Repeated dosing of
SNJ-1945 beginning with a 12.5 mg/kg dose did not achieve a more robust effect compared with a single bolus treatment, and the required treatment initiation was less than 1 h. Although
calpain has been firmly established to play a major role in post-traumatic secondary neurodegeneration, these data suggest that even brain and cell-permeable
calpain inhibitors, when administered alone, do not show sufficient cytoskeletal protective efficacy or a practical therapeutic window in a mouse model of severe TBI. Such conclusions need to be verified in the human clinical situation.