Amyotrophic lateral sclerosis (ALS) is a
neurodegenerative disease characterized by progressive motor neuron loss. Evidence suggests that
mitochondrial dysfunction, apoptosis, oxidative stress,
inflammation,
glutamate excitotoxicity, and proteasomal dysfunction are all responsible for ALS pathogenesis. N-acetyl-
tryptophan has been identified as an inhibitor of mitochondrial
cytochrome c release and therefore is a potential
neuroprotective agent. By quantifying cell death, we demonstrate that N-acetyl-
l-tryptophan (L-
NAT) and N-acetyl-DL-
tryptophan are neuroprotective in NSC-34 motor neuron-like cells and/or primary motor neurons, while their isomer
N-acetyl-d-tryptophan has no protective effect. These findings are consistent with energy minimization and molecular modeling analysis, confirming that L-
NAT generates the most stable complex with the
neurokinin-1 receptor (NK-1R). L-
NAT inhibits the secretion of
Substance P and IL-1β (
Enzyme-Linked
Immunosorbent Assay and/or dot blots) and
mitochondrial dysfunction by effectively inhibiting the release of
cytochrome c/Smac/AIF from mitochondria into the cytoplasm and activation of apoptotic pathways, including the activation of caspase-1, -9, and -3, as well as proteasomal dysfunction through restoring
chymotrypsin-like,
trypsin-like, and
caspase-like
proteasome activity. These data provide insight into the molecular mechanisms by which L-
NAT offers neuroprotection in models of ALS and suggest its potential as a novel therapeutic strategy for ALS. We demonstrate that L-
NAT (N-acetyl-
l-tryptophan), but not D-
NAT, rescues NSC-34 cells and primary motor neurons from cell death. L-
NAT inhibits the secretion of
Substance P and IL-1β, and caspase-1 activation, the release of
cytochrome c/Smac/AIF, and the activation of
caspase -9, and -3, as well as proteasomal dysfunction. The data suggest the potential of L-
NAT as a novel therapeutic strategy for
amyotrophic lateral sclerosis (ALS). AIF,
apoptosis-inducing factor.