Shohami Esther, Yatsiv Ido, Alexandrovich Alexander, Haklai Roni, Elad-Sfadia Galit, Grossman Rachel, Biegon Anat, Kloog Yoel
Department of Pharmacology, School of Pharmacy, Hadassah Medical Center, The Hebrew University, Jerusalem, Israel.
J Cereb Blood Flow Metab. 2003 Jun;23(6):728-38. doi: 10.1097/01.WCB.0000067704.86573.83.
Traumatic brain injury activates N-methyl-d-aspartate receptors (NMDAR) inducing activation of the Ras protein (a key regulator of cell growth, survival, and death) and its effectors. Thus, trauma-induced increase in active Ras-GTP might contribute to traumatic brain injury pathology. Based on this hypothesis, a new concept of neuroprotection is proposed, examined here by investigating the effect of the Ras inhibitor S-trans, trans-farnesylthiosalicylic acid (FTS) in a mouse model of closed head injury (CHI). Mice subjected to CHI were treated systemically 1 h later with FTS (5 mg/kg) or vehicle. After 1 h, Ras-GTP in the contused hemisphere showed a significant (3.8-fold) increase, which was strongly inhibited by FTS (82% inhibition) or by the NMDA-receptor antagonist MK-801 (53%). Both drugs also decreased active (phosphorylated) extracellular signal-regulated kinase. FTS prevented the CHI-induced reduction in NMDAR binding in cortical, striatal, and hippocampal regions, measured by [3H]-MK-801 autoradiography, and decreased lesion size by 50%. It also reduced CHI-induced neurologic deficits, indicated by the highly significant (P < 0.0001) 60% increase in extent of recovery. Thus, FTS provided long-term neuroprotection after CHI, rescuing NMDAR binding in the contused hemisphere and profoundly reducing neurologic deficits. These findings suggest that nontoxic Ras inhibitors such as FTS may qualify as neuroprotective drugs.
创伤性脑损伤会激活N-甲基-D-天冬氨酸受体(NMDAR),从而诱导Ras蛋白(细胞生长、存活和死亡的关键调节因子)及其效应器的激活。因此,创伤诱导的活性Ras-GTP增加可能会导致创伤性脑损伤的病理过程。基于这一假设,提出了一种神经保护的新概念,本文通过研究Ras抑制剂S-反式,反式-法尼基硫代水杨酸(FTS)在闭合性颅脑损伤(CHI)小鼠模型中的作用来进行验证。遭受CHI的小鼠在1小时后全身给予FTS(5mg/kg)或赋形剂。1小时后,挫伤半球中的Ras-GTP显著增加(3.8倍),FTS(82%抑制)或NMDA受体拮抗剂MK-801(53%)可强烈抑制这种增加。两种药物还降低了活性(磷酸化)细胞外信号调节激酶。通过[3H]-MK-801放射自显影法测量,FTS可防止CHI诱导的皮质、纹状体和海马区域NMDAR结合减少,并使损伤大小减少50%。它还减少了CHI诱导的神经功能缺损,恢复程度显著增加60%(P<0.0001)表明了这一点。因此,FTS在CHI后提供了长期神经保护,挽救了挫伤半球中的NMDAR结合,并显著减少了神经功能缺损。这些发现表明,无毒的Ras抑制剂如FTS可能符合神经保护药物的标准。