Sun P, Esteban G, Inokuchi T, Marco-Contelles J, Weksler B B, Romero I A, Couraud P O, Unzeta M, Solé M
Institut de Neurociències i Departament de Bioquímica i Biologia Molecular. Edifici M, Facultat de Medicina, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
Division of Chemistry and Biotechnology, Graduate School of Natural Science and Technology, Okayama University, 3.1.1 Tsushima-Naka, Kita-ku, Okayama, 700-8530, Japan.
Br J Pharmacol. 2015 Nov;172(22):5390-402. doi: 10.1111/bph.13328. Epub 2015 Oct 27.
Stroke and Alzheimer's disease (AD) are related pathologies in which the cerebrovascular system is involved. Plasma levels of semicarbazide-sensitive amine oxidase/vascular adhesion protein 1 (SSAO/VAP-1, also known as Primary Amine Oxidase -PrAO) are increased in both stroke and AD patients and contribute to the vascular damage. During inflammation, its enzymatic activity mediates leukocyte recruitment to the injured tissue, inducing damage in the blood-brain barrier (BBB) and neuronal tissue. We hypothesized that by altering cerebrovascular function, SSAO/VAP-1 might play a role in the stroke-AD transition. Therefore, we evaluated the protective effect of the novel multitarget-directed ligand DPH-4, initially designed for AD therapy, on the BBB.
A human microvascular brain endothelial cell line expressing human SSAO/VAP-1 was generated, as the expression of SSAO/VAP-1 is lost in cultured cells. To simulate ischaemic damage, these cells were subjected to oxygen and glucose deprivation (OGD) and re-oxygenation conditions. The protective role of DPH-4 was then evaluated in the presence of methylamine, an SSAO substrate, and/or β-amyloid (Aβ).
Under our conditions, DPH-4 protected brain endothelial cells from OGD and re-oxygenation-induced damage, and also decreased SSAO-dependent leukocyte adhesion. DPH-4 was also effective at preventing the damage induced by OGD and re-oxygenation in the presence of Aβ as a model of AD pathology.
From these results, we concluded that the multitarget compound DPH-4 might be of therapeutic benefit to delay the onset and/or progression of the neurological pathologies associated with stroke and AD, which appear to be linked.
中风与阿尔茨海默病(AD)是涉及脑血管系统的相关病理状态。中风患者和AD患者的血浆氨基脲敏感性胺氧化酶/血管黏附蛋白1(SSAO/VAP-1,也称为原发性胺氧化酶-PrAO)水平均升高,且会导致血管损伤。在炎症过程中,其酶活性介导白细胞募集至受损组织,导致血脑屏障(BBB)和神经组织受损。我们推测,通过改变脑血管功能,SSAO/VAP-1可能在中风向AD的转变中发挥作用。因此,我们评估了最初设计用于AD治疗的新型多靶点配体DPH-4对BBB的保护作用。
由于培养细胞中SSAO/VAP-1的表达会丧失,因此构建了表达人SSAO/VAP-1的人微血管脑内皮细胞系。为模拟缺血损伤,将这些细胞置于氧糖剥夺(OGD)和复氧条件下。然后在存在SSAO底物甲胺和/或β-淀粉样蛋白(Aβ)的情况下评估DPH-4的保护作用。
在我们的实验条件下,DPH-4可保护脑内皮细胞免受OGD和复氧诱导的损伤,并减少SSAO依赖性白细胞黏附。在存在作为AD病理模型的Aβ的情况下,DPH-4在预防OGD和复氧诱导的损伤方面也有效。
根据这些结果,我们得出结论,多靶点化合物DPH-4可能对延缓与中风和AD相关的神经病理状态的发生和/或进展具有治疗益处,而这两种疾病似乎存在关联。