Yang Nan, Zhang Kai, Guan Qi-Wen, Wang Zhao-Jun, Chen Kang-Ni, Mao Xiao-Yuan
Department of Clinical Pharmacology, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, China.
Institute of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Central South University, 110 Xiangya Road, Changsha 410078, China.
Antioxidants (Basel). 2022 Aug 19;11(8):1602. doi: 10.3390/antiox11081602.
Repetitive seizures, a common phenomenon in diverse neurologic conditions such as epilepsy, can undoubtedly cause neuronal injury and our prior work reveals that ferroptosis is a contributing factor of neuronal damage post seizure. However, there is no drug available in clinical practice for ameliorating seizure-induced neuronal impairment via targeting ferroptosis. Our present work aimed to explore whether D-penicillamine (DPA), an originally approved drug for treating Wilson's disease, inhibited neuronal ferroptosis and alleviated seizure-associated brain damage. Our findings revealed that DPA remarkably improved neuronal survival in kainic acid (KA)-treated mouse model. Furthermore, ferroptosis-associated indices including acyl-coA synthetase long chain family member 4 (ACSL4), prostaglandin-endoperoxide synthase 2 () gene and lipid peroxide (LPO) level were significantly decreased in KA mouse model after DPA treatment. In a ferroptotic cell death model induced by glutamate or erastin, DPA was also validated to evidently suppress neuronal ferroptosis. The results from RNA-seq analysis indicated that , a gene coding previously reported channel protein responsible for transporting water and small solutes, was identified as a molecular target by which DPA exerted anti-ferroptotic potential in neurons. The experimental results from in vivo siRNA transfer into the brain also confirmed that knockdown of abrogated the inhibitory effect of seizure-induced ferroptosis after DPA treatment, suggesting that the effects of DPA on ferroptosis process are dependent upon . In conclusion, DPA can be repurposed to cure seizure disorders such as epilepsy.
重复性癫痫发作是癫痫等多种神经系统疾病中的常见现象,无疑会导致神经元损伤,我们之前的研究表明,铁死亡是癫痫发作后神经元损伤的一个促成因素。然而,在临床实践中,尚无通过靶向铁死亡来改善癫痫发作诱导的神经元损伤的药物。我们目前的工作旨在探索最初被批准用于治疗威尔逊病的药物D-青霉胺(DPA)是否能抑制神经元铁死亡并减轻癫痫相关的脑损伤。我们的研究结果表明,DPA显著提高了海藻酸(KA)处理的小鼠模型中的神经元存活率。此外,在DPA处理后的KA小鼠模型中,包括酰基辅酶A合成酶长链家族成员4(ACSL4)、前列腺素内过氧化物合酶2()基因和脂质过氧化物(LPO)水平在内的铁死亡相关指标显著降低。在由谷氨酸或埃拉斯汀诱导的铁死亡细胞死亡模型中,DPA也被证实能明显抑制神经元铁死亡。RNA测序分析结果表明,一个编码先前报道的负责运输水和小溶质的通道蛋白的基因被确定为DPA在神经元中发挥抗铁死亡潜力的分子靶点。体内向大脑转移siRNA的实验结果也证实,敲低该基因可消除DPA处理后癫痫发作诱导的铁死亡的抑制作用,这表明DPA对铁死亡过程的影响取决于该基因。总之,DPA可被重新用于治疗癫痫等癫痫疾病。