Atienza-Navarro Isabel, Del Marco Angel, Alves-Martinez Pilar, Garcia-Perez Maria de Los Angeles, Raya-Marin Alvaro, Benavente-Fernandez Isabel, Gil Carmen, Martinez Ana, Lubian-Lopez Simon, Garcia-Alloza Monica
Division of Physiology, School of Medicine, University of Cadiz, C/Dr. Marañon 3, 3rd Floor, 11002, Cadiz, Spain.
Biomedical Research and Innovation Institute of Cadiz (INiBICA) Research Unit, Puerta del Mar University Hospital, Cadiz, Spain.
Transl Stroke Res. 2025 Apr;16(2):467-483. doi: 10.1007/s12975-023-01229-2. Epub 2024 Jan 17.
Advances in neonatology have significantly reduced mortality rates due to prematurity. However, complications of prematurity have barely changed in recent decades. Germinal matrix-intraventricular hemorrhage (GM-IVH) is one of the most severe complications of prematurity, and these children are prone to suffer short- and long-term sequelae, including cerebral palsy, cognitive and motor impairments, or neuropsychiatric disorders. Nevertheless, GM-IVH has no successful treatment. VP3.15 is a small, heterocyclic molecule of the 5-imino-1,2,4-thiadiazole family with a dual action as a phosphodiesterase 7 and glycogen synthase kinase-3β (GSK-3β) inhibitor. VP3.15 reduces neuroinflammation and neuronal loss in other neurodegenerative disorders and might ameliorate complications associated with GM-IVH. We administered VP3.15 to a mouse model of GM-IVH. VP3.15 reduces the presence of hemorrhages and microglia in the short (P14) and long (P110) term. It ameliorates brain atrophy and ventricle enlargement while limiting tau hyperphosphorylation and neuronal and myelin basic protein loss. VP3.15 also improves proliferation and neurogenesis as well as cognition after the insult. Interestingly, plasma gelsolin levels, a feasible biomarker of brain damage, improved after VP3.15 treatment. Altogether, our data support the beneficial effects of VP3.15 in GM-IVH by ameliorating brain neuroinflammatory, vascular and white matter damage, ultimately improving cognitive impairment associated with GM-IVH.
新生儿学的进展显著降低了早产导致的死亡率。然而,近几十年来早产并发症几乎没有变化。生发基质 - 脑室内出血(GM-IVH)是早产最严重的并发症之一,这些儿童容易出现短期和长期后遗症,包括脑瘫、认知和运动障碍或神经精神疾病。然而,GM-IVH尚无成功的治疗方法。VP3.15是一种5-亚氨基-1,2,4-噻二唑家族的小分子杂环化合物,具有磷酸二酯酶7和糖原合酶激酶-3β(GSK-3β)抑制剂的双重作用。VP3.15可减轻其他神经退行性疾病中的神经炎症和神经元损失,并可能改善与GM-IVH相关的并发症。我们将VP3.15应用于GM-IVH小鼠模型。VP3.15在短期(P14)和长期(P110)均能减少出血和小胶质细胞的存在。它可改善脑萎缩和脑室扩大,同时限制tau蛋白过度磷酸化以及神经元和髓鞘碱性蛋白的损失。VP3.15还能改善损伤后的增殖和神经发生以及认知能力。有趣的是,血浆凝溶胶蛋白水平作为脑损伤的一个可行生物标志物,在VP3.15治疗后有所改善。总之,我们的数据支持VP3.15通过改善脑神经性炎症、血管和白质损伤,最终改善与GM-IVH相关的认知障碍,对GM-IVH具有有益作用。