Supriti Samantaray, Nakul P Thakore, Denise D Matzelle, Abhay Varma, Swapan K Ray, Naren L Banik
{"title":"Neuroprotective Drugs in Traumatic CNS Injury.","authors":"Supriti Samantaray, Nakul P Thakore, Denise D Matzelle, Abhay Varma, Swapan K Ray, Naren L Banik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite extensive experimental research, the numbers of neuroprotective drugs that have proven efficacy following treatment of patients with traumatic CNS injuries still remain meager. It would be worthwhile to emphasize that majority of the victims are mostly in the second or third decades of their lives. A survey on the neuroprotective molecules that has been tested experimentally and subsequently tried clinically has been found somewhat beneficial. In the present review, we consolidated the updates on a number of such drugs, which hold promise for therapy of traumatic CNS injuries. Two such agents, endogenous molecules estrogen and melatonin have been under investigation in our laboratory for their efficacy in experimental spinal cord injury in rats.</p>","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"2 ","pages":"174-180"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estrogen and P2 Purinergic Receptor Systems in Microglia: Therapeutic Targets for Neuroprotection.","authors":"Jessica M Crain, Jyoti J Watters","doi":"10.2174/1877381801002010148","DOIUrl":"10.2174/1877381801002010148","url":null,"abstract":"<p><p>Microglia, the primary resident immune cell population in the CNS, react to signals of injury or infection and produce inflammatory cytokines, chemokines, and reactive oxygen species, many of which can be neurotoxic in large quantities. Indeed microglial hyperactivation is thought to contribute to the pathology of many neurodegenerative disorders as well as ischemic and traumatic brain injuries, suggesting that agents with the capacity to target microglial activities may be beneficial for treating neuronal injury. In this review, we discuss two seemingly unrelated microglial receptor signaling systems that potently modulate many microglial properties; purinergic P2 and estrogen receptors. Purinergic receptors regulate key microglial functions, including their production of pro-inflammatory cytokines, neurotrophic factors, migration, phagocytosis and chemotaxis. Many of these same endpoints are also altered by estrogen receptor signaling in microglia. Here we summarize the current microglial research in both receptor areas, particularly as it relates to ischemic and traumatic CNS injuries. We provide evidence from our own laboratory of potential cross-talk between these receptor systems and discuss evidence indicating that both purinergic and estrogen receptors may represent useful therapeutic targets for the treatment of CNS disorders.</p>","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"2 ","pages":"148-167"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180920/pdf/nihms263927.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30032176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erythropoietin protects against acute kidney injury and failure","authors":"David W. Johnson, D. Vesey, G. Gobe","doi":"10.2174/1877381801002010008","DOIUrl":"https://doi.org/10.2174/1877381801002010008","url":null,"abstract":"Erythropoietin (EPO) has traditionally been viewed as a hormone dedicated to the regulation of erythropoiesis. More recently, the EPO receptor (EPOR) has been found to be expressed in a large variety of non-haematopoietic tissues suggesting that EPO might have important actions beyond erythrocyte production. Over the last five years, short-term, high dose administration of EPO has been shown to ameliorate acute kidney injury (AKI), as evidenced by suppressed tubular epithelial apoptosis, enhanced tubular epithelial proliferation, and hastened functional recovery. This renoprotective effect is still apparent when administration is delayed up to 6 hours after the onset of injury and has been demonstrated in a variety of animals (mouse, rat, dog, pig) in response to a variety of renal insults (ischaemia-reperfusion injury, cisplatin, ureteral obstruction, cyclosporine, radiographic contrast, endotoxaemia, heat-shock, and aristolochic acid). Based on these highly encouraging results, several large randomised controlled trials of EPO therapy in ischaemic or toxic AKI are currently underway. The purpose of this article is to review the experimental and clinical evidence for a renoprotective benefit of EPO in acute kidney injury (AKI), the potential mechanisms underpinning these renoprotective actions and possible future directions for research in this important area.","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"2 1","pages":"8-17"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68151622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James W Bales, Anthony E Kline, Amy K Wagner, C Edward Dixon
{"title":"Targeting Dopamine in Acute Traumatic Brain Injury.","authors":"James W Bales, Anthony E Kline, Amy K Wagner, C Edward Dixon","doi":"10.2174/1877381801002010119","DOIUrl":"10.2174/1877381801002010119","url":null,"abstract":"<p><p>In addition to the initial mechanical damage, traumatic brain injury (TBI) induces a series of secondary insults, such as, but not limited to, excitotoxicity, metabolic disruption, and oxidative stress. Neuroprotective strategies after TBI have traditionally focused on cellular preservation as the measurable endpoint although multiple lines of evidence indicate that even with significant neuronal sparing deficits remain at both the cellular and behavioral level. As such, the development of therapies that can effectively confer both neuronal sparing and post-injury functional benefit is critical to providing the best treatment options for clinical TBI. Targeting dopaminergic signaling pathways is a novel approach in TBI that provides benefits to both neuronal survival and functional outcomes. Dopamine, like glutamate, can cause oxidative stress and significant cellular dysfunction when either depleted or over-expressed, and also plays an important role in central nervous system inflammation. The purpose of this review is to discuss dopamine in acute TBI and the role that dopaminergic therapies have as neuroprotective strategies.</p>","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"2 ","pages":"119-128"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3269831/pdf/nihms-259600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30438444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Adenosine kinase is a new therapeutic target to prevent ischemic neuronal death.","authors":"Detlev Boison, Hai-Ying Shen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The brain has evolved several endogenous mechanisms to protect itself from the deleterious consequences of stroke. One of those endogenous neuroprotective systems is centered on the purine ribonucleoside adenosine, which exerts potent neuroprotective functions within the brain. One major goal in therapeutic stroke research is to explore and utilize such endogenous neuroprotective mechanisms therapeutically. This review illustrates molecular approaches to study the role of the adenosine system within the context of stroke and highlights innovative therapeutic approaches aimed at increasing adenosinergic function. New research data suggest that the major adenosine regulating enzyme adenosine kinase (ADK) plays a prominent role in determining the brain's susceptibility to ischemic injury. Thus, endogenous ADK is rapidly downregulated following a stroke, possibly an endogenous neuroprotective mechanism aimed at raising ambient levels of adenosine in brain. Conversely, transgenic overexpression of ADK in brain renders the brain more susceptible to stroke-induced neuronal cell loss. In the present review we will first summarize the physiological role of adenosine metabolism within the context of ischemic brain injury. Next, we will highlight the key role of ADK in determining the brain's susceptibility to ischemic injury, and finally we will discuss potential therapeutic applications of adenosine augmentation to provide neuroprotection in stroke.</p>","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"2 3","pages":"108-118"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786597/pdf/nihms213853.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31777690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extracellular Ion Channel Inhibitor Antibodies","authors":"Jacqueline Naylor, D. Beech","doi":"10.2174/1877381800901010036","DOIUrl":"https://doi.org/10.2174/1877381800901010036","url":null,"abstract":"For many ion channels there are no specific pharmacological agents and this impedes searches for the physiological and pathological functions of the ion channels in native systems and restricts opportunity for therapeutic drug development. Antibodies can display high specificity for their target proteins and are routinely engineered to recognise proteins in many experimental procedures and increasingly as therapeutic agents. The unlimited diversity and potential for high specificity make antibodies attractive as biological tools and drugs, although they are not without problems. Along with other investigators we have explored targeting of the E3 extracellular loop (or turret) as an approach for the generation of antibodies with the potential to block certain types of ion channel with isoform specificity. The approach has led to success with nine ion channels and effective use in vitro and in vivo. Here we review current knowledge and experience of channel-blocking antibodies, focusing particularly but not exclusively on E3-targeting.","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"1 1","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2009-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68152025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Setbacks in the Clinical Development of TRPV1 Antagonists: What Next?","authors":"N. Gavva","doi":"10.2174/1877381800901010001","DOIUrl":"https://doi.org/10.2174/1877381800901010001","url":null,"abstract":"Abstract: TRPV1 antagonists have been considered as potential treatments for pain associated with inflammatory diseases and cancer. During Phase I clinical trials with AMG 517, a highly selective TRPV1 antagonist, we found that TRPV1 blockade elicits marked, but reversible, and generally plasma concentration-dependent hyperthermia. Furthermore, in a Phase Ib study, AMG 517 administered after molar extraction (a surgical cause of acute pain) elicited long-lasting hyperthermia with maximal body temperature surpassing 40 oC, suggesting that TRPV1 blockade elicits undesirable hyperthermia in susceptible individuals. Since TRPV1 blockade elicited hyperthermia is a major hurdle, we investigated the possibility of eliminating hyperthermia while maintaining antihyperalgesia by two approaches: i) peripheral restriction of TRPV1 antagonists, ii) characterization of TRPV1 modulators that exhibit differential pharmacology. Results from the preclinical studies of both approaches will be discussed.","PeriodicalId":89503,"journal":{"name":"The open drug discovery journal","volume":"1 1","pages":"1-35"},"PeriodicalIF":0.0,"publicationDate":"2009-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68151962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}