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Published on: February 27, 2018
Inhibitors of cytochrome c release with therapeutic potential for Huntington's disease
Xin Wang1, Shan Zhu, Zhijuan Pei
1Neuroapoptosis Laboratory and Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Insights
Researchers screened drugs to find inhibitors of cytochrome c release, a key factor in Huntington's disease (HD) cell death. This approach identified potential treatments for HD, with some drugs already FDA-approved and able to cross the blood-brain barrier.
Area of Science:
- Neuroscience
- Cell Biology
- Pharmacology
Background:
- Mitochondrial cytochrome c release is implicated in neurodegenerative diseases.
- The role of cytochrome c release in Huntington's disease (HD) remains unclear.
- Identifying therapeutic targets for neuroprotection in HD is crucial.
Purpose of the Study:
- To investigate the functional role of cytochrome c release in Huntington's disease.
- To screen for novel inhibitors of mitochondrial cytochrome c release.
- To evaluate the therapeutic potential of identified inhibitors in HD models.
Main Methods:
- Screening of a drug library to identify inhibitors of cytochrome c release from isolated mitochondria.
- Evaluation of effective compounds in a cellular HD model.
- In-depth in vitro and in vivo assessment using a transgenic mouse model of HD.
Main Results:
- Successful identification of compounds that inhibit cytochrome c release at the mitochondrial level.
- Demonstrated the utility of mitochondrial screening for discovering cell death inhibitors.
- Provided evidence for the functional significance of cytochrome c release in HD pathogenesis.
- Identified drug candidates that are FDA-approved and blood-brain barrier penetrant.
Conclusions:
- Mitochondrial screening is a viable strategy for identifying neuroprotective agents.
- Cytochrome c release plays a significant functional role in Huntington's disease.
- FDA-approved, blood-brain barrier-penetrant drugs identified may offer a pathway for clinical trials in HD patients.
Abstract:
Release of mitochondrial cytochrome c resulting in downstream activation of cell death pathways has been suggested to play a role in neurologic diseases featuring cell death. However, the specific biologic importance of cytochrome c release has not been demonstrated in Huntington's disease (HD). To evaluate the role of cytochrome c release, we screened a drug library to identify new inhibitors of cytochrome c release from mitochondria. Drugs effective at the level of purified mitochondria were evaluated in a cellular model of HD. As proof of principle, one drug was chosen for in depth evaluation in vitro and a transgenic mouse model of HD. Our findings demonstrate the utility of mitochondrial screening to identify inhibitors of cell death and provide further support for the important functional role of cytochrome c release in HD. Given that many of these compounds have been approved by the Food and Drug Administration for clinical usage and cross the blood-brain barrier, these drugs may lead to trials in patients.
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