Peptidylarginine Deiminases as Drug Targets in Neonatal Hypoxic-Ischemic Encephalopathy

Sigrun Lange1

  • 1Department of Pharmacology, UCL School of Pharmacy, London, UK; Department of Biomedical Sciences, University of Westminster, London, UK.

Insights

Novel factors like peptidylarginine deiminases (PADs) are key in perinatal brain injury from oxygen deprivation and infection. Inhibiting PADs shows neuroprotection in a neonatal hypoxic-ischemia model, offering new therapeutic avenues.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pathology

Background:

  • Perinatal brain injury, caused by oxygen deprivation and infection, leads to cerebral palsy and neurological disabilities.
  • Understanding the cellular mechanisms of white and gray matter damage is crucial for developing clinical interventions.

Purpose of the Study:

  • To identify novel factors involved in neonatal hypoxic-ischemia (HI) and infection-induced brain injury.
  • To investigate the role of calcium-regulated peptidylarginine deiminases (PADs) in mediating brain damage.
  • To evaluate the neuroprotective potential of pharmacological PAD inhibition.

Main Methods:

  • Utilized the Rice-Vannucci mouse model to simulate neonatal hypoxic-ischemia (HI).
  • Introduced lipopolysaccharide (LPS) to mimic synergistic infection alongside HI.
  • Administered pharmacological inhibitors targeting PADs.

Main Results:

  • Highlighted novel roles for peptidylarginine deiminases (PADs) in brain injury following HI.
  • Demonstrated significant neuroprotective effects of PAD inhibition in the HI model.
  • Showed that PAD inhibition is effective even with synergistic infection (LPS stimulation).

Conclusions:

  • Peptidylarginine deiminases (PADs) are key mediators in neonatal brain injury.
  • Pharmacological inhibition of PADs offers a promising neuroprotective strategy.
  • Targeting PADs could be a viable clinical approach for preventing neurological disabilities.

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