Calpain-2 Inhibitors as Therapy for Traumatic Brain Injury

Michel Baudry1, Yun Lyna Luo2, Xiaoning Bi3

  • 1CDM, Western University of Health Sciences, 309 E. 2nd St, Pomona, CA, 91766, USA. mbaudry@westernu.edu.

Insights

Calpain-2 inhibition shows promise for treating neurodegenerative diseases by enhancing learning and providing neuroprotection. Selective calpain-2 inhibitors are being developed for conditions like traumatic brain injury.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Pharmacology

Background:

  • Calpains are implicated in neurodegeneration, but specific isoform functions remain unclear.
  • Calpain-1 and calpain-2 exhibit opposing roles in synaptic plasticity, learning, and neurodegeneration.
  • Understanding these distinct roles is crucial for developing targeted neuroprotective therapies.

Purpose of the Study:

  • To investigate the opposing roles of calpain-1 and calpain-2 in brain function.
  • To develop selective calpain-2 inhibitors for potential therapeutic applications.
  • To evaluate the neuroprotective and cognitive-enhancing effects of calpain-2 inhibitors.

Main Methods:

  • Utilized calpain-1 knockout mice and forebrain-specific calpain-2 deletion models.
  • Conducted medicinal chemistry campaigns to identify selective calpain-2 inhibitors.
  • Assessed inhibitor efficacy in animal models of acute neurodegeneration and learning tasks.

Main Results:

  • Calpain-1 activation is essential for synaptic plasticity, learning, and neuroprotection.
  • Calpain-2 activation impairs synaptic plasticity, learning, and promotes neurodegeneration.
  • Selective calpain-2 inhibitors facilitated learning and demonstrated neuroprotection in preclinical models.
  • NA-184, a selective calpain-2 inhibitor, is advancing to clinical trials for traumatic brain injury.

Conclusions:

  • Calpain-1 and calpain-2 possess distinct, opposing functions in the brain.
  • Targeting calpain-2 with selective inhibitors represents a viable therapeutic strategy for neurodegenerative conditions.
  • Further development of calpain-2 inhibitors, such as NA-184, holds significant potential for treating brain injuries and diseases.