Tonabersat Significantly Reduces Disease Progression in an Experimental Mouse Model of Multiple Sclerosis

Andrea Kwakowsky1,2, Bhavya Chawdhary1,3, Antonio de Souza1,3

  • 1Department of Anatomy and Medical Imaging, Centre for Brain Research, Faculty of Medical and Health Science, University of Auckland, Auckland 1023, New Zealand.

Insights

Tonabersat, a connexin 43 (Cx43) hemichannel blocker, reduced neuroinflammation and preserved myelin in a multiple sclerosis (MS) mouse model. This suggests tonabersat may be a promising therapeutic candidate for MS treatment.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Multiple sclerosis (MS) is a neurodegenerative disease characterized by chronic neuroinflammation.
  • The inflammasome pathway and connexin 43 (Cx43) hemichannels, releasing adenosine triphosphate (ATP), are implicated in MS pathogenesis.
  • Cx43 hemichannels are key mediators in inflammasome activation, contributing to neuroinflammation in MS.

Purpose of the Study:

  • To investigate the efficacy of tonabersat, a Cx43 hemichannel blocker, in modulating neuroinflammation.
  • To assess the therapeutic potential of tonabersat in reducing disability in a mouse model of MS.
  • To evaluate tonabersat's effect on inflammasome pathway activation and key inflammatory markers.

Main Methods:

  • Utilized the myelin oligodendrocyte glycoprotein 35-55-induced experimental autoimmune encephalomyelitis (MOG35-55 EAE) mouse model to simulate MS.
  • Administered tonabersat to MOG35-55 EAE mice and assessed neuroinflammatory markers (Iba1, GFAP, MBP).
  • Analyzed inflammasome complex assembly (NLRP3) and Caspase-1 activation to confirm the drug's mechanism of action.

Main Results:

  • Tonabersat significantly reduced microglial activation (Iba1) and astrogliosis (GFAP) markers.
  • Myelin basic protein (MBP) expression was preserved in key brain regions following tonabersat treatment.
  • Tonabersat treatment led to reduced NLRP3 inflammasome assembly and Caspase-1 activation.
  • Mice treated with tonabersat exhibited improved clinical outcomes and behaviors compared to untreated MOG35-55 EAE mice.

Conclusions:

  • Tonabersat effectively reduces neuroinflammation and preserves myelin integrity in an MS mouse model.
  • The drug's mechanism involves inhibiting the NLRP3 inflammasome pathway and Cx43 hemichannel activity.
  • Tonabersat demonstrates potential as a therapeutic agent for MS and warrants further clinical investigation (Phase IIb).

Related Concept Videos