Novel P2X4 Receptor Antagonist MRS4719 Improves Ischemia/reperfusion Injury in Mice

Rajkumar Verma1, Jinting Zhang2, Sanjeev Kumar Yadav3

  • 1Department of Neuroscience, University of Connecticut School of Medicine, Farmington, CT, 06030, USA. raverma@uchc.edu.

Insights

MRS4719, a P2X4 receptor antagonist, improved recovery from brain and heart injury in mice. This drug shows therapeutic potential for ischemic disorders by reducing inflammation and tissue damage.

Area of Science:

  • Neuroscience
  • Cardiology
  • Immunology

Background:

  • Ischemic injury causes extracellular ATP release, activating P2X4 receptors (P2X4R).
  • P2X4R activation on immune and cardiac cells exacerbates inflammation and tissue damage.
  • Targeting P2X4R may offer a novel therapeutic strategy for ischemic conditions.

Purpose of the Study:

  • To evaluate the efficacy of MRS4719, a selective P2X4R antagonist, in models of cerebral and cardiac ischemia.
  • To determine the optimal dose and treatment duration for MRS4719.
  • To assess the impact of MRS4719 on functional recovery and tissue protection.

Main Methods:

  • Aged mice underwent transient middle cerebral artery occlusion (tMCAo) for stroke and cardiac ischemia/reperfusion (CI/R) for heart injury.
  • MRS4719 was administered at various doses and treatment durations.
  • Sensorimotor, cognitive function, brain tissue atrophy, infarct volume, and cardiac contractile function were assessed.

Main Results:

  • MRS4719 demonstrated a nonlinear dose response, with an intermediate dose (2.25 mg/kg/day) and short-term treatment (2 days) yielding optimal sensorimotor and cognitive recovery.
  • Treatment with MRS4719 significantly reduced brain tissue atrophy and infarct volume when initiated up to 12 hours post-stroke.
  • MRS4719 preserved cardiac contractile function following CI/R injury.

Conclusions:

  • Targeted P2X4R inhibition with MRS4719 mitigates inflammatory injury in both cerebral and cardiac tissues.
  • MRS4719 promotes functional recovery after ischemic events.
  • MRS4719 exhibits significant therapeutic potential for treating cerebral and cardiac ischemic disorders.

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