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Métodos Terapéuticos y Terapias MTCI
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1.
J Neurosci ; 41(33): 7148-7159, 2021 08 18.
Artículo en Inglés | MEDLINE | ID: mdl-34210784

RESUMEN

Following stroke, the survival of neurons and their ability to reestablish connections is critical to functional recovery. This is strongly influenced by the balance between neuronal excitation and inhibition. In the acute phase of experimental stroke, lethal hyperexcitability can be attenuated by positive allosteric modulation of GABAA receptors (GABAARs). Conversely, in the late phase, negative allosteric modulation of GABAAR can correct the suboptimal excitability and improves both sensory and motor recovery. Here, we hypothesized that octadecaneuropeptide (ODN), an endogenous allosteric modulator of the GABAAR synthesized by astrocytes, influences the outcome of ischemic brain tissue and subsequent functional recovery. We show that ODN boosts the excitability of cortical neurons, which makes it deleterious in the acute phase of stroke. However, if delivered after day 3, ODN is safe and improves motor recovery over the following month in two different paradigms of experimental stroke in mice. Furthermore, we bring evidence that, during the subacute period after stroke, the repairing cortex can be treated with ODN by means of a single hydrogel deposit into the stroke cavity.SIGNIFICANCE STATEMENT Stroke remains a devastating clinical challenge because there is no efficient therapy to either minimize neuronal death with neuroprotective drugs or to enhance spontaneous recovery with neurorepair drugs. Around the brain damage, the peri-infarct cortex can be viewed as a reservoir of plasticity. However, the potential of wiring new circuits in these areas is restrained by a chronic excess of GABAergic inhibition. Here we show that an astrocyte-derived peptide, can be used as a delayed treatment, to safely correct cortical excitability and facilitate sensorimotor recovery after stroke.


Asunto(s)
Inhibidor de la Unión a Diazepam/uso terapéutico , Agonistas de Receptores de GABA-A/uso terapéutico , Neuronas/efectos de los fármacos , Neuropéptidos/uso terapéutico , Fragmentos de Péptidos/uso terapéutico , Receptores de GABA-A/efectos de los fármacos , Accidente Cerebrovascular/tratamiento farmacológico , Adulto , Animales , Astrocitos/metabolismo , Depresión de Propagación Cortical/fisiología , Inhibidor de la Unión a Diazepam/deficiencia , Inhibidor de la Unión a Diazepam/fisiología , Implantes de Medicamentos , Potenciales Evocados Somatosensoriales , Femenino , Agonistas de Receptores de GABA-A/farmacología , Humanos , Hidrogeles , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Trombosis Intracraneal/tratamiento farmacológico , Trombosis Intracraneal/etiología , Luz , Ratones , Ratones Endogámicos C57BL , N-Metilaspartato/toxicidad , Neuronas/fisiología , Neuropéptidos/deficiencia , Neuropéptidos/fisiología , Técnicas de Placa-Clamp , Fragmentos de Péptidos/deficiencia , Fragmentos de Péptidos/fisiología , Ratas , Rosa Bengala/efectos de la radiación , Rosa Bengala/toxicidad , Método Simple Ciego , Accidente Cerebrovascular/etiología
2.
Int J Mol Sci ; 22(1)2020 Dec 22.
Artículo en Inglés | MEDLINE | ID: mdl-33374919

RESUMEN

A sesquiterpene lactone, thapsigargin, is a phytochemical found in the roots and fruits of Mediterranean plants from Thapsia L. species that have been used for centuries in folk medicine to treat rheumatic pain, lung diseases, and female infertility. More recently thapsigargin was found to be a potent cytotoxin that induces apoptosis by inhibiting the sarcoplasmic/endoplasmic reticulum Ca2+ ATPase (SERCA) pump, which is necessary for cellular viability. This biological activity encouraged studies on the use of thapsigargin as a novel antineoplastic agent, which were, however, hampered due to high toxicity of this compound to normal cells. In this review, we summarized the recent knowledge on the biological activity and molecular mechanisms of thapsigargin action and advances in the synthesis of less-toxic thapsigargin derivatives that are being developed as novel anticancer drugs.


Asunto(s)
Antineoplásicos/uso terapéutico , Medicina Tradicional/métodos , Neoplasias/tratamiento farmacológico , Thapsia/química , Tapsigargina/uso terapéutico , Apoptosis/efectos de los fármacos , Estrés del Retículo Endoplásmico/efectos de los fármacos , Humanos , Estructura Molecular , Neoplasias/metabolismo , Neoplasias/patología , Tapsigargina/química , Respuesta de Proteína Desplegada/efectos de los fármacos
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