Glutamate neurotoxicity is implicated in the pathogenesis of neurodegenerative diseases such as Huntington's, Alzheimer's and Parkinson's diseases, and also plays a role in brain damage caused by head trauma, stroke and brain-tumour progression.NMDA-receptor channels are very permeable to Ca2+. Glutamate-mediated Ca2+ influx into neurons sets up a glutamate–nitric oxide–cGMP pathway, which eventually results in cell death by necrosis or apoptosis. Therefore, drug development aimed at neuroprotection has targeted the NMDA receptor. Unfortunately, at present, NMDA-receptor antagonists have serious cognitive side effects that interfere with their therapeutic benefit. These antagonists have strong affinity, and bind not only to pathologically active receptors, but also to physiologically active receptor sites, thereby interfering with the normal processes of memory and learning. Non-competitive channel blockers bind preferentially to pathologically active receptors. A potential neuroprotectant non-competitive NMDA-channel blocker would need the attributes of low molecular weight, low receptor affinity and fast on–off kinetics.Planells-Cases et al. screened a restricted oligo-N-substituted glycine-based combinatorial library to find novel antagonists of the NMDA receptor [1xA novel n-methyl-d-aspartate receptor open channel blocker with in vivo neuroprotectant activity. Planells-Cases, R. et al. J. Pharmacol. Exp. Ther. 2002; 302: 163–173Crossref | PubMed | Scopus (46)See all References[1]. The rationale for this was the finding that arginine-rich hexapeptides blocked NMDA receptors with high efficacy and exhibited neuroprotectant activity in vitro. However, in vivo, the compounds were toxic at theraputic doses. The library identified trimers of N-alkylglycine with a 3,3-diphenylpropyl amino moeity that blocked NMDA-receptor channels. Structure–activity relationships demonstrated that one compound, N20C, selectively inhibited NMDA receptors with micromolar affinity, and had fast on–off kinetics and strong voltage dependence. It did not compete for binding with glycine or glutamate, but prevented high affinity MK801 binding. The authors concluded, therefore, that N20C is a non-competitive blocker that binds to the same non-competitive site as MK801, deep in the NMDA-receptor channel pore, thereby interfering with Ca2+ permeability. In vitro and in vivo experiments also demonstrated that N20C has a neuroprotectant effect on glutamate-induced neuronal cell death.The extent of neuroprotection provided by N20C was shown to be higher than that of memantine, and a better therapeutic profile was also suggested. The compound did not exhibit toxicity at high concentrations, and animals treated with N-alkylglycine did not display any conspicuous behavioural or motor deficits. Although the authors caution that a therapeutic index needs to be determined for this new open-channel blocker, this study represents an exciting step in the discovery of a neuroprotectant drug that has the potential to treat many neurodegenerative diseases.
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