Inhibition of postsynaptic density protein-95 (PSD-95) decouples
N-methyl-d-aspartate (
NMDA) receptor downstream signaling and results in neuroprotection after focal
cerebral ischemia. We have previously developed
UCCB01-144, a dimeric PSD-95 inhibitor, which binds PSD-95 with high affinity and is neuroprotective in experimental
stroke. Here, we investigate the selectivity, efficacy and toxicity of
UCCB01-144 and compare with the monomeric drug candidate
Tat-NR2B9c. Fluorescence polarization using purified
proteins and pull-downs of mouse brain lysates showed that
UCCB01-144 potently binds all four PSD-95-like
membrane-associated guanylate kinases (MAGUKs). In addition,
UCCB01-144 affected
NMDA receptor signaling pathways in ischemic brain tissue.
UCCB01-144 reduced
infarct size in young and aged male mice at various doses when administered 30 min after permanent
middle cerebral artery occlusion, but
UCCB01-144 was not effective in young male mice when administered 1 h post-
ischemia or in female mice. Furthermore,
UCCB01-144 was neuroprotective in a transient
stroke model in rats, and in contrast to
Tat-NR2B9c, high dose of
UCCB01-144 did not lead to significant changes in mean arterial blood pressure or heart rate. Overall,
UCCB01-144 is a potent MAGUK inhibitor that reduces neurotoxic PSD-95-mediated signaling and improves neuronal survival following focal
brain ischemia in rodents under various conditions and without causing cardiovascular side effects, which encourages further studies towards clinical
stroke trials.