Species-dependent neuroprotection by activated protein C mutants with reduced anticoagulant activity

J Neurochem. 2009 Apr;109(1):116-24. doi: 10.1111/j.1471-4159.2009.05921.x. Epub 2009 Jan 23.

Abstract

Activated protein C (APC) is a protease with anticoagulant and cytoprotective activities. APC is neuroprotective in rodent models of stroke. But, an APC variant with reduced anticoagulant activity, 3K3A-APC, compared to wild-type APC shows greater neuroprotection with no risk for bleeding in stroke models. To determine whether 3K3A-APC exhibits species-dependent neuroprotection similar to that as seen with wild-type APC, we studied murine and human recombinant 3K3A-APC mutants which show approximately 80% reduced anticoagulant activity. Murine 3K3A-APC (0.2 mg/kg i.v.) administered at 4 h after embolic stroke improved substantially functional outcome and reduced by 80% the infract volume 7 days after stroke. Human 3K3A-APC was neuroprotective after embolic stroke in mice, but at significantly higher concentrations (i.e. 2 mg/kg i.v.). Species-dependent neuroprotection, i.e. murine > human 3K3A-APC, was confirmed in a mouse model of permanent middle cerebral artery occlusion. Human 3K3A-APC had by fivefold greater cytoprotective activity than murine 3K3A-APC in oxygen-glucose deprivation model in human brain endothelial cells, whereas murine 3K3A-APC was by 2.5-fold more potent than human 3K3A-APC in a mouse model of NMDA-induced neuronal apoptosis. Thus, 3K3A-APC exhibits species-dependent neuroprotection which should be taken into account when designing human trials for ischemic stroke with APC mutants.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Anticoagulants / metabolism*
  • Anticoagulants / therapeutic use
  • CHO Cells
  • Cell Line
  • Cells, Cultured
  • Cricetinae
  • Cricetulus
  • Female
  • Humans
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mutation*
  • Neuroprotective Agents / metabolism*
  • Neuroprotective Agents / therapeutic use
  • Pregnancy
  • Protein C / genetics*
  • Protein C / metabolism*
  • Protein C / therapeutic use
  • Recombinant Proteins / genetics
  • Recombinant Proteins / metabolism
  • Recombinant Proteins / therapeutic use
  • Species Specificity
  • Stroke / drug therapy
  • Stroke / metabolism
  • Stroke / prevention & control

Substances

  • Anticoagulants
  • Neuroprotective Agents
  • Protein C
  • Recombinant Proteins