PMID- 24262165 OWN - NLM STAT- MEDLINE DCOM- 20140711 LR - 20131122 IS - 1873-5126 (Electronic) IS - 1353-8020 (Linking) VI - 20 Suppl 1 DP - 2014 Jan TI - Promises of novel multi-target neuroprotective and neurorestorative drugs for Parkinson's disease. PG - S132-6 LID - S1353-8020(13)70032-4 [pii] LID - 10.1016/S1353-8020(13)70032-4 [doi] AB - The cascade of neurotoxic events involved in neuronal degeneration suggests that it is naive to think mono-target drugs can induce disease modification by slowing the process of neurodegeneration in Parkinson's disease (PD). Employing the pharmacophore of rasagiline (N-propargyl-1-R-aminoindan), we have developed a series of novel multi-target neuroprotective drugs, including: (A) drugs [ladostigil, TV-3326 (N-propargyl-3R-aminoindan-5yl)-ethyl methylcarbamate)] with both cholinesterase-butyrylesterase (Ch-BuE) and brain-selective monamine oxidase-AB (MAO-AB) inhibitory activities and (B) iron chelator-radical scavenging drugs (M30) possessing brain-selective MAO-AB inhibitor activity and the neuroprotective-neurorescue propargylamine moiety of rasagiline. This was considered to be valid since brain MAO and iron increase in PD and aging, which could lead to oxidative stress-dependent neurodegeneration. The multi-target iron chelator, M30, has all the properties of ladostigil, but is not an acetylcholinesterase (CHE) inhibitor. However, M30 has both neuroprotective and neurorestorative activities for nigrostriatal dopamine neurons in post-lesion MPTP, lactacystin and 6-hydroxydopamine animal models of PD. The neurorestorative activity has been identified as being related to the ability of the drug to activate hypoxia-inducible factor (HIF) by inhibiting prolyl-4-hydroxylase. M30 regulates cell cycle arrest and induces the neurotrophins brain-derived neurotrophic factor (BDNF), vascular endothelial growth factor (VEGF), erythropoietin (EPO), as well as glia-derived neurotrophic factor (GDNF). These unique multiple actions of M30 make it potentially useful as a disease modifying drug for the treatment of PD. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Youdim, Moussa B H AU - Youdim MB AD - Technion-Rappaport Faculty of Medicine, Eve Topf and NPF Centers of Excellence for Neurodegenerative Diseases, Haifa, Israel Abital Pharma Pipeline Ltd., Tel Aviv, Israel. Electronic address: Youdim@tx.technion.ac.il. FAU - Kupershmidt, Lana AU - Kupershmidt L FAU - Amit, Tamar AU - Amit T FAU - Weinreb, Orly AU - Weinreb O LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Parkinsonism Relat Disord JT - Parkinsonism & related disorders JID - 9513583 RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Neuroprotective Agents) SB - IM MH - Animals MH - Humans MH - Intercellular Signaling Peptides and Proteins/*metabolism MH - Neuroprotective Agents/*therapeutic use MH - Parkinson Disease/*drug therapy OTO - NOTNLM OT - BDNF OT - GDNF OT - Iron chelator OT - Ladostigil OT - Limited tyramine potentiation OT - M30 OT - MAO inhibition OT - Monoamine oxidase OT - Neurogenesis OT - Neuroprotection OT - Neurorestoration EDAT- 2013/11/23 06:00 MHDA- 2014/07/12 06:00 CRDT- 2013/11/23 06:00 PHST- 2013/11/23 06:00 [entrez] PHST- 2013/11/23 06:00 [pubmed] PHST- 2014/07/12 06:00 [medline] AID - S1353-8020(13)70032-4 [pii] AID - 10.1016/S1353-8020(13)70032-4 [doi] PST - ppublish SO - Parkinsonism Relat Disord. 2014 Jan;20 Suppl 1:S132-6. doi: 10.1016/S1353-8020(13)70032-4.