PMID- 28442607 OWN - NLM STAT- MEDLINE DCOM- 20180108 LR - 20191227 IS - 2150-7511 (Electronic) VI - 8 IP - 2 DP - 2017 Apr 25 TI - N-Methyl-d-Aspartate (NMDA) Receptor Blockade Prevents Neuronal Death Induced by Zika Virus Infection. LID - 10.1128/mBio.00350-17 [doi] LID - e00350-17 AB - Zika virus (ZIKV) infection is a global health emergency that causes significant neurodegeneration. Neurodegenerative processes may be exacerbated by N-methyl-d-aspartate receptor (NMDAR)-dependent neuronal excitoxicity. Here, we have exploited the hypothesis that ZIKV-induced neurodegeneration can be rescued by blocking NMDA overstimulation with memantine. Our results show that ZIKV actively replicates in primary neurons and that virus replication is directly associated with massive neuronal cell death. Interestingly, treatment with memantine or other NMDAR blockers, including dizocilpine (MK-801), agmatine sulfate, or ifenprodil, prevents neuronal death without interfering with the ability of ZIKV to replicate in these cells. Moreover, in vivo experiments demonstrate that therapeutic memantine treatment prevents the increase of intraocular pressure (IOP) induced by infection and massively reduces neurodegeneration and microgliosis in the brain of infected mice. Our results indicate that the blockade of NMDARs by memantine provides potent neuroprotective effects against ZIKV-induced neuronal damage, suggesting it could be a viable treatment for patients at risk for ZIKV infection-induced neurodegeneration.IMPORTANCE Zika virus (ZIKV) infection is a global health emergency associated with serious neurological complications, including microcephaly and Guillain-Barre syndrome. Infection of experimental animals with ZIKV causes significant neuronal damage and microgliosis. Treatment with drugs that block NMDARs prevented neuronal damage both in vitro and in vivo These results suggest that overactivation of NMDARs contributes significantly to the neuronal damage induced by ZIKV infection, and this is amenable to inhibition by drug treatment. CI - Copyright (c) 2017 Costa et al. FAU - Costa, Vivian V AU - Costa VV AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. AD - Host-Interaction Microorganism Lab, Department of Microbiology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Del Sarto, Juliana L AU - Del Sarto JL AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Rocha, Rebeca F AU - Rocha RF AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Silva, Flavia R AU - Silva FR AD - Neurobiochemistry Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Doria, Juliana G AU - Doria JG AD - Neurobiochemistry Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Olmo, Isabella G AU - Olmo IG AD - Neurobiochemistry Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Marques, Rafael E AU - Marques RE AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Queiroz-Junior, Celso M AU - Queiroz-Junior CM AD - Cardiac Biology Lab, Department of Morphology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Foureaux, Giselle AU - Foureaux G AD - Cardiac Biology Lab, Department of Morphology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Araujo, Julia Maria S AU - Araujo JMS AD - Host-Interaction Microorganism Lab, Department of Microbiology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Cramer, Allysson AU - Cramer A AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. AD - Immunoregulation of Infectious Disease Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Real, Ana Luiza C V AU - Real ALCV AD - Neurobiochemistry Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - Ribeiro, Lucas S AU - Ribeiro LS AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. AD - Host-Interaction Microorganism Lab, Department of Microbiology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Sardi, Silvia I AU - Sardi SI AD - Virology Lab, Department of Virology, Universidade Federal da Bahia (UFBA), Salvador, Bahia, Brazil. FAU - Ferreira, Anderson J AU - Ferreira AJ AD - Cardiac Biology Lab, Department of Morphology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Machado, Fabiana S AU - Machado FS AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. AD - Immunoregulation of Infectious Disease Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. FAU - de Oliveira, Antonio C AU - de Oliveira AC AD - Neuropharmacology Lab, Department of Pharmacology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Teixeira, Antonio L AU - Teixeira AL AD - Neuropsychiatry Program, Department of Psychiatry and Behavioral Sciences, McGovern Medical Houston, University of Texas Health Science Center at Houston, Houston, Texas, USA. FAU - Nakaya, Helder I AU - Nakaya HI AD - Metabolomics Applied to Health Lab, Department of Clinical Analyses and Toxicology, School of Pharmaceutical Science, Universidade de Sao Paulo (USP), Sao Paulo, Brazil. FAU - Souza, Danielle G AU - Souza DG AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil. AD - Host-Interaction Microorganism Lab, Department of Microbiology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil. FAU - Ribeiro, Fabiola M AU - Ribeiro FM AD - Neurobiochemistry Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil fmribeiro@icb.ufmg.br mmtex.ufmg@gmail.com. FAU - Teixeira, Mauro M AU - Teixeira MM AD - Immunopharmacology Lab, Department of Biochemistry and Immunology, Institute of Biological Sciences (ICB), Universidade Federal de Minas Gerais (UFMG), Minas Gerais, Brazil fmribeiro@icb.ufmg.br mmtex.ufmg@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170425 PL - United States TA - mBio JT - mBio JID - 101519231 RN - 0 (Neuroprotective Agents) RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM CIN - mBio. 2017 Jun 27;8(3):. PMID: 28655823 MH - Animals MH - Disease Models, Animal MH - Mice MH - Neurodegenerative Diseases/*drug therapy/*pathology MH - Neuroprotective Agents/*administration & dosage MH - Receptors, N-Methyl-D-Aspartate/*antagonists & inhibitors MH - Treatment Outcome MH - Zika Virus/*growth & development MH - Zika Virus Infection/*complications/*pathology PMC - PMC5405231 OTO - NOTNLM OT - NMDA receptor OT - Zika virus OT - intraocular pressure OT - memantine OT - microgliosis OT - mouse model OT - neuronal death EDAT- 2017/04/27 06:00 MHDA- 2018/01/09 06:00 PMCR- 2017/04/25 CRDT- 2017/04/27 06:00 PHST- 2017/04/27 06:00 [entrez] PHST- 2017/04/27 06:00 [pubmed] PHST- 2018/01/09 06:00 [medline] PHST- 2017/04/25 00:00 [pmc-release] AID - mBio.00350-17 [pii] AID - mBio00350-17 [pii] AID - 10.1128/mBio.00350-17 [doi] PST - epublish SO - mBio. 2017 Apr 25;8(2):e00350-17. doi: 10.1128/mBio.00350-17.