PMID- 36142247 OWN - NLM STAT- MEDLINE DCOM- 20220926 LR - 20220928 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 18 DP - 2022 Sep 7 TI - Targeting NMDA Receptors at the Neurovascular Unit: Past and Future Treatments for Central Nervous System Diseases. LID - 10.3390/ijms231810336 [doi] LID - 10336 AB - The excitatory neurotransmission of the central nervous system (CNS) mainly involves glutamate and its receptors, especially N-methyl-D-Aspartate receptors (NMDARs). These receptors have been extensively described on neurons and, more recently, also on other cell types. Nowadays, the study of their differential expression and function is taking a growing place in preclinical and clinical research. The diversity of NMDAR subtypes and their signaling pathways give rise to pleiotropic functions such as brain development, neuronal plasticity, maturation along with excitotoxicity, blood-brain barrier integrity, and inflammation. NMDARs have thus emerged as key targets for the treatment of neurological disorders. By their large extracellular regions and complex intracellular structures, NMDARs are modulated by a variety of endogenous and pharmacological compounds. Here, we will present an overview of NMDAR functions on neurons and other important cell types involved in the pathophysiology of neurodegenerative, neurovascular, mental, autoimmune, and neurodevelopmental diseases. We will then discuss past and future development of NMDAR targeting drugs, including innovative and promising new approaches. FAU - Seillier, Celia AU - Seillier C AUID- ORCID: 0000-0002-5965-3626 AD - Normandie University, UNICAEN, INSERM, GIP Cyceron, Institute Blood and Brain @Caen-Normandie (BB@C), UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), 14000 Caen, France. FAU - Lesept, Flavie AU - Lesept F AD - Lys Therapeutics, Cyceron, Boulevard Henri Becquerel, 14000 Caen, France. FAU - Toutirais, Olivier AU - Toutirais O AD - Normandie University, UNICAEN, INSERM, GIP Cyceron, Institute Blood and Brain @Caen-Normandie (BB@C), UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), 14000 Caen, France. AD - Department of Immunology and Histocompatibility (HLA), Caen University Hospital, CHU, 14000 Caen, France. FAU - Potzeha, Fanny AU - Potzeha F AD - Lys Therapeutics, Cyceron, Boulevard Henri Becquerel, 14000 Caen, France. FAU - Blanc, Manuel AU - Blanc M AD - Lys Therapeutics, Cyceron, Boulevard Henri Becquerel, 14000 Caen, France. FAU - Vivien, Denis AU - Vivien D AD - Normandie University, UNICAEN, INSERM, GIP Cyceron, Institute Blood and Brain @Caen-Normandie (BB@C), UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), 14000 Caen, France. AD - Department of Clinical Research, Caen University Hospital, CHU, 14000 Caen, France. LA - eng PT - Journal Article PT - Review DEP - 20220907 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 3KX376GY7L (Glutamic Acid) SB - IM MH - *Central Nervous System Diseases/drug therapy MH - Glutamic Acid/metabolism MH - Humans MH - Neurons/metabolism MH - *Receptors, N-Methyl-D-Aspartate/metabolism MH - Synaptic Transmission PMC - PMC9499580 OTO - NOTNLM OT - NMDA receptors OT - blood-brain barrier OT - central nervous system OT - excitotoxicity OT - inflammation OT - neurological diseases OT - therapeutic strategies COIS- D.V. is the President of the Scientific Advisory Board of Lys Therapeutics and co-inventor of the patent number PCT#WO2014187879; M.B. is the Chief Executive Officer and co-founder of Lys Therapeutics; F.L. and F.P are employees in Lys Therapeutics. EDAT- 2022/09/24 06:00 MHDA- 2022/09/28 06:00 PMCR- 2022/09/07 CRDT- 2022/09/23 01:22 PHST- 2022/08/05 00:00 [received] PHST- 2022/08/30 00:00 [revised] PHST- 2022/09/02 00:00 [accepted] PHST- 2022/09/23 01:22 [entrez] PHST- 2022/09/24 06:00 [pubmed] PHST- 2022/09/28 06:00 [medline] PHST- 2022/09/07 00:00 [pmc-release] AID - ijms231810336 [pii] AID - ijms-23-10336 [pii] AID - 10.3390/ijms231810336 [doi] PST - epublish SO - Int J Mol Sci. 2022 Sep 7;23(18):10336. doi: 10.3390/ijms231810336.