PMID- 36678636 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230201 IS - 1999-4923 (Print) IS - 1999-4923 (Electronic) IS - 1999-4923 (Linking) VI - 15 IP - 1 DP - 2022 Dec 20 TI - Combination of a Chaperone Synthesis Inducer and an Inhibitor of GAPDH Aggregation for Rehabilitation after Traumatic Brain Injury: A Pilot Study. LID - 10.3390/pharmaceutics15010007 [doi] LID - 7 AB - The recovery period after traumatic brain injury (TBI) is often complicated by secondary damage that may last for days or even months after trauma. Two proteins, Hsp70 and glyceraldehyde-3-phosphate dehydrogenase (GAPDH), were recently described as modulating post-traumatic processes, and in this study, we test them as targets for combination therapy using an inhibitor of GAPDH aggregation (derivative of hydrocortisone RX624) and an inducer of Hsp70 synthesis (the pyrrolylazine derivative PQ-29). The protective effect of the combination on C6 rat glioblastoma cells treated with the cerebrospinal fluid of traumatized animals resulted in an increase in the cell index and in a reduced level of apoptosis. Using a rat weight drop model of TBI, we found that the combined use of both drugs prevented memory impairment and motor deficits, as well as a reduction of neurons and accumulation of GAPDH aggregates in brain tissue. In conclusion, we developed and tested a new approach to the treatment of TBI based on influencing distinct molecular mechanisms in brain cells. FAU - Dutysheva, Elizaveta A AU - Dutysheva EA AD - Institute of Cytology of the Russian Academy of Sciences, 194064 St. Petersburg, Russia. FAU - Mikhaylova, Elena R AU - Mikhaylova ER AD - Institute of Cytology of the Russian Academy of Sciences, 194064 St. Petersburg, Russia. FAU - Trestsova, Maria A AU - Trestsova MA AD - Department of Organic and Biomolecular Chemistry, Ural Federal University, 620002 Ekaterinburg, Russia. FAU - Andreev, Alexander I AU - Andreev AI AD - Laboratory of Experimental Pharmacology, Perm State University, 614990 Perm, Russia. AD - Perm State Pharmaceutical Academy, 614990 Perm, Russia. FAU - Apushkin, Danila Yu AU - Apushkin DY AUID- ORCID: 0000-0003-4459-5264 AD - Laboratory of Experimental Pharmacology, Perm State University, 614990 Perm, Russia. AD - Perm State Pharmaceutical Academy, 614990 Perm, Russia. FAU - Utepova, Irina A AU - Utepova IA AD - Department of Organic and Biomolecular Chemistry, Ural Federal University, 620002 Ekaterinburg, Russia. AD - Postovsky Institute of Organic Synthesis, Ural Branch, The Russian Academy of Sciences, 620108 Ekaterinburg, Russia. FAU - Serebrennikova, Polina O AU - Serebrennikova PO AD - Department of Organic and Biomolecular Chemistry, Ural Federal University, 620002 Ekaterinburg, Russia. FAU - Akhremenko, Eugenia A AU - Akhremenko EA AUID- ORCID: 0000-0003-0757-064X AD - Laboratory of Experimental Pharmacology, Perm State University, 614990 Perm, Russia. FAU - Aksenov, Nikolay D AU - Aksenov ND AD - Institute of Cytology of the Russian Academy of Sciences, 194064 St. Petersburg, Russia. FAU - Bon', Elizaveta I AU - Bon' EI AD - Department of Histology, Cytology and Embryology, Grodno State Medical University, 230009 Grodno, Belarus. FAU - Zimatkin, Sergey M AU - Zimatkin SM AD - Department of Histology, Cytology and Embryology, Grodno State Medical University, 230009 Grodno, Belarus. FAU - Chupakhin, Oleg N AU - Chupakhin ON AD - Department of Organic and Biomolecular Chemistry, Ural Federal University, 620002 Ekaterinburg, Russia. AD - Postovsky Institute of Organic Synthesis, Ural Branch, The Russian Academy of Sciences, 620108 Ekaterinburg, Russia. FAU - Margulis, Boris A AU - Margulis BA AD - Institute of Cytology of the Russian Academy of Sciences, 194064 St. Petersburg, Russia. FAU - Guzhova, Irina V AU - Guzhova IV AUID- ORCID: 0000-0002-8775-7713 AD - Institute of Cytology of the Russian Academy of Sciences, 194064 St. Petersburg, Russia. FAU - Lazarev, Vladimir F AU - Lazarev VF AD - Institute of Cytology of the Russian Academy of Sciences, 194064 St. Petersburg, Russia. LA - eng GR - 18-74-10087/Russian Science Foundation/ GR - 22-13-00298/Russian Science Foundation/ PT - Journal Article DEP - 20221220 PL - Switzerland TA - Pharmaceutics JT - Pharmaceutics JID - 101534003 PMC - PMC9867013 OTO - NOTNLM OT - 3-(5-phenyl-1H-pyrrol-2-yl)quinoxalin-2(1H)-one OT - GAPDH OT - Hsp70 OT - heat shock protein OT - hydrocortisone 21-hemisuccinate OT - rehabilitation therapy OT - secondary damage OT - small molecules OT - traumatic brain injury COIS- The authors declare no conflict of interest. EDAT- 2023/01/22 06:00 MHDA- 2023/01/22 06:01 PMCR- 2022/12/20 CRDT- 2023/01/21 01:49 PHST- 2022/11/09 00:00 [received] PHST- 2022/12/12 00:00 [revised] PHST- 2022/12/14 00:00 [accepted] PHST- 2023/01/21 01:49 [entrez] PHST- 2023/01/22 06:00 [pubmed] PHST- 2023/01/22 06:01 [medline] PHST- 2022/12/20 00:00 [pmc-release] AID - pharmaceutics15010007 [pii] AID - pharmaceutics-15-00007 [pii] AID - 10.3390/pharmaceutics15010007 [doi] PST - epublish SO - Pharmaceutics. 2022 Dec 20;15(1):7. doi: 10.3390/pharmaceutics15010007.