[HTML][HTML] Kynurenine 3-monooxygenase inhibition in blood ameliorates neurodegeneration

D Zwilling, SY Huang, KV Sathyasaikumar… - Cell, 2011 - cell.com
D Zwilling, SY Huang, KV Sathyasaikumar, FM Notarangelo, P Guidetti, HQ Wu, J Lee…
Cell, 2011cell.com
Metabolites in the kynurenine pathway, generated by tryptophan degradation, are thought to
play an important role in neurodegenerative disorders, including Alzheimer's and
Huntington's diseases. In these disorders, glutamate receptor-mediated excitotoxicity and
free radical formation have been correlated with decreased levels of the neuroprotective
metabolite kynurenic acid. Here, we describe the synthesis and characterization of JM6, a
small-molecule prodrug inhibitor of kynurenine 3-monooxygenase (KMO). Chronic oral …
Summary
Metabolites in the kynurenine pathway, generated by tryptophan degradation, are thought to play an important role in neurodegenerative disorders, including Alzheimer's and Huntington's diseases. In these disorders, glutamate receptor-mediated excitotoxicity and free radical formation have been correlated with decreased levels of the neuroprotective metabolite kynurenic acid. Here, we describe the synthesis and characterization of JM6, a small-molecule prodrug inhibitor of kynurenine 3-monooxygenase (KMO). Chronic oral administration of JM6 inhibits KMO in the blood, increasing kynurenic acid levels and reducing extracellular glutamate in the brain. In a transgenic mouse model of Alzheimer's disease, JM6 prevents spatial memory deficits, anxiety-related behavior, and synaptic loss. JM6 also extends life span, prevents synaptic loss, and decreases microglial activation in a mouse model of Huntington's disease. These findings support a critical link between tryptophan metabolism in the blood and neurodegeneration, and they provide a foundation for treatment of neurodegenerative diseases.
cell.com