脳疾患治療への新アプローチ:ヘモグロビンの抗酸化作用を活用(Hemoglobin Reimagined: A Breakthrough in Brain Disease Treatment)

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2025-08-22 韓国基礎科学研究院(IBS)

韓国・基礎科学研究院(IBS)のイ・ジャスティン所長らは、脳内の星状膠細胞に存在するヘモグロビンが強力な抗酸化機能を持つことを発見した。従来、神経変性疾患や老化は過剰な活性酸素種(ROS)、特に過酸化水素(H₂O₂)が原因とされ、外部由来の抗酸化剤が試みられてきたが効果は限定的だった。研究チームはヘモグロビンが核小体で「擬似ペルオキシダーゼ」としてH₂O₂を水に分解する役割を担うことを突き止め、この作用を強化する低分子化合物KDS12025を開発した。KDS12025は血液脳関門を通過し、ヘム中心に結合してH₂O₂分解能を約100倍高め、酸素運搬機能には影響を与えない。マウス実験では、ALSモデルで発症遅延と寿命延長、パーキンソン病で運動機能回復、アルツハイマー病で記憶改善、老化モデルで寿命を2年から3年に延長する効果を確認。またリウマチモデルでも炎症抑制が見られた。本成果は脳内ヘモグロビンを標的とした初の抗酸化治療戦略であり、神経変性疾患や老化関連疾患への新しい治療法の可能性を開く。

脳疾患治療への新アプローチ:ヘモグロビンの抗酸化作用を活用(Hemoglobin Reimagined: A Breakthrough in Brain Disease Treatment)
Figure 1. In neurodegenerative diseases such as Alzheimer’s, Parkinson’s, and ALS, excessive H2O2 from reactive astrocytes triggers a vicious cycle of oxidative stress, protein aggregation, and neuronal loss. This cycle is worsened by reduced astrocytic hemoglobin, a natural antioxidant defense. KDS12025 enhances hemoglobin’s H2O2-decomposition, lowers oxidative stress, restores astrocyte and neuron health, and preserves memory and motor function—transforming a vicious cycle into a virtuous one. Beyond brain diseases, KDS12025 also shows protective effects in rheumatoid arthritis, underscoring its broad therapeutic potential.

<関連情報>

ヘモグロビンを偽過酸化物酵素として、酸化ストレス関連疾患の薬物標的としての役割 Hemoglobin as a pseudoperoxidase and drug target for oxidative stress-related diseases

Woojin Won,Elijah Hwejin Lee,Lizaveta Gotina,Heejung Chun,Jae-Hun Lee,Mridula Bhalla,Uiyeol Park,Daeun Kim,Tai Young Kim,Ji Won Choi,Yoowon Kim,Sun Jun Park,Jiwoon Lim,Jong-Hyun Park,Hyeon Jeong Kim,Jun Young Heo,Woosuk Chung,Myung Jin Oh,Hyun Joo An,Junghee Lee,Soo-Jin Oh,Hoon Ryu,Ae Nim Pae,Ki Duk Park & C. Justin Lee
Signal Transduction and Targeted Therapy  Published:22 August 2025
DOI:https://doi.org/10.1038/s41392-025-02366-w

Abstract

Hemoglobin (Hb) is well known for transporting oxygen in the blood, but its role in the brain remains poorly understood. Here, we identified Hb in the cytosol, mitochondria, and nuclei of hippocampal and substantia nigra astrocytes and dopaminergic neurons. As a pseudoperoxidase, Hb decomposes hydrogen peroxide (H2O2) and mitigates H2O2-induced oxidative damage. However, in Alzheimer’s disease, Parkinson’s disease, and aging, excessive H2O2 diminishes astrocytic Hb, perpetuating a vicious cycle of oxidative stress and neurodegeneration. To counter the harmful effects of aberrant H2O2 production in diseases, we developed KDS12025, a BBB-permeable small molecule that enhances Hb pseudoperoxidase activity 100-fold, even at a low level of Hb. KDS12025 and its analogs achieve this enhancement through its electron-donating amine group, possibly stabilizing the complex between Hb, H2O2, and KDS12025. KDS12025 reduces astrocytic H2O2, alleviates astrogliosis, normalizes Hb, and reverts to a virtuous cycle of redox balance, preventing neurodegeneration without altering the oxygen-transport function of Hb. Gene silencing of Hb abrogates the impact of KDS12025 in both culture and animal models, confirming the necessity of Hb for the effects of KDS12025. KDS12025 extends survival and improves motor function even in severe amyotrophic lateral sclerosis and aging. Furthermore, the enrichment of astrocytic Hb in the nucleolus highlights a novel antioxidative mechanism potentially protecting against nuclear oxidative damage. Our findings suggest that Hb is a new therapeutic target for neurodegenerative diseases, with KDS12025 emerging as a first-in-class approach that enhances Hb pseudoperoxidase activity to reduce H2O2. Increasing Hb pseudoperoxidase activity with KDS12025 mitigates oxidative stress and alleviates neurodegeneration in AD, PD, and ALS patients and increases the degree of aging, with broad applicability for numerous oxidative-stress-driven diseases.

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