新規実験薬が脳卒中後の運動機能回復を可能にする可能性(New Experimental Drug May Restore Movement After Stroke)

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2026-04-28 韓国基礎科学研究院(IBS)

Institute for Basic Scienceの研究チームは、脳卒中後に進行する神経細胞死の新たなメカニズムを解明し、運動機能回復を可能にする新薬候補KDS12025を開発した。脳卒中後、活性酸素である過酸化水素の増加がアストロサイトにコラーゲン産生を誘導し、神経細胞死を促進することを発見。この過程を阻害すると神経損傷が大幅に軽減された。さらに過酸化水素を抑制する薬剤KDS12025は、発症後2日以内でも効果を示し、マウスおよびサルモデルで運動機能の回復を確認。従来の治療時間制限を大きく拡張する可能性があり、神経変性疾患への応用も期待される。

新規実験薬が脳卒中後の運動機能回復を可能にする可能性(New Experimental Drug May Restore Movement After Stroke)
Figure 1. Schematic illustration of astrocyte-derived Type I collagen production and neuronal cell death in ischemic stroke
Following ischemic injury, excessive hydrogen peroxide (H₂O₂) is generated, leading to astrocyte activation. Activated astrocytes produce collagen proteins, which contribute to the formation of a glial barrier and induce neuronal cell death. Importantly, inhibition of collagen production or early elimination of excessive hydrogen peroxide prevents the progression of neuronal damage and restores motor function, as demonstrated in non-human primate models.

<関連情報>

酸化ストレスによって誘発されるアストロサイトのコラーゲン生合成は、虚血性脳卒中におけるグリアバリア形成と神経細胞死を促進する Oxidative stress-induced astrocytic collagen biosynthesis drives glial barrier formation and neuronal death in ischemic stroke

Jae-Hun Lee ∙ In-Young Hwang ∙ Hyun Jun Jang ∙ … ∙ Boyoung Lee ∙ Seungjun Ryu ∙ C. Justin Lee
Cell Metabolism  Published:April 27, 2026
DOI:https://doi.org/10.1016/j.cmet.2026.04.001

Highlights

  • H2O2 rewires astrocytic metabolism to induce COL1 biosynthesis and barrier formation
  • H2O2 regulates miR-29 and FUT8 to coordinate glycosylation-dependent COL1 production
  • During ischemic stroke, the glial barrier confines damaged neurons to be exterminated
  • Targeting the astrocytic H2O2-COL1 axis prevents neuronal death and aids functional recovery

Summary

Astrocytes regulate brain metabolism and homeostasis, but how oxidative stress reshapes astrocytic metabolism to drive neuronal damage remains unclear. Here, we demonstrate that oxidative stress turns on astrocytic type I collagen (COL1) production via a redox-glycosylation coupling mechanism. Hydrogen peroxide (H2O2) suppresses miR-29 and enhances fucosyltransferase 8 (FUT8)-mediated core fucosylation, integrating post-transcriptional and glycosylation-dependent regulation of COL1. Astrocyte-derived COL1 activates integrin signaling and promotes neuronal death. In a photothrombotic stroke model, an H2O2 surge induces astrogliosis, glycosylation remodeling, and COL1 expression, leading to glial barrier formation, neuronal loss, and neurological deficits. These pathological cascades are mitigated by astrocyte-specific silencing of COL1 or FUT8 or by KDS12025, a peroxidase enhancer that reduces H2O2 burden. Notably, KDS12025 exerts potent neuroprotection in a non-human primate stroke model. Together, our findings identify an unprecedented astrocytic metabolic pathway linking oxidative stress to glycosylation-driven COL1 production, highlighting the H2O2 surge, astrocytic COL1, and FUT8 as promising therapeutic targets for recovery after stroke.

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