Treatments with the specific δ-secretase inhibitor, compound 11, promote
the regeneration of motor and sensory axons after peripheral nerve
injury.
Abstract
Limited axon regeneration following peripheral nerve injury may be
related to activation of the lysosomal protease, asparaginyl
endopeptidase (AEP, δ-secretase), and its degradation of the microtubule
associated protein, Tau. Activity of AEP was increased at the site of
sciatic nerve transection and repair but blocked in mice treated
systemically with a specific AEP inhibitor, compound 11 (CP11).
Treatments with CP11 enhanced axon regeneration in vivo. Amplitudes of
compound muscle action potentials recorded four weeks after nerve
transection and repair and two weeks after daily treatments with CP11
were double those of vehicle-treated mice. At that time after injury,
axons of significantly more motor and sensory neurons had regenerated
successfully and reinnervated the tibialis anterior and gastrocnemius
muscles in CP11-treated mice than vehicle-treated controls. In cultured
adult dorsal root ganglion neurons derived from wild type mice that were
treated in vitro for 24 hours with CP11, neurites were nearly 50%
longer than in vehicle-treated controls, and similar to neurite lengths
in cultures treated with the TrkB agonist, 7,8-dihydroxyflavone
(7,8-DHF). Combined treatment with CP11 and 7,8-DHF did not enhance
outgrowth more than treatments with either one alone. Enhanced neurite
outgrowth produced by CP11 was found also in the presence of the TrkB
inhibitor, ANA-12, indicating that the enhancement was independent of
TrkB signaling. Longer neurites were found after CP11 treatment in both
TrkB+ and TrkB- neurons. Delta secretase inhibition by CP11 is a
treatment for peripheral nerve injury with great potential.