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The Journal of Neuroscience, September 17, 2008, 28(38):9473-9485; doi:10.1523/JNEUROSCI.1867-08.2008

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Neurobiology of Disease
Inhibitors of Cytochrome c Release with Therapeutic Potential for Huntington's Disease

Xin Wang,1 * Shan Zhu,1 * Zhijuan Pei,1 Martin Drozda,1 Irina G. Stavrovskaya,2,3 Steven J. Del Signore,4,5,6,7 Kerry Cormier,4,5,6,7 Ethan M. Shimony,1 Hongyan Wang,1 Robert J. Ferrante,4,5,6,7 Bruce S. Kristal,2,3,8 and Robert M. Friedlander1

1Neuroapoptosis Laboratory and 2Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, 3Dementia Research Service, Burke Medical Research Institute, White Plains, New York 10605, 4Geriatric Research Education and Clinical Center, Bedford Veterans Affairs Medical Center, Bedford, Massachusetts 01730, 5Departments of Neurology, 6Pathology, and 7Psychiatry, Boston University School of Medicine, Boston, Massachusetts 02118, and 8Department of Neuroscience, Cornell University Medical College, New York, New York 10021

Correspondence should be addressed to Dr. Robert M. Friedlander, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, LMRC 123, Boston, MA 02115. Email: rfriedlander{at}rics.bwh.harvard.edu

Release of mitochondrial cytochrome c resulting in downstream activation of cell death pathways has been suggested to play a role in neurologic diseases featuring cell death. However, the specific biologic importance of cytochrome c release has not been demonstrated in Huntington's disease (HD). To evaluate the role of cytochrome c release, we screened a drug library to identify new inhibitors of cytochrome c release from mitochondria. Drugs effective at the level of purified mitochondria were evaluated in a cellular model of HD. As proof of principle, one drug was chosen for in depth evaluation in vitro and a transgenic mouse model of HD. Our findings demonstrate the utility of mitochondrial screening to identify inhibitors of cell death and provide further support for the important functional role of cytochrome c release in HD. Given that many of these compounds have been approved by the Food and Drug Administration for clinical usage and cross the blood–brain barrier, these drugs may lead to trials in patients.

Key words: drug screen; inhibitors of cytochrome c release; methazolamide; Huntington's disease; R6/2 mice; mutant-htt ST14A cells


Received April 28, 2008; revised July 24, 2008; accepted Aug. 6, 2008.

Correspondence should be addressed to Dr. Robert M. Friedlander, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, LMRC 123, Boston, MA 02115. Email: rfriedlander{at}rics.bwh.harvard.edu




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