Novel synaptic plasticity enhancer drug to augment functional recovery with rehabilitation

Curr Opin Neurol. 2019 Dec;32(6):822-827. doi: 10.1097/WCO.0000000000000748.

Abstract

Purpose of review: Stroke is a devastating illness which severely attenuates quality of life because of paralysis. Despite recent advances in therapies during acute phase such as thrombolytic therapy, clinical option to intervene the process of rehabilitation is limited. No pharmacological intervention that could enhance the effect of rehabilitation has not been established. Recent articles, which are summarized in the review article, reported novel small compound which accelerates training-dependent motor function recovery after brain damage.

Recent findings: A novel small compound, edonerpic maleate, binds to collapsin response mediator protein 2 (CRMP2) and enhance synaptic plasticity leading to the acceleration of rehabilitative training-dependent functional recovery after brain damage in rodent and nonhuman primate. The clinical trial to test this effect in human is now ongoing. Future preclinical and clinical studies will delineate the potentials of this compound.

Summary: A novel CRMP2-binding small compound, edonerpic maleate, accelerates motor function recovery after brain damage in rodent and nonhuman primate.

Publication types

  • Review

MeSH terms

  • Animals
  • Brain Injuries / drug therapy
  • Brain Injuries / rehabilitation
  • Brain Injuries / therapy*
  • Combined Modality Therapy
  • Exercise Therapy*
  • Humans
  • Intercellular Signaling Peptides and Proteins
  • Maleates / pharmacology*
  • Nerve Tissue Proteins / drug effects*
  • Neurological Rehabilitation*
  • Neuronal Plasticity* / drug effects
  • Neuroprotective Agents / pharmacology*
  • Recovery of Function* / drug effects
  • Stroke / drug therapy
  • Stroke / therapy*
  • Thiophenes / pharmacology*

Substances

  • 1-(3-(2-(1-benzothiophen-5-yl) ethoxy) propyl)-3-azetidinol maleate
  • Intercellular Signaling Peptides and Proteins
  • Maleates
  • Nerve Tissue Proteins
  • Neuroprotective Agents
  • Thiophenes
  • collapsin response mediator protein-2