RT Journal Article SR Electronic T1 Synergistic Neuroprotection by Bis(7)-tacrine via Concurrent Blockade of N-Methyl-d-aspartate Receptors and Neuronal Nitric-Oxide Synthase JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP 1258 OP 1267 DO 10.1124/mol.106.029108 VO 71 IS 5 A1 Wenming Li A1 Jian Xue A1 Chunying Niu A1 Hongjun Fu A1 Colin S. C. Lam A1 Jialie Luo A1 Hugh H. N. Chan A1 Huaiguo Xue A1 Kelvin K. W. Kan A1 Nelson T. K. Lee A1 Chaoying Li A1 Yuanping Pang A1 Mingtao Li A1 Karl W. K. Tsim A1 Hualiang Jiang A1 Kaixian Chen A1 Xiaoyuan Li A1 Yifan Han YR 2007 UL http://molpharm.aspetjournals.org/content/71/5/1258.abstract AB The excessive activation of the N-methyl-d-aspartate receptor (NMDAR)/nitric oxide (NO) pathway has been proposed to be involved in the neuropathology of various neurodegenerative disorders. In this study, NO was found to mediate glutamate-induced excitotoxicity in primary cultured neurons. Compared with the NO synthase (NOS) inhibitor, NG-monomethyl-l-arginine (l-NMMA), and the NMDAR antagonist memantine, bis(7)-tacrine was found to be more potent in reducing NO-mediated excitotoxicity and the release of NO caused by glutamate. Moreover, like l-NMMA but not like 5H-dibenzo[a,d]cyclohepten-5,10-imine (MK-801) and memantine, bis(7)-tacrine showed greater neuroprotection and inhibition on NO release when neurons were pretreated for a prolonged time between 0 and 24 h and remained quite potent even when neurons were post-treated 1 h after the glutamate challenge. Bis(7)-tacrine was additionally found to be as moderately potent as memantine in competing with [3H]MK-801, inhibiting NMDA-evoked currents and reducing glutamate-triggered calcium influx, which eventually reduced neuronal NOS activity. More importantly, at neuroprotective concentrations, bis(7)-tacrine substantially reversed the overactivation of neuronal NOS caused by glutamate without interfering with the basal activity of NOS. Furthermore, in vitro pattern analysis demonstrated that bis(7)-tacrine competitively inhibited both purified neuronal and inducible NOS with IC50 values at 2.9 and 9.3 μM but not endothelial NOS. This result was further supported by molecular docking simulations that showed hydrophobic interactions between bis(7)-tacrine and three NOS isozymes. Taken together, these results strongly suggest that the substantial neuroprotection against glutamate by bis(7)-tacrine might be mediated synergistically through the moderate blockade of NMDAR and selective inhibition of neuronal NOS. The American Society for Pharmacology and Experimental Therapeutics