The nerve growth factor (NGF) and its mimetics, which have neuroprotective and
neuroregenerative properties, are attractive candidates for developing new
drugs for brain injury therapy. A dipeptide mimetic of NGF loop 4,
bis(N-succinyl-L-glutamyl-L-lysine) hexamethylenediamide (GK-2), developed at
the Zakusov Research Institute of Pharmacology, has the NGF-like ability to
activate TrkA receptors, but unlike NGF, GK-2 activates mainly the PI3K/AKT
pathway associated with neuroprotection and has no effect on the MAPK cascade
associated with hyperalgesia, the main side effect of NGF. That GK-2 possesses
neuroprotective activity has been observed in various models of cerebral
ischemia. GK-2 was found to statistically significantly reduce the cerebral
infarct volume in experimental stroke, even at treatment onset 24 h after
injury. This suggests that GK-2 possesses neuroregenerative properties, which
may be associated with the activation of neurogenesis and/or synaptogenesis. We
studied the effect of GK-2 on neurogenesis and synaptogenesis in experimental
ischemic stroke caused by transient occlusion of the middle cerebral artery in
rats. GK-2 was administered 6 or 24 h after surgery and then once a day for 7
days. One day after the last administration, proliferative activity in the
hippocampus and striatum of the affected hemisphere was assessed using Ki67 and
synaptogenesis in the striatum was evaluated using synaptophysin and PSD-95.
Ki67 immunoreactivity, both in the striatum and in the hippocampus of the
ischemic rats, was found to have dropped by approximately 30% compared to that
in the sham-operated controls. Synaptic markers - synaptophysin and PSD-95 -
were also statistically significantly reduced, by 14 and 29%, respectively.
GK-2 in both administration schedules completely restored the level of Ki67
immunoreactivity in the hippocampus and promoted its increase in the striatum.
In addition, GK-2 restored the level of the postsynaptic marker PSD-95, with
the therapeutic effect amounting to 70% at the start of its administration
after 6 h, and promoted restoration of the level of this marker at the start of
administration 24 h after an experimental stroke. GK-2 had no effect on the
synaptophysin level. These findings suggest that the neurotrophin mimetic GK-2,
which mainly activates one of the main Trk receptor signaling pathways PI3K/
AKT, has a stimulating effect on neurogenesis (and, probably, gliogenesis) and
synaptogenesis in experimental cerebral ischemia. This effect may explain the
protective effect observed at the start of dipeptide administration 24 h after
stroke simulation.