The Tat-NR2B9c peptide has shown clinical efficacy as a neuroprotective agent in acute stroke. Tat-NR2B9c is designed to prevent nitric oxide (NO) production by preventing postsynaptic density protein 95 binding to N-methyl-D-aspartate (NMDA) receptors and neuronal nitric oxide synthase; however, PSD-95 is a scaffolding protein that also couples NMDA receptors to other downstream effects. Here, using neuronal cultures, we show that Tat-NR2B9c also prevents NMDA-induced activation of neuronal NADPH oxidase, thereby blocking superoxide production. Given that both superoxide and NO are required for excitotoxic injury, the neuroprotective effect of Tat-NR2B9c may alternatively be attributable to uncoupling neuronal NADPH oxidase from NMDA receptor activation. Keywords: DNA damage; glutamate; ischemia; nitric oxide; oxidative stress; stroke INTRODUCTION Brain ischemia leads to acute cell death, in part through sustained activation of N-methyl-D-aspartate (NMDA)-type glutamate receptors (NMDAr) and the resulting production of nitric oxide (NO) and superoxide. 1,2 While neither NO or superoxide alone is highly reactive or toxic, in combination they form peroxynitrite and related free radical species that avidly react with lipids, proteins, DNA, and other cell components to cause excitotoxic cell death. 1,2 Postsynaptic density protein 95 (PSD-95) serves as a scaffolding protein for the clustering of synaptic receptors, ion channels, and associated signaling proteins. 3 It binds both to neuronal NO synthase (nNOS) and to the NR2B subunits of NMDAr. 4 Targeted disruption of these binding interactions with a Tat-conjugated peptide comprising the nine C-terminal residues of NR2B blocks NMDA-induced NO production. This peptide, termed 'Tat-NR2B9c' or 'NA-1' also blocks excitotoxic neuronal death, reduces acute ischemic cell death in animal stroke models, and has shown efficacy as a neuroprotective agent in clinical stroke. 2,5,6 Given the crucial role of NO in excitotoxic injury, the disruption of NMDAr/nNOS interaction is a likely mechanism for the neuroprotective effects observed with Tat-NR2B9c. However, superoxide production by NADPH oxidase (NOX2) is equally required for peroxynitrite formation and for excitotoxic and ischemic cell death. 1,2,7-9 These factors raise the possibility that disruption of NMDAr/NOX2 interactions might also (or alternatively) contribute to the mechanism of this promising stroke therapeutic. The present studies confirm that Tat-NR2B9c blocks NMDA-induced superoxide formation by a mechanism that prevents phosphorylation of the NOX2 p47 phox subunit.
Journal of Cerebral Blood