The proteolytic activity of tissue-plasminogen activator enhances NMDA receptor-mediated signaling

O Nicole, F Docagne, C Ali, I Margaill, P Carmeliet… - Nature medicine, 2001 - nature.com
O Nicole, F Docagne, C Ali, I Margaill, P Carmeliet, ET MacKenzie, D Vivien, A Buisson
Nature medicine, 2001nature.com
Tissue-plasminogen activator (t-PA) is now available for the treatment of thrombo-embolic
stroke but adverse effects have been reported in some patients, particularly hemorrhaging.
In contrast, the results of animal studies have indicated that t-PA could increase neuronal
damage after focal cerebral ischemia. Here we report for the first time that t-PA potentiates
signaling mediated by glutamatergic receptors by modifying the properties of the N-methyl-D-
aspartate (NMDA) receptor. When depolarized, cortical neurons release bio-active t-PA that …
Abstract
Tissue-plasminogen activator (t-PA) is now available for the treatment of thrombo-embolic stroke but adverse effects have been reported in some patients, particularly hemorrhaging. In contrast, the results of animal studies have indicated that t-PA could increase neuronal damage after focal cerebral ischemia. Here we report for the first time that t-PA potentiates signaling mediated by glutamatergic receptors by modifying the properties of the N-methyl-D-aspartate (NMDA) receptor. When depolarized, cortical neurons release bio-active t-PA that interacts with and cleaves the NR1 subunit of the NMDA receptor. Moreover, the treatment with recombinant t-PA leads to a 37% increase in NMDA-stimulated fura-2 fluorescence, which may reflect an increased NMDA-receptor function. These results were confirmed in vivo by the intrastriatal injection of recombinant-PA, which potentiated the excitotoxic lesions induced by NMDA. These data provide insight into the regulation of NMDA-receptor–mediated signaling and could initiate therapeutic strategies to improve the efficacy of t-PA treatment in man.
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