1. SMTP-7, a Novel Small-Molecule Thrombolytic for Ischemic Stroke: A Study in Rodents and Primates
- Author
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Hironobu Sawada, Jie Zhuang, Keiji Hasumi, Eriko Suzuki, Hiroyuki Takamatsu, Kazuo Honda, Keiko Hasegawa, and Naoko Nishimura
- Subjects
Male ,medicine.medical_treatment ,Drug Evaluation, Preclinical ,Ischemia ,Infarction ,Rats, Sprague-Dawley ,Mice ,Stachybotrys ,Fibrinolytic Agents ,Phenols ,medicine.artery ,Animals ,Medicine ,Thrombolytic Therapy ,Stroke ,Cerebral Hemorrhage ,Mice, Inbred ICR ,Dose-Response Relationship, Drug ,business.industry ,Cerebral infarction ,Infarction, Middle Cerebral Artery ,Thrombosis ,Thrombolysis ,medicine.disease ,Rats ,Disease Models, Animal ,Macaca fascicularis ,Neurology ,Anesthesia ,Middle cerebral artery ,Original Article ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,business ,Fibrinolytic agent - Abstract
SMTP-7 ( Stachybotrys microspora triprenyl phenol-7), a small molecule that promotes plasminogen activation through the modulation of plasminogen conformation, has excellent therapeutic activity against cerebral infarction in several rodent models. Detailed evaluations of SMTP-7 in a primate stroke model are needed for effective, safe drug development. Here we evaluated SMTP-7 in a monkey photochemical-induced thrombotic middle cerebral artery (MCA) occlusion model ( n=6), in which MCA occlusion was followed by recanalization/reocclusion. SMTP-7 (10 mg/kg, intravenous infusion) significantly increased the postinfusion MCA recanalization rate (32.5-fold, P=0.043) and ameliorated the post-24-h neurologic deficit (by 29%, P=0.02), cerebral infarct (by 46%, P=0.033), and cerebral hemorrhage (by 51%, P=0.013) compared with the vehicle control animals. In normal monkeys, SMTP-7 did not affect general physiologic or hemostatic variables, including coagulation and platelet parameters. Investigations in rodent models of transient and permanent focal cerebral ischemia, as well as arterial thrombosis and bleeding tests, suggest a role for SMTP-7's regulated profibrinolytic action and neuroprotective properties in the monkey MCA occlusion model. In conclusion, SMTP-7 is effective in treating thrombotic stroke in monkeys. SMTP-7 is thus a promising candidate for the development of alternative therapy for ischemic stroke.
- Published
- 2013
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