Cell
Volume 145, Issue 6, 10 June 2011, Pages 863-874
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Article
Kynurenine 3-Monooxygenase Inhibition in Blood Ameliorates Neurodegeneration

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Summary

Metabolites in the kynurenine pathway, generated by tryptophan degradation, are thought to play an important role in neurodegenerative disorders, including Alzheimer's and Huntington's diseases. In these disorders, glutamate receptor-mediated excitotoxicity and free radical formation have been correlated with decreased levels of the neuroprotective metabolite kynurenic acid. Here, we describe the synthesis and characterization of JM6, a small-molecule prodrug inhibitor of kynurenine 3-monooxygenase (KMO). Chronic oral administration of JM6 inhibits KMO in the blood, increasing kynurenic acid levels and reducing extracellular glutamate in the brain. In a transgenic mouse model of Alzheimer's disease, JM6 prevents spatial memory deficits, anxiety-related behavior, and synaptic loss. JM6 also extends life span, prevents synaptic loss, and decreases microglial activation in a mouse model of Huntington's disease. These findings support a critical link between tryptophan metabolism in the blood and neurodegeneration, and they provide a foundation for treatment of neurodegenerative diseases.

Highlights

► JM6 is a novel prodrug that inhibits kynurenine 3-monooxygenase (KMO) ► Oral delivery of JM6 ameliorates neurodegenerative symptoms in mice ► Inhibition of KMO in the blood sends a neuroprotective signal to the brain

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These authors contributed equally to this work