Targeting neuroinflammation: 3-Monothiopomalidomide a new drug candidate to mitigate traumatic brain injury and neurodegeneration

Shih-Chang Hsueh* (Corresponding Author), Pathik Parekh* (Corresponding Author), Buyandelger Batsaikhan, Neil Vargesson, David Tweedie, Weiming Luo, Chirag N. Patel, Dong Liu, Ross A. McDevitt, Abdul Mannan Baig, Yu Kyung Kim, Sun Kim, Inho Hwang, Juwan Kim, Mee Youn Lee, Anna R. Carta, Warren R. Selman, Barry J. Hoffer, Dong Seok Kim, Nigel H Greig

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Backgound: Traumatic Brain Injury (TBI) is a major risk factor for neurodegenerative disorders such as Parkinson’s disease (PD) and Alzheimer’s disease (AD), with neuroinflammation playing a critical role in the secondary cell death that exacerbates the initial injury. While targeting neuroinflammation holds significant therapeutic promise, clinical trials of available anti-inflammatory agents have fallen short. 3-Mono-thiopomalidomide (3-MP), a novel immunomodulatory imide drug (IMiD), was designed to curb inflammation without the adverse effects of traditional IMiDs and was evaluated across models involving neuroinflammation.
Methods: 3-MP anti-inflammatory activity was evaluated across cellular (RAW 264.7, IMG cells) and mouse studies following lipopolysaccharide (LPS)-challenge (for pro- and anti-inflammatory cytokines/chemokines), and mice subjected to controlled cortical impact (CCI) moderate traumatic brain injury (TBI). 3-MP human cereblon binding, including neosubstrate and molecular modeling evaluation, as well as chicken teratogenicity, ex vivo mouse and human stability studies, and mouse pharmacokinetics were appraised.
Results: 3-MP binds human cereblon, a key protein in the E3 ubiquitin ligase complex, without triggering downstream cascades leading to thalidomide-like teratogenicity in chicken embryos. 3-MP reduces proinflammatory markers in LPS-stimulated mouse macrophage and microglial cell cultures, and lowers proinflammatory cytokine/chemokine levels in plasma and brain of mice challenged with systemic LPS without lowering anti-inflammatory 1L-10. 3-MP readily enters brain following systemic administration, and achieves a brain/plasma concentration ratio of 0.44-0.47. 3-MP mitigates behavioral impairments and reduces activation of astrocytes and microglia in mice challenged with CCI TBI.
Conclusion: 3-MP represents a promising new class of thalidomide-like IMiDs with potent anti-inflammatory effects that offers potential for treating TBI and possibly other neurodegenerative diseases possessing a prominent neuroinflammatory component.
Original languageEnglish
Article number57
Number of pages29
JournalJournal of Biomedical Science
Volume32
Early online date16 Jun 2025
DOIs
Publication statusPublished - 2025

Bibliographical note

All authors thank Dr. Michael T. Scerba (Intramural Research Program, National Institute on Aging, NIH, USA) for quantifying the concentration of 3-MP following its nanoformulation.

Data Availability Statement

All data and materials are available on reasonable request to the authors.

Funding

All authors acknowledge support from their associated institutions which included (i) the Intramural Research Program, National Institute on Aging, NIH, USA (AG 000994); (ii) Marcus Neuroscience Institute Philanthropic Fund, USA; (iii) Aevis Bio, Inc., Republic of Korea (the Korea Dementia Research Center 31 (KDRC), funded by the Ministry of Health & Welfare and Ministry of Science and ICT, Republic of Korea (RS-2024-0034124913), the Korea Drug Development Fund funded by the Ministry of Science and ICT, Ministry of Trade, Industry, and Energy, and Ministry of Health and Welfare, Republic of Korea (KDDF RS2024-00338017)), (iv) Aevisbio, Inc., USA.

FundersFunder number
Ministry of Health & WelfareRS-2024-0034124913, KDDF RS2024-00338017

    Keywords

    • Neuroinflammation
    • Immunomodulatory imide drugs (IMiDs)
    • Meurodegeneration
    • Microglia
    • Tetratogenicity
    • Pomalidomide
    • cereblon
    • Splat like transcription factor
    • SALL4
    • Traumatic brain injury

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