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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7332 p43
15 January 2005

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Antibiotics may be useful for neurological diseases

Beta-lactam antibiotics have neuroprotective properties in addition to their antibacterial actions, new research suggests, and may have a place in the treatment of stroke in the future.

US scientists performed a range of in vitro tests and found that certain antibiotics, in particular the beta-lactam group, stimulate expression of the glutamate transporter GLT1. GLT1 is involved in the inactivation of the neurotransmitter glutamate and is therefore important in preventing glutamate neurotoxicity.

The scientists then administered several beta-lactam antibiotics to mouse models of amyotrophic lateral sclerosis, a neurological disorder which, in humans, causes progressive paralysis and death. They found that daily injection of ceftriaxone 200mg/kg delayed neurodegeneration and loss of muscle strength and increased overall survival of the mice by 10 days compared with controls.

The mice treated with ceftriaxone were found to have three times the level of GLT1 in their brains. The scientists say that many beta-lactam antibiotics are potent stimulators of GLT1 expression, an action that appears to be mediated by increased transcription of the GLT1 gene.

They conclude that this approach is the first to show pharmaceutical modulation of the glutamate transporter, and could be applied in other conditions caused by abnormal glutamate control, such as stroke, brain tumours and epilepsy (Nature 2005;433:73).

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