A method of inhibiting the binding between N-methyl-D-aspartate receptors
and neuronal proteins in a neuron the method comprising administering to
the neuron an effective inhibiting amount of a peptide replacement agent
for the NMDA receptor or neuronal protein interaction domain that effect
said inhibition of the NMDA receptor neuronal protein. The method is of
value in reducing the damaging effect of injury to mammalian cells.
Postsynaptic density-95 protein (PSD-95) couples neuronal
N-methyl-D-aspartate receptors (NMDARs) to pathways mediating
excitotoxicity and ischemic brain damage. This coupling was disrupted by
transducing neurons with peptides that bind to modular domains on either
side of the PSD-95/NMDAR interaction complex. This treatment attenuated
downstream NMDAR signaling without blocking NMDAR activity, protected
cultured cortical neurons from excitotoxic insults and dramatically
reduced cerebral infarction volume in rats subjected to transient focal
cerebral ischemia. The treatment was effective when applied either
before, or one hour after, the onset of excitotoxicity in vitro and
cerebral ischemia in vivo. This approach prevents negative consequences
associated with blocking NMDAR activity and constitutes practical therapy
for stroke.