Review Article

Targeting the Mitochondrial Permeability Transition Pore to Prevent Age-Associated Cell Damage and Neurodegeneration

Table 1

Small molecules targeting the mPTP, directly or indirectly, and their potential impact on age-associated diseases.

ClassificationCompoundExperimental modelEffect

CypD inhibition independentMelatoninRat stroke modelDecreased neuron loss and reduced infarct volume [124]
CypD inhibition dependentCyclosporin A (CsA)Ischemic reperfusion injury rat heart [118]; anoxia-induced injury in rat heart myocytes [139]Cardioprotection [118]; reduced proportion of necrosis in rat heart myocytes [139]
N-Methyl-isoleucine-4-cyclo-sporin (NIM811)Isolated mitochondria in rat hepatocytes (TNFα-induced permeable transition onset)Mitochondrial permeability transition onset and apoptosis prevented [114]
CypD inhibition independent(E)-3-(4-Fluoro-3-hydroxy-phenyl)-N-naphthalen-1-yl-acrylamide (compound 22)Rabbit model of acute myocardial infarctionCardioprotective; reduced infarct size; inhibitor of mPTP openings [127]
Edaravone (Radicut™)Ischemia/reperfusion injury in rat brainNeuroprotective; inhibited Ca2+- and H2O2-induced swelling in mitochondria; inhibited Ca2+ generation of ROS [140]
N-Phenylbenzamides (CypD inhibition independent)Compound 4, (3-(benzyloxy)-5-chloro-N-(4-(piperidin-1-ylmethyl)phenyl)benzamide)Ca2+ retention capacity (CRC) assay in HeLa cellsInduced a concentration-dependent increase in the CRC of permeabilized HeLa cells (indicative of mPTP inhibition) [129]
Isoxazoles (CypD inhibition independent)Compound 1, 5-(3-hydroxyphenyl)-N-(3,4,5-trimethoxyphenyl)isoxazole-3-carboxamidemPTP openings measured by CRC in isolated mouse liver mitochondriaInhibitory activity against mitochondrial swelling; no interference on the inner mitochondrial membrane potential [130]
Cinnamic anilides (CypD inhibition independent)GNX-4728Mouse model of amyotrophic lateral sclerosis (ALS)Slowed disease progression and significantly improved motor function; displayed a nearly 2-fold extension of lifespan; established mitochondrial calcium retention [128]
Electron scavengers/antioxidants (CypD inhibition independent)SS-3115-month-old male mice exposed to isoflurane [141]; antioxidant properties of SS peptides in neuronal N2A cells treated with t-butylhydroperoxide (tBHP) [131]Enhances synaptic plasticity and provides protective effects on cognitive function [141]; reduced intracellular ROS and increased cell survival [131]
XJB-5-131Cardiolipin oxidation as a byproduct of experimental traumatic brain injury in rats [133]; cardiac function in aged rats [132]; muscle contractility of aged adult rats [142]Inhibition of cardiolipin oxidation and subsequent improvement in motor skills and cognitive operations [133]; improved postischemic recovery of aged hearts, reduced Ca(2+)-induced swelling in the mitochondria, attenuated the H2O2-induced depolarization of the mitochondrial inner membrane as well as the total and mitochondrial ROS levels in cultured cardiomyocytes [132]; higher muscle contractility [142]
MitoQCardiac ischemia-reperfusion injury in ratsDecreased heart dysfunction, cell death, and mitochondrial damage after ischemia-reperfusion [134]
EUK-8Oxidative stress-sensitized harlequin (Hq) mutant mice and their wild-type (WT) counterparts [143]; presymptomatic heart/muscle-specific manganese-superoxide dismutase- (Mn-SOD-) deficient mice [135]Improved left ventricular end-systolic dimensions and fractional shortening, prevented myocardial oxidant stress, attenuated necrotic and apoptotic cell death, and attenuated cardiac hypertrophy and fibrosis in both Hq and WT [143]; suppressed the progression of cardiac dysfunction and diminished ROS production and oxidative damage [135]
MitoTEMPOAmyloid-beta toxicity in primary cultured mouse neuronsNeuronal lipid oxidation was significantly suppressed; demonstrated protective effects on mitochondrial bioenergetics evidenced by preserved mitochondrial membrane potential and cytochrome c oxidase activity as well as ATP production [136]