{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:54:33Z","timestamp":1791298473216,"version":"4.1.0"},"reference-count":53,"publisher":"National Academy of Sciences","issue":"47","content-domain":{"domain":["www.pnas.org"],"crossmark-restriction":true},"short-container-title":["Proc. Natl. Acad. Sci. U.S.A."],"published-print":{"date-parts":[[2011,11,22]]},"abstract":"<jats:p>Hypoxic-ischemic (H-I) injury to the developing brain is a significant cause of morbidity and mortality in humans. Other than hypothermia, there is no effective treatment to prevent or lessen the consequences of neonatal H-I. Increased expression of the NAD synthesizing enzyme nicotinamide mononucleotide adenylyl transferase 1 (Nmnat1) has been shown to be neuroprotective against axonal injury in the peripheral nervous system. To investigate the neuroprotective role of Nmnat1 against acute neurodegeneration in the developing CNS, we exposed wild-type mice and mice overexpressing Nmnat1 in the cytoplasm (cytNmnat1-Tg mice) to a well-characterized model of neonatal H-I brain injury. As early as 6 h after H-I, cytNmnat1-Tg mice had strikingly less injury detected by MRI. CytNmnat1-Tg mice had markedly less injury in hippocampus, cortex, and striatum than wild-type mice as assessed by loss of tissue volume 7 d days after H-I. The dramatic protection mediated by cytNmnat1 is not mediated through modulating caspase3-dependent cell death in cytNmnat1-Tg brains. CytNmnat1 protected neuronal cell bodies and processes against NMDA-induced excitotoxicity, whereas caspase inhibition or B-cell lymphoma-extra large (Bcl-XL) protein overexpression had no protective effects in cultured cortical neurons. These results suggest that cytNmnat1 protects against neonatal HI-induced CNS injury by inhibiting excitotoxicity-induced, caspase-independent injury to neuronal processes and cell bodies. As such, the Nmnat1 protective pathway could be a useful therapeutic target for acute and chronic neurodegenerative insults mediated by excitotoxicity.<\/jats:p>","DOI":"10.1073\/pnas.1107325108","type":"journal-article","created":{"date-parts":[[2011,11,4]],"date-time":"2011-11-04T23:14:49Z","timestamp":1320448489000},"page":"19054-19059","update-policy":"https:\/\/doi.org\/10.1073\/pnas.cm10313","source":"Crossref","is-referenced-by-count":62,"title":["Nicotinamide mononucleotide adenylyl transferase 1 protects against acute neurodegeneration in developing CNS by inhibiting excitotoxic-necrotic cell death"],"prefix":"10.1073","volume":"108","author":[{"given":"Philip B.","family":"Verghese","sequence":"first","affiliation":[{"name":"Departments of aNeurology,"},{"name":"Hope Center for Neurological Disorders, and"},{"name":"The Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, MO 63110; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yo","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Genetics, and"},{"name":"Hope Center for Neurological Disorders, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donghan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Chemistry, Washington University, St. Louis, MO 63130"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Floy","family":"Stewart","sequence":"additional","affiliation":[{"name":"Departments of aNeurology,"},{"name":"Hope Center for Neurological Disorders, and"},{"name":"The Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, MO 63110; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Sabar","sequence":"additional","affiliation":[{"name":"Departments of aNeurology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Beth","family":"Finn","sequence":"additional","affiliation":[{"name":"Departments of aNeurology,"},{"name":"Hope Center for Neurological Disorders, and"},{"name":"The Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, MO 63110; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Wroge","sequence":"additional","affiliation":[{"name":"Psychiatry,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Mennerick","sequence":"additional","affiliation":[{"name":"Psychiatry,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey J.","family":"Neil","sequence":"additional","affiliation":[{"name":"Departments of aNeurology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Milbrandt","sequence":"additional","affiliation":[{"name":"Genetics, and"},{"name":"Hope Center for Neurological Disorders, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Holtzman","sequence":"additional","affiliation":[{"name":"Departments of aNeurology,"},{"name":"Hope Center for Neurological Disorders, and"},{"name":"The Knight Alzheimer's Disease Research Center, Washington University School of Medicine, St. Louis, MO 63110; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"341","published-online":{"date-parts":[[2011,11,4]]},"reference":[{"key":"e_1_3_3_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/0378-3782(91)90191-5"},{"key":"e_1_3_3_2_2","volume-title":"Neurology of the Newborn","author":"Volpe JJ","year":"2008","unstructured":"JJ Volpe Neurology of the Newborn (Saunders\/Elsevier, 5th Ed, Philadelphia, 2008).","edition":"5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1203\/00006450-199004000-00001"},{"key":"e_1_3_3_4_2","first-page":"1","article-title":"Anoxic-ischemic encephalopathy in rats","volume":"36","author":"Levine S","year":"1960","unstructured":"S Levine, Anoxic-ischemic encephalopathy in rats. 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