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MAOB Inhibitor KDS2010 Lifts Astrocytic 'Brake' to Promote Spinal Cord Repair

Researchers trace stalled recovery to tonic GABA that silences BDNFTrkB signaling, prompting plans for Phase II testing.

Overview

  • The study identifies GABA produced by spinal astrocytes via MAOB as a molecular brake that blocks neural regeneration after injury.
  • In rodent models, suppressing MAOB genetically or with KDS2010 restored neuronal MAP2, promoted axonal regrowth and remyelination, and improved locomotion in ladder-walking and gait analyses.
  • Increasing MAOB expression in astrocytes caused severe tissue loss with little functional recovery, establishing causal inhibition of repair.
  • KDS2010 treatment normalized excessive tonic GABA currents and boosted proBDNF levels, shifting the injury environment toward growth signaling.
  • Comparable tissue-preserving benefits were reported in non-human primates, the drug has Phase I safety data in healthy adults, and investigators plan Phase II trials in spinal cord injury patients.