Promising Breakthrough Treatment Offers New Hope for Spinal Cord Injury

The new treatment targets one of the main drivers of damage after spinal cord injury: excess glutamate, a natural signaling molecule that becomes toxic after trauma. This process, known as glutamate excitotoxicity, causes ongoing loss of nerve cells, inflammation, and worsening neurological damage

Published in Biomedical Research

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Breaking the cycle of excitotoxicity: blood glutamate scavenging provides robust neuroprotection in spinal cord injury - Inflammation and Regeneration

Background Spinal cord injury (SCI) triggers a rapid and sustained cascade of secondary damage, with glutamate (Glu) excitotoxicity recognized as a central mechanism driving neuronal death and functional decline. Despite extensive research, no effective therapy targeting excitotoxicity, and no neuroprotective treatment in general, is currently available. This highlights the urgent need for novel and effective therapeutic strategies for managing SCI. Methods We developed a combined blood-glutamate scavenging (cBGS) therapeutic platform comprising two recombinant enzymes (rGOT1 and rGPT1), their respective co-substrates (oxaloacetate and pyruvate), and the cofactor pyridoxal phosphate (PLP). The efficacy of cBGS was evaluated in mouse and rat models of moderate-to-severe spinal cord compression and contusion injury. Glutamate concentrations were quantified in blood and cerebrospinal fluid (CSF), while histological and functional outcomes were assessed from 1 day to 7 weeks post-injury to determine neuroprotective efficacy. Results Systemic cBGS administration significantly reduced Glu concentrations in both blood and CSF, leading to a marked reduction in apoptosis, neuroinflammation, demyelination, and glial scarring, while promoting neuronal and axonal survival. Treated animals demonstrated substantial locomotor recovery, up to 80% improvement in performance. Notably, cBGS remained effective when administered up to eight hours post-injury, indicating a clinically relevant therapeutic window and excellent safety profile. Core findings were independently validated in a rat severe compression model performed by an external Contract Research Organization (CRO). Conclusions The cBGS platform represents a first-in-class systemic neuroprotective therapy that effectively mitigates glutamate excitotoxicity and secondary injury following SCI. Its robust efficacy, wide therapeutic window, and favorable safety profile support its strong potential for clinical translation in acute SCI and other excitotoxicity-driven neurotrauma conditions, where no effective treatments currently exist.

The research, led by Dr. Angela Ruban at Tel Aviv University, together with Dr. Yona Goldshmit, M.Sc. Josef Levine, M.Sc. Rosemary Lavender and Alexander Yakovchuk developed and validated a treatment platform that lowers toxic blood glutamate levels and helps remove excess glutamate from the cerebrospinal fluid. The results of the new treatment were striking: treated animals showed substantially less tissue damage, reduced inflammation and scarring, better preservation of nerve cells and axons, and up to 80% improvement in locomotor recovery compared with untreated animals.

Importantly, the treatment remained effective even when administered up to eight hours after injury, a time window that could make it practical for real-world emergency medicine. The findings also showed a strong safety profile, a critical step toward clinical translation.

The results were further strengthened by independent validation from an external contract research organization (CRO) in a severe rat model of spinal cord injury.

These findings are now moving beyond the laboratory. NeuroHagana, a biotechnology company founded by Dr. Ruban, has validated the results and is now advancing development of the treatment toward clinical use. The company is focused on transforming this academic breakthrough into a real emergency therapy for patients, with potential applications not only in spinal cord injury but also in other acute neurological conditions driven by glutamate toxicity, including traumatic brain injury and stroke.

Scheme showing the Mechanism of action of combined blood glutamate scavenging treatment in spinal cord injury.
Scheme showing the Mechanism of action of combined blood glutamate scavenging treatment in spinal cord injury.

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