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. 2021 Sep 17;17(5):937–947. doi: 10.4103/1673-5374.324829

Additional Table 1.

Summary of inhibitory and facilitating agents on AQP4 activity and neurological effects

Inhibitor/Facilitator Compounds of interest Exp. Type Model/Species Dosage and Admin. Route Exp. Protocols Main findings Citation
Inhibitor AER-270 in vivo C57BL/6J mice 0.8 mg/kg in 6 mL water IP - ↓ Cerebral edema by 2.5×
↑ Survival by 3.3× in water intoxication models
Farr et al. (2019)
AER-271 in vivo C57BL/6J mice 10 mg/kg in 0.2 mL Tris IP - ↓ Cerebral edema by 2.6×
↑ Neurological outcomes in ischemic stroke models
in vivo Sprague- Dawley rats various dosages, IV and EJV 48 h infusion 30 min post- injection ° Minimum effective dosage to reduce cerebral edema is 4 mg/kg loading with 0.03 mg/kg/h infusion
in vivo Sprague- Dawley rats 5 mg/kg IP with 0.08 mg/kg/h SQ 24 h infusion ↓ Cerebral edema, neuronal death, and neuroinflammation 3 h post-cardiac arrest Wallisch et al. (2019)
AAZ in vivo Wistar/ST rats 10 mg/kg IP Injection 3 or 12 h post- TBI/cerebral edema ↑ Survival rate from 53% to 75% in 3 h post-TBI group but no significant decrease in cerebral edema
↓ Cerebral edema with 100% survival in 12 h post- TBI group
Katada et al. (2012)
in vivo C57BL/6J mice 15 mg/kg in DMSO IP Injection 30 min post-TBI ° Limited AQP4 reorganization
° No significant effect on astrocyte activation
↓ Post-TBI cerebral edema
Glober et al. (2019)
in vitro Sprague- Dawley rat astrocytes, Human astrocytes 0.2 mg/mL in DMSO - ° AAZ prevented AQP4 aggregation and redistribution post-OGD
in vitro C8D1A astrocyte mTBI model 20 μM Added 15 min before injury ↑ Viability of astrocytic cells post-TBI with AAZ pre-treatment Sturdivant et al. (2016)
AAZ, MZA in vitro rat AQP4, Human AQP1 Recombinant - - ° AAZ: ↓ water permeability through AQP4 but not AQP1 channels by 46.7%, recovered to 88.6% water permeability
° MZA: no significant results of water conduction through AQP1 or AQP4
Tanimura et al. (2009)
Carbonic anhydrase inhibitors TGN-020 in vitro Xenopus oocytes - Oocyte functional assay used ° AAZ showed 80%, EZA 68%, 4- acetamidobenzsulfonamide 23% AQP4 inhibition Huber et al. (2007)
TGN-020 in vivo C57BL/6J mice 200 mg/kg in 0.1 mL saline IP Injection 15 min pre-ischemia ↓ Cerebral edema volume in pretreated TGN-020 brain ischemia mice models Igarashi et al. (2011)
in vivo Wistar rats 5.0 mg/kg in DMSO IP Injection immediately post-ON crush ↑ RGC loss by changes in glutamate synthetase levels
↑ Extracellular glutamate levels post-crush
Nishikawa et al. (2016)
in vivo Wistar rats 2 μL of 10 ng/μL in PBS IV Injection 2 wk post-diabetes induction ↓ Swelling of Müller cells in diabetes-induced rats that showed increase in VEGF Kida et al. (2017)
in vivo Wistar rats 2 μL of 10 ng/μL in PBS IV Injection 8 wk post-diabetes induction ↓ Swelling of Müller cells
↓ Thickening of retina diabetes-induced rats
Oosuka et al. (2020)
Compounds structurally similar to AQP4 inhibitors in vitro in silico X. laevis oocytes, rat AQP4b 5 μL of 200 μM Compounds used had unrelated biological properties ° Thiadiazole, sumatriptan, and rizatriptan showed highest AQP4 inhibitory activity
° Suggests heteroaromatic groups may be favored over aliphatic groups, hydrogen bonds essential to inhibit AQP4
Huber et al. (2009)
Facilitator TGN-073 in vivo C57BL/6J mice 20 or 200 mg/kg in 0.2 mL saline IP 30 min before study ↑ Water flux turnover of interstitial fluid managed by AQP4 system Huber et al. (2018)

AQP1: Aquaporin-1; AQP4: aquaporin-4; AAZ: acetazolamide; EJV: external jugular vein; EZA: 6-ethoxybenzothiazole-2-sulfonamide; IP: intraperitoneal; IV: intravitreal; MZA: methazolamide; OGD: oxygen glucose deprivation; ON: optic nerve; RGC: retinal ganglion cells; SQ: subcutaneous; TBI: traumatic brain injury; VEGF: vascular endothelial growth factor.