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Astrocytic MAOB Overproduction Blocks Fear Extinction in PTSD; KDS2010 Advances to Phase 2 Trials

Leveraging brain imaging of more than 380 PTSD patients, researchers identified elevated GABA in the medial prefrontal cortex as a biomarker, tracing its excess production to astrocytic MAOB.

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Overview

  • Brain imaging of over 380 PTSD patients showed unusually high GABA concentrations and reduced blood flow in the medial prefrontal cortex, with GABA levels falling in clinically improved individuals.
  • Postmortem and mouse studies traced this excess GABA to reactive astrocytes using monoamine oxidase B, overturning the view of glial cells as passive support.
  • Administration of the selective MAOB inhibitor KDS2010 in mice lowered astrocytic GABA, restored prefrontal activity and enabled fear-memory extinction.
  • KDS2010 has completed Phase 1 safety trials in humans and is now undergoing Phase 2 clinical testing for PTSD treatment.
  • The reverse translational framework that guided this work is being applied to explore astrocyte-targeted therapies for disorders such as panic disorder, depression and schizophrenia.