Troglitazone (TGZ), an antidiabetic drug that improves insulin-resistance i
n the peripheral tissues, was tested for neurotrophic activity in motoneuro
nes and other neurones in culture. In rat motoneurones, TGZ had a remarkabl
e effect on survival, which was comparable or superior to that of brain-der
ived neurotrophic factor, a known potent neurotrophic factor for rat motone
urones. However, TGZ did not promote the survival of sensory, sympathetic,
septal or hippocampal neurones. The effect of TGZ on motoneurones was addit
ive to that of insulinlike growth factor-I and both activities were inhibit
ed by phosphatidylinositol 3-kinase (PI3-kinase) inhibitors, wortmannin and
LY294002, suggesting the involvement of the activation of PI3-kinase in th
e activity of TGZ. Pioglitazone, another antidiabetic drug structurally sim
ilar to TGZ, did not show any activity, indicating that the agonistic activ
ity of TGZ for peroxisome proliferator-activated receptor-gamma is not invo
lved in the survival activity. Chromanol, an antioxidant moiety of TGZ, sho
wed little or no survival activity. These results indicate specific neurotr
ophic activity of TGZ for motoneurones through the activation of PI3-kinase
and support the applicability of TGZ for the treatment of motor neurone di
seases such as amyotrophic lateral sclerosis.