The authors developed a novel diketopiperazine that shows neuroprotective activity in a variety of models, as well as in a clin. relevant exptl. model of traumatic brain injury (TBI) in rats.Treatment with 1-ARA-35b, a cyclized dipeptide derived from a modified TSH-releasing hormone (TRH) analog, significantly reduced cell death associated with necrosis (maitotoxin), apoptosis (staurosporine), or mech. injury in neuronal-glial cocultures.Rats subjected to lateral fluid percussion-induced TBI and then treated with 1 mg/kg i.v. 35b thirty minutes after trauma showed significantly improved motor recovery and spatial learning compared with vehicle-treated controls.Treatment also significantly reduced lesion volumes as shown by magnetic resonance imaging, and decreased the number of TUNEL-pos. neurons observed in ipsilateral hippocampus.Unlike TRH or traditional TRH analogs, 35b treatment did not change mean arterial pressure, body temperature, or TSH release, and did not have analeptic activity.Moreover, in contrast to TRH or typical TRH analogs, 35b administration after TBI did not alter free-magnesium concentration or cellular bioenergetic state.Receptor-binding studies showed that 35b did not act with high affinity at 50 classical receptors, channels, or transporters.Thus, 35b shows none of the typical physiol. actions associated with TRH, but possesses neuroprotective actions and appears to attenuate both necrotic and apoptotic cell death.