Rorick-Kehn Linda M, Johnson Bryan G, Knitowski Karen M, Salhoff Craig R, Witkin Jeffrey M, Perry Kenneth W, Griffey Kelly I, Tizzano Joseph P, Monn James A, McKinzie David L, Schoepp Darryle D
Neuroscience Discovery Research, Lilly Research Laboratories, Eli Lilly and Company, Lilly Corporate Center, DC0510, Indianapolis, IN 46285, USA.
Psychopharmacology (Berl). 2007 Jul;193(1):121-36. doi: 10.1007/s00213-007-0758-3. Epub 2007 Mar 24.
Data from both preclinical and clinical studies have provided proof of concept that modulation of limbic and forebrain glutamate, via mGlu2/3 receptor agonists, might provide therapeutic benefits in many psychiatric disorders including schizophrenia and anxiety.
The aim of this study was to assess the efficacy of a structurally novel, potent, selective mGlu2/3 receptor agonist with improved bioavailability (LY404039) in animal models predictive of antipsychotic and anxiolytic efficacy.
LY404039 was assessed in amphetamine- and phencyclidine-induced hyperlocomotion, conditioned avoidance responding, fear-potentiated startle, marble burying, and rotarod behavioral tests. Monoamine release and turnover were assessed using microdialysis and ex vivo tissue levels.
LY404039 attenuated amphetamine- and phencyclidine-induced hyperlocomotion (3-30 and 10 mg/kg, respectively). LY404039 (3-10 mg/kg) inhibited conditioned avoidance responding. LY404039 also reduced fear-potentiated startle in rats (3-30 microg/kg) and marble burying in mice (3-10 mg/kg), indicating anxiolytic-like effects. Importantly, LY404039 did not produce sedative effects or motor impairment as measured by rotarod performance and lack of escape failures in the conditioned avoidance task (at doses up to 30 and 10 mg/kg, respectively). LY404039 (10 mg/kg) also increased dopamine and serotonin release/turnover in the prefrontal cortex.
These results demonstrate the broad preclinical efficacy of LY404039 across multiple animal models of antipsychotic and anxiolytic efficacy. Additionally, this compound modulates mesocortical neurotransmission and provides a novel mechanism for the treatment of psychiatric disorders that may be associated with improved efficacy and reduced incidence of undesirable side effects. As glutamatergic dysfunction has been linked to the etiology of schizophrenia, clinical studies with more potent mGlu2/3 agonists, such as LY404039, may be useful to explore the validity of this hypothesis.
临床前和临床研究的数据均已提供概念验证,即通过代谢型谷氨酸受体2/3(mGlu2/3)激动剂调节边缘系统和前脑谷氨酸,可能在包括精神分裂症和焦虑症在内的多种精神疾病中带来治疗益处。
本研究旨在评估一种结构新颖、强效、选择性的mGlu2/3受体激动剂(LY404039)在预测抗精神病和抗焦虑疗效的动物模型中的疗效。
在苯丙胺和苯环利定诱导的运动亢进、条件性回避反应、恐惧增强惊吓、大理石埋藏和转棒行为测试中评估LY404039。使用微透析和离体组织水平评估单胺释放和周转。
LY404039减轻了苯丙胺和苯环利定诱导的运动亢进(分别为3 - 30和10 mg/kg)。LY404039(3 - 10 mg/kg)抑制了条件性回避反应。LY404039还降低了大鼠的恐惧增强惊吓(3 - 30 μg/kg)和小鼠的大理石埋藏行为(3 - 10 mg/kg),表明具有抗焦虑样作用。重要的是,根据转棒试验表现以及条件性回避任务中无逃脱失败情况衡量(分别在高达30和10 mg/kg的剂量下),LY404039未产生镇静作用或运动功能障碍。LY404039(10 mg/kg)还增加了前额叶皮质中多巴胺和5-羟色胺的释放/周转。
这些结果证明了LY404039在多种抗精神病和抗焦虑疗效动物模型中的广泛临床前疗效。此外,该化合物调节中皮质神经传递,并为治疗精神疾病提供了一种新机制,这可能与提高疗效和降低不良副作用发生率有关。由于谷氨酸能功能障碍与精神分裂症的病因有关,使用更强效的mGlu2/3激动剂(如LY404039)进行临床研究可能有助于探索这一假设的有效性。