The Salk Institute for Biological Studies, Cellular Neurobiology Laboratory, 10010 North Torrey Pines Road, La Jolla, CA 92037, USA.
Alzheimers Res Ther. 2013 May 14;5(3):25. doi: 10.1186/alzrt179. eCollection 2013.
Despite years of research, there are no disease-modifying drugs for Alzheimer's disease (AD), a fatal, age-related neurodegenerative disorder. Screening for potential therapeutics in rodent models of AD has generally relied on testing compounds before pathology is present, thereby modeling disease prevention rather than disease modification. Furthermore, this approach to screening does not reflect the clinical presentation of AD patients which could explain the failure to translate compounds identified as beneficial in animal models to disease modifying compounds in clinical trials. Clearly a better approach to pre-clinical drug screening for AD is required.
To more accurately reflect the clinical setting, we used an alternative screening strategy involving the treatment of AD mice at a stage in the disease when pathology is already advanced. Aged (20-month-old) transgenic AD mice (APP/swePS1ΔE9) were fed an exceptionally potent, orally active, memory enhancing and neurotrophic molecule called J147. Cognitive behavioral assays, histology, ELISA and Western blotting were used to assay the effect of J147 on memory, amyloid metabolism and neuroprotective pathways. J147 was also investigated in a scopolamine-induced model of memory impairment in C57Bl/6J mice and compared to donepezil. Details on the pharmacology and safety of J147 are also included.
Data presented here demonstrate that J147 has the ability to rescue cognitive deficits when administered at a late stage in the disease. The ability of J147 to improve memory in aged AD mice is correlated with its induction of the neurotrophic factors NGF (nerve growth factor) and BDNF (brain derived neurotrophic factor) as well as several BDNF-responsive proteins which are important for learning and memory. The comparison between J147 and donepezil in the scopolamine model showed that while both compounds were comparable at rescuing short term memory, J147 was superior at rescuing spatial memory and a combination of the two worked best for contextual and cued memory.
J147 is an exciting new compound that is extremely potent, safe in animal studies and orally active. J147 is a potential AD therapeutic due to its ability to provide immediate cognition benefits, and it also has the potential to halt and perhaps reverse disease progression in symptomatic animals as demonstrated in these studies.
尽管经过多年研究,仍没有针对阿尔茨海默病(AD)的治疗药物,AD 是一种致命的、与年龄相关的神经退行性疾病。在 AD 的啮齿动物模型中筛选潜在的治疗药物通常依赖于在病理出现之前测试化合物,从而模拟疾病预防而不是疾病修饰。此外,这种筛选方法不能反映 AD 患者的临床表现,这可以解释为什么在临床试验中未能将在动物模型中被鉴定为有益的化合物转化为疾病修饰化合物。显然,需要一种更好的 AD 临床前药物筛选方法。
为了更准确地反映临床情况,我们采用了一种替代的筛选策略,即在疾病已经进展到晚期时,用一种叫做 J147 的非常有效、口服、增强记忆和神经营养的分子治疗 AD 小鼠。使用认知行为测定、组织学、ELISA 和 Western blot 来测定 J147 对记忆、淀粉样蛋白代谢和神经保护途径的影响。还在 C57Bl/6J 小鼠的东莨菪碱诱导的记忆障碍模型中研究了 J147,并与多奈哌齐进行了比较。还包括 J147 的药理学和安全性的详细信息。
本文提供的数据表明,当在疾病晚期给予 J147 时,它具有挽救认知缺陷的能力。J147 改善老年 AD 小鼠记忆的能力与其诱导神经营养因子 NGF(神经生长因子)和 BDNF(脑源性神经营养因子)以及几种对学习和记忆很重要的 BDNF 反应蛋白有关。J147 在东莨菪碱模型中的效果与多奈哌齐的比较表明,虽然两种化合物在挽救短期记忆方面相当,但 J147 在挽救空间记忆方面更优,两种化合物的组合对上下文和提示记忆效果最佳。
J147 是一种令人兴奋的新化合物,具有极高的效力、在动物研究中安全且口服有效。J147 是一种潜在的 AD 治疗药物,因为它能够立即提供认知益处,并且在这些研究中还具有在有症状的动物中停止甚至可能逆转疾病进展的潜力。