Chaki Shigeyuki, Shimazaki Toshiharu, Karasawa Jun-Ichi, Aoki Takeshi, Kaku Ayaka, Iijima Michihiko, Kambe Daiji, Yamamoto Shuji, Kawakita Yasunori, Shibata Tsuyoshi, Abe Kumi, Okubo Taketoshi, Sekiguchi Yoshinori, Okuyama Shigeru
Pharmacology Laboratories, Taisho Pharmaceutical Co., Ltd., 1-403 Yoshino-cho, Saitama, Saitama, 331-9530, Japan,
Psychopharmacology (Berl). 2015 Aug;232(15):2849-61. doi: 10.1007/s00213-015-3920-3. Epub 2015 Apr 15.
Since the hypofunction of the N-methyl-D-aspartate (NMDA) receptor is known to be involved in the pathophysiology of schizophrenia, the enhancement of NMDA receptor function through glycine modulatory sites is expected to be a useful approach for the treatment of schizophrenia.
We investigated the efficacy of a glycine transporter 1 (GlyT1) inhibitor that potentiates NMDA receptor function by increasing synaptic glycine levels in animal models for cognitive dysfunction and negative symptoms, both of which are poorly managed by current antipsychotics.
A newly synthesized GlyT1 inhibitor, 3-chloro-N-{(S)-[3-(1-ethyl-1H-pyrazol-4-yl)phenyl][(2S)-piperidin-2-yl]methyl}-4-(trifluoromethyl)pyridine-2-carboxamide (TASP0315003) significantly improved cognitive deficit induced by MK-801 in the object recognition test in rats. Likewise, TASP0315003 significantly improved MK-801 impaired cognition in the social recognition test in rats and also enhanced social memory in treatment-naïve rats. In addition, repeated phencyclidine (PCP) treatment reduced the social interaction of paired mice, which may reflect negative symptoms such as social withdrawal, and both acute and sub-chronic treatment with TASP0315003 reversed the reduction in social interaction induced by PCP. Moreover, TASP0315003 additionally exhibited an antidepressant effect in the forced swimming test in rats. In contrast, TASP0315003 did not affect spontaneous locomotor activity or rotarod performance and did not induce catalepsy, indicating that TASP0315003 does not cause sedation or motor dysfunction, which is sometimes observed with the use of current antipsychotics.
These results suggest that GlyT1 inhibitors including TASP0315003 may be useful for the treatment of cognitive dysfunction and the negative symptoms of schizophrenia without having undesirable central nervous system side effects.
由于已知N-甲基-D-天冬氨酸(NMDA)受体功能减退与精神分裂症的病理生理学有关,因此通过甘氨酸调节位点增强NMDA受体功能有望成为治疗精神分裂症的有效方法。
我们在认知功能障碍和阴性症状的动物模型中研究了一种甘氨酸转运体1(GlyT1)抑制剂的疗效,目前的抗精神病药物对这两种症状的治疗效果不佳,而该抑制剂可通过提高突触甘氨酸水平来增强NMDA受体功能。
一种新合成的GlyT1抑制剂,3-氯-N-{(S)-[3-(1-乙基-1H-吡唑-4-基)苯基][(2S)-哌啶-2-基]甲基}-4-(三氟甲基)吡啶-2-甲酰胺(TASP0315003)在大鼠物体识别试验中显著改善了由MK-801诱导的认知缺陷。同样,TASP0315003在大鼠社会识别试验中显著改善了MK-801损害的认知,并且还增强了未接受过治疗的大鼠的社会记忆。此外,重复给予苯环己哌啶(PCP)会降低配对小鼠的社交互动,这可能反映了诸如社交退缩等阴性症状,而TASP0315003的急性和亚慢性治疗均逆转了PCP诱导的社交互动减少。此外,TASP0315003在大鼠强迫游泳试验中还表现出抗抑郁作用。相比之下,TASP0315003不影响自发运动活动或转棒试验表现,也不诱导僵住症,这表明TASP0315003不会引起目前使用抗精神病药物时有时会观察到的镇静或运动功能障碍。
这些结果表明,包括TASP0315003在内的GlyT1抑制剂可能对治疗精神分裂症的认知功能障碍和阴性症状有用,且不会产生不良的中枢神经系统副作用。