Detrait Eric R, Carr Greg V, Weinberger Daniel R, Lamberty Yves
aUCB Biopharma s.p.r.l., Neuroscience Therapeutic Area, Chemin du Foriest, B-1420 Braine-l'Alleud, Belgium bLieber Institute for Brain Development Departments of cPsychiatry dNeurology eNeuroscience, Institute of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore fClinical Brain Disorders Branch, National Institute of Mental Health, NIH, Bethesda, Maryland, USA.
Behav Pharmacol. 2016 Aug;27(5):415-21. doi: 10.1097/FBP.0000000000000208.
The critical involvement of dopamine in cognitive processes has been well established, suggesting that therapies targeting dopamine metabolism may alleviate cognitive dysfunction. Catechol-O-methyl transferase (COMT) is a catecholamine-degrading enzyme, the substrates of which include dopamine, epinephrine, and norepinephrine. The present work illustrates the potential therapeutic efficacy of COMT inhibition in alleviating cognitive impairment. A brain-penetrant COMT inhibitor, tolcapone, was tested in normal and phencyclidine-treated rats and COMT-Val transgenic mice. In a novel object recognition procedure, tolcapone counteracted a 24-h-dependent forgetting of a familiar object as well as phencyclidine-induced recognition deficits in the rats at doses ranging from 7.5 to 30 mg/kg. In contrast, entacapone, a COMT inhibitor that does not readily cross the blood-brain barrier, failed to show efficacy at doses up to 30 mg/kg. Tolcapone at a dose of 30 mg/kg also improved novel object recognition performance in transgenic mice, which showed clear recognition deficits. Complementing earlier studies, our results indicate that central inhibition of COMT positively impacts recognition memory processes and might constitute an appealing treatment for cognitive dysfunction related to neuropsychiatric disorders.
多巴胺在认知过程中的关键作用已得到充分证实,这表明针对多巴胺代谢的疗法可能会缓解认知功能障碍。儿茶酚-O-甲基转移酶(COMT)是一种降解儿茶酚胺的酶,其底物包括多巴胺、肾上腺素和去甲肾上腺素。本研究阐明了抑制COMT在减轻认知障碍方面的潜在治疗效果。一种可穿透血脑屏障的COMT抑制剂托卡朋,在正常大鼠、苯环利定处理的大鼠以及COMT-Val转基因小鼠中进行了测试。在一项新颖物体识别实验中,托卡朋在7.5至30mg/kg的剂量范围内,抵消了大鼠对熟悉物体24小时依赖性遗忘以及苯环利定诱导的识别缺陷。相比之下,一种不易穿过血脑屏障的COMT抑制剂恩他卡朋,在高达30mg/kg的剂量下未能显示出疗效。30mg/kg剂量的托卡朋也改善了转基因小鼠的新颖物体识别表现,这些小鼠表现出明显的识别缺陷。作为早期研究的补充,我们的结果表明,对COMT的中枢抑制对识别记忆过程有积极影响,可能是治疗与神经精神疾病相关认知功能障碍的一种有吸引力的方法。