Department of Neurology, Center for Alzheimer's Disease and Related Disorders, Neurosciences Institute, Springfield, IL, USA.
Department of Pharmacology, Southern Illinois University School of Medicine, Springfield, IL, USA.
J Alzheimers Dis. 2019;68(3):1193-1209. doi: 10.3233/JAD-181231.
Chronically elevated basal glutamate levels are hypothesized to attenuate detection of physiological signals thereby inhibiting memory formation and retrieval, while inducing excitotoxicity-mediated neurodegeneration observed in Alzheimer's disease (AD). However, current medication targeting the glutamatergic system, such as memantine, shows limited efficacy and is unable to decelerate disease progression, possibly because it modulates postsynaptic N-methyl-D-aspartate receptors rather than glutamate release or clearance. To determine if decreasing presynaptic glutamate release leads to long-term procognitive effects, we treated AβPP/PS1 mice with LY379268 (3.0 mg/kg; i.p.), a metabotropic glutamate receptor (mGluR)2/3 agonist from 2-6 months of age when elevated glutamate levels are first observed but cognition is unaffected. C57BL/6J genetic background control mice and another cohort of AβPP/PS1 mice received normal saline (i.p.) as vehicle controls. After 6 months off treatment, mice receiving LY379268 did not show long-term improvement as assessed by the Morris water maze (MWM) spatial learning and memory paradigm. Following MWM, mice were isoflurane anesthetized and a glutamate selective microelectrode was used to measure in vivo basal and stimulus-evoked glutamate release and clearance independently from the dentate, CA3, and CA1 hippocampal subregions. Immunohistochemistry was used to measure hippocampal astrogliosis and plaque pathology. Similar to previous studies, we observed elevated basal glutamate, stimulus evoked glutamate release, and astrogliosis in AβPP/PS1 vehicle mice versus C57BL/6J mice. Treatment with LY379268 did not attenuate these responses nor diminish plaque pathology. The current study builds upon previous research demonstrating hyperglutamatergic hippocampal signaling in AβPP/PS1 mice; however, long-term therapeutic efficacy of LY379268 in AβPP/PS1 was not observed.
慢性升高的基底谷氨酸水平被假设会减弱对生理信号的检测,从而抑制记忆的形成和提取,同时诱导阿尔茨海默病(AD)中观察到的兴奋性毒性介导的神经退行性变。然而,目前针对谷氨酸能系统的药物治疗,如美金刚,显示出有限的疗效,并且无法减缓疾病进展,这可能是因为它调节的是突触后 N-甲基-D-天冬氨酸受体,而不是谷氨酸的释放或清除。为了确定减少突触前谷氨酸释放是否会导致长期的认知效果,我们用 LY379268(3.0mg/kg;腹腔注射)治疗 AβPP/PS1 小鼠,从 2-6 个月龄开始治疗,此时首先观察到谷氨酸水平升高,但认知功能不受影响。C57BL/6J 遗传背景对照小鼠和另一组 AβPP/PS1 小鼠接受生理盐水(腹腔注射)作为载体对照。治疗结束 6 个月后,接受 LY379268 治疗的小鼠在 Morris 水迷宫(MWM)空间学习和记忆范式评估中并未显示出长期改善。MWM 后,用异氟烷麻醉小鼠,并用谷氨酸选择性微电极测量海马齿状回、CA3 和 CA1 海马亚区的基础和刺激诱发谷氨酸释放和清除。免疫组织化学用于测量海马星形胶质细胞增生和斑块病理。与之前的研究类似,我们观察到 AβPP/PS1 载体小鼠的基础谷氨酸升高、刺激诱发谷氨酸释放和星形胶质细胞增生,与 C57BL/6J 小鼠相比。LY379268 的治疗并未减弱这些反应,也未减少斑块病理。本研究建立在先前研究的基础上,表明 AβPP/PS1 小鼠的海马谷氨酸信号传递亢进;然而,LY379268 在 AβPP/PS1 中的长期治疗效果并未观察到。