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Istradefylline reduces memory deficits in aging mice with amyloid pathology

Bibliographic

Year of Publication:
2018
Contact PI Name:
Lennart Mucke
Contact PI Affiliation:
Gladstone Institute of Neurological Disease, San Francisco, California, USA
Co-Authors:
Anna G. Orr, Iris Lo, Heike Schumacher, Kaitlyn Ho, Michael Gill, Weikun Guo, Daniel H. Kim, Anthony Knox, Takashi Saito, Takaomi C. Saido, Jeffrey Simms, Carlee Toddes, Xin Wang, Gui-Qiu Yu
Primary Reference (PubMED ID):
Funding Source:
Alan Kaganov Scholarship
Dolby Family Fund
MetLife Foundation
National Center for Research Resources (NCRR)
National Institute of Neurological Disorders and Stroke (NINDS)
National Institute on Aging (NIA)
S.D. Bechtel Jr. Foundation
Study Goal and Principal Findings:

Adenosine A2A receptors are putative therapeutic targets for neurological disorders. The adenosine A2A receptor antagonist istradefylline is approved in Japan for Parkinson's disease and is being tested in clinical trials for this condition elsewhere. A2A receptors on neurons and astrocytes may contribute to Alzheimer's disease (AD) by impairing memory. However, it is not known whether istradefylline enhances cognitive function in aging animals with AD-like amyloid plaque pathology. Here, we show that elevated levels of Aβ, C-terminal fragments of the amyloid precursor protein (APP), or amyloid plaques, but not overexpression of APP per se, increase astrocytic A2A receptor levels in the hippocampus and neocortex of aging mice. Moreover, in amyloid plaque-bearing mice, low-dose istradefylline treatment enhanced spatial memory and habituation, supporting the conclusion that, within a well-defined dose range, A2A receptor blockers might help counteract memory problems in patients with Alzheimer's disease.

Bibliographic Notes:
Anna G. Orr (Feil Family Brain and Mind Research Institute, Weill Cornell Medicine, New York, NY, USA) and Lennart Mucke (Gladstone Institute of Neurological Disease, San Francisco, CA, USA) are corresponding authors on this paper.

Therapeutic Agent

Therapeutic Information:
Therapy Type:
Small Molecule
Therapeutic Agent:
Istradefylline
Therapeutic Target:
Adenosine A2A Receptor

Animal Model

Model Information:
Species:
Mouse
Model Type:
APP
Strain/Genetic Background:
C57BL/6
Species:
Mouse
Model Type:
APP
Strain/Genetic Background:
C57BL/6
Species:
Mouse
Model Type:
APP-knock-in
Strain/Genetic Background:
Not Reported

Experimental Design

Is the following information reported in the study?:
Power/Sample Size Calculation
Randomized into Groups
Blinded for Treatment
Blinded for Outcome Measures
Pharmacokinetic Measures
Pharmacodynamic Measures
Toxicology Measures
ADME Measures
Biomarkers
Dose
Formulation
Route of Delivery
Duration of Treatment
Frequency of Administration
Age of Animal at the Beginning of Treatment
Age of Animal at the End of Treatment
Sex as a Biological Variable
Study Balanced for Sex as a Biological Variable
Number of Premature Deaths
Number of Excluded Animals
Statistical Plan
Genetic Background
Inclusion/Exclusion Criteria Included
Conflict of Interest
Experiment Notes

Power/Sample Size Calculation – while sample sizes were determined based on pilot experiments and previous studies including similar types of experiments, it is unclear whether the authors performed any statistical power calculations to determine sample sizes.

Outcomes

Outcome Measured
Outcome Parameters
Behavioral
Cued Task
Elevated Plus Maze
Exploratory Activity
Habituation Learning
Hidden Platform Task
Morris Water Maze
Open Field Test
Rearing
Spontaneous Activity
Visible Platform
Motor Function
Locomotor Activity
Rotarod Test
Path Length
Swimming Speed
Histopathology
Activated Astrocytes
beta Amyloid Deposits
Immunochemistry
Adenosine A2A Receptor
Brain-beta Amyloid Deposits
Glial Fibrillary Acidic Protein (GFAP)
Pharmacokinetics
Drug Concentration-Brain
Drug Concentration-Plasma
Toxicology
Body Weight
Food Intake
Water Consumption