First and second generation γ-secretase modulators (GSMs) modulate amyloid-β (Aβ) peptide production through different mechanisms


BIBLIOGRAPHIC THERAPEUTIC AGENT ANIMAL MODEL EXPERIMENTAL DESIGN OUTCOMES

Bibliographic

Year of Publication:
2012
Contact PI Name:
Johan Lundkvist
Contact PI Affiliation:
Department of Neuroscience, AstraZeneca CNS/PAIN iMED, Sweden
Co-Authors:
T. Borgegard, A. Juréus, F. Olsson, S. Rosqvist, A. Sabirsh, D. Rotticci, K. Paulsen, R. Klintenberg, H. Yan, M. Waldman, K. Stromberg, J. Nord, J. Johansson, A. Regner, S. Parpal, D. Malinowsky, A.C. Radesater, T. Li, R. Singh, H. Eriksson
Primary Reference (PubMED ID):
Funding Source:
Not Reported
Study Goal and Principal Findings:

γ-Secretase-mediated cleavage of amyloid precursor protein (APP) results in the production of Alzheimer disease-related amyloid-β (Aβ) peptides. The Aβ42 peptide in particular plays a pivotal role in Alzheimer disease pathogenesis and represents a major drug target. Several γ-secretase modulators (GSMs), such as the nonsteroidal anti-inflammatory drugs (R)-flurbiprofen and sulindac sulfide, have been suggested to modulate the Alzheimer-related Aβ production by targeting the APP. Here, were described novel GSMs that are selective for Aβ modulation and do not impair processing of Notch, EphB2, or EphA4. The GSMs modulate Aβ both in cell and cell-free systems as well as lower amyloidogenic Aβ42 levels in the mouse brain. Both radioligand binding and cellular cross-competition experiments reveal a competitive relationship between the AstraZeneca (AZ) GSMs and the established second generation GSM, E2012, but a noncompetitive interaction between AZ GSMs and the first generation GSMs (R)-flurbiprofen and sulindac sulfide. The binding of a (3)H-labeled AZ GSM analog does not co-localize with APP but overlaps anatomically with a γ-secretase targeting inhibitor in rodent brains. Combined, these data provide compelling evidence of a growing class of in vivo active GSMs, which are selective for Aβ modulation and have a different mechanism of action compared with the original class of GSMs described.

Therapeutic Agent

Therapeutic Information:
Therapy Type:
Small Molecule
Therapeutic Agent:
Sulindac Sulfide/Sulphide
Therapeutic Target:
Cyclooxygenase 1 (COX 1)
Therapeutic Target:
Cyclooxygenase 2 (COX 2)
Therapy Type:
Small Molecule
Therapeutic Agent:
R-Flurbiprofen/Tarenflurbil/MPC-7869
Therapeutic Target:
gamma Secretase
Therapy Type:
Small Molecule
Therapeutic Agent:
AZ4800
Therapeutic Target:
gamma Secretase
Therapy Type:
Small Molecule
Therapeutic Agent:
AZ1136
Therapeutic Target:
gamma Secretase
Therapy Type:
Small Molecule
Therapeutic Agent:
AZ3303
Therapeutic Target:
gamma Secretase
Therapy Type:
Small Molecule
Therapeutic Agent:
E2012
Therapeutic Target:
gamma Secretase
Therapy Type:
Small Molecule
Therapeutic Agent:
[3H]AZ8349
Therapeutic Target:
gamma Secretase
Therapy Type:
Small Molecule
Therapeutic Agent:
[3H]DBZ
Therapeutic Target:
gamma Secretase
Therapeutic Notes:
R-Flurbiprofen is the R-enantiomer of the NSAID Flurbiprofen. It is not a cyclooxygenase (COX 1/COX 2) inhibitor. R-Flurbiprofen has recently been shown to modulate gamma secretase and selectively lower levels of Aβ42 and amyloid pathology in vivo. R-Flurbiprofen also modulates NFκB signaling pathways.

Animal Model

Model Information:
Species:
Mouse
Model Type:
Non-transgenic
Strain/Genetic Background:
C57BL/6
Species:
Mouse
Model Type:
APP
Strain/Genetic Background:
Not Reported
Species:
Mouse
Model Type:
APPxPS1
Strain/Genetic Background:
Not Reported
Animal Model Notes:
The authors do not specify which APPswe/PSEN1dE9 model is used in this study.

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

Outcomes

Outcome Measured
Outcome Parameters
Biochemical
Intracellular beta Amyloid Peptide
Notch Intracellular Domain (NICD)
gamma Secretase
Brain-beta Amyloid Peptide 40
Brain-beta Amyloid Peptide 42
Plasma-beta Amyloid Peptide 40
Plasma-beta Amyloid Peptide 42
Notch Selectivity
Ephrin Type A Receptor 4 (EPHA4)
Ephrin Type B Receptor 2 (EPHB2)
Brain-beta Amyloid Peptide 37
Brain-beta Amyloid Peptide 38
IC50
Immunochemistry
Amyloid Precursor Protein (APP)
Brain-beta Amyloid Peptide 40
Brain-beta Amyloid Peptide 42
Cell Biology
Cytotoxicity
Pharmacokinetics
Drug Concentration-Brain
Brain/Plasma Ratio
Pharmacodynamics
Target Engagement (Reduction beta Amyloid Peptide 42-Brain)
Pharmacology
Binding Affinity
Outcomes Notes:
Cytotoxicity measured using ViaLight cell toxicity assay in cell culture - data not shown, but stated in text: "General toxicity of the compounds was tested using the ViaLightTM cell toxicity assay. No toxicity was seen at the concentrations tested (data not shown). "

Source URL: http://alzped.nia.nih.gov/first-and-second-generation-γ