Autor: |
Parrado Fernandez C; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden.; Division of Neuroscience, Care and Society, Department of Neurogeriatrics, Karolinska Institutet, 171 77 Solna, Sweden., Juric S; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden., Backlund M; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden., Dahlström M; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden., Madjid N; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden., Lidell V; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden., Rasti A; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden., Sandin J; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden.; Division of Neuroscience, Care and Society, Department of Neurogeriatrics, Karolinska Institutet, 171 77 Solna, Sweden., Nordvall G; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden.; Division of Neuroscience, Care and Society, Department of Neurogeriatrics, Karolinska Institutet, 171 77 Solna, Sweden., Forsell P; AlzeCure Pharma AB, Hälsovägen 7, 141 57 Huddinge, Sweden.; Division of Neuroscience, Care and Society, Department of Neurogeriatrics, Karolinska Institutet, 171 77 Solna, Sweden. |
Abstrakt: |
The introduction of anti-amyloid monoclonal antibodies against Alzheimer's disease (AD) is of high importance. However, even though treated patients show very little amyloid pathology, there is only a modest effect on the rate of cognitive decline. Although this effect can possibly increase over time, there is still a need for alternative treatments that will improve cognitive function in patients with AD. Therefore, the purpose of this study was to characterize the triazinetrione ACD856, a novel pan-Trk positive allosteric modulator, in multiple models to address its neuroprotective and potential disease-modifying effects. The pharmacological effect of ACD856 was tested in recombinant cell lines, primary cortical neurons, or animals. We demonstrate that ACD856 enhanced NGF-induced neurite outgrowth, increased the levels of the pre-synaptic protein SNAP25 in PC12 cells, and increased the degree of phosphorylated TrkB in SH-SY5Y cells. In primary cortical neurons, ACD856 led to increased levels of phospho-ERK1/2, showed a neuroprotective effect against amyloid-beta or energy-deprivation-induced neurotoxicity, and increased the levels of brain-derived neurotrophic factor (BDNF). Consequently, administration of ACD856 resulted in a significant increase in BDNF in the brains of 21 months old mice. Furthermore, repeated administration of ACD856 resulted in a sustained anti-depressant effect, which lasted up to seven days, suggesting effects that go beyond merely symptomatic effects. In conclusion, the results confirm ACD856 as a cognitive enhancer, but more importantly, they provide substantial in vitro and in vivo evidence of neuroprotective and long-term effects that contribute to neurotrophic support and increased neuroplasticity. Presumably, the described effects of ACD856 may improve cognition, increase resilience, and promote neurorestorative processes, thereby leading to a healthier brain in patients with AD. |