Pharmacological Effects of Lu AA21004: A Novel Multimodal Compound for the Treatment of Major Depressive Disorder

Autor: Christoffer Bundgaard, Ligia Westrich, Arne Mørk, Benny Bang-Andersen, T. Bryan Stensbøl, Christina W. Fischer, Samuel I. Miller, Sandra Hogg, Nico Liebenberg, Gregers Wegener, Alan L. Pehrson, Connie Sanchez, H. Zhong, Lise T. Brennum, A.B. Lassen, N. J. Boyle, S. Møller Nielsen
Rok vydání: 2011
Předmět:
Zdroj: Mork, A, Pehrson, A, Tottrup Brennum, L, Moller Nielsen, S, Zhong, H, Lassen, A B, Miller, S, Westrich, L, Boyle, N J, Sanchez, C, Fischer, C, Liebenberg, N, Wegener, G, Bundgaard, C, Hogg, S, Bang-Andersen, B & Bryan Stensbol, T 2012, ' Pharmacological effects of Lu AA21004: a novel multimodal compound for the treatment of major depressive disorder ', Journal of Pharmacology and Experimental Therapeutics, vol. 340, no. 3, pp. 666-675 . https://doi.org/10.1124/jpet.111.189068
ISSN: 1521-0103
0022-3565
DOI: 10.1124/jpet.111.189068
Popis: 1-[2-(2,4-Dimethylphenyl-sulfanyl)-phenyl]-piperazine (Lu AA21004) is a human (h) serotonin (5-HT)(3A) receptor antagonist (K(i) = 3.7 nM), h5-HT(7) receptor antagonist (K(i) = 19 nM), h5-HT(1B) receptor partial agonist (K(i) = 33 nM), h5-HT(1A) receptor agonist (K(i) = 15 nM), and a human 5-HT transporter (SERT) inhibitor (K(i) = 1.6 nM) (J Med Chem 54:3206-3221, 2011). Here, we confirm that Lu AA21004 is a partial h5-HT(1B) receptor agonist [EC(50) = 460 nM, intrinsic activity = 22%] using a whole-cell cAMP-based assay and demonstrate that Lu AA21004 is a rat (r) 5-HT(7) receptor antagonist (K(i) = 200 nM and IC(50) = 2080 nM). In vivo, Lu AA21004 occupies the r5-HT(1B) receptor and rSERT (ED(50) = 3.2 and 0.4 mg/kg, respectively) after subcutaneous administration and is a 5-HT(3) receptor antagonist in the Bezold-Jarisch reflex assay (ED(50) = 0.11 mg/kg s.c.). In rat microdialysis experiments, Lu AA21004 (2.5-10.0 mg/kg s.c.) increased extracellular 5-HT, dopamine, and noradrenaline in the medial prefrontal cortex and ventral hippocampus. Lu AA21004 (5 mg/kg per day for 3 days; minipump subcutaneously), corresponding to 41% rSERT occupancy, significantly increased extracellular 5-HT in the ventral hippocampus. Furthermore, the 5-HT(3) receptor antagonist, ondansetron, potentiated the increase in extracellular levels of 5-HT induced by citalopram. Lu AA21004 has antidepressant- and anxiolytic-like effects in the rat forced swim (Flinders Sensitive Line) and social interaction and conditioned fear tests (minimal effective doses: 7.8, 2.0, and 3.9 mg/kg). In conclusion, Lu AA21004 mediates its pharmacological effects via two pharmacological modalities: SERT inhibition and 5-HT receptor modulation. In vivo, this results in enhanced release of several neurotransmitters and antidepressant- and anxiolytic-like profiles at doses for which targets in addition to the SERT are occupied. The multimodal activity profile of Lu AA21004 is distinct from that of current antidepressants.
Databáze: OpenAIRE