1. Bazedoxifene – a promising brain active SERM that crosses the blood brain barrier and enhances spatial memory
- Author
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Jayashri Kulkarni, Andrew S. Gibbons, Anna Schroeder, D. Tull, Suresh Sundram, K. Kouremenos, Rachel Anne Hill, Xin Du, and A. Maggi
- Subjects
Selective Estrogen Receptor Modulators ,Indoles ,Endocrinology, Diabetes and Metabolism ,Hippocampus ,Estrogen receptor ,Pharmacology ,Blood–brain barrier ,Estrogen Receptor Antagonists ,Bazedoxifene ,Mice ,03 medical and health sciences ,Cognition ,0302 clinical medicine ,Endocrinology ,In vivo ,medicine ,Animals ,Biological Psychiatry ,Spatial Memory ,Hormone response element ,Estradiol ,Endocrine and Autonomic Systems ,business.industry ,Brain ,Estrogens ,030227 psychiatry ,Mice, Inbred C57BL ,Psychiatry and Mental health ,medicine.anatomical_structure ,Blood-Brain Barrier ,Selective estrogen receptor modulator ,Female ,business ,hormones, hormone substitutes, and hormone antagonists ,030217 neurology & neurosurgery ,medicine.drug - Abstract
Over 20 years of accumulated evidence has shown that the major female sex hormone 17β-estradiol can enhance cognitive functioning. However, the utility of estradiol as a therapeutic cognitive enhancer is hindered by its unwanted peripheral effects (carcinogenic). Selective estrogen receptor modulators (SERMs) avoid the unwanted effects of estradiol by acting as estrogen receptor antagonists in some tissues such as breast and uterus, but as agonists in others such as bone, and are currently used for the treatment of osteoporosis. However, understanding of their actions in the brain are limited. The third generation SERM bazedoxifene has recently been FDA approved for clinical use with an improved biosafety profile. However, whether bazedoxifene can enter the brain and enhance cognition is unknown. Using mice, the current study aimed to explore if bazedoxifene can 1) cross the blood-brain barrier, 2) rescue ovariectomy-induced hippocampal-dependent spatial memory deficit, and 3) activate neural estrogen response element (ERE)-dependent gene transcription. Using liquid chromatography-mass spectrometry (LC-MS), we firstly demonstrate that a peripheral injection of bazedoxifene can enter the brain. Secondly, we show that an acute intraperitoneal injection of bazedoxifene can rescue ovariectomy-induced spatial memory deficits. And finally, using the ERE-luciferase reporter mouse, we show in vivo that bazedoxifene can activate the ERE in the brain. The evidence shown here suggest bazedoxifene could be a viable cognitive enhancer with promising clinical applicability.
- Published
- 2020