1. Glutaminyl Cyclase Inhibitor PQ912 Improves Cognition in Mouse Models of Alzheimer's Disease-Studies on Relation to Effective Target Occupancy.
- Author
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Hoffmann T, Meyer A, Heiser U, Kurat S, Böhme L, Kleinschmidt M, Bühring KU, Hutter-Paier B, Farcher M, Demuth HU, Lues I, and Schilling S
- Subjects
- Alzheimer Disease psychology, Amyloid beta-Peptides chemistry, Amyloid beta-Peptides drug effects, Animals, Benzimidazoles cerebrospinal fluid, Benzimidazoles pharmacokinetics, Binding Sites, Cyclization, Drug Delivery Systems, Enzyme Inhibitors cerebrospinal fluid, Enzyme Inhibitors pharmacokinetics, Female, HEK293 Cells, Humans, Imidazolines cerebrospinal fluid, Imidazolines pharmacokinetics, Male, Maze Learning drug effects, Mice, Mice, Transgenic, Nootropic Agents cerebrospinal fluid, Nootropic Agents pharmacokinetics, Protein Binding, Rats, Spatial Learning drug effects, Alzheimer Disease drug therapy, Aminoacyltransferases antagonists & inhibitors, Benzimidazoles therapeutic use, Enzyme Inhibitors therapeutic use, Imidazolines therapeutic use, Nootropic Agents therapeutic use
- Abstract
Numerous studies suggest that the majority of amyloid- β (A β ) peptides deposited in Alzheimer's disease (AD) are truncated and post-translationally modified at the N terminus. Among these modified species, pyroglutamyl-A β (pE-A β , including N3pE-A β 40/42 and N11pE-A β 40/42) has been identified as particularly neurotoxic. The N-terminal modification renders the peptide hydrophobic, accelerates formation of oligomers, and reduces degradation by peptidases, leading ultimately to the accumulation of the peptide and progression of AD. It has been shown that the formation of pyroglutamyl residues is catalyzed by glutaminyl cyclase (QC). Here, we present data about the pharmacological in vitro and in vivo efficacy of the QC inhibitor (S)-1-(1H-benzo[d]imidazol-5-yl)-5-(4-propoxyphenyl)imidazolidin-2-one (PQ912), the first-in-class compound that is in clinical development. PQ912 inhibits human, rat, and mouse QC activity, with K
i values ranging between 20 and 65 nM. Chronic oral treatment of hAPPSL xhQC double-transgenic mice with approximately 200 mg/kg/day via chow shows a significant reduction of pE-A β levels and concomitant improvement of spatial learning in a Morris water maze test paradigm. This dose results in a brain and cerebrospinal fluid concentration of PQ912 which relates to a QC target occupancy of about 60%. Thus, we conclude that >50% inhibition of QC activity in the brain leads to robust treatment effects. Secondary pharmacology experiments in mice indicate a fairly large potency difference for A β cyclization compared with cyclization of physiologic substrates, suggesting a robust therapeutic window in humans. This information constitutes an important translational guidance for predicting the therapeutic dose range in clinical studies with PQ912., (Copyright © 2017 by The Author(s).)- Published
- 2017
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