1. Dual 5-HT 6 /SERT ligands for mitigating neuropsychiatric symptoms of dementia exerting neuroprotection against amyloid-β toxicity, memory preservation, and antidepressant-like properties.
- Author
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Siwek A, Marcinkowska M, Głuch-Lutwin M, Mordyl B, Wolak M, Jastrzębska-Więsek M, Wilczyńska-Zawal N, Wyska E, Szafrańska K, Karcz T, Ostrowska O, Bucki A, and Kołaczkowski M
- Subjects
- Animals, Humans, Male, Mice, Dose-Response Relationship, Drug, Ligands, Memory drug effects, Molecular Structure, Structure-Activity Relationship, Dizocilpine Maleate chemistry, Dizocilpine Maleate pharmacology, Amyloid beta-Peptides metabolism, Amyloid beta-Peptides antagonists & inhibitors, Antidepressive Agents pharmacology, Antidepressive Agents chemistry, Antidepressive Agents chemical synthesis, Dementia drug therapy, Neuroprotective Agents pharmacology, Neuroprotective Agents chemistry, Neuroprotective Agents chemical synthesis, Receptors, Serotonin metabolism, Serotonin Plasma Membrane Transport Proteins metabolism
- Abstract
In light of the biological targets alterations in dementia patients suffering from neuropsychiatric symptoms, particularly in the 5-HT
6 receptor and SERT transporters, this study aimed to develop dual-acting molecules targeting both these targets. By combining a 5-substituted indole with piperazine scaffolds, we synthesized molecules with nanomolar affinities for these sites, avoiding interaction with off-targets detrimental to dementia patients. Preliminary pharmacodynamic and ADMET assays let the identification of compound 15 as a lead molecule. In vitro studies showed that 15 provided neuroprotection against Aβ toxicity and reduced the levels of proapoptotic enzymes: caspase 3 and 7. In vivo, 15 reversed MK-801-induced memory deficits and exhibited antidepressant-like effects. Further studies showed that acute administration of compound 15 at a dose of 5 mg/kg increased BDNF levels, which are crucial for supporting neuronal survival and potentially slowing cognitive decline in dementia. These findings suggest 15's potential as a therapeutic for behavioral and psychological symptoms of dementia (BPSD), warranting further investigation., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Masson SAS.)- Published
- 2024
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