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Title Page
ADX47273: A Novel Metabotropic Glutamate Receptor 5 Selective Positive
Allosteric Modulator with Preclinical Antipsychotic-Like and Pro-cognitive
Activities
Feng Liu, Steve Grauer, Cody Kelley, Rachel Navarra, Radka Graf, Guoming Zhang,
Peter J. Atkinson, Michael Popiolek, Caitlin Wantuch, Xavier Khawaja, Deborah Smith,
Michael Olsen, Evguenia Kouranova, Margaret Lai, Farhana Pruthi, Claudine
Pulicicchio, Mark Day, Adam Gilbert, Mark H. Pausch, Nicholas J. Brandon, Chad E.
Beyer, Tom A. Comery, Sheree Logue, Sharon Rosenzweig-Lipson and Karen L.
Marquis
Wyeth Neuroscience Discovery Research, CN 8000, Princeton, NJ 08543 (F.L., S.G., C.
K., R.N., R.G., G.Z., P.J.A., M.P., C.W., X.K., D.S., M.O., E.K., M.L., F.P., C.P.,
M.H.P., N.J.B., C.E.B., T.A.C., S.L., S.R-L., K.L.M.)
Wyeth Translational Medicine, Collegeville, PA (M.D.)
Exploratory Medicinal Chemistry, Chemical and Screening Sciences, Wyeth Research,
Pearl River, NJ 10965 (A.G.)
JPET Fast Forward. Published on August 27, 2008 as DOI:10.1124/jpet.108.136580
Copyright 2008 by the American Society for Pharmacology and Experimental Therapeutics.
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Running Title Page Running Title ADX47273 Preclinical Antipsychotic and Pro-cognitive Effects To whom correspondence should be addressed:
Feng Liu, PhD
Discovery Neuroscience
Wyeth Discovery
865 Ridge Road
Monmouth Junction, NJ 08852
USA
phone – (732) 274-4017
fax – (732) 274-4020
E-mail: [email protected]
Page Number 48
Abstract 250 words
Introduction 754 words
Discussion 1462 words
Number of Table 0
Number of Figures 10
References 40
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Abbreviation List
ADX (Addex)
PAM (positive allosteric modulator)
CAR (condition avoidance response)
AIC (apomorphine induced climbing)
NOR (novel object recognition)
5-CSRT (5-choice serial reaction time)
MED (minimum effective dose)
PCP (phencyclidine)
FLIPR (fluorometric imaging plate reader)
GPT (glutamate pyruvate transaminase)
HEK (human embryonic kidney)
DMEM (Dulbecco/Vogt modified Eagle's minimal)
FSB (fetal bovine serum)
GFP (green fluorescence protein)
LED (light emitting diode)
ITI (inter-trial interval)
SD (stimulus duration)
HPLC (high performance liquid chromatography)
MPEP (2-methyl-6-(phenylethynyl)pyridine)
MTEP (3-[(2-methyl-1,3-thiazol-4-yl)ethynyl]pyridine)
DFB (3,3’-difluorobenzaldazine)
CPPHA (N-100-2-hydrobenzamide)
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CDPPB (3-cyano-N-(1,3-diphenyl-1H-pyrazol-5-yl)benzamide)
GABA (γ-aminobutyric acid)
GPCR (G-protein coupled Receptor)
NMDA (N-methyl-D-aspartic acid)
ERK (extracellular signal-regulated kinase)
CREB (cAMP response element-binding)
MK801 ((5R,10S)-(-)-5-Methyl-10,11-dihydro-5H-dibenzo[a,d]cylc ohepten-5,10-imine)
L-AP4 (L-(+)-2-Amino-4-phosphonobutyric acid)
DHPG ((S)-3,5-Dihydroxyphenylglycine)
ADX47273 (S-(4-Fluoro-phenyl)-{3-[3-(4-fluoro-phenyl)-[1,2,4]oxadiazol—5-yl]-
piperidin-1-yl}-methanone)
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Abstract
Positive allosteric modulators (PAMs) of metabotropic glutamate receptor subtype 5
(mGlu5) enhance N-methyl-d-aspartate (NMDA) receptor function and may represent a
novel approach for the treatment of schizophrenia. ADX47273, a recently identified a
potent and selective mGlu5 PAM, increased (9-fold) the response to threshold
concentration of glutamate (50 nM) in fluorometric Ca2+ assays (EC50 = 170 nM) in HEK
293 cells expressing rat mGlu5. In the same system, ADX47273 dose-dependently
shifted mGlu5 receptor glutamate response curve to the left (9-fold at 1 μM) and
competed for binding of 3H-MPEP (Ki = 4.3 μM), but not 3H-quisqualate. In vivo,
ADX47273 increased extracellular signal-regulated protein kinase (ERK) and cyclic-
AMP responsive element-binding protein (CREB) phosphorylation in hippocampus and
prefrontal cortex, both of which are critical for glutamate-mediated signal transduction
mechanisms. In models sensitive to antipsychotic drug treatment, ADX47273 reduced
rat conditioned avoidance responding (MED = 30 mg/kg, IP) and decreased mouse
apomorphine-induced climbing (MED = 100 mg/kg, IP), with little effect on stereotypy
or catalepsy. Furthermore, ADX47273 blocked PCP, apomorphine and amphetamine-
induced locomotor activities (MED = 100 mg/kg, IP) in mice, and decreased extracellular
levels of dopamine in the nucleus accumbens, but not in the striatum, in rats. In
cognition models, ADX47273 increased novel object recognition (MED = 1 mg/kg, IP)
and reduced impulsivity in 5-choice serial reaction time (5-CSRT) test (MED = 10
mg/kg, IP) in rats. Taken together, these effects are consistent with the hypothesis that
allosteric potentiation of mGluR5 may provide a novel approach for development of
antipsychotic and pro-cognitive agents.
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Introduction
The metabotropic glutamate receptor (mGlu) receptor family includes eight G-
protein-coupled receptor (GPCR) subtypes classified on the basis of structural homology,
mechanism of signaling transduction, and pharmacological properties. Stimulation of
group I receptor (subtypes 1 and 5) leads to activation of phospholipase C, increased
phosphoinositide (PI) hydrolysis and mobilization of intracellular calcium (Conn and Pin,
1997).
Positive allosteric modulators (PAM)s of mGlu receptors offer an attractive
alternative to the direct activation of mGlu receptors by orthosteric competitive agonists.
PAMs have been discovered for mGlu1, mGlu2 and mGlu5 receptors (Knoflach et al.,
2001; Johnson et al., 2003; O'Brien et al., 2003a). These molecules offer the potential to
increase the efficiency of normal glutamate transmission without the risk of inappropriate
stimulation. Furthermore, such compounds are more likely to achieve high receptor
subtype selectivity by targeting regions of the receptor that are different than those
affected by the endogenous ligand. PAMs of mGlu5 include DFB (3,3’-
difluorobenzaldazine), CPPHA (N-100-2-hydrobenzamide) (O'Brien et al., 2003a;
O'Brien et al., 2004) and CDPPB (3-cyano-N-(1,3-diphenyl-1H-pyrazol-5-yl)benzamide)
(Lindsley et al., 2004; Kinney et al., 2005a). These compounds have little or no direct
agonist activity, but act as selective PAMs of competitive agonists of human and rat
mGlu5; however, they suffer from relative weak in vitro activity, such as poor potency
and efficacy (DFB and CPPHA) (O'Brien et al., 2003a; O'Brien et al., 2004) and
solubility (CDPPB) (Kinney et al., 2005a).
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Recently S-(4-Fluoro-phenyl)-{3-[3-(4-fluoro-phenyl)-[1,2,4]oxadiazol—5-yl]-
piperidin-1-yl}-methanone (ADX47273) (De Paulis et al., 2006) was identified as a novel
selective mGlu5 PAM at the 5th International Metabotropic Glutamate Receptors
Meeting (Le Poul et al., 2005). Up to 60 μM, ADX47273 showed no agonist, antagonist,
or allosteric modulator activity at other rat and/or human family III GPCRs (mGlu1-8 and
GABA-B). In addition, ADX47273 (10 μM) failed to displace radioligand binding to 56
GPCRs, transporters, enzymes and ion channels (Le Poul et al. 2005). ADX47273 is
reported to have a brain/plasma ratio of 1.6 and a 2 hr half-life in mouse (Poli et al.
2005). In general, it appears that ADX47273 has pharmacological properties, such as
potency and efficacy as well as blood brain barrier penetrability, which make it an
improved tool for profiling the in vivo effects of modulating mGlu5 receptor activity.
Several lines of evidence suggest that impaired NMDA receptor-mediated
neurotransmission is a major component of the pathophysiology of schizophrenia
(Lindsley et al., 2006). Activation of mGlu5 has been suggested as one of the approaches
by which NMDA receptor function can be augmented (Marino and Conn, 2002). For
example, activation of mGlu5 enhances NMDA receptor mediated currents in slices from
rat hippocampus (Doherty et al., 1997) and subthalamic nucleus (Awad et al., 2000).
Conversely, the mGlu5 antagonist 2-methyl-6-(phenylethynyl)pyridine (MPEP)
potentiates the effects of NMDA receptor antagonists on spontaneous burst and spike
activity of cortical neurons (Homayoun and Moghaddam, 2006) and enhances the effect
of NMDA antagonists on behavior, such as prepulse inhibition, locomotion and working
memory impairments (Campbell et al., 2004; Homayoun et al., 2004). The ability of
mGlu5 antagonists to potentiate the detrimental effects of NMDA receptor antagonists
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suggests that activation of mGlu5 may represent an approach towards ameliorating
symptoms of schizophrenia (Marino and Conn, 2002). As predicted, CDPPB exhibits
antipsychotic-like activity on amphetamine-induced hyperlocomotion and prepulse
inhibition deficits (Kinney et al., 2005b). More recently, CDPPB prevents NMDA
receptor antagonist MK801-induced excessive firing in prefrontal cortex (PFC)
(Lecourtier et al., 2007). Thus, mGlu5 PAMs may also be effective in treating the
cognitive deficits in schizophrenic patients by ameliorating the NMDA receptor
hypofunction thought to underlie these cognitive deficits.
The effects of mGlu5 PAMs on the molecular mechanisms associated with
learning and memory processes also suggests efficacy in cognitive enhancement.
Phosphorylation of extracellular signal-regulated protein kinase ERK1/2 and the
transcription factor cyclic-AMP-responsive element-binding protein (CREB) play a
major role in synaptic plasticity and cognition (Thomas and Huganir, 2004b; Carlezon et
al., 2005). Previously, we demonstrated that CPPHA potentiated the response to a
subthreshold concentration of the non-selective Group 1 agonist 3,5-dihydroxy-
phenylglycine (DHPG) on ERK and CREB phosphorylation in cortical and hippocampal
slices (Liu et al., 2006), suggesting that modulation of mGlu5 by a PAM can regulate
these major signaling molecules important in learning and memory.
The present set of studies used ADX47273 to further explore the potential of a
mGlu5 PAM as a therapeutic approach for the treatment of positive symptoms and
cognitive deficits associated with schizophrenia. ADX47273 was evaluated in models
predictive of antipsychotic efficacy (apomorphine-induced climbing/stereotypy,
conditioned avoidance responding, and hyperactivity induced by PCP, apomorphine and
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amphetamine) and cognition (novel objective recognition and the 5-choice serial reaction
time task).
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Methods
Subjects Male CF-1 mice (20–28 g; Charles River Laboratories, Inc., Wilmington, MA) were used
in the antagonism of apomorphine-induced behaviors and locomotor hyperactivity
studies. Male Sprague-Dawley rats were used for the conditioned avoidance test (350–
450 g; Charles River Laboratories, Inc). Male Long-Evans rats (350–450 g; Charles
River Laboratories, Inc) were used for the novel object recognition and 5-choice serial
reaction time (5-CSRT) tasks. All animals were group-housed (except for conditioned
avoidance response, novel object recognition and 5-CSRT subjects which were housed
singly) in an Association for Assessment and Accreditation of Laboratory Animal Care
International-accredited facility that was maintained on a 12-h light/dark cycle (lights on
at 6:00 AM). Food and water were available ad libitum, except where noted. All studies
were approved by the Institutional Animal Care and Use Committee and were performed
in accordance with the Principles of Laboratory Animal Care as adopted and promulgated
by the National Institutes of Health (publication 85-23, 1996).
Drugs
All drugs and vehicles were administrated intraperitoneally (IP). The compound
ADX47273 was synthesized by Wyeth Research. Phencyclidine (PCP) hydrochloride,
apomorphine hydrochloride, d-amphetamine sulphate and carboxymethyl-cellulose were
obtained from Sigma-Aldrich (St. Louis, MO). MPEP hydrochloride and MTEP
hydrochloride were purchased from Tocris (Bristol, UK). Drugs were dissolved in saline
(PCP and d-amphetamine) or suspended in 0.2%Tween/water (apomorphine) or 2%
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Tween + 0.5% Carboxymethyl-cellulose (ADX47273, MPEP and MTEP). Solutions
were administered at a volume of 10 ml/kg to mice and 1 ml/kg to rats unless otherwise
noted. The dose administered for each compound refers to the amount of the active
component, rather than the salt. All other materials were analytical grade and were
purchased from Aldrich Chemical Co. (Milwaukee, WI) and Sigma-Aldrich.
Procedures
Fluorometric Imaging Plate Reader (FLIPR). Ca2+ influx measurements were made
using the FLIPR384 flurometric imaging plate reader (Molecular Devices, Sunnyvale,
CA). HEK 293 cells expressing rat mGlu5 or mGlu1 receptor were plated in clear-
bottomed 384-well plates in glutamate/glutamine-free media and loaded the next day
with calcium-sensitive fluorescent dye Calcium 3, and placed in FLIPR384. HEK 293
cells expressing the cloned rat mGlu5 and mGlu1 receptor show concentration-dependent
increases in Fluo-3 fluorescence in response to glutamate with an EC50 value of 300 nM
and 2 μM, respectively. A range of concentrations of ADX47273 alone or together with
50 nM glutamate (EC10 concentration) was added to the cells, and the Ca2+ response was
measured by FLIPR384. For MPEP experiments, MPEP (10 μM) was added 30 min
prior to the FLIPR assay as a pretreatment. For primary astrocyte cultures, astrocytes
were pre-loaded for 50 min at 370C / 5 % C02 using the FLIPR calcium 3-assay kit
(containing 3 U ml-1 GPT, 3 mM pyruvate and 2.5 mM probenecid) according to the
manufacturer’s instructions (Molecular Devices). Cells were left to equilibrate at room
temperature for 15 min before basal fluorescence (t = 10 s) was determined using
FLIPR384 (Molecular Devices). Allosteric modulators were added 5 min prior to the
addition of 50 nM (EC10 concentration) glutamate. For the astrocytes, the EC20 of
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glutamate was determined as 300 nM and was subsequently used for PAM experiments.
Data were normalized to the calcium signal produced by maximal concentrations of
glutamate on each plate.
Primary Astrocyte Cultures. This protocol was adapted from (Marriot et al. 1995).
Mixed glia cultures were prepared from rat cortex using 2-day-old neonates. Cultures
were grown in DMEM containing 10 % heat-inactivated, dialyzed FBS, L-glutamine and
1 % penicillin/streptomycin (Invitrogen). After 10 days in-vitro G-5 (1x) supplement
(Invitrogen) was added to the cultures and astrocytes were purified by overnight shaking
(120 r.p.m). The following day, astrocytes were lifted and plated into poly (D-lysine)-
coated 384-well plates at a density of 10,000 cell well-1 48 h prior to experimentation.
Using this protocol the final preparation contained ∼90 % GFAP-positive astrocytes (not
shown).
Radioligand Binding Assays. [3H]-MPEP binding: [3H]-MPEP was used to evaluate
the interaction of compounds with the receptor. Membranes were prepared from HEK
293 cells expressing rat mGlu5 receptor. Aliquots of these membranes were added to
tubes containing ADX47273 (0.4% DMSO final concentration) or vehicle and [3H]-
MPEP (2 nM final concentration in 50 mM Tris/0.9% NaCl, pH 7.4). The tubes were
incubated for 60 min at room temperature with shaking, and the membrane-bound ligand
was separated from the free ligand by filtration onto glass-fiber filters presoaked with 20
mM HPEPS, 2 mM CaCl2 and MgCl2, pH 7.2. Membrane bound radioactivity was
determined by scintillation counting of the filters. Competition binding data were
analyzed and Ki determined using Prizm 4.0 (GraphPAD Software, Inc.). [3H]-
quisqualate binding: Membranes from CHO cells expressing rat mGlu5 were
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resuspended in ice-cold assay buffer (20 mM HEPES-NaOH (pH 7.2) containing 2 mM
MgCl2 and 2 mM CaCl2) with 20 nM [3H]quisqualate either in the absence or presence
of 10 μM ADX47273 for 1 h at room temperature. Nonspecific binding was defined in
the presence of 1 mM glutamate. At the end of the incubation, the suspension was filtered
onto Whatman GF/C glass fiber filters and washed rapidly three times with 1 ml of cold
binding buffer. The radioactivity trapped on the filters was measured by liquid
scintillation in a Tri-Carb model 2500 TR counter (Canberra Packard).
Functional Calcium Mobilization Assay for mGlu2. Recombinant CHO cell lines co-
expressing human mGlu2 and GqGi3 were plated at a seeding density of 0.5 x 105
cells/well in clear-bottomed, non-poly-D-lysine-coated 96-well plates. Cells were
incubated in glutamate/glutamine-free medium overnight at 37°C in an atmosphere of
95% O2/5%CO2. Cells were loaded with calcium indicator dye (Calcium 3 Assay Kit)
containing 3U/ml of glutamic pyruvic transaminase, 3mM sodium pyruvate, and 2.8mM
probenecid at 37°C for 1 h. At this stage, cells were used for the calcium mobilization
assay. ADX47273 was dissolved to a stock solution of 10mM in 100% DMSO and then
half-log diluted into H2O. The stock solution was added to the assay plate to a final
DMSO concentration of 0.4%. Agonist activity was determined by adding ADX47273
(0.1 nM-10 μM) to the well. Antagonist activity was assessed by pre-treating cells with
ADX47273 (0.1 nM -10 μM) for 5 min followed by a submaximal concentration (30 μM)
of glutamate (EC80). PAM activity was evaluated by performing a L-glutamate
concentration response curve (3 nM -100 μM) in the absence or presence of 10 μM
ADX47273. Calcium mobilization was measured using the FLEXstation II (Molecular
Devices).
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Functional Cyclase Inhibition assay for mGlu4. CHO cells expressing human mGlu4
were plated in poly-D-lysine-coated 96-well plates 1 day before assay. Cells were washed
with Hank’s Balanced Salt Solution for 10 min at room temperature. Compounds were
half-log diluted in 4% DMSO. The assay procedure according to the DiscoverX
HitHunter cAMP XP Assay Kit was followed. To measure agonist activity, cells were
incubated with forskolin (10 μM), ADX47273 (0.1 nM -10 μM), and cAMP XP antibody
supplemented with 500 µM 3-isobutyl-1-methylxanthine, 3U/ml of glutamic pyruvic
transaminase, and 3mM sodium pyruvate for 30 min at 37°C. Antagonist activity was
evaluated by treating cells with ADX47273 (0.1 nM-10 μM), 10 μM forskolin, and 1 μM
L-AP4 (EC80). PAM activity was assessed by performing a L-AP4 concentration-
response curve (0.1 nM -10 μM) in the absence or presence of 10 μM ADX47273.
cAMP was measured using the luminescent reader of the Packard TopCount.
Immunoblot analysis. Drugs were administered IP to six male Long-Evans rats per dose
level. Thirty minutes later, animals were sacrificed (decapitation) and hippocampus and
prefrontal cortex were dissected and homogenized by sonication in 1% SDS/50 mM NaF
buffer. Equivalent amounts of protein from each individual sample were resolved in 4-
12% SDS Polyacrylamide Gel Electrophoresis (SDS-PAGE) gel and transferred to
nitrocellulose membranes. The membranes were blocked for 1 hr in Tris-buffered saline
(TBS) containing Tween-20 and then incubated with the phospho-specific antibody of
interest [phospho-ERK antibody, 1:1000; phospho-CREB Ser-133) antibody, 1:1000,
(Cell Signaling, Cambridge, MA)] overnight at 4oC followed by incubation with
horseradish peroxidase-linked goat anti-rabbit IgG (1:10000) and developed using
enhanced chemiluminescence (ECL) (Promega). The blots then were incubated in
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stripping buffer (62 mM Tris-HCl, pH 6.8, 2% SDS, and 100 mM β-mercaptoethanol).
The stripped blots were incubated with antibody-directed against total levels for the
respective protein overnight at 4oC (ERK, antibody, 1:1000; CREB antibody, 1:1000,
(Cell Signaling, Cambridge, MA)). Densitometric analysis of phospho-immunoreactivity
and total immunoreactivity for each protein was conducted using the Bio-Rad GS-710
Calibrated Imaging Densitometer and quantified using Quantity One version 4.1.0.
Phosphorylated immunoreactivity was normalized to total immunoreactivity. Data were
statistically analyzed by student t-test (unpaired) using Microsoft Excel.
Conditioned Avoidance Responding. Rats were maintained on a food-restricted
schedule (15 g of standard rodent feed each day after training/testing). Four shuttlebox
test chambers (Med Associates, St. Albans, VT) were used (divided into two
compartments by an archway). Each chamber floor half was composed of 13 3/16” -inch
diameter stainless steel grid rods placed on ½”-inch centers wired for the presentation of
a scrambled electric foot shock (0.5 mA). In addition, each side of the chamber was
equipped with a stimulus light and tone (Sonalert) and two infrared beam
source/detectors used to locate the rat within the chamber. Rats trained to avoid the foot
shock were placed in the experimental chambers for a 4-min habituation period followed
by 50 trials presented on a 15-s variable interval schedule (range = 7.5–22.5 s). Each trial
consisted of a 10-s warning tone and stimulus light (conditioned stimulus) followed by a
10-s shock (unconditioned stimulus), presented through the grid floor on the side where
the rat was located, in the presence of the tone and light. If during the initial 10 s of the
trial, an animal crossed through the archway which divides the shuttlebox thereby
breaking the infrared beam location 13 cm from the center archway, the tone and light
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were terminated, and the response was considered an avoidance response. If an animal
crossed through the archway which divides the shuttlebox after a foot shock was initiated,
the tone, light, and shock were terminated, and the response was considered an escape
response. If a response was made during an intertrial interval, the response was punished
with a 0.5-s shock (0.5 mA). A Med Associates computer with MedState Notation
software controlled the test session and counted the number of trials in which the animal
avoided shock, escaped shock, and did not respond. On test days, ADX47273 was
administered IP 30 min before testing. In the reversal experiments, MPEP (10 mg/kg, IP)
or MTEP (1 mg/kg, IP) was administered 45 min prior to testing, while ADX47273 was
administered 30 min prior to testing. The dose of MPEP or MTEP was chosen based on
literature and in-house data demonstrating anxiolytic and/or antidepressant-like effects
(Palucha and Pilc, 2007). The same eight animals, part of a colony of trained subjects
used for antipsychotic screening, received each treatment with at least three days
intervening. Demonstration of baseline performance (greater than 90% avoidance
responses) was a criteria for subsequent testing. The order of treatments was ADX47273
at 0, 10, 30 and then 100 mg/kg followed by MPEP (10 mg/kg pretreatment) plus
ADX47273 (100 mg/kg). In a second group of 8 subjects, the effects of ADX47273 (100
mg/kg IP) were replicated followed by an evaluation of the effect of MTEP (1 mg/kg IP)
pretreatment. Yet separate groups of subjects were used to test MPEP (10 mg/kg, IP) or
MTEP (1 mg/kg IP) alone (N=8). Avoidance response and response failure data were
analyzed by repeated-measures analyses of variance with post hoc least significant
difference tests (p < 0.05).
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Antagonism of Apomorphine-Induced Climbing and Stereotypy. Drugs were
administered IP to 6-18 mice per dose level. A control group, run simultaneously with
drug-treated groups, received saline at equal volumes. Thirty minutes later, experimental
and control animals were challenged with 1 mg/kg apomorphine subcutaneously (SC).
Five minutes after the apomorphine injection, the sniffing-licking gnawing (0 = absent
and 1 = present) syndrome (stereotyped behavior) and climbing behavior (0 = all four
feet on ground, 1 = two feet up on wire cage, and 2 = all four feet on wire cage) induced
by apomorphine were scored and recorded for each animal. Readings were repeated
every 5 min during a 30-min test session. Scores for each animal were totaled over the
30-min test session for each syndrome (stereotyped behavior and climbing). Mean
climbing and stereotypy scores were then expressed as a percentage of control values
observed in vehicle-treated mice that received apomorphine. One-way analysis of
variance (ANOVA) followed by the least significance difference test was used to
determine the minimal effective dose (MED). In the reversal experiments, MPEP (10
mg/kg, IP) or MTEP (10 mg/kg, IP) was administered 45 min followed by ADX47273
(300 mg/kg, IP) 30 min prior to apomorphine. Data in the reversal experiments were
analyzed with a two-way analysis of variance followed by a least significant difference
test (p < 0.05).
PCP, apomorphine and amphetamine-induced locomotor hyperactivity. Mice (10
mice per treatment group) were weighed and placed in the locomotor chambers and
allowed to habituate for 90 minutes. After habituation, the mice were dosed with vehicle
or ADX47273 and activity was measured for another 30 minutes at which time the mice
were dosed with PCP (3 mg/kg, IP), apomorphine (1 mg/kg, SC), amphetamine (1 mg/kg,
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SC) or vehicle. Locomotor activity was measured for an additional 30 minutes.
Locomotor activity data was recorded under room light using Accuscan infrared beam
activity monitors with enclosed Plexiglas chambers (8 in. x 8 in.). Accuscan Versamax
and Versadat software (Columbus, OH) was used to convert the infrared beam-breaks
into centimeters traveled in each 10-minute bin. Data were analyzed with two-way
repeated measures ANOVAs, followed by a least significant difference post-hoc test,
comparing the treatment groups across time during the 30 min pretreatment period and
during the 30 min following stimulant challenge (p < 0.05). Separate analyses were
conducted for PCP, apomorphine, amphetamine and vehicle challenged groups.
Cataleptogenic Potential in Mice. ADX47273 (0, 10, 30, 100 or 300 mg/kg, IP) was
administered to six mice per treatment group. Every 30 min for 2 h post-dosing, the
animal's forelegs were draped over a thin horizontal rod 1 inches high. The amount of
time (in seconds) for which the animal maintained this awkward position was recorded
(60 s maximum). Maintenance of this position was considered catalepsy. Mean seconds
spent in the catalepsy position for each dose at each time point was calculated. The time
point at which the peak catalepsy was exhibited was analyzed with a one-way analysis of
variance with a post hoc least significant difference test (p < 0.05) and expressed
graphically.
48-hour-delay novel object recognition. The test arena consisted of a circular field
(diameter ~70cm, 30cm high) constructed of plastic and containing bedding. The novel
object recognition task was divided into 3 sessions: habituation, trial 1, and trial 2. Rats
were placed in the arena with two identical assemblies of Lego® blocks and were allowed
to explore freely for a total of 10 minutes to allow habituation on Day 1. On Day 2, 24 hr
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following habituation, rats were treated 30 minute prior to Trial 1. Rats were then placed
in the arena with a different set of two identical Lego® objects and allowed to explore
freely for a total of 5 minutes. Time spent sniffing each object was recorded by an
observer and totaled for an overall object exploration time for each rat. On Day 4, 48 hrs
following Trial 1 and without further drug treatment, rats were placed back in the arena
with one novel and one familiar object and allowed to explore freely for a total of 5
minutes. Time (seconds) spent sniffing each of the objects was recorded. Seconds spent
on each object were analyzed by repeated measures ANOVA with main effects of trial
and treatment, followed by a post hoc least significant difference test comparing novel
versus familiar object exploration time for each treatment (p<0.05).
5-choice serial reaction time (5-CSRT) task. The test apparatus consisted of ten 25 x
25 cm operant chambers (Med Associates, USA). The rear wall of each chamber was
concavely curved and contained 5 accessible apertures, each 2.5 cm square, and 4 cm
deep and set 2 cm above floor level. A standard 3-watt LED located at the rear of each
aperture provided illumination of each hole. The ten chambers were individually housed
within sound-attenuating cabinets and were ventilated by low-level noise fans, which also
served to mask extraneous background noise. Each chamber was illuminated by a 3W
house-light mounted near the ceiling in the center of the front wall alongside a small
general-purpose loud speaker. The program controlling the software was developed by
Conclusive Solutions (UK).
Prior to drug treatments, rats were trained to discriminate a brief visual stimulus
presented randomly in one of the 5 spatial locations. At the beginning of each test
session, the house light was illuminated and free delivery of a single food pellet to the
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magazine was made. Trial initiation was triggered when the rat opened the magazine to
collect this pellet. After a fixed 5 sec inter-trial interval (ITI), the light at the rear of one
of the 5 openings was illuminated for 500-msec stimulus duration (SD). A nose-poke in
this opening during illumination and for a limited hold period of 5 sec afterwards was
reinforced by the delivery of a food pellet and a correct response was recorded. A
response in a non-illuminated opening during the signal period including the 5 sec
immediately afterward (incorrect response) and failures to respond with the limited hold
period (missed trial) were followed by a “time-out” period of darkness for 5 sec where no
food pellet was delivered. Premature responses, those nose-pokes into apertures prior to
illumination, were also followed by the time out period and reset the ITI. The
consequence of a premature response is that the ITI further delayed the aperture
illumination. Once animals had been trained to a baseline performance of 75% correct
responding on the standard procedure (500-msec light SD / 5 second ITI) they began
testing.
In order to increase impulsivity and decrease attention during test sessions,
animals were exposed to light stimuli (500-msec SD) presented on a variable ITI
schedule (ITI lengths of 10, 7, 5, and 4 sec). Equal numbers of each of the 4 ITIs were
randomly presented during each 100 trial test session. All subjects received drug
treatments and testing on the variable ITI schedule on Tuesday and Friday of each week
giving a minimum of 2 days washout period. Interspersed with those treatment days
were standard training days (500-msec SD / 5 second ITI) reinstating baseline
performance of >75% correct responding. A within subjects design was employed such
that all animals received all treatments in a fully counterbalanced regimen.
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The various performance measures were analyzed with a mixed linear model,
because a standard linear model does not allow correlation of observations or non-
constant variability across different levels of certain factors. The fixed factors included
in the model were dose, ITI, and interactions of dose and ITI. The correlation of
observations taken from the same animal was modeled by covariance structure
″compound symmetry″, which assumed any two different observations from the same
animal were correlated to the same degree. After fitting the data, the residuals — the
observed values minus the predicted values — were plotted against the predicted values.
A tool to accommodate possible unequal variability in different levels of dose or ITI is to
group covariance structure, e.g., grouping by ITI would use different sets of covariance
parameters for different levels of ITI. The selection of grouping was aided by values of
Akaike’s Information Criterion (Akaike et al. 1974).
In Vivo Microdialysis. Animal Housing and Surgery: Male Sprague-Dawley rats
weighed between 280 and 325 g at the time of surgery. Following induction of
anesthesia with 3% isoflurane, rats were secured in a stereotaxic frame with ear and
incisor bars (David Kopf, Tujunga, CA). A microdialysis probe guide cannula (CMA/12,
CMA Microdialysis, Stockholm, Sweden) was implanted into the striatum
(anteroposterior +0.2 mm, lateral –3.0 mm and ventral –3.2 mm) or nucleus accumbens
(anteroposterior +2.2 mm, lateral –1.2 mm, and ventral –6.0 mm). Coordinates were
taken according to (Paxinos et al., 1985) reference points taken from bregma and vertical
from dura using a flat skull position. Guide cannulae were fixed to the skull with two
stainless-steel screws (Small Parts, Roanoke, VA) and dental acrylic (Plastics One,
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Roanoke, VA). Following surgery, animals were individually housed in Plexiglas cages
(45 cm sq.) for approximately 24 hrs where they had access to food and water ad libitum.
Acute ADX47273 Treatment: Concentric-style microdialysis probes (CMA/12; 20
kD cut-off) were purchased from CMA/Microdialysis and consisted of a 2-mm active
membrane (OD 0.5 mm) and a 14-mm stainless steel shaft (OD 0.64mm). Probes were
perfused with artificial CSF (aCSF; 125mM NaCl, 3mM KCl, 0.75mM MgSO4 and
1.2mM CaCl2, pH 7.4) for at least 18 hrs according to the manufacturer’s specifications.
On the morning of the microdialysis experiment, probes were inserted, via the guide
cannula, into the nucleus accumbens or striatum and perfused with aCSF at a flow rate of
1ul/min. After a 3-hr stabilization period following probe insertion, dialysis samples
were collected every 30 min. Initially, three dialysate samples were taken prior to drug
injection to demonstrate a steady baseline. At the end of baseline, animals received an
acute injection of either ADX47273 (175 mg/kg, IP) or vehicle (2% Tween80 / 0.5%
Methylcellulose). After injections, dialysis samples were collected for the following 4
hrs. At the end of these experiments, animals were euthanized and probe placement was
verified histologically. Data from animals with incorrect probe placements were
discarded from the study.
Neurochemical Analysis: Microdialysis samples (30 μl) containing dopamine
was separated by HPLC (C18 ODS3 column, 150 x 3.0 mm, Metachem, Torrance, CA)
and detected using an ANTEC electrochemical detector set at a potential of 0.65V vs. a
Ag/AgCl reference electrode. Mobile phase (0.15 M NaH2PO4, 0.25 mM EDTA, 1.75
mM 1-octane sulphonic acid, 2% isopropanol and 4% methanol, pH = 4.6) was delivered
by a Jasco PU1580 HPLC pump (Jasco Ltd, Essex, U.K) at a flow rate of 0.5 ml/min.
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Neurochemical data were compared to an external standard curve and all data was
acquired using the Atlas software package (Thermo Labsystems, Beverley, MA) for the
PC. Neurotransmitter levels (fmol concentrations) collected during the baseline samples
were averaged and this value was denoted as 100%. Subsequent sample values were
expressed as a percent change from this pre-injection baseline value (% change from
baseline). Neurochemical data, excluding pre-injection values, were analyzed by two-
way analysis of variance (ANOVA) with repeated measures (time). Post-hoc analyses
were made using the Bonferroni / Dunns adjustment for multiple comparisons (p < 0.05).
All statistical calculations were performed using the Statview software application
(Abacus Concepts Inc., Berkeley, CA) for the PC.
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Results
ADX47273 potentiates glutamate response in HEK 293 cells expressing rat mGlu5
receptors and primary astrocyte cultures. In FLIPR384 assays, HEK 293 cells
expressing rat mGlu5 exhibited concentration-dependent increases in Fluo-3 fluorescence
in response to glutamate with an EC50 value 300 nM. A subthreshold concentration of
glutamate 50 nM caused approximately 10% of the maximum glutamate response (Fig.
1A). ADX47273 caused concentration-dependent increased in the response to 50 nM
glutamate in HEK 293 cells expressing rat mGlu5 without eliciting a response by itself.
The maximal increased in the response was approximately 9-fold, with an EC50 value for
potentiation of 0.17 ± 0.03 μM (n = 8) (Fig. 1A). Preincubation with 10 μM MPEP for
30 min completely blocked the effects of ADX47273 on potentiation (Fig. 1A). In
primary astrocyte cultures, ADX47273 caused concentration-dependent increased in the
response to 300 nM glutamate with EC50 value of 0.23 ± 0.07 μM (n = 12) (Fig. 1B).
Increasing concentrations of ADX47273 caused a parallel, leftward shift of the glutamate
concentration response curve. In the presence of 0.1 μM or 1 μM of ADX47273, the
EC50 for glutamate decreased 4- fold and 9-fold, respectively, in HEK 293 cells
expressing rat mGlu5 (Fig. 2A). Similarly in astrocytes, in the presence of 1 μM or 3 μM
of ADX47273, the EC50 for glutamate decreased 4- and 9-fold, respectively (Fig. 2B).
The functional cross-selectivity of ADX47273 was evaluated in rat mGlu1, human
mGlu2 (Group II receptor) and mGlu4 (Group III receptor) receptors cell lines. No
agonist, antagonist or allosteric responses were observed with ADX47273 (up to 10 μM)
in any of cell lines (data not shown).
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ADX47273 competes with [3H]-MPEP but not [3H]-quisqualate binding.
ADX47273 inhibited binding of [3H]-MPEP to membranes prepared from HEK 293 cells
expressing mGlu5 receptors (Fig. 3) [Ki value: 4.3 ± 0.5 μM (n= 5), Hill Slope = 0.833
based on one-site model, R2 = 0.96, p < 0.05). In the in vitro 3H-quisqualate binding
assay, ADX47273 did not affect the binding of the radioligand at the glutamate
recognition (orthosteric) site of the rat mGlu5 receptor at concentrations up to 10 μM
(specific 3H quisqualate binding: mean ± SEM of 1506 ± 66 vs 1546 ± 65 fmoles/mg
protein in the absence and presence of ADX47273, respectively; n = 3, not significant by
Student's t-test).
ADX47273 increases ERK and CREB phosphorylation in hippocampus and cortex.
Rats were administered ADX47273 (1 and 10 mg/kg, IP) and sacrificed 30 minutes later.
The homogenates from prefrontal cortex and hippocampus of these subjects were
analyzed by immunobloting with anti-phospho-ERK and anti-phospho-CREB antibodies.
ADX47273 (10 mg/kg, IP) treatment increased ERK and CREB phosphorylation in both
prefrontal cortex and hippocampus (Fig. 4). Pretreatment with MPEP (10 mg/kg, IP 60
min prior to sacrifice) had no significant effects on its own and blocked ADX47273
induced increases in ERK and CREB phosphorylation (Fig. 4).
ADX47273 produces an antipsychotic-like decrease in conditioned avoidance
responding. ADX47273 (10-100 mg/kg, IP) produced dose-dependent decreases in
avoidance responding in rats (Fig. 5A) (p < 0.0001) and increased escapes, at doses that
did not produce any response failures. These effects of ADX47273 were significantly
attenuated by pretreatment with either the mGlu5 receptor antagonist MPEP (10 mg/kg,
IP) or MTEP (1 mg/kg IP) 15 min prior to ADX47273 (Fig. 5B, C) (p < 0.05). MPEP
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alone (10 mg/kg, IP) given to a separate group of animals reduced avoidance responding
and increased escape responding by approximately 30% relative to vehicle treatment
while MTEP alone (1 mg/kg IP) did not significantly affect avoidance responding (data
not shown).
ADX47273 blocks apomorphine-induced climbing. Under vehicle treatment, the
absolute values (mean ± SEM) for apomorphine-induced climbing were 9.67 ± 0.42 and
for apomorphine-induced stereotypy were 6.0 ± 0. ADX47273 (10–300 mg/kg, IP)
produced a dose-dependent decrease in apomorphine-induced climbing (Fig. 6A) (F4,49 =
25.663, p < 0.001; MED = 100 mg/kg) at doses that had negligible effects on
apomorphine-induced stereotypy (F4,49 = 4.729, p < 0.001; MED = 300 mg/kg), a profile
similar to that produced by the atypical antipsychotic clozapine (Marquis et al., 2007).
These effects of ADX47273 in blocking apomorphine-induced climbing were
significantly attenuated by pretreatment with MPEP (10 mg/kg, IP) (F3,20 = 4.767, p <
0.05) or MTEP (10 mg/kg, IP) ) (F3,20 = 61.7, p < 0.05) 15 min prior to ADX47273 (Fig.
6B, C, respectively). MPEP (1-30 mg/kg, IP) alone had no significant effect on
apomorphine-induced climbing (F4,25 = 0.822, p > 0.05) but did produce a small (8 to
11% relative to control) but statistically significant decrease in stereotypy (F4,25 = 3.750,
p < 0.05) (data not shown). MTEP (10 mg/kg, IP) did not affect either apomorphine-
induced climbing or stereotypy (Fig. 6C).
ADX47273 blocks PCP, apomorphine or amphetamine-induced locomotor activity.
ADX47273 (10-100 mg/kg, IP) was tested for its effects on PCP, apomorphine or
amphetamine-induced locomotor activity in habituated mice (Fig. 7). When locomotor
activity during the pretreatment period was analyzed, there was no significant main effect
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of ADX47273 pretreatment (F3,31 = 0.73, F3,32 = 0.74, F3,29 = 2.84, in subjects earmarked
for PCP (Fig. 7A), apomorphine (Fig. 7B) and amphetamine (Fig. 7C) challenge,
respectively, all p >0.05). No treatment by time interaction was detected in subjects
earmarked for PCP (F6,62 = 0.65, p>0.05) or apomorphine (F6,64 = 0.47, p >0.05) while
those subjects earmarked for amphetamine challenge (F6,58 = 2.72, p <0.05) tended to
show increased activity at 10 mg/kg and decreased activity at 100 mg/kg compared to
vehicle in the initial 10 min period following ADX47273. These effects were not
observed in the other cohorts earmarked for stimulant challenge, or a separate group of
subjects pretreated with ADX47273 (100 mg/kg, IP) followed by vehicle challenge
(Treatment main effect F1,16= 1.49, p >0.05; Treatment by time interaction F2,32= 1.18, p
>0.05) (Fig. 7D).
Analysis of locomotor activity after challenge with psychostimulant revealed a
significant main effect of ADX47273 (F3,31 = 1.97, F3,32 = 1.69, F3,29 = 12.94, p <0.05 for
PCP (Fig. 7A), apomorphine (Fig. 7B) and amphetamine (Fig. 7C) challenged subjects,
respectively) as well as treatment by time interactions (F6,62 = 2.91, F6,64 = 2.6, p > 0.05,
F6,58 = 4.73, p <0.05 for PCP, apomorphine and amphetamine challenged subjects,
respectively). Post-hoc analysis revealed that pretreatment with ADX47273 at 100
mg/kg decreased locomotor activity compared to vehicle pretreatment at 20 min after
PCP, 30 min after apomorphine and at all time points after amphetamine challenge. In a
separate group of vehicle-challenged mice which were habituated to the locomotor
apparatus, ADX47273 (100 mg/kg, IP) failed to affect motor activity significantly
different from vehicle pretreatment over this same time frame (F1,16 = 1.22, p >0.05) (Fig.
7D). The effect on unhabituated motor activity was not tested.
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ADX47273 induced catalepsy. While there was a significant effect of treatment (F4,25 =
5.41, p < 0.05), there was no significant time (F3,75 = 1.5) or treatment by time interaction
(F12,75 = 1.59). At 300 mg/kg, mice maintained the cataleptic position for 37 ± 15.7% of
the maximum 60 second response at 90 min post treatment. Catalepsy was detected at
this dose at 30 and 60 min post treatment, but was of a lesser magnitude (approximately
25% of maximum). (Data not shown).
ADX47273 decreases dopamine levels in the nucleus accumbens, but not in the
dorsal striatum. Basal levels of extracellular dopamine in the nucleus accumbens were
on average 927 and 1212 fmol/10 μL sample in vehicle and ADX47273 treated subjects,
respectively. In the striatum, dopamine basal levels were 4823 and 4086 fmol/10 μL
sample in vehicle and ADX47273 treated subjects, respectively. Acute administration of
ADX47273 (175 mg/kg, IP) lowered dopamine levels in the rat nucleus accumbens (Fig.
8A), but not in the dorsal striatum relative to vehicle-treated animals (Fig. 8B). The
maximal decrease in dopamine in the nucleus accumbens was 66.02 ± 8.35%. A two-
way ANOVA with repeated measures (time) revealed a significant decrease in dopamine
at 175 mg/kg (F1,14 = 23.91, p < 0.05) as well as a significant time effect (F7,98 = 3.79 , p
< 0.05). Post-hoc analyses revealed that ADX47273 effect on extracellular dopamine
levels in the nucleus accumbens was significantly different from vehicle treatment as
early as 60 min post treatment and were sustained for the remainder of the experiment.
No significant effect occurred in striatum of rats dosed with ADX47273 (175 mg/kg, IP)
(Treatment Effect: F1,11.9 = 0.07, Time Effect: F6,58.3 = 0.58, Treatment x Time: F6,58.3 =
1.47, p > 0.05).
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ADX47273 improves recall after a 48-hr delay in novel object recognition.
ADX47273 (0.1-50 mg/kg, IP) was evaluated for cognition enhancement in novel object
recognition paradigm, which is a task for testing memory performance based on the rat's
natural differential exploration of new and familiar objects (Ennaceur and Delacour,
1988; Ennaceur and Meliani, 1992). During the learning trial, there was no difference in
the behavior of the animals in the different groups (vehicle- versus ADX47273-treated)
and the time spent exploring the objects was very similar (between 60 and 80 s, for a 5-
min trial) among all groups (F5,64= 1.110, p > 0.05) (Fig. 9A). In the test trial,
ADX47273 dose-dependently improved recall with the 1-50 mg/kg groups exploring the
novel object more than the familiar while the vehicle and 0.1 mg/kg groups explored the
object equally (F5,64 = 4.45, p < 0.05). (Fig. 9B).
ADX47273 reduces impulsivity in 5-CSRT. To investigate the effects ADX47273 on
attention and impulsivity, we employed the 5-choice serial reaction time (5-CSRT) test
(Robbins, 2002). Varying the length of inter-trial interval (ITI) reduced percent correct
responses (Fig. 10A) (F3,143 = 4.5, p < 0.005). A post-hoc analysis revealed that there
was a decrease in percent correct responses at the 10 sec ITI to 78% from the 86% correct
responses made at the baseline ITI of 5 sec (p < 0.05). ADX47273 did not produce any
treatment effects on percent correct responses either as a main effect of dose (F2,143 =
0.120, p >0.05) or as a dose x ITI interaction (F2,143 = 0.82, p >0.05). Varying the ITI
also produced a significant main effect on the rate of premature responses (F3,14.2 = 68.04,
p < 0.0001) (Fig. 10B). According to post-hoc analysis, significantly more premature
responses were made during the 10 sec ITI as compared to all other ITIs and decreased as
ITI length was decreased. Treatment with ADX47273 resulted in a main effect of drug
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treatment (F2,29.3 = 4.63, p < 0.05) with post-hoc analysis revealing a decrease in the
number of premature responses at both the 10 and 30 mg/kg doses (p < 0.05). There was
also a significant dose x ITI interaction on premature responding (F6,31.9 = 2.67, p < 0.05)
with a post-hoc analysis indicating that the 10 mg/kg dose significantly decreased the
number of premature responses made at the 10 and 7 sec ITIs (p < 0.05). The decrease in
premature responding was not due to a global decrease in motor activity because
ADX47273 did not increase the number of missed trials (F2,143 = 0.69, p > 0.05) or the
latency to collect the reward (F2,143 = 2.12, p > 0.05) (data not shown). Thus in the 5-
CSRT task, ADX47273 had no effect on the modest decrease in percent correct
responding produced by instituting a variable ITI, but was effective in decreasing the
premature responding elicited by the 10 sec ITI within the variable ITI session.
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Discussion
Reversal of NMDA receptor hypofunction has been suggested as a possible
strategy for the treatment of schizophrenia (Lindsley et al., 2006). One mechanism for
enhancing NMDA activity is through activation of mGlu5 receptors (Gasparini et al.,
2002; Marino and Conn, 2002). In this report, the mGlu5 PAM ADX47273 (Le Poul et
al. 2005) is used to demonstrate that modulation of mGlu5 can produce antipsychotic-like
and pro-cognitive activities in rodent models thereby extending other reports of
antipsychotic-like effects of mGlu5 PAMs (Kinney et al., 2005b). In addition, the
enhancement of recognition in the NOR assay is the first direct demonstration of the
impact of an mGlu5 PAM on cognition. This effect was predicted by the ability of an
mGlu5 PAM to enhance NMDA receptor activation (O'Brien et al., 2003b; Kinney et al.,
2005b) and to effect biochemical end points relevant to cognition (Thomas and Huganir,
2004a; Carlezon et al., 2005; Liu et al., 2006). These results underscore the value of
mGlu5 PAMs as a novel approach to treating the positive symptoms and cognitive
deficits of schizophrenia.
ADX47273 behaves as a positive allosteric modulator in vitro as evidenced by its
ability to potentiate the effect of a subthreshold concentration of glutatmate in the Ca2+
mobilization assay with an EC50 = 170 nM. As this effect can be blocked in the presence
of mGlu5 receptor antagonist MPEP, it appears due to interactions of ADX47273 at the
allosteric modulatory site of mGlu5. In addition, ADX47273 (at concentrations up to 10
μM) did not affect the binding of 3H-quisqualate at the extracellular glutamate
recognition (orthosteric) site of rat mGluR5, but was shown to inhibit 3H-MPEP binding
by as much as 20% at 10 μM. These results suggest that ADX47273 and MPEP share
slightly overlapping sites of interaction within the mGlu5 allosteric pocket that is distinct
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from the 3H-quisqualate orthosteric site (i.e., an allosteric mechanism). This in vitro
pharmacological profile is consistent with a previous report (Le Poul et al. 2005).
ADX47273 was evaluated in the conditioned avoidance model, a standard
screening model for antipsychotic efficacy (Arnt, 1982). In this model, ADX47273 dose-
dependently decreased avoidance responding, without increasing the number of no
responses trials, a profile similar to the typical antipsychotic haloperidol and the atypical
antipsychotic clozapine (Marquis et al., 2007). The antipsychotic-like effect of
ADX47273 is apparently mediated by the mGlu5 as both mGlu5 receptor antagonists
MPEP and MTEP attenuated the effect of ADX47273, despite the observation that MPEP
(but not MTEP) itself affected avoidance responding.
Additionally, ADX47273 selectively reduced apomorphine-induced climbing
behavior, a second model predictive of antipsychotic efficacy that is mediated by the
mesolimbic dopaminergic pathway (Costall et al., 1980). Both MPEP and MTEP
significantly attenuated the effect of ADX47273 on apomorphine-induced climbing,
suggesting a role for mGlu5 in this effect of ADX47273. In addition, ADX47273
reduced amphetamine-induced hyperactivity and reduced the extracellular concentration
of dopamine in the nucleus accumbens, the projection target of the mesolimbic
dopaminergic pathway. The effect of ADX47273 on direct (apomorphine) and indirect
(amphetamine) dopamine agonist induced behaviors may be, in part, explained by the
ability of ADX47273 to decrease extracellular dopamine levels in the nucleus
accumbens. Another mGlu5 receptor PAM CDPPB was reported to reduce
amphetamine-induced locomotor activity and reverse amphetamine-induced deficits in
prepulse inhibition in rats (Kinney et al., 2005b). These data suggest a possible
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neurochemical explanation for the antipsychotic-like behavioral results of ADX47273 in
that reduction of dopamine neurotransmission by blockade of D2 dopamine receptors in
mesolimbic brain regions is argued to be a mechanism whereby current antipsychotics
exert their efficacy.
In the same dose range, ADX47273 had minimal effects on apomorphine-induced
stereotypy, an endpoint reportedly mediated by the nigrostriatal dopaminergic pathway
(Costall et al., 1975) and useful in predicting Parkinson’s-like extrapyramidal motor
system (EPS) side-effects of current typical antipsychotics (Marquis et al., 2007).
Additionally, ADX47273 did not significantly affect striatal dopamine levels further
supporting a mesolimbic selective effect of the compound. When assessed in the
catalepsy assay, ADX47273 did induce a modest level of catalepsy at the dose 3 times the
MED for its effect on apomorphine-induced climbing. These effects of ADX47273 in the
apomorphine-induced climbing/stereotypy, catalepsy and microdialysis models are
suggestive of an atypical antipsychotic-like profile for ADX47273, potentially mediated
via selective reduction of mesolimbic relative to nigrostriatal dopamine, as has been
reported with other non-dopaminergic mechanisms with preclinical antipsychotic-like
activity (Marquis et al., 2007).
It is worth noting that the mGlu5 receptor PAM ADX47273 also blocks PCP-
induced locomotor activity. This result provides direct evidence that activation of mGlu5
receptor can reverse NMDA receptor hypofunction and adds to the emerging evidence
that alterations in dopamine-glutamate interactions may contribute to the
pathophysiology of schizophrenia (de Bartolomeis et al., 2005). Position emission
tomography studies in human showed that the NMDA receptor antagonist PCP induced
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alterations in striatal dopamine (Kegeles et al., 2002). Preclinical studies also suggest a
dopamine-glutamate interaction based on the converging effect of different drugs, such as
amphetamine and PCP on dopamine modulating factors (dopamine and cAMP-regulated
phosphoprotein, DARPP-32) (Svenningsson et al., 2003). Furthermore, antipsychotic
compounds are shown to regulate postsynaptic density proteins (e.g. Homer proteins)
(Polese et al., 2002), which regulate the function of glutamate receptors.
Previously it has been reported that the mGlu5 antagonist MPEP enhanced the
detrimental effects of the NMDA antagonist MK-801 on cognition in assays dependent
on medial prefrontal cortex (mPFC) (Homayoun et al., 2004). More recently, it has been
shown that the mGlu5 PAM CDPPB prevented MK801-induced excessive firing and
reduced spontaneous bursting in the mPFC (Lecourtier et al., 2007). These observations
suggest that mGlu5 receptors play a role in regulating NMDA receptor-dependent
functions and that mGlu5 PAMs may be effective in ameliorating cognitive deficits in
schizophrenia. We have previously shown that CPPHA, another mGlu5 PAM can
increase phosphorylation of ERK and CREB in hippocampal slices (Liu et al., 2006), two
signaling molecules implicated in learning and memory. In the current study, we found
that ADX47273 also increases ERK and CREB phosphorylation in the hippocampus as
well as the prefrontal cortex, suggesting the potential for mGlu5 PAMs to improve
cognition, an area of major unmet medical need in schizophrenia.
To evaluate the potential cognitive enhancing activity of mGlu5 PAMs, we used
two models, novel object recognition task and 5-choice serial reaction time (5-CSRT)
task. In the object recognition memory task, it has been reported that the activation of
group I and group II metabotropic glutamate receptors in the perirhinal cortex is
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necessary for the acquisition, but not consolidation or retrieval, of long-term familiarity
discrimination (Barker et al., 2006). We found that in rats ADX47273 can enhance
object recognition suggesting that positive allosteric modulation of mGlu5 alone is
sufficient to improve performance in this particular behavior paradigm. Our data are
consistent with what has been reported on the effect of ADX47273 on object recognition
performance in mice (Epping-Jordan et al., 2005).
The continuous performance test has been widely used to measure attention
performance in humans (Robbins, 2002) and is sensitive in detecting attention deficits
across several disorders (Nieuwenstein et al., 2001). Schizophrenic patients show
impairments in the task compared to controls (Moeller et al., 2001). The 5-choice serial
reaction time (5-CSRT) test, a preclinical analogue of continuous performance test
(CPT), monitors attentional function using measures of percent correct responding and
response latency to the visual stimuli, as well as impulse control by measuring level of
premature responding (Robbins, 2002). It has been reported that impairment of
glutamatergic transmission following treatment with the NMDA antagonist PCP can
induce deficits in attentional functioning and response control in 5-CSRT task in mice.
PCP decreased percent correct responding in DBA, but not C57Bl6, mice and increased
premature responding in both strains, effects normalized in part by treatment with agents
that affect glutamatergic neurotransmission such as the mGlu2/3 agonist LY 379268
(Greco et al., 2005).
In 5-CSRT, ADX47273 inhibited premature responding (impulsivity), but did not
improve percent correct responding (attention). These effects occurred in the absence of
significant effects on correct response or reward retrieval latencies. In contrast, MPEP is
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reported to decrease premature responding similar to ADX47273, but with a concomitant
increase in response latency suggesting a disruption in motivation produced by MPEP in
this model (Semenova and Markou, 2007). The ability of ADX47273 to specifically
decrease premature responding suggests a mGlu5 PAM may effective in treating the
impulsivity observed in schizophrenia (Moeller et al., 2001).
In summary, ADX47273 acts as a selective positive modulator of mGlu5 and
produces behavioral effects suggestive of an antipsychotic-like profile. The effects on
CREB and ERK phosphorylation paired with effects in novel object recognition and 5-
CSRT tasks suggest that ADX47273 may effectively treat the cognitive symptoms of
schizophrenia as well. Taken together, these results suggest that a positive allosteric
modulator of mGlu5 may be a novel approach to treating symptoms of schizophrenia and
broaden the therapeutic response beyond the treatment of psychosis.
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Legends for Figures
Fig. 1. ADX47273 potentiates activation of mGlu5 receptor by glutamate. ADX47273
has partial agonist-like activity at concentrations above 1 μM. (A) Rat mGlu5 receptor
HEK 293 cells were plated in clear-bottomed 384-well plates in glutamate/glutamine-free
medium and loaded with calcium-sensitive fluorescent dye Fluo-3. A range of
concentrations of ADX47273 was added to the cells with or without 50 nM of glutamate
and the Ca2+ response was measured by FLIPR384. For the blocking experiment, 10 μM
of MPEP was added 30 min before adding ADX47273. Concentration-response curves
were generated from mean data of three experiments. Error bars are S.E.M. The fold
potentiation was calculated from the maxima and minima determined by non-linear curve
fitting of the meaned data. (B) ADX47273 potentiates mGlu5 receptor-mediated calcium
signals in primary astrocyte cultures. Shown are calcium signals (shown as % of
maximal glutamate response), measured using FLIPR384 in response to increasing
concentrations of ADX47273 in the presence or absence of 300 nM glutamate (EC20).
Each data point represents the mean ± S.E.M from 12 independent experiments carried
out in quadruplicate.
Fig. 2. Potentiation of mGlu5 receptor activity by ADX47273 is manifested as an
increased sensitivity to agonist. (A) Rat mGlu5 receptor HEK 293 cells and (B) primary
astrocyte cultures, were plated in clear bottomed 384-well plates in glutamate/glutamine-
free medium, loaded the next with calcium sensitive fluorescent dye Fluo-3, and place in
FLIPR384. Several fixed concentrations of glutamate was added to the cells with or
without a range of concentrations of ADX47273. The basal activity of the glutamate
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concentration-response curves seems to increase at the highest concentration of
ADX47273. Concentration response curves were generated from mean data of three
experiments. Error bars are S.E.M. EC50 values were determined by non-linear curve
fitting of the meaned data.
Fig. 3. ADX47273 inhibits [3H] MPEP binding to rat mGlu5 receptor HEK cell
membranes. Membranes prepared from rat mGlu5 receptor HEK cells were incubated
with the radiolabeled MPEP for 60 min at room temperature in the presence of varying
concentrations of ADX47273. Samples were then filtered onto glass fiber filters.
A representative competition experiment is shown. Data are mean ± SD. Ki was
generated from the 5 experiments. Hill Slope = 0.833 based on one-site model, R2 =0.96,
p < 0.05.
Fig. 4. ADX47273 dose-dependently increased ERK and CREB phosphorylation in rat
hippocampus and prefrontal cortex. Vehicle, or MPEP (10 mg/kg, IP) was administered
30 min before ADX47273 (IP) to Long-Evans rats. Thirty minutes later ADX47273,
hippocampus (A) and prefrontal cortex (B) were dissected out and subjected to
immunoblotting with anti-phospho-ERK and anti-phospho-CREB antibodies. Phospho-
ERK and -CREB immunoactivity were normalized to total ERK and total CREB
immunoactivity, and followed by normalizing to untreated control immunoactivity. Data
were statistically analyzed by student t-test (unpaired). *Denotes statistical significance
compared with control (p < 0.05, n = 6).
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Fig. 5. ADX47273 was evaluated in the conditioned avoidance response in Sprague
Dawley rats. (A)ADX47273 was administered IP 30 min before testing. (B) vehicle, or
MPEP (10 mg/kg, IP) or (C) MTEP (1 mg/kg, IP) was administered 15 min before
ADX47273 (100 mg/kg, IP), which was administered IP 30 min before testing. Data are
expressed as average (means means ± S.E.M.) avoidance response and average number
of escape failures observed over 50 trials (n = 8 rats per group). The results following 100
mg/kg ADX47273 in (A) are also displayed in (B) and are replicated in a separate cohort
in (C). *Denotes statistical significance compared with vehicle-treated control (p < 0.05).
#Denotes statistical significance compared with ADX47273 treated rats (p < 0.05).
Fig. 6. ADX47273 evaluated in the apomorphine-induced climbing and stereotypy
assay in CF-1 mice. (A) ADX47273 was administrated IP 30 min before administration
of apomorphine (1 mg/kg, s.c.). For the blocking experiments, (B) MPEP (10 mg/kg, IP)
or (C) MTEP (10 mg/kg, IP) was administrated 15 min before ADX47273 (300 mg/kg,
IP) which was administered 30 min before administration of apomorphine. Data are
expressed as the percentage of climbing and stereotypy observed in the vehicle-treated
group. Data are the mean percentage of control ± S.E.M (n = 6 mice per group).
*Denotes statistical significance compared with vehicle-treated control (p < 0.05).
#Denotes statistical significance compared with ADX47273 treated mice (p < 0.05).
Fig. 7. ADX47273 evaluated in the PCP, apomorphine or amphetamine induced
locomotor activity in mice. After habituation for 90 minutes, the mice were administered
with vehicle or ADX47273 and locomotor activity was measured for another 30 minutes
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at which time the mice were dosed with either (A) PCP (3 mg/kg IP), (B) apomorphine (1
mg/kg SC), (C) amphetamine (1 mg/kg SC) or (D) vehicle. Locomotor activity was
measured for an additional 30 minutes. Data are expressed as the distance traveled. Data
are the mean ± S.E.M (n =10 mice per group). *Denotes statistical significance
compared to vehicle treated control (p < 0.05).
Fig. 8. The effect of ADX47273 on extracellular levels of dopamine in awake, freely
moving Sprague-Dawley rats. ADX47273 (175 mg/kg, IP) was administered in a single
bolus via SC cannulae at T = 0 min (marked by arrow) in nucleus accumbens (A) or
striatum (B). Data are expressed as a percentage of baseline levels and represent means ±
S.E.M (n = 7-9 animals per group). *Denotes significant effect from vehicle treatment.
Fig. 9. ADX47273 was evaluated in the novel object recognition task in rats.
ADX47273 was administered IP 30 minutes prior to Trial 1. No overall difference in
total object exploration time was observed in Trial 1 (A). Treatment with ADX47273
(0.1-50 mg/kg, IP) enhanced recognition of the novel object, compared to the familiar (*
p < 0.002), when subjects were evaluated in trail 2, 48 hr after Trial 1 (B).
Fig. 10. ADX47273 was evaluated in the 5-CSRT in rats. ADX47273 was administered
IP 30 min before testing. The inter-trial interval was varied from 4 to 10 sec. Correct and
premature responses were evaluated to measure effects on attention (A) and impulsivity
(B). Results are expressed as mean ± S.E.M. Data were analyzed with a mixed linear
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model to allow correlation of observations or non-constant variability across dose, ITI,
and interactions of dose and ITI. *denotes p < 0.05 from vehicle at each ITI.
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