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Published in: Molecular Neurodegeneration 1/2011

Open Access 01-12-2011 | Research article

Preclinical study of dimebon on β-amyloid-mediated neuropathology in Alzheimer's disease

Authors: Jun Wang, Mario G Ferruzzi, Merina Varghese, Xianjuan Qian, Alice Cheng, Mathew Xie, Wei Zhao, Lap Ho, Giulio M Pasinetti

Published in: Molecular Neurodegeneration | Issue 1/2011

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Abstract

Background

Dimebon is a retired non-selective antihistamine drug currently being investigated as a therapeutic agent for the treatment of Alzheimer's disease (AD). Results from several completed clinical trials are mixed and contradictory. Proper interpretations of these clinical observations, as well as future development of dimebon in AD treatment are complicated by the lack of concrete information on the mechanisms by which dimebon might benefit AD.

Results

The present studies are designed specifically to assess whether dimebon might modulate β-amyloid (Aβ)-mediated responses which are central to the development and progression of AD dementia. We found that dimebon is bioavailable in the brains of mice following oral administration. AD mice chronically treated with dimebon exhibited a trend of improvement in spatial memory function without affecting the levels of total Aβ as well as soluble oligomeric Aβ in the brain. The same trend of behavior improvement is also seen in wild type animals chronically treated with dimebon.

Conclusion

Collectively, our preclinical studies using the TgCRND8 AD mouse model demonstrated that dimebon might have some beneficial effect in improving cognitive function independent of Alzheimer's disease-type Aβ-related mechanisms or global energy metabolism in the brain. Observations from our study and others suggesting dimebon might improve cognition in wild type mice and rats raises the possibility that dimebon might be able to benefit cognitive function in patients with other neurodegenerative disorders, such as Huntington's disease, or in the aging population. Additional studies will be necessary to clarify the mechanisms by which dimebon might directly or indirectly benefit cognitive function.
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Literature
1.
go back to reference Bachurin S, Bukatina E, Lermontova N, Tkachenko S, Afanasiev A, Grigoriev V, Grigorieva I, Ivanov Y, Sablin S, Zefirov N: Antihistamine agent Dimebon as a novel neuroprotector and a cognition enhancer. Ann N Y Acad Sci. 2001, 939: 425-435. 10.1111/j.1749-6632.2001.tb03654.x.PubMedCrossRef Bachurin S, Bukatina E, Lermontova N, Tkachenko S, Afanasiev A, Grigoriev V, Grigorieva I, Ivanov Y, Sablin S, Zefirov N: Antihistamine agent Dimebon as a novel neuroprotector and a cognition enhancer. Ann N Y Acad Sci. 2001, 939: 425-435. 10.1111/j.1749-6632.2001.tb03654.x.PubMedCrossRef
2.
go back to reference Doody RS, Gavrilova SI, Sano M, Thomas RG, Aisen PS, Bachurin SO, Seely L, Hung D: Effect of dimebon on cognition, activities of daily living, behaviour, and global function in patients with mild-to-moderate Alzheimer's disease: a randomised, double-blind, placebo-controlled study. Lancet. 2008, 372: 207-215. 10.1016/S0140-6736(08)61074-0.PubMedCrossRef Doody RS, Gavrilova SI, Sano M, Thomas RG, Aisen PS, Bachurin SO, Seely L, Hung D: Effect of dimebon on cognition, activities of daily living, behaviour, and global function in patients with mild-to-moderate Alzheimer's disease: a randomised, double-blind, placebo-controlled study. Lancet. 2008, 372: 207-215. 10.1016/S0140-6736(08)61074-0.PubMedCrossRef
3.
go back to reference Kieburtz K, McDermott MP, Voss TS, Corey-Bloom J, Deuel LM, Dorsey ER, Factor S, Geschwind MD, Hodgeman K, Kayson E, Noonberg S, Pourfar M, Rabinowitz K, Ravina B, Sanchez-Ramos J, Seely L, Walker F, Feigin A: A randomized, placebo-controlled trial of latrepirdine in Huntington disease. Arch Neurol. 2010, 67: 154-160. 10.1001/archneurol.2009.334.PubMedPubMedCentralCrossRef Kieburtz K, McDermott MP, Voss TS, Corey-Bloom J, Deuel LM, Dorsey ER, Factor S, Geschwind MD, Hodgeman K, Kayson E, Noonberg S, Pourfar M, Rabinowitz K, Ravina B, Sanchez-Ramos J, Seely L, Walker F, Feigin A: A randomized, placebo-controlled trial of latrepirdine in Huntington disease. Arch Neurol. 2010, 67: 154-160. 10.1001/archneurol.2009.334.PubMedPubMedCentralCrossRef
4.
go back to reference Wu J, Li Q, Bezprozvanny I: Evaluation of Dimebon in cellular model of Huntington's disease. Mol Neurodegener. 2008, 3-15. Wu J, Li Q, Bezprozvanny I: Evaluation of Dimebon in cellular model of Huntington's disease. Mol Neurodegener. 2008, 3-15.
5.
go back to reference Nirogi R, Kandikere V, Mudigonda K, Komarneni P, Boggavarapu R: Liquid chromatography-tandem mass spectrometry method for the quantification of dimebon in rat plasma and brain tissue. J Chromatogr B Analyt Technol Biomed Life Sci. 2009, 877: 3563-3571. 10.1016/j.jchromb.2009.08.042.PubMedCrossRef Nirogi R, Kandikere V, Mudigonda K, Komarneni P, Boggavarapu R: Liquid chromatography-tandem mass spectrometry method for the quantification of dimebon in rat plasma and brain tissue. J Chromatogr B Analyt Technol Biomed Life Sci. 2009, 877: 3563-3571. 10.1016/j.jchromb.2009.08.042.PubMedCrossRef
6.
go back to reference Chishti MA, Yang DS, Janus C, Phinney AL, Horne P, Pearson J, Strome R, Zuker N, Loukides J, French J, Turner S, Lozza G, Grilli M, Kunicki S, Morissette C, Paquette J, Gervais F, Bergeron C, Fraser PE, Carlson GA, George-Hyslop PS, Westaway D: Early-onset amyloid deposition and cognitive deficits in transgenic mice expressing a double mutant form of amyloid precursor protein 695. J Biol Chem. 2001, 276: 21562-21570. 10.1074/jbc.M100710200.PubMedCrossRef Chishti MA, Yang DS, Janus C, Phinney AL, Horne P, Pearson J, Strome R, Zuker N, Loukides J, French J, Turner S, Lozza G, Grilli M, Kunicki S, Morissette C, Paquette J, Gervais F, Bergeron C, Fraser PE, Carlson GA, George-Hyslop PS, Westaway D: Early-onset amyloid deposition and cognitive deficits in transgenic mice expressing a double mutant form of amyloid precursor protein 695. J Biol Chem. 2001, 276: 21562-21570. 10.1074/jbc.M100710200.PubMedCrossRef
7.
go back to reference Hsiao K, Chapman P, Nilsen S, Eckman C, Harigaya Y, Younkin S, Yang F, Cole G: Correlative Memory Deficits, Abeta Elevation, and Amyloid Plaques in Transgenic Mice. Science. 1996, 274: 99-103. 10.1126/science.274.5284.99.PubMedCrossRef Hsiao K, Chapman P, Nilsen S, Eckman C, Harigaya Y, Younkin S, Yang F, Cole G: Correlative Memory Deficits, Abeta Elevation, and Amyloid Plaques in Transgenic Mice. Science. 1996, 274: 99-103. 10.1126/science.274.5284.99.PubMedCrossRef
8.
go back to reference Kawarabayashi T, Younkin LH, Saido TC, Shoji M, Ashe KH, Younkin SG: Age-dependent changes in brain, CSF, and plasma amyloid (beta) protein in the Tg2576 transgenic mouse model of Alzheimer's disease. J Neurosci. 2001, 21: 372-381.PubMed Kawarabayashi T, Younkin LH, Saido TC, Shoji M, Ashe KH, Younkin SG: Age-dependent changes in brain, CSF, and plasma amyloid (beta) protein in the Tg2576 transgenic mouse model of Alzheimer's disease. J Neurosci. 2001, 21: 372-381.PubMed
9.
go back to reference Morris R: Developments of a water-maze procedure for studying spatial-learning in the rat. Journal of Neuroscience Methods. 1984, 11: 47-60. 10.1016/0165-0270(84)90007-4.PubMedCrossRef Morris R: Developments of a water-maze procedure for studying spatial-learning in the rat. Journal of Neuroscience Methods. 1984, 11: 47-60. 10.1016/0165-0270(84)90007-4.PubMedCrossRef
10.
go back to reference Wang J, Ho L, Chen L, Zhao Z, Zhao W, Qian X, Humala N, Seror I, Bartholomew S, Rosendorff C, Pasinetti GM: Valsartan lowers brain beta-amyloid protein levels and improves spatial learning in a mouse model of Alzheimer disease. J Clin Invest. 2007, 117: 3393-3402. 10.1172/JCI31547.PubMedPubMedCentralCrossRef Wang J, Ho L, Chen L, Zhao Z, Zhao W, Qian X, Humala N, Seror I, Bartholomew S, Rosendorff C, Pasinetti GM: Valsartan lowers brain beta-amyloid protein levels and improves spatial learning in a mouse model of Alzheimer disease. J Clin Invest. 2007, 117: 3393-3402. 10.1172/JCI31547.PubMedPubMedCentralCrossRef
11.
go back to reference Wang J, Ho L, Qin W, Rocher AB, Seror I, Humala N, Maniar K, Dolios G, Wang R, Hof PR, Pasinetti GM: Caloric restriction attenuates beta-amyloid neuropathology in a mouse model of Alzheimer's disease. FASEB J. 2005, 19: 659-661. 10.1096/fj.04-2370com.PubMedCrossRef Wang J, Ho L, Qin W, Rocher AB, Seror I, Humala N, Maniar K, Dolios G, Wang R, Hof PR, Pasinetti GM: Caloric restriction attenuates beta-amyloid neuropathology in a mouse model of Alzheimer's disease. FASEB J. 2005, 19: 659-661. 10.1096/fj.04-2370com.PubMedCrossRef
12.
go back to reference Wang J, Ho L, Zhao W, Ono K, Rosensweig C, Chen L, Humala N, Teplow DB, Pasinetti GM: Grape-derived polyphenolics prevent Abeta oligomerization and attenuate cognitive deterioration in a mouse model of Alzheimer's disease. J Neurosci. 2008, 28: 6388-6392. 10.1523/JNEUROSCI.0364-08.2008.PubMedPubMedCentralCrossRef Wang J, Ho L, Zhao W, Ono K, Rosensweig C, Chen L, Humala N, Teplow DB, Pasinetti GM: Grape-derived polyphenolics prevent Abeta oligomerization and attenuate cognitive deterioration in a mouse model of Alzheimer's disease. J Neurosci. 2008, 28: 6388-6392. 10.1523/JNEUROSCI.0364-08.2008.PubMedPubMedCentralCrossRef
13.
go back to reference Gibson GE, Sheu KF, Blass JP, Baker A, Carlson KC, Harding B, Perrino P: Reduced activities of thiamine-dependent enzymes in the brains and peripheral tissues of patients with Alzheimer's disease. Arch Neurol. 1998, 45: 836-840.CrossRef Gibson GE, Sheu KF, Blass JP, Baker A, Carlson KC, Harding B, Perrino P: Reduced activities of thiamine-dependent enzymes in the brains and peripheral tissues of patients with Alzheimer's disease. Arch Neurol. 1998, 45: 836-840.CrossRef
14.
go back to reference Rokosh DA, Kurz WG, LaRue TA: A modification of isocitrate and malate dehydrogenase assays for use in crude cell free extracts. Anal Biochem. 1973, 54: 477-483. 10.1016/0003-2697(73)90376-X.PubMedCrossRef Rokosh DA, Kurz WG, LaRue TA: A modification of isocitrate and malate dehydrogenase assays for use in crude cell free extracts. Anal Biochem. 1973, 54: 477-483. 10.1016/0003-2697(73)90376-X.PubMedCrossRef
15.
go back to reference Klein WL: A[beta] toxicity in Alzheimer's disease: globular oligomers (ADDLs) as new vaccine and drug targets. Neurochemistry International. 2002, 41: 345-352. 10.1016/S0197-0186(02)00050-5.PubMedCrossRef Klein WL: A[beta] toxicity in Alzheimer's disease: globular oligomers (ADDLs) as new vaccine and drug targets. Neurochemistry International. 2002, 41: 345-352. 10.1016/S0197-0186(02)00050-5.PubMedCrossRef
16.
go back to reference Srere PA, Mattiasson B, Mosbach K: An immobilized three-enzyme system: a model for microenvironmental compartmentation in mitochondria. Proc Natl Acad Sci USA. 1973, 70: 2534-2538. 10.1073/pnas.70.9.2534.PubMedPubMedCentralCrossRef Srere PA, Mattiasson B, Mosbach K: An immobilized three-enzyme system: a model for microenvironmental compartmentation in mitochondria. Proc Natl Acad Sci USA. 1973, 70: 2534-2538. 10.1073/pnas.70.9.2534.PubMedPubMedCentralCrossRef
17.
go back to reference Alzheimer's Association Fact Sheet: Alzheimer's Disease. 2006 Alzheimer's Association Fact Sheet: Alzheimer's Disease. 2006
18.
go back to reference Lermontova NN, Redkozubov AE, Shevtsova EF, Serkova TP, Kireeva EG, Bachurin SO: Dimebon and tacrine inhibit neurotoxic action of beta-amyloid in culture and block L-type Ca(2+) channels. Bull Exp Biol Med. 2001, 132: 1079-1083. 10.1023/A:1017972709652.PubMedCrossRef Lermontova NN, Redkozubov AE, Shevtsova EF, Serkova TP, Kireeva EG, Bachurin SO: Dimebon and tacrine inhibit neurotoxic action of beta-amyloid in culture and block L-type Ca(2+) channels. Bull Exp Biol Med. 2001, 132: 1079-1083. 10.1023/A:1017972709652.PubMedCrossRef
19.
go back to reference Bachurin SO, Shevtsova EP, Kireeva EG, Oxenkrug GF, Sablin SO: Mitochondria as a target for neurotoxins and neuroprotective agents. Ann N Y Acad Sci. 2003, 993: 334-344. 10.1111/j.1749-6632.2003.tb07541.x.PubMedCrossRef Bachurin SO, Shevtsova EP, Kireeva EG, Oxenkrug GF, Sablin SO: Mitochondria as a target for neurotoxins and neuroprotective agents. Ann N Y Acad Sci. 2003, 993: 334-344. 10.1111/j.1749-6632.2003.tb07541.x.PubMedCrossRef
20.
go back to reference Zhang S, Hedskog L, Petersen CA, Winblad B, Ankarcrona M: Dimebon (latrepirdine) enhances mitochondrial function and protects neuronal cells from death. J Alzheimers Dis. 2010, 21: 389-402.PubMed Zhang S, Hedskog L, Petersen CA, Winblad B, Ankarcrona M: Dimebon (latrepirdine) enhances mitochondrial function and protects neuronal cells from death. J Alzheimers Dis. 2010, 21: 389-402.PubMed
21.
go back to reference Lesne S, Koh MT, Kotilinek L, Kayed R, Glabe CG, Yang A, Gallagher M, Ashe KH: A specific amyloid-beta protein assembly in the brain impairs memory. Nature. 2006, 440: 352-7. 10.1038/nature04533.PubMedCrossRef Lesne S, Koh MT, Kotilinek L, Kayed R, Glabe CG, Yang A, Gallagher M, Ashe KH: A specific amyloid-beta protein assembly in the brain impairs memory. Nature. 2006, 440: 352-7. 10.1038/nature04533.PubMedCrossRef
22.
go back to reference Lesne S, Kotilinek L, Ashe KH: Plaque-bearing mice with reduced levels of oligomeric amyloid-[beta] assemblies have intact memory function. Neuroscience. 2008, 151: 745-749. 10.1016/j.neuroscience.2007.10.054.PubMedPubMedCentralCrossRef Lesne S, Kotilinek L, Ashe KH: Plaque-bearing mice with reduced levels of oligomeric amyloid-[beta] assemblies have intact memory function. Neuroscience. 2008, 151: 745-749. 10.1016/j.neuroscience.2007.10.054.PubMedPubMedCentralCrossRef
23.
go back to reference Shankar GM, Bloodgood BL, Townsend M, Walsh DM, Selkoe DJ, Sabatini BL: Natural Oligomers of the Alzheimer Amyloid-{beta} Protein Induce Reversible Synapse Loss by Modulating an NMDA-Type Glutamate Receptor-Dependent Signaling Pathway. J Neurosci. 2007, 27: 2866-2875. 10.1523/JNEUROSCI.4970-06.2007.PubMedCrossRef Shankar GM, Bloodgood BL, Townsend M, Walsh DM, Selkoe DJ, Sabatini BL: Natural Oligomers of the Alzheimer Amyloid-{beta} Protein Induce Reversible Synapse Loss by Modulating an NMDA-Type Glutamate Receptor-Dependent Signaling Pathway. J Neurosci. 2007, 27: 2866-2875. 10.1523/JNEUROSCI.4970-06.2007.PubMedCrossRef
24.
go back to reference Shankar GM, Li S, Mehta TH, Garcia-Munoz A, Shepardson NE, Smith I, Brett FM, Farrell MA, Rowan MJ, Lemere CA, Regan CM, Walsh DM, Sabatini BL, Selkoe DJ: Amyloid-[beta] protein dimers isolated directly from Alzheimer's brains impair synaptic plasticity and memory. Nat Med. 2008, 14: 837-842. 10.1038/nm1782.PubMedPubMedCentralCrossRef Shankar GM, Li S, Mehta TH, Garcia-Munoz A, Shepardson NE, Smith I, Brett FM, Farrell MA, Rowan MJ, Lemere CA, Regan CM, Walsh DM, Sabatini BL, Selkoe DJ: Amyloid-[beta] protein dimers isolated directly from Alzheimer's brains impair synaptic plasticity and memory. Nat Med. 2008, 14: 837-842. 10.1038/nm1782.PubMedPubMedCentralCrossRef
25.
go back to reference Walsh DM, Klyubin I, Fadeeva JV, Rowan MJ, Selkoe DJ: Amyloid-beta oligomers: their production, toxicity and therapeutic inhibition. Biochem Soc Trans. 2002, 30: 552-557. 10.1042/BST0300552.PubMedCrossRef Walsh DM, Klyubin I, Fadeeva JV, Rowan MJ, Selkoe DJ: Amyloid-beta oligomers: their production, toxicity and therapeutic inhibition. Biochem Soc Trans. 2002, 30: 552-557. 10.1042/BST0300552.PubMedCrossRef
26.
go back to reference Walsh DM, Klyubin I, Fadeeva JV, Cullen WK, Anwyl R, Wolfe MS, Rowan MJ, Selkoe DJ: Naturally secreted oligomers of amyloid beta protein potently inhibit hippocampal long-term potentiation in vivo. Nature. 2002, 416: 535-539. 10.1038/416535a.PubMedCrossRef Walsh DM, Klyubin I, Fadeeva JV, Cullen WK, Anwyl R, Wolfe MS, Rowan MJ, Selkoe DJ: Naturally secreted oligomers of amyloid beta protein potently inhibit hippocampal long-term potentiation in vivo. Nature. 2002, 416: 535-539. 10.1038/416535a.PubMedCrossRef
27.
go back to reference Steele JW, Kim SH, Cirrito JR, Verges DK, Restivo JL, Westaway D, Fraser P, Hyslop PS, Sano M, Bezprozvanny I, Ehrlich ME, Holtzman DM, Gandy S: Acute dosing of latrepirdine (Dimebon), a possible Alzheimer therapeutic, elevates extracellular amyloid-beta levels in vitro and in vivo. Mol Neurodegener. 2009, 4: 51-10.1186/1750-1326-4-51.PubMedPubMedCentralCrossRef Steele JW, Kim SH, Cirrito JR, Verges DK, Restivo JL, Westaway D, Fraser P, Hyslop PS, Sano M, Bezprozvanny I, Ehrlich ME, Holtzman DM, Gandy S: Acute dosing of latrepirdine (Dimebon), a possible Alzheimer therapeutic, elevates extracellular amyloid-beta levels in vitro and in vivo. Mol Neurodegener. 2009, 4: 51-10.1186/1750-1326-4-51.PubMedPubMedCentralCrossRef
28.
go back to reference Bubber P, Haroutunian V, Fisch G, Blass JP, Gibson GE: Mitochondrial abnormalities in Alzheimer brain: mechanistic implications. Ann Neurol. 2005, 57: 695-703. 10.1002/ana.20474.PubMedCrossRef Bubber P, Haroutunian V, Fisch G, Blass JP, Gibson GE: Mitochondrial abnormalities in Alzheimer brain: mechanistic implications. Ann Neurol. 2005, 57: 695-703. 10.1002/ana.20474.PubMedCrossRef
29.
go back to reference Schaffhauser H, Mathiasen JR, Dicamillo A, Huffman MJ, Lu LD, McKenna BA, Qian J, Marino MJ: Dimebolin is a 5-HT6 antagonist with acute cognition enhancing activities. Biochem Pharmacol. 2009, 78: 1035-1042. 10.1016/j.bcp.2009.06.021.PubMedCrossRef Schaffhauser H, Mathiasen JR, Dicamillo A, Huffman MJ, Lu LD, McKenna BA, Qian J, Marino MJ: Dimebolin is a 5-HT6 antagonist with acute cognition enhancing activities. Biochem Pharmacol. 2009, 78: 1035-1042. 10.1016/j.bcp.2009.06.021.PubMedCrossRef
30.
go back to reference Giorgetti M, Gibbons JA, Bernales S, Alfaro IE, Drieu La RC, Cremers T, Altar CA, Wronski R, Hutter-Paier B, Protter AA: Cognition-enhancing properties of Dimebon in a rat novel object recognition task are unlikely to be associated with acetylcholinesterase inhibition or N-methyl-D-aspartate receptor antagonism. J Pharmacol Exp Ther. 2010, 333: 748-757. 10.1124/jpet.109.164491.PubMedCrossRef Giorgetti M, Gibbons JA, Bernales S, Alfaro IE, Drieu La RC, Cremers T, Altar CA, Wronski R, Hutter-Paier B, Protter AA: Cognition-enhancing properties of Dimebon in a rat novel object recognition task are unlikely to be associated with acetylcholinesterase inhibition or N-methyl-D-aspartate receptor antagonism. J Pharmacol Exp Ther. 2010, 333: 748-757. 10.1124/jpet.109.164491.PubMedCrossRef
Metadata
Title
Preclinical study of dimebon on β-amyloid-mediated neuropathology in Alzheimer's disease
Authors
Jun Wang
Mario G Ferruzzi
Merina Varghese
Xianjuan Qian
Alice Cheng
Mathew Xie
Wei Zhao
Lap Ho
Giulio M Pasinetti
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Molecular Neurodegeneration / Issue 1/2011
Electronic ISSN: 1750-1326
DOI
https://doi.org/10.1186/1750-1326-6-7

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