Anxiolytic and Side-Effect Profile of LY354740: A Potent, Highly Selective, Orally Active Agonist for Group II Metabotropic Glutamate Receptors
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0022-3565/98/2842-0651$03.00/0 THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS Vol. 284, No. 2 Copyright © 1998 by The American Society for Pharmacology and Experimental Therapeutics Printed in U.S.A. JPET 284:651–660, 1998 Anxiolytic and Side-Effect Profile of LY354740: A Potent, Highly Selective, Orally Active Agonist for Group II Metabotropic Glutamate Receptors DAVID R. HELTON,1 JOSEPH P. TIZZANO, JAMES A. MONN, DARRYLE D. SCHOEPP and MARY JEANNE KALLMAN Toxicology Research (D.R.H., J.P.T., M.J.K.) and Neuroscience Research Division (J.A.M., D.D.S.), Eli Lilly and Company, Greenfield, Indiana Accepted for publication October 27, 1997 This paper is available online at http://www.jpet.org Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 ABSTRACT LY354740 is a conformationally constrained analog of gluta- diazepam, acute administration of LY354740 did not produce mate which is a potent agonist for group II cAMP coupled sedation, cause deficits in neuromuscular coordination, interact metabotropic glutamate receptors (mGluRs). The discovery of with central nervous system depressants, produce memory this novel pharmacological agent has allowed the exploration of impairment or change convulsive thresholds at doses 100- to the functional consequences of activating group II mGluRs in 1000-fold the efficacious doses in animal models of anxiety. vivo. In an effort to evaluate the clinical utility of LY354740 as an Thus, LY354740 has anxiolytic activity in animal models that anxiolytic, we examined its effects in the fear potentiated startle are sensitive to benzodiazepines such as diazepam. However, and elevated plus maze models of anxiety and compared the at anxiolytic doses in these models, LY354740 produced none results with the clinically prescribed anxiolytic diazepam. In the of the unwanted secondary pharmacology associated with di- fear potentiated startle and elevated plus maze models, both azepam. These data indicate a functional role for group II LY354740 and diazepam produced significant anxiolytic activ- mGluRs in fear/anxiety responses in animals and suggest that ity (ED50 values of 0.3 and 0.4 mg/kg p.o. for fear potentiated compounds in this class may be beneficial in the treatment of startle and 0.2 and 0.5 mg/kg for the elevated plus maze, anxiety-related disorders in humans without the side effects respectively). The duration of pharmacological effect for seen with currently prescribed medications. LY354740 in the efficacy models was 4 to 8 hr. In contrast to Glutamate is the major excitatory neurotransmitter in the mechanisms (Sladeczek et al., 1985; Nicoletti et al., 1986; mammalian CNS, contributing excitatory input to virtually Sugiyama et al., 1987; Schoepp and Johnson, 1988). These all neurons of the brain and spinal cord. The ubiquitous metabotropic glutamate receptors (mGluRs) represent a het- nature of glutamate excitation supports a role for glutama- erogeneous family of proteins that are coupled to multiple tergic neurotransmission in most physiological processes of second messenger systems (Schoepp and Conn, 1993; Nakan- the CNS including sensory and motor functions, central reg- ishi and Masu, 1994; Pin and Duvoisin, 1995) and are divided ulation of respiratory and cardiovascular centers, cognition into three groups with similar pharmacology, molecular and regulation of perception and emotion. Similarly, altered structure and second messenger coupling. glutamatergic neuronal transmission has also been hypoth- Group I mGluRs include mGluR1 and mGluR5, group II esized to have a central role in many neurological and psy- receptors include mGluR2 and mGluR3 and group III chiatric disorders, including neurodegenerative diseases, ep- mGluRs consist of mGluR4, mGluR6, mGluR7 and mGluR8. ilepsy, schizophrenia and anxiety (Danysz et al., 1995). When expressed in nonneuronal cells, group I mGluRs couple Until recently, the effects of glutamate were thought to be to the activation of phosphoinositide hydrolysis, although exclusively mediated by ion channel-mediated ionotropic re- group II and group III mGluRs are negatively linked to cAMP ceptors (iGluRs), which include NMDA, AMPA and kainate formation. Each mGluR subtype is uniquely and differen- receptor subtypes (Hollmann and Heinemann, 1994). How- tially distributed in the CNS. Group II mGluRs (mGluR2 and ever, it is now known that glutamate can also couple to mGluR3) are highly localized within forebrain regions in the second messenger pathways through G-protein-dependent rat suggesting specific roles in modulation of glutamatergic transmission in those regions (Ohishi et al., 1993a; Ohishi et Received for publication May 23, 1997. 1 Current address: Quintiles BRL, 1300 N. 17th Street, Suite 300, Arling- al., 1993b; Schoepp, 1994; Pin and Duvoisin, 1995). Group II ton, VA 22209. mGluRs are thought to exist at presynaptic sites where they ABBREVIATIONS: CNS, central nervous system; iGluR, ionotropic glutamate receptor; NMDA, N-methyl-D-aspartic acid; AMPA, 2-amino-3(3- hydroxy-5 methylisoxazol-4-yl)propionic acid; mGluR, metabotropic glutamate receptor; HSD, Tukey’s studentized range. 651
652 Helton et al. Vol. 284 function as negative feedback autoreceptors to inhibit the cally available anxiolytics have limited clinical efficacy be- release of glutamate (possibly through effects on voltage- cause of their adverse side effect profile, dependence produc- sensitive calcium channels), or postsynaptically where they ing properties (Dantzer, 1977; Greenblatt and Shader, 1978; can modulate cell function via alterations in A-kinase activ- Woods et al., 1987, 1992; Treit, 1991). Therefore, a nonaddic- ity (ultimately by changing protein phosphorylation) and/or tive, highly efficacious anxiolytic devoid of benzodiazepine- direct modulation of various ion channels (i.e., K1, Ca11) like side effects would be of great clinical value for the treat- (Schoepp, 1994; Pin and Duvoisin, 1995). Specifically, fore- ment of anxiety and related disorders. brain areas that express group II mGluRs include limbic In an effort to evaluate the role of group II mGluRs in structures that participate in the control of emotionality and anxiety, we examined the effects of LY354740 [or its racemic anxiety states. A compound acting on mGluRs in these brain form, (6)LY314582] in two animal models that detect anxio- areas would be hypothesized to modulate behavioral states in lytic activity, the fear potentiated startle model and elevated animals associated with these brain areas. plus maze. We also profiled the secondary (potential side- LY354740 [(1S,2S,5R,6S-2-aminobicyclo[3.1.0]hexane-2,6- effect) pharmacology of LY354740 in comparison to diaze- dicarboxylate monohydrate], a conformationally constrained pam, including the effects of both agents on spontaneous analog of glutamate, is a nanomolar potent, highly selective activity, neuromuscular coordination, interaction with a CNS and orally active agonist at group II/cAMP coupled mGluRs depressant, electro-convulsant threshold and learning and (mGluR2 and mGluR3) (see fig. 1) (Monn et al., 1997; Schoepp memory. et al., 1997). Until the recent discovery of LY354740, there Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 were no known group II mGluR agonists that were nanomo- lar potent, highly selective and systemically active. Thus, the Materials and Methods discovery of this novel pharmacological agent has allowed Animals. All experiments were performed in accordance with Eli exploration of the functional consequences of activating Lilly and Company Animal Care and Use Policies. Male Long Evans group II mGluRs in vivo. rats (180 – 400 g) and male NIH Swiss mice (18 –35 g) were obtained The fear potentiated startle procedure, a model based on from Harlan Sprague-Dawley, Cumberland, IN. Male CD-1 mice fear which is reportedly selective for the identification of (18 –35 g) were obtained from Charles Rivers Laboratories, Portage, anxiolytic drugs, has been described by Davis (1979, 1986). In MI. All animals were acclimated at least 3 days before testing. Animals were housed at 23 6 2°C (relative humidity 30 –70%) and this procedure, a neutral stimulus such as a light (condi- given Purina Certified Rodent Chow (PMI International, Inc., St. tioned stimulus) is repetitively paired with an aversive stim- Louis, MO) and water ad libitum. The photo period was 12 hr of light ulus such as shock (unconditioned stimulus). After condition- and 12 hr of dark, with dark onset at approximately 1800 hr. ing, when the animals are presented with loud acoustic Drugs. (1)LY354740 monohydrate [(1S,2S,5R,6S-2-aminobicyclo stimuli, enhanced startle responses are elicited when the [3.1.0]hexane-2,6-dicarboxylate monohydrate], (2)LY366563 mono- startle stimulus is preceded by the light. The augmentation hydrate or racemic (6)LY314582 (Monn et al., 1997) were dissolved of startle responses engendered in this model are reported to in a vehicle of purified water and neutralized with 5 N NaOH to a pH result from a classically conditioned increase in fear (Davis, of approximately 7 to 8. Diazepam (Sigma Chemical Co., St. Louis, 1979). MO) was suspended in purified water by the drop-wise addition of A second model of anxiety, the elevated plus maze, is a Tween 80. Hexobarbital (Sigma) was solubilized in purified water by the addition of 0.2 N sodium hydroxide. Hydrochloric acid (0.1 N) widely used test based on the natural aversion of rodents to was subsequently added to adjust the pH prior to dilution to the final heights and open spaces, which has been validated for both volume with purified water. NMDA (Research Biochemicals Inter- rats and mice (Lister, 1987; Dawson and Trinklebank, 1995; national, Natick, MA) was solubilized in 0.9% physiological saline. Helton et al., 1995), and, as with fear potentiated startle, is Control animals received the respective vehicle. Food was removed sensitive to both anxiolytic and anxiogenic drugs. at least 1 hr before compound administration. Clinically proven anxiolytics such as diazepam (Valium) Fear potentiated startle. SL-LAB (San Diego Instruments, San and buspirone (Buspar) are effective in reducing the fear Diego, CA) chambers were used for conditioning sessions and for (increased startle responding) associated with the presenta- producing and recording startle responses. A respondent condition- tion of the light in the potentiated startle model (Davis, 1979; ing procedure was used to produce potentiation of startle responses. Kehne et al., 1988) and at increasing open-arm activity in the Briefly, on days 1 and 2, rats were placed into dark startle chambers in which shock grids were installed. After a 5-min acclimation pe- elevated plus maze (Helton et al., 1995). However, all clini- riod, each rat received a 1 mA electric shock (500 msec) preceeded by a 5-sec presentation of light (15 W) which remained on for the duration of the shock. Ten presentations of the light and shock were given in each conditioning session with an inter-trial interval of 10 sec. Startle responding was measured through transducers located in the center of a platform located under the animal. Recorded values represent a maximum change in voltage from baseline and are re- corded and presented as a peak maximum voltage (Vmax). Forty-eight hours after the second conditioning session, rats were administered LY354740, diazepam, or water, and startle testing sessions were conducted. A block of 10 consecutive presentations of acoustic startle stimuli (110 dB, non-light-paired) was presented at the beginning of the session to minimize the influence of the initial rapid phase of habituation to the stimulus. This was followed by 20 alternating trials of the noise (110 dB white noise, 50 msec in duration) alone or Fig. 1. Chemical structure of LY354740 (1S,2S,5R,6S)-2- noise preceeded by the light. All intertrial intervals were eight sec- aminobicyclo[3.1.0]hexane-2,6-dicarboxylate monohydrate. onds in duration. Excluding the initial trial block, startle response
1998 Anxiolytic Effect of LY354740 653 amplitudes for each trial type (noise-alone vs. light 1 noise) were Twenty min after i.p. administration of diazepam (0.3–3 mg/kg), averaged for each rat across the entire test session. Data were NMDA (25 mg/kg) or LY354740 (administered as the racemate presented as the difference between noise-alone and light 1 noise. (6)LY314852) (50 –200 mg/kg), saline was placed on each cornea Diazepam (0.03–1 mg/kg, i.p.) or LY354740 (0.01–10 mg/kg, oral) immediately before placement of the eyes in corneal electrodes. Cur- was administered 30 or 60 min, respectively, before evaluation in rent was then delivered with shock intensities ranging from 4 to 9 potentiated startle. For oral duration of action testing, LY354740 (3 mA (0.2-sec shock duration). The types of convulsions (clonic, tonic or mg/kg, oral) was administered 2, 4, 6 or 8 hr before testing. tonic-extensor) observed within 10 sec were recorded. Elevated plus maze. Construction of the elevated plus maze was Learning and memory— conditioned avoidance respond- based on a design validated for mice by Lister (1987). The entire ing. Rats were anesthetized with isoflurane gas and surgically im- maze was made of clear Plexiglas. The maze was comprised of two planted with Alzet osmotic pumps (Alza Corporation, Vacaville, CA) open arms (30 3 5 3 0.25 cm) and two enclosed arms (30 3 5 3 15 filled with water or LY354740 delivering 3 mg/kg/day. All rats were cm). The floor of each maze arm was corrugated to provide texture. implanted on the same day and testing was conducted in three The arms extended from a central platform and angled at 90° from different groups according to the following schedule: rats receiving 3 each other. The maze was elevated to a height of 45 cm above the table and illuminated by a red light. Individual infrared photocells mg/kg/day LY354740 or vehicle were tested on days 2 through 6. were mounted along each arm of the maze. For closed and open arms Separate rats receiving 3 mg/kg/day LY354740 or vehicle were tested three photocells were positioned at equal intervals along the axis of on days 7 through 11. Separate rats with 3 mg/kg/day LY354740 or each arm. For nosepoke activity photobeams were 0.5 cm from the vehicle exposure for 12 days were tested on days 1 through 5 after entry of the open and closed arms. NIH Swiss mice were individually pump removal. An Omnitech Shuttle System (Columbus, OH) was placed in the closed arm of the maze and the number of closed, open used to collect behavioral data. The avoidance procedure was carried Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 and nosepoke counts were recorded and used as a measure of arm out in a two-compartment shuttle box with a grid floor through entries and time spent on various sections of the maze over a 5-min which electric current was delivered. Each test session consisted of test period. LY354740 (0 or 3 mg/kg, oral) was administered to mice 20 trials and each animal was tested for 5 consecutive days. The at 1, 4 or 6 hr before evaluation in the maze. intertrial interval for each test session was variable (30 6 10 sec). A Spontaneous activity. Spontaneous activity of individual rats combination of light (6 W) and acoustic (90 dB tone) stimuli was was recorded using Multi-Varimax Activity Monitors (Columbus In- used, with a signal duration of 5 sec. Shock intensity was set at 0.5 struments, Columbus, OH). Interruptions of three individual infra- mA and the shock interval was 5 sec. To avoid the shock, rats learned red photocells were recorded by computer. Activity counts were cu- to move from one side of the chamber to the other side at the cue mulated after administration of diazepam (1–10 mg/kg, oral) or (avoidance) or move when the shock was administered (escape). Data LY354740 (10 –300 mg/kg, oral) at 15-min intervals for 1 hr. Ambu- were tabulated as mean percent escape or mean percent avoidance latory (locomotor or horizontal movement) counts represent the sum responses. of individual photocell beam breaks (n 5 3 beams/cage) within a Learning and memory—passive avoidance responding. representative time interval. Nonambulatory (stereotyped or nonlo- Male CD-1 mice were tested in a 2-day passive avoidance task. comotor movement) counts represent the sum of the repetitive break- Diazepam (3–30 mg/kg, oral) or LY354740 (3–30 mg/kg, oral) was ing of individual photocells. administered on test day one 60 min before acquisition training. Sensorimotor reactivity—auditory startle. The auditory star- Passive avoidance performance was evaluated using the Omnitech tle response of each rat was recorded using San Diego Instruments startle chambers (San Diego, CA). Startle was assessed across 10 Shuttle Control System (Omnitech Electronics), which consisted of trials with a 5-min adaptation period at a background noise level of eight, two-compartment shuttle chambers and a constant current 70 6 3 dBA, followed by 10 presentations of auditory (120 6 2 dBA shock generator. Mice were individually placed in the shuttle cham- white noise, 50 msec in duration) stimuli presented at 8-sec inter- ber, and the session was initiated with a one min acclimation period. vals. Startle was measured through transducers located in center of Day 1 acquisition testing consisted of three, 180-sec training trials a platform located under the animal. Recorded values represent a which were signaled by illumination of a light (6 W) on the side the maximum change in voltage from baseline and are recorded and animal was on in the chamber. During each trial, a foot shock of 0.5 presented as a peak maximum voltage (Vmax). During testing, rats mA was delivered through the grid floor if the mouse crossed to the were administered LY354740 (1–10 mg/kg) orally and evaluated for other compartment which was kept dark. When the animal crossed sensorimotor responsiveness after a 60-min pretreatment period. into the dark compartment a footshock was administered continu- Neuromuscular coordination—rotarod. Rats were placed on a ously until the animal returned to the illuminated compartment. rotarod (model V EE/85, Columbus Instruments) accelerating from 1 Trials were separated by 1-min intervals of total darkness. On day 2, to 80 revolutions/4 min. All rats were given two control trials at least 24-hr (approximately) retention testing consisted of a 1-min acclima- 12 hr apart before evaluation of diazepam or LY354740. Rats were tion period followed by a single, 180-sec retention trial in which no tested on the rotarod 60 min after administration of diazepam (1–10 foot shock to mice was delivered upon crossing in any group. Com- mg/kg, oral) or LY354740 (30 –300 mg/kg, oral). The number of puter-recorded data for each animal for each trial are reported as the seconds each rat remained on the rotarod was recorded. mean latency to first crossing. Interaction with CNS depressants— hexobarbital-induced Statistical evaluations. Potentiated startle, elevated plus maze, sleep times. Male CD-1 mice were given a single oral dose of spontaneous activity, sensorimotor reactivity, neuromuscular coor- diazepam (1–10 mg/kg) or LY354740 (1–10 mg/kg) 60 min before dination, hexobarbital-induced sleep time and learning and memory challenge with hexobarbital (100 mg/kg, i.p.). Observation of the assessments were evaluated by an analysis of variance. When sig- mice began immediately after hexobarbital injection. Once the mouse was asleep, it was transferred to a prenumbered chamber and nificant treatment effects were obtained, post hoc comparisons were placed on its back. Mice were considered awake when they could made using a Tukey’s studentized range (HSD) test. In all analyses, successfully right themselves (all four feet in contact with the sur- two-tailed statistical tests were used and the level of significance was face) or until 240 min had elapsed. Once a mouse righted itself, it was set at P # .05. Respective SI50 values [shock intensity (mA) inducing placed on its back once more and allowed to right a second time for tonic-extensor convulsions in 50% of the mice] for electroshock were confirmation. Sleep duration was recorded for each mouse. calculated by probit analysis (log10) and compared to respective SI50 Convulsive liability— electroshock-induced convulsions. values obtained in the presence of LY354740 at the 95% confidence Electroshock was conducted in male CD-1 mice according to the limits. Statistical analyses were performed using Statistical Analy- method of Swinyard et al. (1952) with the following modifications. sis Systems (SAS Institute, Inc., Cary, NC).
654 Helton et al. Vol. 284 Results Fear potentiated startle. Administration of diazepam (fig. 2) resulted in a dose-related attenuation of fear potenti- ated startle responding with significant attenuation at 0.1, 0.3 and 1 mg/kg diazepam (ED50 5 0.4 mg/kg) (Tukey’s HSD, P # .05). Oral administration of LY354740 (60-min pretreat- ment) produced a dose-dependent attenuation of fear poten- tiated startle responding in rats with significant reductions at 0.1, 1, 3 and 10 mg/kg (ED50 5 0.3 mg/kg LY354740) (fig. 3) (Tukey’s HSD, P # .05). Baseline startle responding dur- ing fear potentiated startle was not altered at any dose of diazepam or LY354740 examined (data not shown; see fig. 7 for LY354740 acute startle results). The inactive isomer of LY354740, (2)LY366563 (Monn et al., 1997), did not atten- uate the fear potentiated startle response at oral doses up to 10 mg/kg (fig. 3). Oral administration of 3 mg/kg LY354740, a dose that produced a significant reduction in fear potenti- Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 ated startle, produced a significant attenuation of fear poten- tiated startle responding for at least 6 hr after administra- tion (fig. 4) (Tukey’s HSD, P # .05). Elevated plus maze. Oral administration of 3 mg/kg LY354740 produced a significant increase in nosepoke activ- ity at 1, 4 and 6 hr after administration (fig. 5) (Tukey’s HSD, P # .05). Significant increases in open-arm activity was found at 1 and 4, but not 6, hr postdosing (fig. 5). Closed-arm activity counts were not significantly altered at any time- point (fig. 5). The inactive isomer, (2)LY366563, did not alter open, nosepoke or closed-arm activity at oral doses up to 10 Fig. 3. Effect of orally administered (1) LY354740 (above left) or orally mg/kg (data not shown). administered (2)LY366563 (the inactive isomer) (above right) on fear potentiated startle responding in male Long Evans rats. Values represent Spontaneous activity. Diazepam administration signifi- the mean (6S.E.) startle amplitude (Vmax) expressed as the difference cantly reduced spontaneous ambulatory (fig. 6) and nonam- between noise-alone and light 1 noise. LY354740 or LY366563 was bulatory (data not shown) activity levels in rats at 10 mg/kg administered orally 60 min before evaluation of startle responding. * Sig- nificantly different from control P # .05. (oral) from 30 through 60 min postdosing (Tukey’s HSD, P # .05). LY354740 did not significantly alter spontaneous am- bulatory (fig. 6) or nonambulatory (data not shown) activity levels at oral doses up to 300 mg/kg. Sensorimotor reactivity—auditory startle. There were no significant changes in auditory startle responding in rats at oral doses of LY354740 as high as 10 mg/kg (fig. 7), a dose that completely suppresses fear potentiated startle re- sponding (see fig. 5). In addition, no significant changes were seen in startle habituation at doses up to 10 mg/kg (data not shown). Neuromuscular coordination—rotarod. Orally admin- istered diazepam significantly reduced the number of sec rats spent on the rotarod at doses of 3 and 10 mg/kg given 60 min before testing (fig. 8) (Tukey’s HSD, P # .05). LY354740 administration (30 min pretreatment) did not produce any significant changes in neuromuscular coordination as evalu- ated on the rotarod at oral doses up to 300 mg/kg (fig. 8). Interaction with CNS depressants— hexobarbital-in- duced sleep times. Orally administered diazepam produced dose-dependent increases in hexobarbital-induced sleep times in CD-1 mice with significant effects at 3 and 10 mg/kg (169 and 231% increases with respect to control, respectively) Fig. 2. Effect of intraperitoneally administered diazepam on fear poten- (fig. 9) (Tukey’s HSD, P # .05). There were no significant tiated startle responding in male Long Evans rats (n 5 8 rats/treatment increases in sleep time after oral administration of LY354740 group). Values represent the mean (61 S.E.) startle amplitude (Vmax) (60 min pretreatment) at doses up to 10 mg/kg (fig. 9). expressed as the difference between noise-alone and light 1 noise. Diaz- epam was administered 30 min before evaluation of startle responding. Convulsive liability— electroconvulsive shock. Diaz- * Significantly different from control P # .05. epam (i.p.) effectively attenuated all electroshock-induced
1998 Anxiolytic Effect of LY354740 655 Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 Fig. 5. Effect of LY354740 (3 mg/kg) on automated elevated plus maze in Fig. 4. Effect of LY354740 (3 mg/kg) on fear potentiated startle respond- male NIH Swiss mice after oral pretreatment times of 1, 4 and 6 hr. ing in male Long Evans rats after oral pretreatment times of 2, 4, 6 or 8 Nosepoke counts represent incomplete movements (head only) into the hr (circles). The black bar represents the effect of LY354740 at 1 hr (data open arm from the closed arm. Open counts represent activity in the open taken from fig. 3). Values represent the mean (6S.E.) startle amplitude (sideless) arms of the maze. Closed counts represent activity in the (Vmax) expressed as the difference between noise-alone and light 1 noise. enclosed arms of the maze. Scores represent mean 6 S.E. of activity * Significantly different from water control P # .05 (square). counts in each zone during a 5-min test period. * Significantly different from control P # .05. tonic convulsions at doses of 1 and 3 mg/kg (fig. 10). In contrast, the ionotropic glutamate receptor agonist, NMDA, produced a significant increase in the number of electro- or ionotropic (NMDA, AMPA or kainate) glutamate receptors shock-induced convulsions when tested at a single i.p. dose of (Monn et al., 1997; Schoepp et al., 1997). The high potency 25 mg/kg (fig. 10). No significant changes were observed in and selectivity of LY354740 for group II mGluRs make the current intensity producing 50% tonic convulsions follow- LY354740 a novel pharmacological tool for investigating the ing administration of LY354740 (administered as the race- role of group II mGluRs in physiological processes and ex- mate (6)LY314582, i.p.) at doses up to 200 mg/kg (fig. 10). ploring the potential therapeutic applications of such agents. Learning and memory— conditioned avoidance re- Benzodiazepines such as diazepam (Valium) are the most sponding. Continuous administration of LY354740 (3 mg/ widely prescribed medications for the treatment of anxiety kg/day, s.c. infusion) to rats did not impair the acquisition of and related disorders. The 5HT1a agonist, buspirone (Bus- avoidance responding on days 2 to 6 (fig. 11) or days 7 to 11 par), is also available, but is limited in use due to marginal of exposure (data not shown). Cessation of LY354740 expo- efficacy and delayed onset of action (Riblet et al., 1982). sure did not disrupt the acquisition of avoidance responding Benzodiazepines act at a specific site on the GABAA receptor during the first 5 days of withdrawal (fig. 11). to facilitate fast-inhibitory synaptic transmission throughout Learning and memory—passive avoidance. Oral diaz- the CNS. This likely accounts for their widespread therapeu- epam (0, 3, 10 or 30 mg/kg) did not alter the acquisition phase tic applications including use as anticonvulsants, anxiolytics, (acquisition trials 1, 2, 3—learning day 1) of passive avoid- muscle relaxants, sedative-hypnotics and anesthetic agents. ance responding in CD-1 mice at any dose examined. How- However, the widespread distribution of benzodiazepine re- ever, diazepam produced a dose-dependent disruption of the ceptors also produces side-effects and other liabilities such as retention phase (retention trial—memory day 2) of passive CNS depression, abuse potential, physical dependence and avoidance with significant deficits in responding at 10 and 30 withdrawal reactions (Woods et al., 1992). In most synapses, mg/kg (fig. 12) (Tukey’s HSD, P # .05). LY354740, at oral the inhibitory effects of GABA are opposed by glutamate doses up to 30 mg/kg, did not disrupt the acquisition phase or excitation and theoretically, agents that block the postsyn- the retention phase of passive avoidance responding (fig. 12). aptic excitatory effects of glutamate produce pharmacology similar to benzodiazepine pharmacology (Coyle, 1987). Con- sistent with this theory, antagonists for NMDA and/or AMPA Discussion receptors have been shown to produce anxiolytic effects in LY354740, a conformationally constrained analog of gluta- the fear-potentiated startle (Kim et al., 1993; Anthony and mate, is a highly potent and selective group II (mGluR2 and Nevins, 1993) or elevated plus maze models (Wiley et al., mGluR3) receptor agonist with no appreciable agonist/antag- 1995) of anxiety. However, in contrast to NMDA or AMPA onist activity at metabotropic group I and group III mGluRs receptors that are postsynaptic and participate directly in
656 Helton et al. Vol. 284 Fig. 6. Effect of orally administered diaz- epam (left panel) or orally administered LY354740 (right panel) on spontaneous ambulatory activity levels in male Long Evans rats accumulated at 15-min inter- vals for 60 min. Activity counts represent the sum of individual photocell beam breaks averaged at 15 min intervals (mean 6 S.E.). * Significantly different from control P # .05. Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 sion within the amygdaloid complex has also been linked to anxiolytic responses in animals (Campeau and Davis, 1995). For example, intraamygdala injections of NMDA receptor antagonists prevent the acquisition of fear-potentiated star- tle responses in rats, although having no effects on the ex- pression of fear responses in conditioned animals (Miseren- dino et al., 1990; Anthony and Nevins, 1993). However, the intraamygdala injection of the AMPA/kainate receptor an- tagonist 6-cyano-7-nitroquinoxaline-2,3-dione blocks the ex- pression of fear-potentiated startle responding in animals (Kim et al., 1993). Within the amygdaloid complex there is evidence that tonic excitation through glutamate pathways and evoked excitatory postsynaptic potentials can be blocked by antagonists for NMDA and AMPA/kainate ionotropic re- ceptors that act at postsynaptic sites (Rainnie et al., 1991), or metabotropic agonists (group II and III) that act presynapti- cally to diminish postsynaptic AMPA receptor mediated fast- excitatory postsynaptic potentials (Rainnie and Shinnick- Gallagher, 1992). Interestingly, the oral administration of LY354740 produced a dose-dependent attenuation of fear potentiated startle responding with significant reductions at 0.1, 1, 3 and 10 mg/kg (ED50 5 0.3 mg/kg LY354740) (fig. 3). Fig. 7. Effect of orally administered LY354740 on sensorimotor reactivity as evaluated using auditory startle responding in Long Evans rats. Baseline startle responding was not altered at any dose of LY354740 was administered by oral gavage 60 min before testing. Values LY354740 examined (fig. 7). The effects observed were ste- represent the mean (6S.E.) peak response (maximum startle amplitude) reoselective because the inactive enantiomer of averaged over 10 trials (n 5 10 rats/treatment group). (1)LY354740, (2)LY366563, was without effect in these models at oral doses up to 10 mg/kg (fig. 3). Additionally, oral fast-excitatory synaptic transmission, group II mGluRs have administration of 3 mg/kg LY354740, a dose that produced a unique pre- and postsynaptic localizations (Petralia et al., significant reduction in fear potentiated startle, produced a 1996) which can alter second messengers to indirectly mod- significant attenuation of fear potentiated startle responding ulate fast-synaptic transmission (Schoepp and Conn, 1993). during the first 6 hr after administration (fig. 4). Thus, in the To evaluate the potential clinical utility of LY354740 as an fear potentiated startle model, LY354740 and diazepam pro- anxiolytic, we examined its effects in the fear potentiated duced significant anxiolytic activities with very similar po- startle and elevated plus maze animal models of anxiety. tencies (ED50 values of 0.3 and 0.4, respectively, see table 1). The potentiated startle procedure is a model based on fear We have previously shown that in the elevated plus maze, which is selective for the identification of anxiolytic drugs oral administration of LY354740 produces dose-dependent (Davis, 1979; 1986; see above). The amygdala has been im- increases in open arm activity with no effect on closed-arm plicated as an important brain region for acquisition, reten- activity (Monn et al., 1997). In this study, we further exam- tion and expression of conditioned fear and the actions of ined the time course of activity for LY354740 after oral ad- anxiolytic drugs (Davis, 1992; Davis et al., 1993, 1994). The ministration of 3 mg/kg, a dose that produced maximal in- suppression of excitatory glutamatergic synaptic transmis- creases in open-arm activity when administered 30 min
1998 Anxiolytic Effect of LY354740 657 Fig. 8. Effect of orally administered diaz- epam (left panel) or orally administered LY354740 (right panel) on neuromuscu- lar coordination as evaluated on the ro- tarod in male Long Evans rats (n 5 10 rats/dose group). Diazepam or LY354740 was administered by oral gavage 30 min before testing. Values represent the mean (6S.E.) number of sec rats remained on the rotarod. * Significantly different from control P # .05. Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 Fig. 9. Effect of orally administered diaz- epam (left panel) or orally administered LY354740 (right panel) on hexobarbital- induced sleep time in male CD-1 mice. Diazepam or LY354740 was administered by oral gavage 60 min before administra- tion of hexobarbital (10 mg/kg, i.p.). Val- ues represent mean (6S.E.) sleep time in min (n 5 10 mice/treatment group). * Sig- nificantly different from control P # .05. Fig. 10. Effect of i.p. administered diaze- pam (left panel) or i.p. administered NMDA or LY354740 (administered as the racemate (6)314582) (right panel) on electroshock-induced convulsive patterns in male CD-1 mice. Diazepam, NMDA or LY354740 was administered i.p. 20 min before testing. Values represent the num- ber of animals (expressed as percent) dis- playing tonic convulsions at each current level (n 5 40 mice/dose-response). before testing. LY354740 produced significant increases in In addition to anxiolytic activity, administration of diaze- open-arm and nosepoke activity through the first 4 hr after pam and other benzodiazepines can result in sedative, ataxic administration. Again, closed-arm activity counts were not and cognitive side-effects (Greenblatt and Shader, 1978; significantly altered at any timepoint (data not shown). Dantzer, 1977) and with repeated exposure, tolerance and
658 Helton et al. Vol. 284 Fig. 11. Effect of s.c. administered LY354740 (3 mg/kg/day) on the acquisi- tion of avoidance responding during treat- ment (left panel) or after the withdrawal of LY354740 (right panel) in male Long Evans Rats. LY354740 was administered for 12 consecutive days in osmotic pumps. Values represent mean (6S.E.) percent successful avoidance (n 5 8 rats/treat- ment group). Downloaded from jpet.aspetjournals.org at ASPET Journals on August 30, 2015 Fig. 12. Effect of p.o. adminis- tered diazepam (left panel) or p.o. administered LY354740 (right panel) on the acquisi- tion (acquisition trials 1, 2, 3—learning day 1) and reten- tion (retention trial—memory day 2) of passive avoidance re- sponding in male CD-1 mice. Diazepam or LY354740 was administered 60 min before testing during the acquisition phase. Values represent mean (6S.E.) of latency to first crossing (n 5 8 mice/treat- ment group). * Significantly different from control P # .05. dependence. In our series of experiments, diazepam produced LY354740. However, although memory for the task was not sedation with therapeutic ratios (based on efficacy ED50/ altered by LY354740, a significant disruption of retention Rotarod ED50) of only 19.8- and 36-fold higher than those was noted for diazepam treated animals (fig. 12). producing anxiolytic effects in fear potentiated startle and As a class of pharmaceutical compounds, benzodiazepines the elevated plus maze, respectively (table 1). In contrast, consistently enhance the effects of other CNS depressants. LY354740 did not produce changes in neuromuscular func- Potentiation of hexobarbital-induced sleep time was used to tion at doses as high as 300 mg/kg providing therapeutic evaluate potential interactions of LY354740 with CNS de- ratios of .1000 and .600, respectively (table 1). pressants. Hexobarbital is a short-to-intermediate acting The difference in side-effect profile between diazepam and barbiturate that exerts its primary pharmacological effect on LY354740 is also reflected in overt clinical signs and spon- the CNS by enhancing inhibition of GABA-mediated neuro- taneous activity tests. In these tests, diazepam, but not transmission (Olsen, 1982). Test compounds may shorten or LY354740, produced marked changes in coordination, and prolong hexobarbital-induced sleep time by acting directly on activity (table 1). Additionally, LY354740 did not produce the CNS (excitation or depression) or indirectly via inhibition cognitive impairment during the first 11 days of continuous of hepatic enzymes involved in hexobarbital metabolism. As administration or during the first 5 days after withdrawal. expected, hexobarbital-induced sleep times were dose-depen- Furthermore, the acquisition (learning) of a passive avoid- dently increased by diazepam supporting its known interac- ance task was not disrupted by either diazepam or tive activity with sedative-hypnotics. However, LY354740
1998 Anxiolytic Effect of LY354740 659 TABLE 1 Comparative doses (ED50) of diazepam (DIAZ) or LY354740 in efficacy and secondary pharmacology models Efficacy/ ED50 ED50 Efficacy/Rotaroda Rotaroda Test Species DIAZ LY354740 DIAZ LY354740 Potentiated startle (anxiety) Rats 0.4 0.3 19.8 .1000 Elevated plus maze (anxiety) Mice 0.2b 0.5c 36d .600 Spontaneous activity (sedation) Rats 6.9 .300 Rotarod (neuromuscular coordination) Rats 7.9 .300 (7.1 i.p.) Hexobarbital-induced sleep (interaction with CNS depressants) Mice 1.4 .10 Electroconvulsive shock (CNS depression) Mice 0.5 (i.p.) .200 (i.p.) Passive avoidance (learning and memory) Mice 3.1 .30 a Therapeutic ratios are based on the efficacy ED50/rotarod ED50. b Helton et al., 1995. c Monn et al., 1997. d Ratio is based on i.p. data. did not increase sleep time indicating that LY354740 may Danysz W, Parsons CG, Bresink I and Quack G (1995) Glutamate in CNS disorders. Drug News and Perspectives 8:261–277. 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