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P2‐045: THE MODEL‐AD CONSORTIUM PRECLINICAL TESTING PIPELINE: PHARMACOKINETICS AND PHARMACODYNAMICS OF PROPHYLACTIC TREATMENT WITH LEVETIRACETAM IN THE 5XFAD MOUSE MODEL OF ALZHEIMER'S DISEASE
Author(s) -
Sukoff Rizzo Stacey J.,
Quinney Sara K.,
Onos Kristen D.,
Keezer Kelly J.,
Jones David R.,
Masters Andrea R.,
Metzger Ingrid F.,
Meyer Jill A.,
Peters Jonathan,
Persohn Scott C.,
McCarthy Brian P.,
Riley Amanda A.,
Sasner Michael,
Howell Gareth R.,
Williams Harriett,
Oblak Adrian L.,
Lamb Bruce T.,
Territo Paul
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.06.729
Subject(s) - levetiracetam , pharmacokinetics , pharmacodynamics , medicine , pharmacology , dosing , alzheimer's disease , oncology , disease , epilepsy , psychiatry
restrictive barrier properties controlled by tight junctions and polarized expression of selective transporters, the endothelial cells that form the BBB effectively regulates movement of metabolites and nutrients between blood and brain parenchyma. Any changes in the BBB may impair the clearance of neurotoxic molecules allowing their accumulation and deposition in brain parenchyma and vasculature, leading to neuronal dysfunction and degeneration, and contribute to the onset and progression of Alzheimer’s disease (AD). In AD and CAA, accumulation of amyloid-b (Ab) on microvessels results in a rupture of vessels wall and cerebral hemorrhage, which contribute to, and aggravate, dementia. Accumulation of Ab depends on the imbalance between the production and clearance of Ab. Several pathways for Ab clearance from the brain have been reported including transport across the BBB and enzymatic degradation. Despite our understanding of the pathways responsible for BBB dysfunction and clearance of Ab, the availability of drugs to treat CAA or AD remains lacking. Identifying strategies to rectify BBB integrity and function, and maximize clearance of Ab from the brain is of high clinical importance for the development of interventions, which prevent or delay onset of CAA and AD.Methods:In my lab, we developed a novel BBB model consisting of cerebrovascular endothelial cells and high-throughput screening (HTS) methodologies to screen for hit compounds that ameliorate Ab induced increases in endothelial cell permeability and enhance Ab clearance. Identified hits were then tested in vivo in AD mouse model for BBB tightness, Ab brain levels and Ab related pathology. Results:Multiple hit compounds were identified from the screening that were ranked for their potencies. Most potent compounds were in vivo evaluated in ADmouse model for their therapeutic effect against AD pathology. Our in vitro to in vivo studies have successfully identified candidate therapeutic molecules to test in future clinical studies. Conclusions:Our findings demonstrated the BBB as a therapeutic target to prevent and/or slow the progression of the amyloid pathogenesis disorders CAA and AD.