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Effects of the sigma-1 receptor agonist blarcamesine in a murine model of fragile X syndrome: neurobehavioral phenotypes and receptor occupancy
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Abstract
Abstract Fragile X syndrome (FXS), a disorder of synaptic development and function, is the most prevalent genetic form of intellectual disability and autism spectrum disorder. FXS mouse models display clinically-relevant phenotypes, such as increased anxiety and hyperactivity. Despite their availability, so far advances in drug development have not yielded new treatments. Therefore, testing novel drugs that can ameliorate FXS’ cognitive and behavioral impairments is imperative. ANAVEX2-73 (blarcamesine) is a sigma-1 receptor (S1R) agonist with a strong safety record and preliminary efficacy evidence in patients with Alzheimer’s disease and Rett syndrome, other synaptic neurodegenerative and neurodevelopmental disorders. S1R’s role in calcium homeostasis and mitochondrial function, cellular functions related to synaptic function, makes blarcamesine a potential drug candidate for FXS. Administration of blarcamesine in 2-month-old FXS and wild type mice for 2 weeks led to normalization in two key neurobehavioral phenotypes: open field test (hyperactivity) and contextual fear conditioning (associative learning). Furthermore, there was improvement in marble-burying (anxiety, perseverative behavior). It also restored levels of BDNF, a converging point of many synaptic regulators, in the hippocampus. Positron emission tomography (PET) and ex vivo autoradiographic studies, using the highly selective S1R PET ligand [ 18 F]FTC-146, demonstrated the drug’s dose-dependent receptor occupancy. Subsequent analyses also showed a wide but variable brain regional distribution of S1Rs, which was preserved in FXS mice. Altogether, these neurobehavioral, biochemical, and imaging data demonstrates doses that yield measurable receptor occupancy are effective for improving the synaptic and behavioral phenotype in FXS mice. The present findings support the viability of S1R as a therapeutic target in FXS, and the clinical potential of blarcamesine in FXS and other neurodevelopmental disorders.
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Anavex 2-73 has demonstrated significant benefits in the KO mouse model of FXS where multiple behaviors were improved and deficient BDNF levels were normalized.
“It has demonstrated significant benefits in the KO mouse model of FXS where multiple behaviors were improved and deficient brain derived neurotropic factor (BDNF) levels were normalized [144].”
From An Update on Psychopharmacological Treatment of Autism Spectrum Disorder (2022) · cites this paper as [144]
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An Update on Psychopharmacological Treatment of Autism Spectrum Disorder
Aishworiya, R., Valica, T., Hagerman, R., & Restrepo, B. (2022) · Neurotherapeutics · doi:10.1007/s13311-022-01183-1 · Cited by 233
Metadata
- Authors
- Reyes, S. T., Deacon, R. M. J., Guo, S. G., Altimiras, F. J., Castillo, J. B., van der Wildt, B., Morales, A. P., Park, J. H., Klamer, D., Rosenberg, J., Oberman, L. M., Rebowe, N., Sprouse, J., Missling, C. U., McCurdy, C. R., Cogram, P., Kaufmann, W. E., & Chin, F. T.
- Affiliations
- Stanford University (US)
- Fraunhofer Chile Research Foundation (CL)
- University of the Americas (CL)
- Anavex Life Sciences Corp. (United States) (US)
- Uniformed Services University of the Health Sciences (US)
- University of Florida (US)
- Emory University (US)
- Stanford Medicine (US)
- Corresponding author
- Kaufmann, Walter E.
- Chin, Frederick T.
- ORCID
- Venue
- Scientific Reports
- Published
- 2021-08-25
- Volume
- 11
- Issue
- 1
- Pages
- 17150-17150
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC8387417
- OpenAlex
- W3134568897
- Cited by
- 22
- References
- 63
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 4 · 2022: 5 · 2021: 1
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Publikationsdatenbank der Fraunhofer-Gesellschaft (Fraunhofer-Gesellschaft) (submittedVersion, other-oa)
- Fraunhofer-Publica (Fraunhofer-Gesellschaft) (submittedVersion)
- Universidad de Chile (submittedVersion, cc-by-nc-nd)
- Funders
- National Institute of Child Health and Human Development (R21 HD095319)
- National Institutes of Health (S10 OD018130)
- Anavex Life Sciences Corp.
- FRAXA Research Foundation
- Fondecyt (1200928)
- National Institute on Drug Abuse (R01 DA023205)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacological Receptor Mechanisms and Effects
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- fragile X syndrome, sigma-1 receptor agonist, receptor occupancy, hyperactivity, anxiety, marble-burying behavior, contextual fear conditioning, associative learning, brain-derived neurotrophic factor, hippocampus, positron emission tomography, neurodevelopmental disorders, synaptic function
- MeSH terms
- Sigma-1 Receptor, Animals, Fragile X Syndrome, Furans, Hippocampus, Male, Mice, Inbred C57BL, Phenotype, Protein Binding, Receptors, sigma, Neuroprotective Agents, Maze Learning, Brain-Derived Neurotrophic Factor, Mice, Fragile X Mental Retardation Protein, Fragile X Messenger Ribonucleoprotein 1
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