homology between these subtypes and their co-
currently in clinical development for the treatment of
cognitive disorders and schizophrenia. A Arai et al
heterodimerization physiologically important. She alsodemonstrated that disparate Bmax values obtained withdifferent D2 receptor ligands could be explained byselective binding of a particular compound to themonomer, dimer or both D2 species. Dimerization ofthe D2 was narrowed down to occur in thetransmembrane domain 1 to 5, not 6 to 7 and involve adisulfide bond between monomers. Signaling by the heterodimeric GABAB receptor
Ken Jones (Synaptic Pharmaceutical Corp, Paramus,NJ, USA) highlighted the role of the GABAB receptorassembly as a regulator of transmitter release in theCNS. It provides an attractive target for the treatmentof epilepsy, anxiety, depression, cognitive defects, andnociceptive disorders. Heteromerization of GABAB-R1and GABAB-R2 subunits is needed for the formation ofa functional GABAB receptor. Each subunit has a 30amino acid domain of its intracellular C-terminaldomain that regulates heterodimer formation. GABAB-R1 peptides alone form unstable homodimers, whereasGABAB-R2 peptides were largely unstructured. Functionally, the heterodimerization of GABABsubunits produced effective Na+/H+ exchange intransfected cells.
Dimerization, and perhaps even more complexassociations between similar and different receptors,can provide an additional way to regulate of G protein-coupled receptors. This formation of homo- andheterodimerization can occur between differentdomains of the 7TM receptors and can involvedisulfide or other robust molecular interactions. Thebelief is that these dimerizations can occur in cellswhere various types of G protein-coupled receptors arenaturally co-localized in the membrane. It can beexpected that receptors that form dimers will expressdifferent sensitivity and selectivity to both agonists andantagonists at one or both units of the dimer. Finally,these associations will have important effects on thefunctional outcome of receptor-ligand interactions [RefIDdb]. Society for Neuroscience 29th Annual Meeting (Part XI) 23-28 October 1999, Miami Beach, FL, USA Reported by Dr Chris G Parsons, Merz & Co GmbH, Frankfurt, Germany Excitatory amino acids AMPA receptor positive modulators AMPAkines (Cortex Pharmaceuticals Inc) are positive modulators of AMPA receptors which are
ID weekly highlights Copyright Current Drugs Ltd, November 1999. ISSN 1365-5884
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(University of California, Irvine, CA, USA)
M Brenner et al, M Wienrich et al, R Palluk et al and T
presented in vitro data with novel alkylated
Christensen et al (all Boehringer Ingleheim Corp,
benzothiadiazides as positive AMPA receptor
Ingelheim am Rhein, Germany) presented posters on
modulators. One such compound, D1, completely
Boehringer Ingelheim Corp's novel, combined, non-
blocked neuronal desensitization with an EC
competitive AMPA receptor antagonist/voltage-gated
of 3.6 µM, and prolonged deactivation kinetics 10-
sodium channel blocker, BIIR-561-CL. Cortical neuronal
fold in response to a 1 ms application of 1 mM
responses to kainate were antagonized by BIIR-561-CL
50 = 8.5 µM) in a non-competitive, non-use- and non-
This compound also enhanced [³H]fluorowillardine
voltage-dependent manner, similar to the 2,3-
benzodizepines. Human GluR1/2 receptor responses to 1
effect appeared to be competitive with the 2,3-
mM glutamate were also antagonized with an IC50 value
benzodiazepine GYKI-52466 (Egis Gyogyszergyar
of 16.8 µM and no effect on response kinetics. The
RT). In contrast to cyclothiazide, D1 showed no
potency of BIIR-561-CL was increased at acidic pH
preference for flip/flop isoforms of AMPA receptors.
indicating greater effectiveness under ischemic
D1 slowed the decay of AMPA receptor-mediated
conditions. BIIR-561-CL had a good therapeutic index of
fEPSPs whereas another compound, 16h, increased
around 10 against MES-induced tonic convulsions
their amplitude. The development of 16h has been
compared to motor impairment in the rotarod. AMPA-
stopped as it induced convulsions in vivo.
induced lethality was blocked with an ID50 value of 4.6mg/kg. Four doses of 30 mg/kg sc decreased mortality,from 33.6% to 14%, following 10 min of global ischemia
AMPA receptor antagonists
in rats, and provided around 50% cortical protection in a
M Takahashi et al (Yamanouchi Pharmaceutical Co
permanent rat MCA occlusion model (48 hour survival);
Ltd, Tsukuba, Japan) showed how the competitive
two doses of 60 mg/kg provided 30% protection in a
AMPA receptor antagonist YM-872 (Yamanouchi
permanent murine MCA occlusion model. BIIR-561-CL
Pharmaceutical Co Ltd) was only moderately effective,
7.2 mg/kg/h iv for 24 h provided good protection in a
offering just 28% protection in a permanent model of
transient MCA occlusion model in the rat (1 hour
middle cerebral artery (MCA) occlusion in rats when
occlusion) when damage was assessed after 7 days
administered for 24 h at 20 mg/kg/h, starting 10 min
survival. Lower doses of 2 and 4 mg/kg/h were also
after surgery. When administered for 4 h, the drug was
effective in a similar paradigm in permanent MCA
ineffective when assessed 24 h later.
occlusion. However, it should be noted that BIIR-561-CL10 mg/kg sc only had a therapeutic time window of 1
SYM-2189 (Annovis Inc) was shown, by SN Irizarry
hour following the onset of permanent MCA occlusion. et al (Yale University School of Medicine, NewHaven, CT, USA) to be a non-competitive and
NR2B selective antagonists
selective AMPA receptor antagonist with an IC50 value
ML Weber et al (Parke-Davis Pharmaceutical Research,
of 4.5 µM against kainate-induced currents in cultured
Ann Arbor, MI, USA) produced data showing that the
spinal neurones. This block was not effected by the
NR2B selective NMDA receptor antagonist CP-101606
presence of the positive modulator cyclothiazide and
(Pfizer Inc) had no effect on hippocampal LTP at 10 µM,
seemed to be specific for AMPA receptors, ie, it had
whereas the same concentration reduced zero Mg2+-
no effect on GluR6/KA2 or NMDA receptors.
induced epileptic activity by 50%, indicating that thiscompound could show a somewhat better separation
Ca2+ permeable AMPA receptors (lacking edited
between physiological and pathological activation of
GluR2) have been implicated to play a role in various
NMDA receptors than competitive antagonists such as
glutamate pathologies, although it should be stressed
CPP and APV. However, further concentrations must be
that these receptors are also crucial for physiological
tested to assess whether this is a quantitative or qualitative
events in inhibitory interneurones in, eg, the
hippocampus. EW Harris et al (AstraZeneca plc,Rochester, NY, USA) presented data which showed
Co-101244 (CoCensys Inc) is also a selective NR2B
that MLV-5860 (Tokyo Metropolitan Institute of
antagonist (IC50 = 24 nM in Xenopus oocytes). It was
Medical Science) non-competitively blocked Ca2+
shown that this compound had no effect in the acetic
acid writhing model but decreased both the early (3
µM. This effect was use-dependent and occluded by
mg/kg) and late (10 mg/kg) phases of the formalin
the channel blocker Jorospider toxin. MLV-5860 had
response; the same doses had no ataxic effects but
little effect on NMDA receptor subtypes expressed in
produced a moderate increase in locomotor activity. On
Xenopus oocytes at 10 µM. However, previous data
the basis of these data, it was proposed that Co-101244
shown that low nM concentrations of MLV-5860
has an improved analgesic/side-effect profile.
analogs inhibit the binding of [³H]MK-801
Parke-Davis & Co is trying to improve the profile of its
NR2B selective antagonists, for use in treating
ID weekly highlights Copyright Current Drugs Ltd, November 1999. ISSN 1365-5884
Middlesex House, 34-42 Cleveland Street, London W1P 6LB, UK • http://www.current-drugs.com
Parkinson's disease, by increasing potency and oral
Institut Henri Beaufour, Les Ulis, France), showed a
activity and reducing first past metabolism. JL Wright
non-significant, moderate trend for improvement at the
et al (Parke-Davi Pharmaceutical Research, Ann
highest dose tested of 0.02 mg/kg iv. In another study
Arbor, MI, USA) presented data on 20 novel
by M Muzet (Forenap-Pharma, Rouffach, France) and
compounds. One compound had an IC50 value of 5 nM
colleagues from Beaufour-Ipsen, the maximum
at NR2B receptors, whilst having far less effect at
tolerated dose in healthy volunteers was 0.04 mg/kg iv,
NR2A (IC50 = 35 µM) and NR2C receptors (IC50 > 100
and 'classical' CNS side effects, such as euphoria,
µM) but still retained some activity at α1 receptors
dysphoria and psychotomimetic effects, were seen at
intermediate doses (0.01 to 0.02 mg/kg iv) with
50 value, assessed with [³H]prazosin binding, was
0.5 µM). This compound potentiated the effects of L-
sedation noted at higher doses (0.05 mg/kg iv).
DOPA in a rat model of Parkinson's disease after oraldosing at 10 and 30 mg/kg.
Partial trapping is a property of moderate to low affinityuncompetitive NMDA receptor antagonists and has been
BA Chizh et al (Grünenthal GmbH R&D, Aachen,
proposed to account for their better therapeutic profile, as
Germany) provided evidence that the antinociceptive
a proportion of channels would release blocker in the
effects of the NR2B selective antagonist ifenprodil
absence of agonist and thus be available for subsequent
(Synthelabo) are mediated at a supraspinal site whereas
transient synaptic activation by glutamate. Astra Arcus
those of the uncompetitive antagonists (+)MK-801 and
AB seems to be following this strategy to develop better
memantine are mediated at the spinal level. Thus, in
NMDA receptor antagonists. G Mealing (Institute for
contrast to the latter two compounds, iv ifenprodil had
Biological Sciences, National Research Council of
no effect on wind-up or microelectrophoretic responses
Canada, Ottawa, Canada) and colleagues from Astra
of single spinal neurones to NMDA in spinalized
Arcus USA, presented data from a wide range of
animals. However, the drug was effective against
compounds and showed various levels of partial trapping
wind-up and in reducing baseline responses in spinally
that were not related to logP values, indicating that a
intact animals at similar doses to those producing
lipophyllic pathway can not account for this effect.
effects in the Freund's complete adjuvant model ofunilateral hind paw hyperalgesia.
Ischemic tolerance may be an endogenous mechanismthat develops after mild insults to protect the CNS against
Conantokin-G (Annovis Inc) was stated by L Chicoine
subsequent larger ischemic episodes. This process is
(Cognetix Inc, Salt Lake City, UT, USA) to be in
thought to be NMDA receptor-mediated, which might be
development to treat severe epilepsy. This conopeptide
counter indicative for the use of NMDA receptor
was reported to be a selective antagonist of NR2B
antagonists in, eg, vascular dementia. Systemic
administration of the mitochondrial toxin 3-NP (20 mg/kg
receptors (30 µM had almost no effect) using a
ip) was also able to induce ischemic tolerance, assessed
flourometric assay. It also showed colocalisation to
ex vivo 24 h later in hippocampal slices exposed to 7 mins
NR2B-containing neurones in cortical cultures using
of complete hypoxia/hypoglycemia. However, the
moderate-affinity uncompetitive NMDA receptorantagonist memantine (20 mg/kg/day sc via osmotic
Merck KGaA is also developing NR2B selective
minipumps, starting 48 h prior to 3-NP) actually
antagonists based around the structure of its eliprodil
enhanced ischemic tolerance in this ex vivo model, as
(Synthelabo) analog, EMD-95885, as was disclosed by
presented by T Frankiewicz and CG Parsons (Merz & Co
R Gottschlich et al (Merck KGaA, Darmstadt,
Morphine tolerance Uncompetitive NMDA receptor antagonists
The glycineB antagonist MRZ-2/576 (Merz & Co
Gacyclidine (Protec; Beaufour-Ipsen) is a PCP analog
GmbH) and, to a lesser degree, the moderate-affinity
with low nM affinity at the MK-801 site, previously
channel blocker MRZ-2/579 (Merz & Co GmbH), both
claimed to be a potent neuroprotective agent in animal
at 1 to 10 mg/kg ip, significantly increased morphine
models of spinal cord trauma, which is devoid of side
(1 to 20 mg/kg sc) peak analgesia and duration in the
effects. It was effective as a 1 mg/kg iv bolus when
tail-flick test. The development of morphine tolerance
given 10 mins post trauma and was as effective as
(20 mg/kg, 8 days, once a day) was also attenuated by
CNS-1102 (aptiganel; Oregan Health Sciences
both MRZ-2/579 (1 to 30 mg/kg) and MRZ-2/576 (10
University) and (+)MK-801. Bolus plus infusion did
mg/kg). Moreover, acquisition of iv morphine self-
not increase protection. Moreover, lower (0.3 mg/kg)
administration in drug- and experimentally-naive mice
and higher doses (3 mg/kg) had absolutely no effect in
was inhibited by pretreatment with MRZ-2/579. These
the same model. Initial data from phase II trials in
results, presented by M Sopala (Merz & Co GmbH) et
spinal cord injury, presented by M Tadié et al, and
al further suggest that NMDA receptor antagonists
severe traumatic brain injury, presented by P
may have the capacity to increase the therapeutic safety
D'Árbigny et al (both teams from Beaufour-Ipsen,
and effectiveness of opioid analgesics.
ID weekly highlights Copyright Current Drugs Ltd, November 1999. ISSN 1365-5884
Middlesex House, 34-42 Cleveland Street, London W1P 6LB, UK• http://www.current-drugs.com
Dextromethorphan, memantine and MRZ-2/579 dose-
membrane bound metallopeptidase NAALADase is co-
dependently (5 to 10 mg/kg) inhibited the development of
localized with NAAG in the CNS and converts NAAG
morphine tolerance following 6 days bid of 10 mg/kg
to NAA and glutamate. It seems likely that NAAG is
morphine injections, as shown by P Popik (Institute of
also a weak partial agonist at NMDA receptors with
Pharmacology, Polish Academy of Sciences,
low intrinsic activity, and an agonist at mGluR3
Sienkiewicza, Poland) et al. All three antagonists
receptors. As such, inhibition of NAALADase could
enhanced the extinction of morphine tolerance once
be useful in numerous CNS disorders associated with
established. Furthermore, memantine and MRZ-2/579
disturbances in glutamatergic transmission by
were also able to reverse morphine tolerance in the
decreasing the concentration of glutamate and
continuing presence of morphine even when treatment
increasing the concentration of NAAG. Guilford
began after tolerance had already been established. These
Pharmaceuticals Inc has followed this approach, as
data indicate that low affinity, clinically available and/or
described in a poster by B Brown (Guilford
therapeutically promising NMDA receptor antagonists,
Pharmaceuticals Inc, Baltimore, MD, USA) et al. The
may be used to inhibit ongoing morphine tolerance.
NAALADase inhibitor 2-PMPA (GuilfordPharmaceuticals Inc), at 50 mg/kg ip daily for 2 weeks,
MRZ-2/579, administered via osmotic minipumps at
reduced both phases of formalin-induced flinching
40 mg/kg/day sc preventing the development of
behaviour in rats, and was more effective on the late
tolerance to the analgesic effects of morphine (28.8
phase as expected for agents selectively interfering
mg/kg/day via osmotic minipumps), was assessed over
with the induction of chronic pain states. Similarly,
three days via repetitive testing of mechanical paw
acute dosing with 2-PMPA 30 or 100 mg/kg was
withdrawal thresholds. AK Houghton (University of
effective in the acetic acid writhing model in mice.
Bristol, UK) et al concluded that moderate affinity
Similarly, BS Slusher (Guilford Pharmaceuticals Inc)
NMDA channel blockers such as MRZ-2/579 may
et al showed that two NAALADase inhibitors,
prove useful in attenuating the development of
administered daily over 12 weeks, attenuated
tolerance to morphine and so reducing morphine
hyperalgesia observed in streptozotocin treated rats, a
requirement in clinical pain conditions.
model of diabetic neuropathy. They also improvedmotor and sensory nerve conduction velocities for the
Glycine site antagonists
whole period studied. According to TP Hicks (Guilford
Glycine is a co-agonist for NMDA receptors and there is
Pharmaceuticals Inc) et al, neuroprotective
still considerable hope that specific antagonists at the
concentrations do not seem to affect normal
physiological transmission in in vitro models.
B site might block the pathological activation of
NMDA receptors whilst leaving their physiologicalactivation intact. RL Balster et al (Medical College of
Neuronal nicotinic antagonists
Virginia, Viginia Commonwealth University, Richmond,
It is now clear that methadone is not only a µ opioid
VA, USA) tested several glycineB antagonists in rats
receptor agonist but also blocks NMDA receptors in an
trained to discriminate 2 mg/kg PCP or NPC-17742
uncompetitive, non-stereoselective manner. Y Xiao
(Scios Inc) 4 mg/kg from saline. (+R)HA-966 and L-
(Georgetown University School of Medicine,
701324 (both Merck & Co Inc), MDL-103371 and MDL-
Washington DC, USA) et al showed that both
105519 (both Hoechst Marion Roussel Inc), MRZ-2/571
enantiomers of methadone also act as antagonists of
and MRZ 2/576 (both Merz & Co GmbH), MDL-104472
α3β4 neuronal nicotinic receptors, with an IC50 value
and ACEA-0762 all failed to fully substitute for PCP or
of 1.8 to 2.5 µM assessed with nicotine-evoked 86Rb+
NPC-17742 at behaviorally-active doses. The researchers
efflux. This effect is probably non-competitive as the
conclude that these glycineB antagonists are less likely to
produce the adverse behavioral toxicity seen with high
[³H]epibatidine binding was only effected at much
affinity channel blockers and competitive NMDA
higher concentrations (> 500 µM). Similarly, T Gupta
(Georgetown University School of Medicine) et alshowed that the diuretic amiloride, an epithelial Na+
In addition, T Kivastik and S Liljequist (Karolinska
channel blocker, could block neuronal nicotinic α3β4
Institute, Stockholm, Sweden) showed that the Merck
receptors in a rapid, strongly voltage-dependent (IC50
compound L-701324 (2, 4 or 8 mg/kg ip) did not affect
at 120 mV = 68 µM, IC50 at -40mV = 215 µM) and
microdialysate levels of dopamine in the nucleus
use-dependent (tail currents) manner.
accumbens and was also without effect on dopamineelevation caused by cocaine (30 mg/kg ip).
Zyban (bupropion; Glaxo Wellcome plc) is an atypicalantidepressant with an unknown mechanism of action,
NAALADase inhibitors
which is currently being used in smoking cessation
N-Acetyl-aspartyl-glutamate (NAAG) is abundant in
therapy. JE Slemmer et al (Medical College of
the mammalian CNS which has led to the hypothesis
Virginia) showed that buproprion blocks α4β2, α3β2
that this dipeptide is the storage form of glutamate; the
and α7 receptors expressed in Xenopus oocytes with
ID weekly highlights Copyright Current Drugs Ltd, November 1999. ISSN 1365-5884
Middlesex House, 34-42 Cleveland Street, London W1P 6LB, UK • http://www.current-drugs.com
IC50 values of 8, 1.3 and 60 µM, respectively. These
illness, especially in the young, and is an important
effects were non-competitive but voltage-independent,
public health problem. An overview of mood disorders
and were much more potent following preincubation,
and suicide was delivered which included scientific,
indicating that the drug may interact with the closed
literary, clinical and personal perspectives and was not
too optimistic with the currently available drugs.
Cocaine was also shown by MM Francis (Cornell
The special lecture on 'Long-term potentiation and
University Veterans Medical Center, Ithaca, NY, USA)
long-term depression', delivered by RC Malenka
et al to block neuronal nicotinic receptors with the
(Stanford University School of Medicine, CA, USA)
focused on the continuation of considerable interest
50 values: α3β2 = 50 µM; α3β4 = 8 µM;
α2β2 = 30 µM; and, α4β2 = 10 µM. The effects at
because of the putative roles of these processes in the
α3β4 receptors were strongly voltage-dependent,
modification of neural circuits during learning
whereas those at α4β2 receptors were weakly voltage-
development. The cellular and molecular mechanisms
dependent. Ketamine also blocked currents mediated
underlying these phenomena have been reviewed, and
via α4β4 receptors expressed in Xenopus oocytes with
apparently conflicting results within the field were
covered. Altogether this subject reflects the accepted
50 value of 0.24 µM in a use-dependent manner.
view on the electrophysiological approach to learning.
The non-selective neuronal nicotinic receptorantagonist mecamylamine (0.1 or 0.3 mg/kg po) had
Ophthalmology
anxiolytic- and antidepressant-like activity in the
The Warner-Lambert Lecture, 'A deep look into eye
elevated plus maze and Porsolt test, respectively,
morphogenesis and evolution', was delivered by W
whereas higher doses (1 to 3 mg/kg) were without
Gehring (Biozentrun, University of Basel, Switzerland)
effect. Similarly, 0.1 mg/kg was able to blunt
and focused on the Pax-6 gene. This gene has been
elevations in plasma corticosteriods. It was proposed,
identified as a master control gene for eye
by Shytle et al (University of South Florida College of
morphogenesis. By switching on this single gene
Medicine, Tampa, FL, USA), that these effects may
ectopically, a cascade of some 2500 genes is initiated
underlie the usefulness of mecamylamine in treating
that leads to the functional ectopic eyes. Several
emotional and behavioral syndromes, such as
subordinate target genes have been identified. Since
Pax-6 genes have been found from flat worms to man,the lecture proposed a monophylectic origin in the eye;while clearly basic in its concept, this lecture opens up
Society for Neuroscience 29th Annual
a vast number of options for animal studies aimed at
Meeting (Part XII)
developing therapeutic protocols in ophthalmology. 23-28 October 1999, Miami Beach, FL, USA Alzheimer's disease
In the symposium on 'Developmental mechanisms in
Introduction
the pathogenesis of neurodegenerative diseases', MF
The Annual meeting of the Society of Neuroscience is
Mehler (Albert Einstein College of Medicine, Bronx,
the most important meeting worldwide in the field of
NY, USA) focused on cellular genes that are mutated
neuroscience and neurochemistry. This year it attracted
in several key neurodegenerative diseases and that
approximately 25,000 US and International attendees,
code for proteins with complex neurodevelopmental
and a very impressive exhibition of state-of-the-art
expression patterns. These and other experimental
equipment, books and custom-design offers for
findings suggest that disease pathogenesis may involve
shortcuts in the long pathway that involves
alterations in fundamental developmental mechanisms.
neuroscience research. The meeting is far to large to be
This symposium explored how specific disease
covered by one person; however, several highlights
mutations in progenitor cell subtypes during critical
emerged, part of which are tightly linked with new
stages of neural induction, regional patterning and
drug development or with basic research aimed to
lineage maturation could alter cellular signaling, fate
achieve such goals. In the following report some of
decisions and bioenergetics in ways that predispose to
these highlights are briefly summarized.
late-onset regional neuronal degeneration, a hallmarkof these pervasive disorders. The linkage between
Mood modulators
development and deteriorative processes in the nervoussystem becomes gradually tighter, which promises new
The 'Presidential Special Lecture' was delivered by K
and interesting findings in this newly developing
Redfield Jamison (Johns Hopkins University,
subject. The special lecture on 'The neural basis of
Baltimore, MD, USA) and focused on mood disorders.
vocal learning in songbirds' was delivered by AJ
Both depression and manic-depressive illness are
Doupe (University of California San Francisco, CA,
common, treatable, and potentially lethal; suicide is the
USA) and focused on songbirds providing a useful
not uncommon outcome of severe untreated psychiatric
system for investigating neural substrates sensory and
ID weekly highlights Copyright Current Drugs Ltd, November 1999. ISSN 1365-5884
Middlesex House, 34-42 Cleveland Street, London W1P 6LB, UK• http://www.current-drugs.com
Neurology Headache and Pain Clinic Sachin R. Shenoy, M.D. Board Certified in Neurology and Pain Management Social security # _______________________ Cell Phone ____________________________ Best Phone # to call (please circle) Home Cell Referred By (Please List): Physician _________________________ Friend_________ Family _______________ Heard about us from _____ Newspaper ____ Yellow