The Development of Rapastinel (Formerly GLYX-13); A Rapid Acting and Long Lasting Antidepressant

Background: Rapastinel (GLYX-13) is a NMDA receptor modulator with glycine-site partial agonist properties. It is a robust cognitive enhancer and shows rapid and long-lasting antidepressant properties in both animal models and in humans. Methods: Rapastinel was derived from a monoclonal antibody, B6...

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Veröffentlicht in:Current neuropharmacology 2017-01, Vol.15 (1), p.47-56
Hauptverfasser: Moskal, Joseph R, Burgdorf, Jeffrey S, Stanton, Patric K, Kroes, Roger A, Disterhoft, John F, Burch, Ronald M, Khan, M Amin
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container_issue 1
container_start_page 47
container_title Current neuropharmacology
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creator Moskal, Joseph R
Burgdorf, Jeffrey S
Stanton, Patric K
Kroes, Roger A
Disterhoft, John F
Burch, Ronald M
Khan, M Amin
description Background: Rapastinel (GLYX-13) is a NMDA receptor modulator with glycine-site partial agonist properties. It is a robust cognitive enhancer and shows rapid and long-lasting antidepressant properties in both animal models and in humans. Methods: Rapastinel was derived from a monoclonal antibody, B6B21, is a tetrapeptide (threonine-proline-proline-threonine-amide) obtained from amino acid sequence information obtained from sequencing one of the hypervariable regions of the light chain of B6B21. The in-vivo and in-vitro pharmacology of rapastinel was examined. Results: Rapastinel was found to be a robust cognitive enhancer in a variety of learning and memory paradigms and shows marked antidepressant-like properties in multiple models including the forced swim (Porsolt), learned helplessness and chronic unpredictable stress. Rapastinel's rapid-acting antidepressant properties appear to be mediated by its ability to activate NMDA receptors leading to enhancement in synaptic plasticity processes associated with learning and memory. This is further substantiated by the increase in mature dendritic spines found 24 hrs after rapastinel treatment in both the rat dentate gyrus and layer five of the medial prefrontal cortex. Moreover, ex vivo LTP studies showed that the effects of rapastinel persisted at least two weeks post-dosing. Conclusion: These data suggest that rapastinel has significant effects on metaplasticity processes that may help explain the long lasting antidepressant effects of rapastinel seen in the human clinical trial results.
doi_str_mv 10.2174/1570159x14666160321122703
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It is a robust cognitive enhancer and shows rapid and long-lasting antidepressant properties in both animal models and in humans. Methods: Rapastinel was derived from a monoclonal antibody, B6B21, is a tetrapeptide (threonine-proline-proline-threonine-amide) obtained from amino acid sequence information obtained from sequencing one of the hypervariable regions of the light chain of B6B21. The in-vivo and in-vitro pharmacology of rapastinel was examined. Results: Rapastinel was found to be a robust cognitive enhancer in a variety of learning and memory paradigms and shows marked antidepressant-like properties in multiple models including the forced swim (Porsolt), learned helplessness and chronic unpredictable stress. Rapastinel's rapid-acting antidepressant properties appear to be mediated by its ability to activate NMDA receptors leading to enhancement in synaptic plasticity processes associated with learning and memory. This is further substantiated by the increase in mature dendritic spines found 24 hrs after rapastinel treatment in both the rat dentate gyrus and layer five of the medial prefrontal cortex. Moreover, ex vivo LTP studies showed that the effects of rapastinel persisted at least two weeks post-dosing. Conclusion: These data suggest that rapastinel has significant effects on metaplasticity processes that may help explain the long lasting antidepressant effects of rapastinel seen in the human clinical trial results.</description><identifier>ISSN: 1570-159X</identifier><identifier>EISSN: 1875-6190</identifier><identifier>DOI: 10.2174/1570159x14666160321122703</identifier><identifier>PMID: 26997507</identifier><language>eng</language><publisher>United Arab Emirates: Bentham Science Publishers Ltd</publisher><subject>Age Factors ; Amino acid sequence ; Animal models ; Animals ; Antidepressants ; Antidepressive Agents - pharmacology ; Antidepressive Agents - therapeutic use ; Cognitive ability ; Cognitive enhancement ; Dendritic spines ; Dentate gyrus ; Depression - drug therapy ; Depression - pathology ; Depression - physiopathology ; Disease Models, Animal ; Dose-Response Relationship, Drug ; Drug Evaluation, Preclinical ; Exploratory Behavior - drug effects ; Glutamic acid receptors (ionotropic) ; Glycine ; Learned helplessness ; Long-term potentiation ; Long-Term Potentiation - drug effects ; Maze Learning - drug effects ; Memory ; Memory - drug effects ; Monoclonal antibodies ; N-Methyl-D-aspartic acid receptors ; Neuronal Plasticity - drug effects ; Oligopeptides - chemistry ; Oligopeptides - pharmacology ; Oligopeptides - therapeutic use ; Prefrontal cortex ; Proline ; Rats ; Receptors, N-Methyl-D-Aspartate - metabolism ; Rodents ; Swimming ; Synapses - drug effects ; Synapses - ultrastructure ; Synaptic plasticity ; Threonine ; Vocalization, Animal - drug effects</subject><ispartof>Current neuropharmacology, 2017-01, Vol.15 (1), p.47-56</ispartof><rights>Copyright Bentham Science Jan 2017</rights><rights>2017 Bentham Science Publishers 2017 Joseph R. 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This is further substantiated by the increase in mature dendritic spines found 24 hrs after rapastinel treatment in both the rat dentate gyrus and layer five of the medial prefrontal cortex. Moreover, ex vivo LTP studies showed that the effects of rapastinel persisted at least two weeks post-dosing. 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This is further substantiated by the increase in mature dendritic spines found 24 hrs after rapastinel treatment in both the rat dentate gyrus and layer five of the medial prefrontal cortex. Moreover, ex vivo LTP studies showed that the effects of rapastinel persisted at least two weeks post-dosing. Conclusion: These data suggest that rapastinel has significant effects on metaplasticity processes that may help explain the long lasting antidepressant effects of rapastinel seen in the human clinical trial results.</abstract><cop>United Arab Emirates</cop><pub>Bentham Science Publishers Ltd</pub><pmid>26997507</pmid><doi>10.2174/1570159x14666160321122703</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Age Factors
Amino acid sequence
Animal models
Animals
Antidepressants
Antidepressive Agents - pharmacology
Antidepressive Agents - therapeutic use
Cognitive ability
Cognitive enhancement
Dendritic spines
Dentate gyrus
Depression - drug therapy
Depression - pathology
Depression - physiopathology
Disease Models, Animal
Dose-Response Relationship, Drug
Drug Evaluation, Preclinical
Exploratory Behavior - drug effects
Glutamic acid receptors (ionotropic)
Glycine
Learned helplessness
Long-term potentiation
Long-Term Potentiation - drug effects
Maze Learning - drug effects
Memory
Memory - drug effects
Monoclonal antibodies
N-Methyl-D-aspartic acid receptors
Neuronal Plasticity - drug effects
Oligopeptides - chemistry
Oligopeptides - pharmacology
Oligopeptides - therapeutic use
Prefrontal cortex
Proline
Rats
Receptors, N-Methyl-D-Aspartate - metabolism
Rodents
Swimming
Synapses - drug effects
Synapses - ultrastructure
Synaptic plasticity
Threonine
Vocalization, Animal - drug effects
title The Development of Rapastinel (Formerly GLYX-13); A Rapid Acting and Long Lasting Antidepressant
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