Abstract | INTRODUCTION: Stress and corticotropin-releasing factor (CRF) have been implicated as mechanistically involved in Alzheimer's disease (AD), but agents that impact CRF signaling have not been carefully tested for therapeutic efficacy or long-term safety in animal models. METHODS: To test whether antagonism of the type-1 corticotropin-releasing factor receptor (CRFR1) could be used as a disease-modifying treatment for AD, we used a preclinical prevention paradigm and treated 30-day-old AD transgenic mice with the small-molecule, CRFR1-selective antagonist, R121919, for 5 months, and examined AD pathologic and behavioral end points. RESULTS:
R121919 significantly prevented the onset of cognitive impairment in female mice and reduced cellular and synaptic deficits and beta amyloid and C-terminal fragment-β levels in both genders. We observed no tolerability or toxicity issues in mice treated with R121919. DISCUSSION: CRFR1 antagonism presents a viable disease-modifying therapy for AD, recommending its advancement to early-phase human safety trials.
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Authors | Cheng Zhang, Ching-Chang Kuo, Setareh H Moghadam, Louise Monte, Shannon N Campbell, Kenner C Rice, Paul E Sawchenko, Eliezer Masliah, Robert A Rissman |
Journal | Alzheimer's & dementia : the journal of the Alzheimer's Association
(Alzheimers Dement)
Vol. 12
Issue 5
Pg. 527-37
(05 2016)
ISSN: 1552-5279 [Electronic] United States |
PMID | 26555315
(Publication Type: Journal Article)
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Copyright | Copyright © 2015 Alzheimer's Association. All rights reserved. |
Chemical References |
- Amyloid beta-Peptides
- Amyloid beta-Protein Precursor
- Pyrimidines
- R 121919
- Receptors, Corticotropin-Releasing Hormone
- CRF receptor type 1
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Topics |
- Alzheimer Disease
(metabolism, pathology)
- Amyloid beta-Peptides
(metabolism)
- Amyloid beta-Protein Precursor
(genetics, metabolism)
- Animals
- Brain
(metabolism, pathology)
- Cognition
(physiology)
- Disease Models, Animal
- Humans
- Mice
- Mice, Transgenic
- Pyrimidines
- Receptors, Corticotropin-Releasing Hormone
(deficiency, genetics)
- Synapses
(metabolism)
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