RESUMO
Schizophrenia is a chronic, severe and highly complex mental illness. Current treatments manage the positive symptoms, yet have minimal effects on the negative and cognitive symptoms, two prominent features of the disease with critical impact on the long-term morbidity. In addition, antipsychotic treatments trigger serious side effects that precipitate treatment discontinuation. Here, we show that activation of the trace amine-associated receptor 1 (TAAR1), a modulator of monoaminergic neurotransmission, represents a novel therapeutic option. In rodents, activation of TAAR1 by two novel and pharmacologically distinct compounds, the full agonist RO5256390 and the partial agonist RO5263397, blocks psychostimulant-induced hyperactivity and produces a brain activation pattern reminiscent of the antipsychotic drug olanzapine, suggesting antipsychotic-like properties. TAAR1 agonists do not induce catalepsy or weight gain; RO5263397 even reduced haloperidol-induced catalepsy and prevented olanzapine from increasing body weight and fat accumulation. Finally, TAAR1 activation promotes vigilance in rats and shows pro-cognitive and antidepressant-like properties in rodent and primate models. These data suggest that TAAR1 agonists may provide a novel and differentiated treatment of schizophrenia as compared with current medication standards: TAAR1 agonists may improve not only the positive symptoms but also the negative symptoms and cognitive deficits, without causing adverse effects such as motor impairments or weight gain.
Assuntos
Antipsicóticos/uso terapêutico , Peso Corporal/efeitos dos fármacos , Depressão/tratamento farmacológico , Receptores Acoplados a Proteínas G/agonistas , Esquizofrenia/complicações , Esquizofrenia/tratamento farmacológico , Análise de Variância , Animais , Antipsicóticos/farmacologia , Atenção/efeitos dos fármacos , Atenção/fisiologia , Benzodiazepinas/uso terapêutico , Cocaína/administração & dosagem , Condicionamento Operante/efeitos dos fármacos , Depressão/etiologia , Modelos Animais de Doenças , Inibidores da Captação de Dopamina/administração & dosagem , Eletroencefalografia , Alucinógenos/toxicidade , Haloperidol/efeitos adversos , Humanos , Macaca fascicularis , Imageamento por Ressonância Magnética , Masculino , Rememoração Mental/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Microinjeções , Atividade Motora/efeitos dos fármacos , Atividade Motora/genética , Mutação , Olanzapina , Oócitos , Oxazóis/farmacocinética , Fenciclidina/toxicidade , Fenetilaminas/farmacocinética , Ligação Proteica/efeitos dos fármacos , Ligação Proteica/genética , Pirrolidinonas/administração & dosagem , Ratos , Ratos Wistar , Receptores Acoplados a Proteínas G/genética , Reforço Psicológico , Esquizofrenia/etiologia , Esquizofrenia/genética , Natação/psicologia , Telemetria , Trítio/farmacocinética , XenopusRESUMO
The discovery of 8-(5,8-dichloro-1,2,3,4-tetrahydro-naphthalen-2-yl)-1-phenyl-1,3,8-triazaspiro[4.5]decan-4-one, 1a, as a high-affinity ligand for the human ORL1 (orphanin FQ/nociceptin) receptor led to the synthesis of a series of optimized ligands. These compounds exhibit high affinity for the human ORL1 receptor, exhibit moderate to good selectivity versus opioid receptors, and behave as full agonists in biochemical assays. In this paper we present the synthesis, structure-activity relationship (SAR), and biochemical characterization of substituted 1-phenyl-1,3,8-triazaspiro[4.5]decan-4-ones culminating in the discovery of 8-(5-methyl-1,2,3,4-tetrahydro-naphthalen-1-yl)-1-phenyl-1,3,8-triazaspiro[4.5]decan-4-one, 1p, and 8-acenaphten-1-yl-1-phenyl-1,3,8-triazaspiro[4.5]decan-4-one 1q, two high-affinity, potent ORL1 receptor agonists with good to moderate selectivity versus the other opioid receptors.