Abstract
Rapastinel is a novel psychoactive substance that acts as an N-methyl-D-aspartate-receptor (NMDAR) agonist and triggers antidepressant- and antipsychotic-like effects in animal models. However, it is unknown if rapastinel possesses a better side-effect profile than fast-acting glutamatergic antidepressants, like ketamine, which trigger neurotoxicity in the perinatal rodent cortex and protracted schizophrenia-like alterations. Here we found a remarkable neuroprotective effect of rapastinel against apoptosis induced by the NMDAR antagonist MK-801 in comparison to that elicited by clozapine and the mGlu2/3 agonist LY354740. These results suggest the potential therapeutic/prophylactic effect of rapastinel in ameliorating deleterious effects induced by NMDAR blockade during neurodevelopment.
References
Moskal JR, Kuo AG, Weiss C, Wood PL, O'Connor Hanson A, Kelso S, Harris RB, Disterhoft JF (2005) GLYX-13: a monoclonal antibody-derived peptide that acts as an N-methyl-D-aspartate receptor modulator. Neuropharmacology 49:1077–1087. https://doi.org/10.1016/j.neuropharm.2005.06.006
Burgdorf J, Zhang XL, Nicholson KL, Balster RL, Leander JD, Stanton PK, Gross AL, Kroes RA, Moskal JR (2013) GLYX-13, a NMDA receptor glycine-site functional partial agonist, induces antidepressant-like effects without ketamine-like side effects. Neuropsychopharmacology 38(5):729–742. https://doi.org/10.1038/npp.2012.246
Vasilescu AN, Schweinfurth N, Borgwardt S, Gass P, Lang UE, Inta D, Eckart S (2017) Modulation of the activity of N-methyl-d-aspartate receptors as a novel treatment option for depression: current clinical evidence and therapeutic potential of rapastinel (GLYX-13). Neuropsychiatr Dis Treat 13:973–980. https://doi.org/10.2147/NDT.S119004
Rajagopal L, Burgdorf JS, Moskal JR, Meltzer HY (2016) GLYX-13 (rapastinel) ameliorates subchronic phencyclidine- and ketamine-induced declarative memory deficits in mice. Behav Brain Res 299:105–110. https://doi.org/10.1016/j.bbr.2015.10.060
Lang E, Mallien AS, Vasilescu AN, Hefter D, Luoni A, Riva MA, Borgwardt S, Sprengel R, Lang UE, Gass P, Inta D (2018) Molecular and cellular dissection of NMDA receptor subtypes as antidepressant targets. Neurosci Biobehav Rev 84:352–358. https://doi.org/10.1016/j.neubiorev.2017.08.012
Krystal JH, Mathew SJ, D'Souza DC, Garakani A, Gunduz-Bruce H, Charney DS (2010) Potential psychiatric applications of metabotropic glutamate receptor agonists and antagonists. CNS Drugs 24:669–693. https://doi.org/10.2165/11533230-000000000-00000
Olney JW, Labruyere J, Price MT (1989) Pathological changes induced in cerebrocortical neurons by phencyclidine and related drugs. Science 244:1360–1362. https://doi.org/10.1126/science.2660263
Ikonomidou C, Bosch F, Miksa M, Bittigau P, Vöckler J, Dikranian K, Tenkova TI, Stefovska V, Turski L, Olney JW (1999) Blockade of NMDA receptors and apoptotic neurodegeneration in the developing brain. Science 283:70–74. https://doi.org/10.1126/science.283.5398.70
Olney JW, Tenkova T, Dikranian K, Muglia LJ, Jermakowicz WJ, D'Sa C, Roth KA (2002) Ethanol-induced caspase-3 activation in the in vivo developing mouse brain. Neurobiol Dis 9:205–219. https://doi.org/10.1006/nbdi.2001.0475
Harris LW, Sharp T, Gartlon J, Jones DN, Harrison PJ (2003) Long-term behavioural, molecular and morphological effects of neonatal NMDA receptor antagonism. Eur J Neurosci 18:1706–1710. https://doi.org/10.1046/j.1460-9568.2003.02902.x
Inta I, Vogt MA, Vogel AS, Bettendorf M, Gass P, Inta D (2016) Minocycline exacerbates apoptotic neurodegeneration induced by the NMDA receptor antagonist MK-801 in the early postnatal mouse brain. Eur Arch Psychiatry Clin Neurosci 266:673–677. https://doi.org/10.1007/s00406-015-0649-2
Gass P, Prior P, Kiessling M (1995) Correlation between seizure intensity and stress protein expression after limbic epilepsy in the rat brain. Neuroscience 65:27–36. https://doi.org/10.1016/0306-4522(95)92049-p
Paxinos G, Halliday G, Watson C, Koutcherov Y, Wang HQ (2007) Atlas of the developing mouse brain. Academic Press, London
Stanton PK, Potter PE, Aguilar J, Decandia M, Moskal JR (2009) Neuroprotection by a novel NMDAR functional glycine site partial agonist, GLYX-13. NeuroReport 20:1193–1197. https://doi.org/10.1097/WNR.0b013e32832f5130
Lipska BK (2002) Neonatal disconnection of the rat hippocampus: a neurodevelopmental model of schizophrenia. Dialogues Clin Neurosci 4:361–367
Jeevakumar V, Kroener S (2016) Ketamine administration during the second postnatal week alters synaptic properties of fast-spiking interneurons in the medial prefrontal cortex of adult mice. Cereb Cortex 26(3):1117–1129. https://doi.org/10.1093/cercor/bhu293
Pérez MÁ, Morales C, Santander O, García F, Gómez I, Peñaloza-Sancho V, Fuentealba P, Dagnino-Subiabre A, Moya PR, Fuenzalida M (2019) Ketamine-treatment during late adolescence impairs inhibitory synaptic transmission in the prefrontal cortex and working memory in adult rats. Front Cell Neurosci 13:372. https://doi.org/10.3389/fncel.2019.00372
Scheer S, John RM (2016) Anti-N-methyl-D-aspartate receptor encephalitis in children and adolescents. J Pediatr Health Care 30:347–358. https://doi.org/10.1016/j.pedhc.2015.09.004
Zhou D, Lv D, Wang Z, Zhang Y, Chen Z, Wang C (2018) GLYX-13 ameliorates schizophrenia-like phenotype induced by MK-801 in mice: role of hippocampal NR2B and DISC1. Front Mol Neurosci 11:121. https://doi.org/10.3389/fnmol.2018.00121
Naurex Inc (2019) A study of rapastinel as adjunctive therapy in major depressive disorder (RAP-MD-03). ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT02943577. Accessed 24 June 2020
Naurex Inc (2016) Study of intravenous NRX-1074 in patients with major depressive disorder. ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT02067793. Accessed 24 June 2020
Naurex Inc (2018) AGN-241751 in the treatment of major depressive disorder. ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT03726658. Accessed 24 June 2020
Acknowledgements
This work was supported by grants from the Deutsche Forschungsgemeinschaft (DFG) IN 168/3-1, the Ingeborg Ständer Foundation, the ERA-NET NEURON program, the Bundesministerium für Bildung und Forschung (BMBF) under the frame of Neuron Cofund (ERA-NET NEURON NMDAR-PSY) and the Swiss National Foundation (SNF) 186346 to D.I.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Vasilescu, AN., Mallien, A., Pfeiffer, N. et al. Rapastinel alleviates the neurotoxic effect induced by NMDA receptor blockade in the early postnatal mouse brain. Eur Arch Psychiatry Clin Neurosci 271, 1587–1591 (2021). https://doi.org/10.1007/s00406-020-01180-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00406-020-01180-5