1. TPN672: A Novel Serotonin-Dopamine Receptor Modulator for the Treatment of Schizophrenia.
- Author
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Wang Y, He Y, Yang F, Abame MA, Wu C, Peng Y, Feng L, Shen J, Wang Z, and He L
- Subjects
- Animals, Antipsychotic Agents pharmacology, Antipsychotic Agents therapeutic use, Avoidance Learning drug effects, Avoidance Learning physiology, Female, HEK293 Cells, Humans, Male, Mice, Mice, Inbred ICR, Rats, Rats, Sprague-Dawley, Schizophrenia drug therapy, Serotonin Antagonists pharmacology, Serotonin Antagonists therapeutic use, Serotonin Receptor Agonists pharmacology, Serotonin Receptor Agonists therapeutic use, Treatment Outcome, Antipsychotic Agents metabolism, Receptors, Dopamine metabolism, Receptors, Serotonin metabolism, Schizophrenia metabolism, Serotonin Antagonists metabolism, Serotonin Receptor Agonists metabolism
- Abstract
TPN672 [7-(2-(4-(benzothiophen-4-yl) piperazin-1-yl)ethyl)quinolin-2(1H)-one maleate] is a novel antipsychotic candidate with high affinity for serotonin and dopamine receptors that is currently in clinical trial for the treatment of psychiatric disorders. In vitro binding study showed that TPN672 exhibited extremely high affinity for serotonin 1A receptor (5-HT
1A R) ( Ki = 0.23 nM) and 5-HT2A R ( Ki = 2.58 nM) as well as moderate affinity for D3 R ( Ki = 11.55 nM) and D2 R ( Ki = 17.91 nM). In vitro functional assays demonstrated that TPN672 acted as a potent 5-HT1A R agonist, D2 R/D3 R partial agonist, and 5-HT2A R antagonist. TPN672 displayed robust antipsychotic efficacy in rodent models (e.g., blocking phencyclidine-induced hyperactivity), significantly better than aripiprazole, and ameliorated negative symptoms and cognitive deficits in the sociability test, dark avoidance response, Morris water maze test, and novel object recognition test. The results of electrophysiological experiments showed that TPN672 might inhibit the excitability of the glutamate system through activating 5-HT1A R in medial prefrontal cortex, thereby improving cognitive and negative symptoms. Moreover, the safety margin (the ratio of minimum catalepsy-inducing dose to minimum effective dose) of TPN672 was about 10-fold, which was superior to aripiprazole. In conclusion, TPN672 is a promising new drug candidate for the treatment of schizophrenia and has been shown to be more effective in attenuating negative symptoms and cognitive deficits while having lower risk of extrapyramidal symptoms and hyperprolactinemia. SIGNIFICANCE STATEMENT: TPN672 is a promising new drug candidate for the treatment of schizophrenia and has been shown to be more effective in attenuating negative symptoms and cognitive deficits while having a lower risk of extrapyramidal symptoms and hyperprolactinemia. A phase I clinical trial is now under way to test its tolerance, pharmacokinetics, and pharmacodynamic effects in human volunteers. Accordingly, the present results will have significant impact on the development of new antischizophrenia drugs., (Copyright © 2021 by The American Society for Pharmacology and Experimental Therapeutics.)- Published
- 2021
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