U.S. patent application number 12/529331 was filed with the patent office on 2010-12-09 for method for the treatment of amyloidoses.
This patent application is currently assigned to ABBOTT GMBH & CO. KG. Invention is credited to Stefan Barghorn, Claus Bruhl, Andreas Draguhn, Ulrich Ebert, Christine Grimm, Gerhard Gross, Heinz Hillen, Carsten Krantz, Volker Nimmrich.
Application Number | 20100311767 12/529331 |
Document ID | / |
Family ID | 39529434 |
Filed Date | 2010-12-09 |
United States Patent
Application |
20100311767 |
Kind Code |
A1 |
Nimmrich; Volker ; et
al. |
December 9, 2010 |
Method for the treatment of amyloidoses
Abstract
The present invention relates to a method for the treatment of
an amyloidosis such as Alzheimer's disease in a subject in need
thereof, characterized in that it comprises administering an
agonist of the P/Q type voltage-gated presynaptic calcium channel
to said subject.
Inventors: |
Nimmrich; Volker;
(Ludwigshafen, DE) ; Barghorn; Stefan;
(Ludwigshafen, DE) ; Ebert; Ulrich; (Ludwigshafen,
DE) ; Hillen; Heinz; (Ludwigshafen, DE) ;
Gross; Gerhard; (Ludwigshafen, DE) ; Draguhn;
Andreas; (Heidelberg, DE) ; Bruhl; Claus;
(Schonau, DE) ; Grimm; Christine; (Leimen, DE)
; Krantz; Carsten; (Allschwil, DE) |
Correspondence
Address: |
PAUL D. YASGER;ABBOTT LABORATORIES
100 ABBOTT PARK ROAD, DEPT. 377/AP6A
ABBOTT PARK
IL
60064-6008
US
|
Assignee: |
ABBOTT GMBH & CO. KG
Ludwigshafen
DE
|
Family ID: |
39529434 |
Appl. No.: |
12/529331 |
Filed: |
February 27, 2008 |
PCT Filed: |
February 27, 2008 |
PCT NO: |
PCT/EP2008/001549 |
371 Date: |
July 28, 2010 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
60903700 |
Feb 27, 2007 |
|
|
|
Current U.S.
Class: |
514/263.4 ;
514/262.1; 514/653 |
Current CPC
Class: |
A61P 25/28 20180101;
A61K 31/015 20130101; A61P 3/00 20180101; A61P 25/00 20180101; A61K
39/3955 20130101; A61K 31/519 20130101; A61K 31/05 20130101 |
Class at
Publication: |
514/263.4 ;
514/262.1; 514/653 |
International
Class: |
A61K 31/52 20060101
A61K031/52; A61K 31/519 20060101 A61K031/519; A61K 31/137 20060101
A61K031/137; A61P 3/00 20060101 A61P003/00; A61P 25/28 20060101
A61P025/28; A61P 25/00 20060101 A61P025/00 |
Foreign Application Data
Date |
Code |
Application Number |
Oct 16, 2007 |
EP |
070202577 |
Jan 9, 2008 |
EP |
080003254 |
Claims
1. A method for treating amyloidosis active, the method comprising
administering an agonist of the P/Q type voltage-gated presynaptic
calcium channel, to a subject in need there of.
2. The method of claim 1, wherein the amyloidosis is Alzheimer's
disease or Down's Syndrome.
3. The method of claim 1, wherein the agonist binds to the P/Q type
voltage-gated presynaptic calcium channel.
4. The method of claim 1, wherein the agonist affects the P/Q type
voltage-gated presynaptic calcium channel with an EC50 of less than
120 .mu.M.
5. The method of claim 1, wherein the agonist affects the P/Q type
voltage-gated presynaptic calcium channel with an EC50 that is
lower than the EC50 with which it affects the N and/or R type
presynaptic calcium channel.
6. The method of claim 1, wherein the agonist affects the N and/or
R type presynaptic calcium channel with an EC50 of more than 54
.mu.M.
7. (canceled)
8. The method of claim 1, wherein the treatment is for the
restoration of synaptic function and/or plasticity.
9. The method of claim 1, wherein the treatment is for the
restoration of long-term potentiation.
10. The method of claim 1, wherein the treatment is for the
restoration of memory function.
11. The method of claim 1, wherein the treatment is for the
restoration of performance of activities of daily living (ADL)
capacity in the subject.
12. The method of claim 1, wherein the agonist is a compound having
formula selected from the group consisting of: ##STR00009## and a
pharmaceutically acceptable salt thereof, wherein if the compound
has formula (Ia), then R.sup.1 is hydrogen or C.sub.1-C.sub.6
alkyl; R.sup.2a, R.sup.2b are independently hydrogen,
C.sub.1-C.sub.6-alkyl, C.sub.2-C.sub.6-alkenyl,
C.sub.3-C.sub.8-cycloalkyl, optionally substituted
C.sub.6-C.sub.12-aryl or optionally substituted
C.sub.6-C.sub.12-aryl-C.sub.1-C.sub.4-alkyl, or R.sup.2a, R.sup.2b
together are C.sub.2-C.sub.5-alkylene; Q is NR.sup.3; R.sup.3 is
hydrogen, C.sub.1-C.sub.6-alkyl or optionally substituted
C.sub.6-C.sub.12-aryl; X is N or CR.sup.4; R.sup.4 is hydrogen or
C.sub.1-C.sub.6-alkyl, Y is N or CR.sup.5; and R.sup.5 is hydrogen
or C.sub.1-C.sub.6-alkyl; wherein if the compound has formula (Ib),
then R.sup.1 hydrogen or C.sub.1-C.sub.6 alkyl; R.sup.2a, R.sup.2b
are independently hydrogen, C.sub.1-C.sub.6-alkyl,
C.sub.2-C.sub.6-alkenyl, C.sub.3-C.sub.8-cycloalkyl, optionally
substituted C.sub.6-C.sub.12-aryl or optionally substituted
C.sub.6-C.sub.12-aryl-C.sub.1-C.sub.4-alkyl, or R.sup.2a, R.sup.2b
together are C.sub.2-C.sub.5-alkylene; Q is NR.sup.3; R.sup.3 is
hydrogen, C.sub.1-C.sub.6-alkyl or optionally substituted
C.sub.6-C.sub.12-aryl; X is N or CR.sup.4; R.sup.4 is hydrogen or
C.sub.1-C.sub.6alkyl, Y is N or CR.sup.5; and R.sup.5 is hydrogen
or C.sub.1-C.sub.6-alkyl; and wherein if the compound has formula
(II), then R.sup.1 is C.sub.1-C.sub.6-alkyl or
C.sub.3-C.sub.8cycloalkyl; R.sup.2a, R.sup.2b, R.sup.2c, R.sup.2d,
R.sup.2e are independently hydrogen, halogen,
C.sub.1-C.sub.4-alkyl, optionally substituted phenyl, OH, SH, CN,
CF.sub.3, O--CF.sub.3, C.sub.1-C.sub.4-alkoxy; NH.sub.2,
NH--C.sub.1-C.sub.4-alkyl, alkyl).sub.2, or R.sup.2b and R.sup.2c
or R.sup.2c and R.sup.2d together with the carbon atoms to which
they are attached form an optionally substituted anellated
C.sub.5-C.sub.7 carbocyclic ring; and the pharmacologically useful
salts thereof.
Description
CROSS-REFERENCE
[0001] This application is the National Stage of International
Application No. PCT/EP2008/001549, filed on Feb. 27, 2008, which
claims the benefit of European Application Serial No. 07020257.7,
filed Oct. 16, 2007, European Application Serial No. 08000325.4,
filed Jan. 9, 2008, and U.S. Provisional Application Ser. No.
60/903,700, filed Feb. 27, 2007, all of which are incorporated
herein by reference in its entirety.
[0002] The present invention relates to a method for the treatment
of an amyloidosis such as Alzheimer's disease.
[0003] Alzheimer's disease (AD), the most frequent cause for
dementia among the aged with an incidence of about 10% of the
population above 65 years, is a dementing disorder characterized by
a progressive loss of cognitive abilities and by characteristic
neuropathological features comprising extracellular amyloid
deposits, intracellular neurofibrillary tangles and neuronal loss
in several brain regions (Mattson, M. P. Pathways towards and away
from Alzheimer's disease. Nature 430, 631-639 (2004); Hardy, J.
& Selkoe, D. J. The amyloid hypothesis of Alzheimer's disease:
progress and problems on the road to therapeutics. Science 297,
353-356 (2002)). The principal constituents of the amyloid deposits
are amyloid .beta. peptides (A.beta.) which arise from the
(.beta.-amyloid precursor protein (APP) by proteolytic
cleavage.
[0004] Both cerebral amyloid deposits and cognitive impairments
very similar to those observed in Alzheimer's disease are also
hallmarks of Down's syndrome (trisomy 21), which occurs at a
frequency of about 1 in 800 births. Hence, Alzheimer's disease and
Down's syndrome are jointly termed "amyloidoses".
[0005] Recently, however, it was shown that in amyloidoses soluble,
globular A.beta. oligomers (hereinafter referred to as A.beta.
globulomers), rather than the eponymous insoluble amyloid deposits,
are the causative agents for the impairment of higher-level
functions, such as memory function, as indicated by its suppressing
effect on long-term potentiation (WO2004/067561; Barghorn S. et
al., J. Neurochem. 95: 834-847 (2005); WO2006/094724).
[0006] The term "A.beta. globulomer" here refers to a particular
soluble, globular, non-covalent association of A.beta. peptides,
possessing homogeneity and distinct physical characteristics.
A.beta. globulomers are stable, non-fibrillar, oligomeric
assemblies of A.beta. peptides which are obtainable by incubation
with anionic detergents, in particular as described in
WO2004/067561. In contrast to A.beta. monomer and fibrils, these
globulomers are characterized by defined assembly numbers of
subunits (WO2004/067561). The globulomers have a characteristic
three-dimensional globular type structure ("molten globule", see
Barghorn et al., J. Neurochem. 95: 834-847 (2005)). They have been
shown to closely mimic the properties, behaviour and effects of
naturally occurring soluble A.beta. oligomers.
[0007] Soluble A.beta. oligomer was found to impair the functioning
of the central nervous system even before the onset of
cytotoxicity. However, the exact mechanisms whereby soluble A.beta.
oligomer causes memory failure in amyloidoses has not been
elucidated so far, and a lack of understanding of such mechanisms
has so far hampered the development of rational therapeutic
approaches for inhibiting the further progression of the disease or
compensating the damage already done.
[0008] It was thus an object of the present invention to provide a
new approach to the treatment of amyloidoses such as Alzheimer's
disease, in particular to rehabilitating treatment such as the
restoration of cognitive abilities in amyloidoses such as
Alzheimer's disease.
[0009] Surprisingly, it was now found that A.beta. globulomer
exerts its detrimental effects essentially by hampering normal ion
fluxes through the P/Q type presynaptic calcium channel, reducing
presynaptic neurotransmitter release and inhibiting spontaneous
synaptic activity and thereby interfering with the proper
functioning of the central nervous system even before the onset of
manifest neural cytotoxicity, and that activation of the P/Q type
presynaptic calcium channel is therefore effective in compensating
these effects (increasing the extracellular Ca.sup.2+ concentration
(P/Q type presynaptic calcium channel agonism) was effective in
reversing the inhibitory effect of A.beta. globulomer on the P/Q
type voltage-gated presynaptic calcium chnnel).
[0010] The present invention thus relates to a method for the
treatment of an amyloidosis, preferably Alzheimer's disease, in a
subject in need thereof, comprising administering an agonist of the
P/Q type voltage-gated presynaptic calcium channel to said
subject.
[0011] The P/Q type voltage-gated presynaptic calcium channel (the
channel is also referred to as Ca.sub.v2.1 channel and the
associated currents as P/Q type currents) belongs to the group of
voltage-gated calcium channels which mediate the influx of calcium
ions into excitable cells. The opening state of a voltage-gated
channel is controlled by the electrical state of the surrounding
membrane; however, the responsiveness of the P/Q type voltage-gated
presynaptic calcium channel to membrane depolarization is
extensively modulated, both qualitatively and quantitatively, by
and/or through its interaction partners.
[0012] As used herein, a "P/Q type voltage-gated presynaptic
calcium channel" is a voltage-gated calcium channel that is
functionally characterized by its sensitivity towards
.omega.-agatoxin IVA (a well-known funnel web spider venom).
[0013] According to a particular embodiment, .omega.-agatoxin IVA
acts as a gating modifier of the P/Q type voltage-gated presynaptic
calcium channel (e.g., P type Kd=1-3 nM; Q type Kd=100-200 nM).
Further, P/Q type voltage-gated presynaptic calcium channels
according to the present invention may be characterized by one or
more than one of the following features: [0014] (i) requires strong
depolarization for activation (high-voltage activation); and [0015]
(ii) no or slow inactivation.
[0016] The P/Q type voltage-gated presynaptic calcium channel
according to the present invention comprises an .alpha.1 subunit.
According to a particular embodiment of the invention, the .alpha.1
subunit has an amino acid sequence with at least 70%,
advantageously at least 80%, preferably at least 90%, more
preferably at least 95% and in particular at least 98%, e. g. at
least 99%, amino acid sequence identity with the sequence SEQ ID
NO:1. The .alpha.1 subunit incorporates the conduction pore, the
voltage sensor and gating apparatus, and sites of channel
regulation by second messengers, drugs, and toxins.
[0017] Usually, the P/Q type voltage-gated presynaptic calcium
channel also comprises an .alpha.2-.delta. subunit and a .beta.
subunit. It may also comprise an .gamma. subunit. In a particular
embodiment of the invention, the .alpha.2-.delta. subunit, when
present, has at least 70%, advantageously at least 80%, preferably
at least 90%, more preferably at least 95% and in particular at
least 98%, e. g. at least 99%, amino acid sequence identity with
the sequence SEQ ID NO:2. In a further particular embodiment of the
invention, the .beta. subunit, when present, has at least 70%,
advantageously at least 80%, preferably at least 90%, more
preferably at least 95% and in particular at least 98%, e. g. at
least 99%, amino acid sequence identity with the sequence SEQ ID
NO:3.
[0018] Further characteristic features of P/Q type voltage-gated
presynaptic calcium channels are described in Catterall W A,
Perez-Reyes E, Snutch T P, Striessnig J. International Union of
Pharmacology. XLVIII. Nomenclature and structure-function
relationships of voltage-gated calcium channels. Pharmacol Rev. 57:
411-25 (2005), which is herein incorporated by reference in its
entirety.
[0019] As used herein, an "agonist of the P/Q type voltage-gated
presynaptic calcium channel" is any substance that increases the
flow of calcium ions through the P/Q type voltage-gated presynaptic
calcium channel.
[0020] According to a particular embodiment, the agonist of the
invention increases the open probability of the channel.
[0021] According to a further particular embodiment, the agonist of
the invention directly interacts with the closed channel to open
it.
[0022] According to a further particular embodiment, the agonist of
the invention increases the duration of the open state once the
channel has been opened.
[0023] According to a further particular embodiment, the agonist of
the invention interacts with the time constants of voltage-gated
activation, voltage-gated inactivation and voltage-gated
deinactivation in a way which results in an increased net calcium
flux under physiological conditions and which may be
voltage-dependent in itself.
[0024] According to a further particular embodiment, the agonist of
the invention changes one or more transition probabilities between
the different states of the channel (closed, open,
inactivated).
[0025] Hence an agonist of the P/Q type voltage-gated presynaptic
calcium channel will increase ion flux through the P/Q type
voltage-gated presynaptic calcium channel.
[0026] The agonist of the P/Q type voltage-gated presynaptic
calcium channel is preferably a partial or complete agonist of the
P/Q type voltage-gated presynaptic calcium channel, and more
preferably a complete agonist of the P/Q type voltage-gated
presynaptic calcium channel.
[0027] As used herein, a "partial agonist of the P/Q type
voltage-gated presynaptic calcium channel" is an agonist which is
not capable even at high concentration of causing the maximal
activating effect of the P/Q type voltage-gated presynaptic calcium
channel, as defined above. In a particular embodiment a partial
agonist does not lead to maximal calcium flow through the P/Q type
voltage-gated presynaptic calcium channel at saturating
concentration.
[0028] As used herein, a "complete agonist of the P/Q type
voltage-gated presynaptic calcium channel" is an agonist which is
capable of inducing, at suitable concentrations, maximal activation
of the P/Q type voltage-gated presynaptic calcium channel, as
defined above.
[0029] The person skilled in the art will understand that an
agonist of the P/Q type voltage-gated presynaptic calcium channel
may either bind directly to the P/Q type voltage-gated presynaptic
calcium channel, i. e. by binding the calcium channel molecule, e.
g. by forming a covalent or non-covalent attachment to said calcium
channel molecule, or exert its effect on the ion channel
predominantly without direct physical contact between the agonist
and said calcium channel, the effect being mediated, in this case,
by any of a wide range of go-betweens. These include but are not
limited to molecules with a capacity of complexing said calcium
channel that is modified in the presence of the agonist;
catalytically active molecules which regulate said calcium channel
in a way that is influenced by the presence of the agonist; and
physico-chemical effects, in particular membrane effects, subject
to influences of the agonist, such as shifts in the molecular
arrangement, fluidity, conductivity, etc. of the membrane. In
particular, an agonist of the P/Q type voltage-gated presynaptic
calcium channel may bind to both the P/Q type voltage-gated
presynaptic calcium channel and components of its environment,
thereby influencing the mutual interaction. In all of these cases,
under otherwise identical conditions the behaviour of said calcium
channel in the presence of an effective amount of the agonist will
be detectably different from that in the absence of said
agonist.
[0030] In the context of the present invention, the term "bind" is
used generically to denote any immediate association between two
molecules, which may be covalent or non-covalent, thus including
covalent bonds, hydrogen bridges, ionic interactions, hydrophobic
associations, van der Waals forces, etc. It will thus be understood
that the term also extends to the temporary association of a first
molecule with a catalytically active second molecule, wherein said
second molecule performs modifications on said first molecule
which, and consequently whose effects, outlast the actual contact
between said first and said second molecule, e. g. generation or
removal of covalent bonds.
[0031] In a particular embodiment of the invention, the agonist
increases net calcium flux through the P/Q type voltage-gated
presynaptic calcium channel with an EC50 of less than 120 .mu.M,
preferably of less than 10 .mu.M, and in particular of less than 1
.mu.M. Here the EC50 is the agonist concentration required for
obtaining 50% of a maximum effect of this agonist determined using
the patch-clamp method for whole-cell recording of channel
activity.
[0032] The standard method employed here for all determinations of
Ca.sup.++ currents is a patch-clamp method using 120 mM NMG.Cl, 10
mM TEA.Cl, 14 mM creatine phosphate, 6 mM MgCl.sub.2, 1.mM
CaCl.sub.2 10 mM NMG.HEPES, 5 mM Tris.sub.2.ATP and 11
NMG.sub.2.EGTA as internal, and 30 mM BaCl.sub.2, 100 mM NMG.Cl, 10
mM NMG.HEPES and 15 mM glucose as external solution, both adjusted
to a pH of about 7.2-7.3, for measuring stably transfected BHK
(Baby Hamster Kidney) cells expressing the al component together
with the .alpha.2.delta. and .beta.IB components of the P/Q type
voltage-gated presynaptic calcium channel.
[0033] Further details of said standard method have been described
by Zafir Buraei et al., Roscovitine differentially affects CaV2 and
Kv channels by binding to the open state, Neuropharmacology (2006),
doi:10.1016/j.neuropharm.2006.10.006 (corresponds to issue 52,
2007, pages 883-894), which is herein incorporated by reference in
its entirety.
[0034] Unexpectedly, it was further found that other presynaptic
calcium channels, such as the N and R type voltage-gated
presynaptic calcium channels, are not susceptible to A.beta., in
particular to A.beta. globulomer, and it is known to the skilled
person that these types of channels may all be present in parallel
at any given synapse, or one of them may be dominant in terms of
abundance and thus account for the major part of the Ca.sup.++
influx. It is thus, in the interest of reducing side effects,
advantageous to employ in the method of the present invention an
agonist which specifically affects the P/Q type voltage-gated
presynaptic calcium channel only. Thus, it is advantageous if the
agonist affects the P/Q type voltage-gated presynaptic calcium
channel with lower EC50 than either the N type or the R type, or
both the N and the R type voltage-gated presynaptic calcium
channels. In a particular embodiment of the invention, the agonist
of the P/Q type voltage-gated presynaptic calcium channel thus
increases net calcium flux through the L type voltage-gated
presynaptic calcium channel with an EC50 of more than 54 .mu.M,
preferably of more than 100 .mu.M, and in particular of more than
1000 .mu.M, using the standard method as defined above. In a
further particular embodiment of the invention, it increases net
calcium flux through the N type voltage-gated presynaptic calcium
channel with an EC50 of more than 54 .mu.M, preferably of more than
100 .mu.M, and in particular of more than 1000 .mu.M, using the
standard method as defined above. In a further particular
embodiment of the invention, it increases net calcium flux through
the R type voltage-gated presynaptic calcium channel with an EC50
of more than 54 .mu.M, preferably of more than 100 .mu.M, and in
particular of more than 1000 .mu.M, using the standard method as
defined above.
[0035] It has been reported that inhibition of CDKs
(cyclin-dependant kinases), which kinases are known to be crucial
elements of the cell cycle, inhibits dedifferentiation and
proliferation and thereby stimulates neurons to increase their
expression of ion channels such as voltage-gated presynaptic
calcium channels. However, due to the naturally highly pleiotropic
effects of CDK inhibitors and in particularly their propensity to
induce apoptosis, which is expected to outweigh the benefits due to
the neurotoxicity caused thereby, it is preferred that the agonists
for use in the methods of the present invention do not exert any
significant inhibitory effect on CDKs such as CDK2 (cyclin A) and
CDK5 (p35). In a particular embodiment of the invention, the
agonist thus has an IC50 for CDK5, in particular for human CDK5, of
more than 0.2 .mu.M, preferably of more than 10 .mu.M, and in
particular of more than 100 .mu.M. In a further particular
embodiment of the invention, the agonist thus has an IC50 for CDK2,
in particular for human CDK2, of more than 0.7 .mu.M, preferably of
more than 10 .mu.M, and in particular of more than 100 .mu.M.
Preferably, the agonist has an IC50 for any CDK, in particular for
any human CDK, of more than 0.5 .mu.M, preferably of more than 10
.mu.M, and in particular of more than 100 .mu.M. These IC50 values
all refer to the activity of the respective CDK/cyclin complex in a
radioactive kinase assay using 15 .mu.M of [.gamma.-.sup.32P]ATP as
phosphate donor and an appropriate phosphorylation target protein
(1 mg/ml histone H1 or retinoblastoma protein complexed with
glutathione-S-transferase, respectively) as acceptor in a reaction
buffer comprising 60 mM glycerol-2-phosphate, 15 mM p-nitrophenyl
phosphate, 25 mM MOPS pH 7.2, 5 mM EGTA, 15 mM MgCl.sub.2 and 1 mM
dithiotreitol, as described by Meijer et al., Eur. J. Biochem. 234:
527-536 (1997).
[0036] The metabolism of APP and its products such as A.beta. is
complex and not yet fully understood. Therefore, in a particular
embodiment of the invention, the agonist as such does not after APP
expression, A.beta. formation or processing, e. g. soluble A.beta.
oligomer or A.beta. fibril formation, in the central nervous
system. In another particular embodiment, however, its use may be
combined with a suitable treatment, e. g. a treatment to suppress
the formation of soluble A.beta. oligomers and/or to promote their
degradation and/or elimination from the central nervous system;
essentially any such treatment may be combined with the methods of
the present invention.
[0037] Roscovitine has been described as an agonist of the P/Q type
voltage-gated presynaptic calcium channel (Yan Z, Chi P, Bibb J A,
Ryan T A and Greengard P., J. Physiol. 540 : 761-770 (2002)). As
used herein, the term "roscovitine" denotes the compound
(1-ethyl-2-hydroxyethylamino)-6-benzylamino-9-isopropylpurine and
any of its isomers, in particular
2-(R)-(1-ethyl-2-hydroxyethylamino)-6-benzylamino-9-isopropylpurine.
[0038] However, roscovitine is known to reduce APP formation by
binding to and inhibiting the action of human CDKs, in particular
CDK5, thereby being prone to the adverse effects outlined above.
Therefore, agonists other than roscovitine or any pharmacologically
useful salt or derivative of roscovitine, in particular such as may
be readily converted to roscovitine in vivo (prodrug), are
preferred.
[0039] According to a particular embodiment, suitable agonists of
the P/Q type voltage-gated presynaptic calcium channel of the
invention are selected among the roscovitine analogues of formula
(Ia):
##STR00001##
wherein [0040] R.sup.1 is hydrogen or C.sub.1-C.sub.6-alkyl; [0041]
R.sup.2a, R.sup.2b are independently hydrogen,
C.sub.1-C.sub.6-alkyl, C.sub.2-C.sub.6-alkenyl,
C.sub.3-C.sub.8-cycloalkyl, optionally substituted
C.sub.6-C.sub.12-aryl or optionally substituted
C.sub.6-C.sub.12-aryl-C.sub.1-C.sub.4-alkyl, or [0042] R.sup.2a,
R.sup.2b together are C.sub.2-C.sub.5-alkylene; [0043] Q is
NR.sup.3; [0044] R.sup.3 is hydrogen, C.sub.1-C.sub.6-alkyl or
optionally substituted C.sub.6-C.sub.12-aryl; [0045] X is N or
CR.sup.4; [0046] R.sup.4 is hydrogen or C.sub.1-C.sub.6-alkyl,
[0047] Y is N or CR.sup.5; and [0048] R.sup.5 is hydrogen or
C.sub.1-C.sub.6-alkyl, and the pharmacologically useful salts
thereof.
[0049] According to a further particular embodiment, suitable
agonists of the P/Q type voltage-gated presynaptic calcium channel
of the invention are selected among the roscovitine analogues of
formula (Ib):
##STR00002##
wherein [0050] R.sup.1 is hydrogen or C.sub.1-C.sub.6-alkyl; [0051]
R.sup.2a, R.sup.2b are independently hydrogen,
C.sub.1-C.sub.6-alkyl, C.sub.2-C.sub.6-alkenyl,
C.sub.3-C.sub.8-cycloalkyl, optionally substituted
C.sub.6-C.sub.12-aryl or optionally substituted
C.sub.6-C.sub.12-aryl-C.sub.1-C.sub.4-alkyl, or [0052] R.sup.2a,
R.sup.2b together are C.sub.2-C.sub.5-alkylene; [0053] Q is
NR.sup.3; [0054] R.sup.3 is hydrogen, C.sub.1-C.sub.6-alkyl or
optionally substituted C.sub.6-C.sub.12-aryl; [0055] X is N or
CR.sup.4; [0056] R.sup.4 is hydrogen or C.sub.1-C.sub.6-alkyl,
[0057] Y is N or CR.sup.5; and [0058] R.sup.5 is hydrogen or
C.sub.1-C.sub.6-alkyl, and the pharmacologically useful salts
thereof.
[0059] According to a further particular embodiment, suitable
agonists of the P/Q type voltage-gated presynaptic calcium channel
of the invention are selected among isoproterenol and isoproterenol
analogues of formula (II):
##STR00003##
wherein [0060] R.sup.1 is C.sub.1-C.sub.6-alkyl or
C.sub.3-C.sub.8-cycloalkyl; [0061] R.sup.2a, R.sup.2b, R.sup.2c,
R.sup.2d, R.sup.2e are independently hydrogen, halogen,
C.sub.1-C.sub.4-alkyl, optionally substituted phenyl, OH, SH, CN,
CF.sub.3, O--CF.sub.3, C.sub.1-C.sub.4-alkoxy, NH.sub.2,
NH--C.sub.1-C.sub.4-alkyl, N--(C.sub.1-C.sub.4-alkyl).sub.2, or
[0062] R.sup.2b and R.sup.2c or R.sup.2b and R.sup.2d together with
the carbon atoms to which they are attached form an optionally
substituted anellated C.sub.5-C.sub.7 carbocyclic ring; [0063] and
the pharmacologically useful salts thereof.
[0064] Provided that the compounds of the formulae (Ia), (Ib) and
(II) exist in different spatial arrangements, for example if they
possess one or more centers of asymmetry, polysubstituted rings or
double bonds, or as different tautomers, it is also possible to use
enantiomeric mixtures, in particular racemates, diastereomeric
mixtures and tautomeric mixtures, preferably, however, the
respective essentially pure enantiomers, diastereomers and
tautomers of the compounds of formulae (Ia), (Ib) and (II) and/or
of their salts.
[0065] The pharmacologically useful salts of the compounds of the
formulae (Ia), (Ib) and (II) are especially acid addition salts
with physiologically tolerated acids. Examples of suitable
physiologically tolerated organic and inorganic acids are
hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric
acid, C.sub.1-C.sub.4-alkylsulfonic acids, such as methanesulfonic
acid, cycloaliphatic sulfonic acids, such as S-(+)-10-campher
sulfonic acid, aromatic sulfonic acids, such as benzenesulfonic
acid and toluenesulfonic acid, di- and tricarboxylic acids and
hydroxycarboxylic acids having 2 to 10 carbon atoms, such as oxalic
acid, malonic acid, maleic acid, fumaric acid, lactic acid,
tartaric acid, citric acid, glycolic acid, adipic acid and benzoic
acid. Other utilizable acids are described, e.g., in Fortschritte
der Arzneimittelforschung [Advances in drug research], Volume 10,
pages 224 ff., Birkhauser Verlag, Basel and Stuttgart, 1966.
[0066] The organic moieties mentioned in the above definitions of
the variables are--like the term halogen--collective terms for
individual listings of the individual group members. The prefix
C.sub.n-C.sub.m indicates in each case the possible number of
carbon atoms in the group.
[0067] Unless specified, the term "substituted" means that a
radical may be substituted with 1, 2 or 3, especially 1 or 2,
substituent selected from the group consisting of halogen,
C.sub.1-C.sub.4-alkyl, OH, SH, CN, CF.sub.3, O--CF.sub.3,
C.sub.1-C.sub.4-alkoxy, NH--C.sub.1-C.sub.4-alkyl,
N--(C.sub.1-C.sub.4-alkyl).sub.2, in particular with 1, 2 oder 3
substituents selected from the group consisting of halogen, methyl,
OH, CN, CF.sub.3, O--CF.sub.3, methoxy, NH.sub.2, NH--CH.sub.3, and
N--(CH.sub.3).sub.2.
[0068] The term halogen denotes in each case fluorine, bromine,
chlorine or iodine, in particular fluorine or chlorine.
[0069] C.sub.1-C.sub.4-Alkyl is a straight-chain or branched alkyl
group having from 1 to 4 carbon atoms. Examples of an alkyl group
are methyl, C.sub.2-C.sub.4-alkyl such as ethyl, n-propyl,
iso-propyl, n-butyl, 2-butyl, iso-butyl or tert-butyl.
C.sub.1-C.sub.2-Alkyl is methyl or ethyl, C.sub.1-C.sub.3-alkyl is
additionally n-propyl or isopropyl.
[0070] C.sub.1-C.sub.6-Alkyl is a straight-chain or branched alkyl
group having from 1 to 6 carbon atoms. Examples include methyl,
C.sub.2-C.sub.4-alkyl as mentioned herein and also pentyl,
1-methylbutyl, 2-methylbutyl, 3-methylbutyl, 2,2-dimethylpropyl,
1-ethylpropyl, hexyl, 1,1-dimethylpropyl, 1,2-dimethylpropyl,
1-methylpentyl, 2-methylpentyl, 3-methylpentyl, 4-methylpentyl,
1,1-dimethylbutyl, 1,2-dimethylbutyl, 1,3-dimethylbutyl,
2,2-dimethylbutyl, 2,3-dimethylbutyl, 3,3-dimethylbutyl,
1-ethylbutyl, 2-ethylbutyl, 1,1,2-trimethylpropyl,
1,2,2-trimethylpropyl, 1-ethyl-1-methylpropyl and
1-ethyl-2-methylpropyl.
[0071] C.sub.3-C.sub.8-Cycloalkyl is a cycloaliphatic radical
having from 3 to 12 carbon atoms. In particular, 3 to 6 carbon
atoms form the cyclic structure, such as cyclopropyl, cyclobutyl,
cyclopentyl and cyclohexyl. The cyclic structure may be
unsubstituted or may carry 1, 2, 3 or 4 C.sub.1-C.sub.4 alkyl
radicals, preferably one or more methyl radicals.
[0072] C.sub.6-C.sub.12-aryl-C.sub.1-C.sub.4-alkyl is a
straight-chain or branched alkyl group having 1 to 4 carbon atoms,
preferably 1 to 3 carbon atoms, more preferably 1 or 2 carbon
atoms, in particular 1 or two carbon atoms, wherein one hydrogen
atom is replaced by C.sub.6-C.sub.12-aryl, such as in benzyl.
[0073] C.sub.2-C.sub.6-Alkenyl is a singly unsaturated hydrocarbon
radical having 2, 3, 4, 5 or 6 carbon atoms, e.g. vinyl, allyl
(2-propen-1-yl), 1-propen-1-yl, 2-propen-2-yl,
methallyl(2-methylprop-2-en-1-yl) and the like.
C.sub.3-C.sub.4-Alkenyl is, in particular, allyl,
1-methylprop-2-en-1-yl, 2-buten-1-yl, 3-buten-1-yl, methallyl,
2-penten-1-yl, 3-penten-1-yl, 4-penten-1-yl, 1-methylbut-2-en-1-yl
or 2-ethylprop-2-en-1-yl.
[0074] C.sub.6-C.sub.12-Aryl is a 6- to 12-membered, in particular
6- to 10-membered, aromatic cyclic radical. Examples include phenyl
and naphthyl.
[0075] C.sub.2-C.sub.7-Alkylene is straight-chain or branched
alkylene group having from 2 to 7 carbon atoms. Examples include
ethylene, 1,3-propylene, 1,4-butylene and 1,5-pentylene.
[0076] Particular roscovitine analogues are defined as follows.
[0077] According to a particular embodiment, R.sup.1 in formula
(Ia) and formula (Ib) is hydrogen or C.sub.1-C.sub.3-alkyl.
C.sub.1-C.sub.3-alkyl is in particular ethyl or isopropyl.
[0078] According to a further particular embodiment, R.sup.2a and
R.sup.2b in formula (Ia) and formula (Ib) are independently
hydrogen, C.sub.1-C.sub.3-alkyl, in particular ethyl,
C.sub.2-C.sub.3-alkenyl, in particular allyl,
C.sub.3-C.sub.8-cycloalkyl, in particular cyclohexyl, optionally
substituted phenyl or optionally substituted benzyl. Substituted
phenyl is in particular phenyl substituted with 1, 2 or 3
substituent which are independently selected from the group
consisting of halogen, methyl, methoxy and NH.sub.2. According to a
further particular embodiment, R.sup.3 is hydrogen and R.sup.2b is
as defined. Alternatively, R.sup.2a and R.sup.2b in formula (Ia)
and formula (Ib) together are C.sub.2-C.sub.7-alkylene, in
particular 1,5-pentylene, and thus form a 3- to 8-membered, in
particular 6-membered, ring including the nitrogen atom to which
they are attached.
[0079] According to a further particular embodiment, R.sup.3 in
formula (Ia) and formula (Ib) is C.sub.1-C.sub.6-alkyl, in
particular C.sub.1-C.sub.3-alkyl, or optionally substituted
C.sub.6-C.sub.12-aryl, in particular optionally substituted
phenyl.
[0080] According to a further particular embodiment of formula
(Ia), X is N, Y is CR.sup.5 (in particular CH) and Q is NR.sup.3
(in particular N(C.sub.1-C.sub.3-alkyl), e.g. NCH.sub.3,
NCH.sub.2CH.sub.3 or NCH(CH.sub.3).sub.2, or N(phenyl)); or X is
CR.sup.4 (in particular CH), Y is N and Q is NR.sup.3 (in
particular N(C.sub.1-C.sub.3-alkyl) or N(phenyl)).
[0081] According to a further particular embodiment of formula
(Ib), X is N, Y is CR.sup.5 (in particular CH) and Q is NR.sup.3
(in particular NCH.sub.3).
[0082] Roscovitine analogues according to the present invention, in
particular, include the following compounds
##STR00004## ##STR00005## ##STR00006##
and their pharmacologically useful salts.
[0083] According to a particular embodiment, the roscovitine
analogue is
(1-ethyl-2-hydroxyethylamino)-6-(2-hydroxybenzyl)amino-9-isopropylpurine
(hereinafter referred to as roscovitine analogue A). This
roscovitine analogue is capable of reversing the inhibitory effect
of A.beta. globulomer on synaptic transmission.
[0084] According to a particular embodiment, the agonists of the
P/Q type voltage-gated presynaptic calcium channel of formula (II)
is isoproterenol. Isoproterenol has been described as an agonist of
the P/Q type voltage-gated presynaptic calcium channel (Huang
C.-C., et al., The Journal of Neuroscience, 1996, 16(3): 1026-1033,
Huang C.-C., et al., The Journal of Neuroscience, 1998, 18(6):
2276-2282). As used herein, the term "isoproterenol" (also known as
isoprenaline) denotes
4-[1-hydroxy-2-(1-methylethylamino)ethyl]benzene-1,2-diol.
Isoproterenol is capable of reversing the inhibitory effect of
A.beta. globulomer on spontaneous synaptic activity, which is
mediated by suppression of the P/Q type voltage-gated presynaptic
calcium channel.
[0085] Particular isopreterenol analogues are defined as
follows.
[0086] According to a further particular embodiment, R.sup.1 in
formula (II) is C.sub.1-C.sub.4-alkyl or
C.sub.3-C.sub.6-cycloalkyl. C.sub.1-C.sub.4-alkyl is in particular
methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl or
tert-butyl. C.sub.3-C.sub.6-cycloalkyl is in particular cyclopropyl
or cyclohexyl.
[0087] According to a further particular embodiment, at least one,
two or three of R.sup.2a, R.sup.2b, R.sup.2c, R.sup.2d, R.sup.2e in
formula (II) is/are different from hydrogen. In particular at least
one of R.sup.2a, R.sup.2b, R.sup.2c, R.sup.2d is different from
hydrogen.
[0088] According to a further particular embodiment, R.sup.2a,
R.sup.2b, R.sup.2c, R.sup.2d, are independently hydrogen, halogen,
methyl, optionally substituted phenyl, OH, methoxy, CN, or
NH.sub.2, or R.sup.2b and R.sup.2c or R.sup.2c and R.sup.2d
together with the carbon atoms to which they are attached form an
optionally substituted anellated carbocyclic ring. The carbocyclic
ring may be partially unsaturated (due to the benezene moiety to
which R.sup.2b, R.sup.2c and R.sup.2d are attached) or aromatic.
According to a particular embodiment, R.sup.2b and R.sup.2c or
R.sup.2c and R.sup.2d together with the benzene moiety to which
they are attached form an optionally substituted
1,2,3,4-tetrahydronaphthalene or naphthalene moiety.
[0089] Isopreterenol analogues according to the present invention,
in particular, include the following compounds
##STR00007## ##STR00008##
and their pharmacologically useful salts.
[0090] The compounds of the formula (Ia), (Ib) or (II) can be
prepared by analogy to methods which are well known in the art.
Many of said compounds are commercially available.
[0091] Further agonists of the P/Q type voltage-gated presynaptic
calcium channel may be identified among compounds known per se by
screening for their capacity to act as agonists of the P/Q type
voltage-gated presynaptic calcium channel, preferably by screening
using a method comprising determining the effect of a candidate
compound on the opening state of the P/Q type voltage-gated
presynaptic calcium channel, most conveniently by determining the
effect of said compound on the Ca.sup.++ flux through the P/Q type
voltage-gated presynaptic calcium channel. Suitable means for
determining ion fluxes such as Ca.sup.++ fluxes through the P/Q
type voltage-gated presynaptic calcium channel have been described
in the art (Yan Z, et al., 2002, supra; Buraei et al 2006,
supra).
[0092] A method for determining whether any candidate compound is
an agonist at the P/Q type voltage-gated presynaptic calcium
channel comprises the steps of [0093] (I) providing the P/Q type
voltage-gated presynaptic calcium channel; and [0094] (II)
determining Ca.sup.++ fluxes through said P/Q type voltage-gated
presynaptic calcium channel in the presence and in the absence of
the candidate compound; wherein an increase of the Ca.sup.++ flux
through the P/Q type voltage-gated presynaptic calcium channel in
the presence relative to the Ca.sup.++ flux through the P/Q type
voltage-gated presynaptic calcium channel in the absence of the
candidate compound is indicative of an agonistic effect of the
candidate compound at the P/Q type voltage-gated presynaptic
calcium channel. Alternatively, the agonistic effect can be
assessed by measuring Ba.sup.++ currents through P/Q type
voltage-gated presynaptic calcium channels using methods well-known
to the skilled artisan.
[0095] The P/Q type voltage-gated presynaptic calcium channel is
known per se (see, e. g., WO98/13490; Qian J and Noebels J L. J
Neurosci 21: 3721-3728, 2001; Yan Z, et al., 2002, supra).
WO98/13490 in particular discloses the cDNA sequence for the human
P/Q type voltage-gated presynaptic calcium channel, encoding a
protein of 2261 amino acids. Methods for expressing a protein from
a cDNA in vertebrate cells are well-documented in the art; e. g.
WO96/39512 discloses a process for generating cell lines expressing
voltage-gated calcium channels. It is thus within the ken of the
skilled person to provide the P/Q type voltage-gated presynaptic
calcium channel.
[0096] Expediently, the P/Q type voltage-gated presynaptic calcium
channel is provided on a living cell, which cell may be either in
its natural environment (in situ) or separated therefrom (ex vivo).
In a particular embodiment, the cell to be used in the screening
method is of a type that naturally expresses the P/Q type
voltage-gated presynaptic calcium channel, e. g. a neuronal cell
such as a hippocampal neuronal cell. In another embodiment, the
cell to be used in the screening method expresses the P/Q type
voltage-gated presynaptic calcium channel as a foreign gene. In
this embodiment, it is preferred that the cell naturally does not
express any other voltage-gated presynaptic calcium channels, e. g.
a non-neural cell, e. g. a Xenopus oocyte. Conveniently, expression
of the P/Q type voltage-gated presynaptic calcium channel in the
cells is verified using standard methology, e. g. by Northern
blotting, RT-PCR, Western blotting, cytometry, binding of
P/Q-specific ligands such as .omega.-agatoxin, or pharmacological
characterization, i. e. reduction of calcium current after agatoxin
application.
[0097] In a further particular embodiment, said living cell further
comprises an agent for the in situ detection of calcium ion levels
(i. e. a calcium sensor agent), e. g. a protein with a
calcium-dependent luminescence or fluorescence, such as aequorin or
cameleon (Putney P W. Calcium Signaling. CRC Press Inc, 2005). Such
calcium sensor agents are well-known to the skilled person, and
essentially any of them may be used in the present invention.
Without wishing to be bound by theory, it is believed that in
suitable agents the conformation of the molecule changes in a
manner that depends on the local concentration of Ca.sup.++,
thereby hampering or facilitating physical processes, such as
inter- or intramolecular energy transfers, that may be detected and
correlated with calcium channel function by the experimentator.
Thus, the fluorescence or luminescence of said calcium sensor
agents is indicative of the local (e. g. intracellular) calcium
levels.
[0098] Hence, when the only functional calcium channel of the cell
is the P/Q type voltage-gated presynaptic calcium channel,
increases in intracellular calcium concentrations
( [ Ca ++ ] t > 0 ) ##EQU00001##
indicate calcium fluxes through the P/Q type voltage-gated
presynaptic calcium channel. Therefore, a rise in said increase
( [ Ca ++ ] C t > [ Ca ++ ] 0 t , ##EQU00002##
where [Ca.sup.++].sub.C is the intracellular calcium concentration
in the cell in the presence and [Ca.sup.++].sub.0 in the absence of
the candidate compound) indicates the P/Q agonist activity of a
candidate substance and thus its potential for the treatment of
amyloidoses, as described above.
[0099] Suitable methods for the direct determination of ion fluxes,
such as the voltage-clamp method, are likewise known in the art
(Sakmann B and Neher E. Single-Channel Recording. Springer US, 97
A.D.). Essentially, conductive microconnections with the inside and
the outside of the cell membrane are established, and the
electrical reactivity of the system under different conditions is
observed.
[0100] Preferably, prior to the measurement irrelevant ion channels
are blocked using inhibitors specific for said irrelevant channels
("pharmacological isolation" of the relevant channel or channels),
eliminating the dependencies of the electrical status of the
membrane on all channels except the one or ones of interest (i. e.
the P/Q channel). An activator of the P/Q type voltage-gated
presynaptic calcium channel and hence an agent suitable for the
treatment of amyloidoses according to the present invention, as
mentioned above, will thus be identified as an enhancer of
Ca.sup.++ flux when only the P/Q type voltage-gated presynaptic
calcium channel is expressed, or when all other calcium channels
are blocked.
[0101] As all these methods for the determination of Ca.sup.++
fluxes are essentially quantitative, they are also suitable for the
identification of an agonist with any particularly desired strength
of agonistic effect on the P/Q type voltage-gated presynaptic
calcium channel, wherein the strength of the agonistic effect is
the increase in calcium influx induced by the agonist under the
conditions selected.
[0102] Thus, an agent for the treatment of amyloidoses such as
Alzheimer's disease can be identified by determining the effect of
said agent on a cell comprising at least the P/Q type voltage-gated
presynaptic calcium channel, in particular the effect on the
Ca.sup.++ flux through the P/Q type voltage-gated presynaptic
calcium channel of said living cell, wherein an agonist at the P/Q
type voltage-gated presynaptic calcium channel is potentially a
suitable agent for the treatment of amyloidoses according to the
present invention.
[0103] Among the agonists identified thereby, such as those having
an affinity to the N type voltage-gated presynaptic calcium channel
of less than any particularly desired value may be readily selected
using methods essentially known in the art, e. g. by employing the
methods for detection of Ca.sup.++ fluxes disclosed above in
combination with known blockers for non-N type voltage-gated
presynaptic calcium channels.
[0104] Suitable methods for determining affinity between molecules
are generally well-known to the person skilled the art and
comprise, without being limited to, determining radiation-free
energy transfer, radiolabelling of ligands and
co-immunoprecipitation. Likewise, the skilled person is familiar
with suitable methods for determining the inhibitory effect of a
compound on any given enzyme, and will thus be able to readily
select among the agonist identified as described above such as have
an IC50 for any CDK, such as CDK5, of more than any particularly
desired value.
[0105] As used herein, the term "administering" is used to denote
delivering an agent to a subject, especially a human subject.
Basically, any route of administration known in the art, e. g.
buccal, sublingual, oral, rectal, transdermal, subcutaneous,
intramuscular, intravenous, intraarterial, intraperitoneal,
intrathecal, intralumbaginal or intradural, and any dosage regimen,
e. g. as bolus or as continuous supply, may be employed to
administer the agent.
[0106] The agent may be delivered simply as such or, preferably, in
combination with any of a wide range of carriers and excipients, as
known in the art, thereby forming a pharmaceutical composition. If
desired, a convenient drug targeting and/or delivery system may be
used. Expediently, the agent and at least one carrier are combined
into a dosage form as known per se to those skilled in the art, e.
g. into a controlled or sustained release system. Basically, any
carrier and/or excipient compatible with the agent and any kind of
dosage form may be used in the methods of the present invention.
Suitable compounds and methods are known in the art.
[0107] Thus, the present invention will be understood to also
relate to the methods and uses relating to the manufacture of
pharmaceutical compositions useful in the treatment of amyloidoses.
In particular, amyloidoses according to the present invention
comprise Alzheimer's disease and Down's syndrome.
[0108] In a particular embodiment of the invention, the treatment
is a rehabilitating and/or symptomatic treatment.
[0109] A "rehabilitating" treatment, as used herein, is, in
particular, for providing a benefit with regard to the patient's
overall quality of life.
[0110] As used herein, a "benefit" is any amelioration in relevant
clinical parameters or decrease in subjective suffering of the
subject amenable to scoring that can be causally connected to a
particular therapeutic measure. Expediently, the benefit is
measured by comparing the relevant clinical parameters or the
subjective suffering of the subject at a time point before
treatment and at least one time point during or after treatment,
and expressed in terms of a gain in quality-adjusted life years or
disability-adjusted life years (QALYs and DALYs).
[0111] The concept of "quality-adjusted life years" and
"disability-adjusted life years" is used extensively in the art to
evaluate agents and methods, in particular in the context of those
diseases where morbidity and disability are medically and socially
more of a concern than mortality is, such as dementing diseases.
Essentially, each year the life time following treatment is
multiplied with an index factor which ranges from 1.0 to indicate
perfect quality of life, or zero disability, to 0.0 to indicate
death, or complete disability, and the sum of these products is
compared to the value obtainable without treatment. Suitable
definitions and methods for determining gains and losses in QALYs
and DALYs, in particular with regard to dementing diseases such as
amyloidoses, have been described in the art.
[0112] Thus, a benefit is preferably an increase in the
aforementioned index factor. In a particular embodiment of the
invention, the treatment is hence for providing a benefit to a
subject suffering from an amyloidosis.
[0113] A "symptomatic" treatment, as used herein, is, in
particular, a treatment directed to the abatement or relief of the
symptoms of the disease.
[0114] In a particular embodiment the present invention relates to
a method for the restoration of A.beta.-impaired synaptic function
and/or plasticity, in particular long-term potentiation, in the
subject.
[0115] In a further particular embodiment the present invention
relates to a method for the restoration of cognitive abilities,
memory function and/or performance of activities of daily life
(ADL) capacity in the subject.
[0116] As used herein, the terms "cognitive abilities", "synaptic
function", "long-term potentiation" and "memory function" have the
meanings as are widely known and used in the art, and their
quantificable values are considered as "normal" or "restored" when
within the range which is commonly to be expected, e. g. based on
long-standing medical practice, appropriate clinical trials and/or
biochemical analysis, for the individual subject under
consideration when compared to a representative population of other
subjects whose essential parameters otherwise agree with those of
said subject under consideration (peers of said subject). In
particular, memory function is considered normal in a subject when
said subject upon investigation by suitable means, e. g. short-
and/or long-time learning tests, shows no significant deficiencies
with regard to memory in function in comparison to a control group
matched in species, age, gender and optionally other factors
acknowledged as relevant to mental health, which are well-known to
those skilled in the art, e. g. blood cholesterol levels, and/or
psycho-social factors, e. g. educational and/or occupational
background.
[0117] As used herein, the term "activities of daily living",
abbreviated "ADL", is used to denote the essential manual and
mental tasks and chores of everyday life, in particular those
involving domains of language (impairment thereof being known as
"aphasia"), skilled movements (impairment being known as "apraxia"
and potentially leading to total loss of control over the body in
the final stages of the disease), and the use of cognitive
abilities such as recognition (impairment being known as "agnosia",
often accompanied by disorientation and disinhibition, and
sometimes also with behavioural changes) and higher-level
intellectual functions (such as decision-making and planning).
These capacities can be assessed e. g. using questionnaire-based
tests well-known in the art, such as the Hodgkinson test (aka.
"minimental state examination" or MMSE, comprising the recital of
basic facts of everyday life) and the Folstein test (aka.
"abbreviated mental test score" or AMTS, comprising, remembering
the time and place of the test, repeating lists of words,
arithmetic, language use and comprehension, and copying a simple
drawing) for basic mental functions and the John Hopkins
Functioning Inventory (aka. JHFI) for basically motoric or
movement-related abilities such as sitting, standing, walking,
eating, washing, dressing etc.
[0118] The skilled person will be aware that in amyloidoses such as
Alzheimer's disease the impairment of ADL capacity is dominated, in
particular in its early and middle stages, by impairment of the
intellectual rather than of motoric or sensory functions, and that
even the latter, when found, is due to central rather than
peripheral disturbances (e. g. "forgetting how to walk" rather than
genuine organic paralysis).
[0119] According to another aspect, the present invention relates
to a method for identifying an agent for the treatment of
amyloidoses such as Alzheimer's disease, said method comprising
determining whether a candidate compound exerts an agonistic effect
on the P/Q type voltage-gated presynaptic calcium channel, as
disclosed above.
[0120] The invention will now be further illustrated by way of
reference to the following non-limiting examples and figures.
Unless stated otherwise, the terms "A-Beta", "A.beta..sub.1-42",
"A.beta.", "a.beta.", "glob" all denote the A.beta.(1-42)
globulomer described in reference example 2. "Kontrolle" means
"control".
DESCRIPTION OF THE FIGURES
[0121] FIG. 1: Effect of A.beta.(1-42) globulomer on spontaneous
synaptic activity as recorded from rat primary cultured hippocampal
neurons by voltage clamp: (A) and (C) are recordings of
spontaneously occurring synaptic currents in a cultured hippocampal
neuron (downward deflections indicate the postsynaptic currents
which are elicited by neurotransmitter release from one or more
presynaptic neurons; application of the globulomer and washout (top
trace) are indicated); (B) and (D) are the cumulative probability
functions.
[0122] FIG. 2: Effect of A.beta.(1-42) globulomer on the frequency
of synaptic currents.
[0123] FIG. 3: Effect of A.beta.(1-42) globulomer on the frequency
of mIPSCs in of cells cultivated with 0.5 .mu.M .omega.-conotoxin
MVIIA to achieve synaptic P/Q predominance (n=6): Number of
synaptic events during 5 min relative to non-A.beta. globulomer
treated cells. Left to right: (1) non-A.beta. globulomer treated
P/Q-dominated cells=reference, (2) P/Q-dominated cells treated with
A.beta. globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer).
[0124] FIG. 4: A.beta.(1-42) globulomer has no effect on the
amplitude of mIPSCs of cells cultivated with .omega.-conotoxin
MVIIA to achieve synaptic P/Q predominance: Average amplitude of
synaptic events relative to non-A.beta. globulomer treated cells.
Left to right: (1) non-A.beta. globulomer treated P/Q-dominated
cells=reference, (2) P/Q-dominated cells treated with A.beta.
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer).
[0125] FIG. 5: Effect of .omega.-agatoxin on the frequency of
mIPSCs in of cells cultivated with 0.5 .mu.M .omega.-conotoxin
MVIIA to achieve synaptic P/Q predominance (n=3): Number of
synaptic events during 5 min relative to non-.omega.-agatoxin
treated cells. Left to right: (1) non-.omega.-agatoxin treated
P/Q-dominated cells=reference, (2) P/Q-dominated cells treated with
0.5 .mu.M .omega.-agatoxin.
[0126] FIG. 6: No additive effect on the frequency of mIPSCs in of
cells cultivated with 0.5 .mu.M .omega.-conotoxin MVIIA to achieve
synaptic P/Q predominance after blockade of P/Q-channels by
.omega.-agatoxin (n=6): Number of synaptic events during 5 min
relative to non-A.beta. globulomer treated cells. Left to right:
(1) non-A.beta. globulomer treated P/Q-dominated cells
(.omega.-agatoxin only)=reference, (2) P/Q-dominated cells treated
with A.beta. globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer) after pre-treatment with
0.5 .mu.M .omega.-agatoxin.
[0127] FIG. 7: No effect of globulomer on the amplitude of mIPSCs
when P/Q channels of P/Q-dominated cells are already blocked by 0.5
.mu.M .omega.-agatoxin IVA (n=6): Number of synaptic events during
5 min relative to non-A.beta. globulomer treated cells. Left to
right: (1) non-AP globulomer treated P/Q-dominated cells
(.omega.-agatoxin only)=reference, (2) P/Q-dominated cells treated
with A.beta. globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer) after pre-treatment with
0.5 .mu.M .omega.-agatoxin.
[0128] FIG. 8: Agatoxin does not impair spontaneous synaptic
activity in cultures that lack functional P/Q-type Ca.sup.++
channels: Number of synaptic events during 5 min was set to 100%
for each cell analysed. The right bar indicates the relative number
of synaptic events in each cell after application of 0.5 .mu.M
.omega.-agatoxin.
[0129] FIG. 9: Globulomer does not impair spontaneous synaptic
activity in cultures that lack functional P/Q-type Ca.sup.++
channels: Number of synaptic events during 5 min relative to
non-A.beta. globulomer treated cells was set to 100% for each cell
analysed. The right bar indicates the relative number of synaptic
events in each cell after application of A.beta. globulomer (at a
concentration corresponding to approximately 1 .mu.M of A.beta.
monomer).
[0130] FIG. 10: Suppression of spontaneous synaptic currents by
A.beta.(1-42) globulomer and its reversal by the P/Q channel
agonist roscovitine: Number of synaptic events during 5 min
relative to non-A.beta. globulomer treated P/Q-dominated cells.
Left to right: (1) non-A.beta. globulomer treated P/Q-dominated
same cells=reference, (2) P/Q-dominated same cells treated with
A.beta. globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer), (3) P/Q-dominated same
cells treated simultaneously with A.beta. globulomer (at a
concentration corresponding to approximately 1 .mu.M of A.beta.
monomer) and 20 .mu.M roscovitine.
[0131] FIG. 11: No effect on the amplitude of spontaneous synaptic
currents of the P/Q channel agonist roscovitine: Average amplitude
of synaptic events relative to non-A.beta. globulomer treated
P/Q-dominated cells. Left to right: (1) non-A.beta. globulomer
treated P/Q-dominated same cells=reference, (2) P/Q-dominated same
cells treated with A.beta. globulomer (at a concentration
corresponding to approximately 1 .mu.M of A.beta. monomer), (3)
P/Q-dominated same cells treated simultaneously with A.beta.
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer) and 20 .mu.M roscovitine.
[0132] FIG. 12: The effect of A.beta.(1-42) globulomer on
spontaneous synaptic activity of P/Q-dominated cells can be
reversed by the P/Q channel agonist roscovitine: Synaptic
potentials over time. Arrows indicate the time points when A.beta.
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer) and 20 .mu.M roscovitine, respectively,
were added.
[0133] FIG. 13: Reducing effect of A.beta. globulomer on the
amplitude of pharmacologically isolated P/Q-type calcium channels:
Traces represent membrane currents after activation of P/Q-type
channels by a depolarizing voltage step. Left to right: (1)
P/Q-current under control conditions, (2) P/Q-current of the same
cell after application of A.beta. globulomer (at a concentration
corresponding to approximately 1 .mu.M of A.beta. monomer), (3)
P/Q-current of the same cell after washout of A.beta.
globulomer.
[0134] FIG. 14: Effect of A.beta.(1-42) globulomer on the
pharmacologically isolated P/Q current at different time points:
Average amplitude of P/Q-mediated current amplitude relative to
non-A.beta. globulomer treated P/Q-dominated cells. Left to right:
(1) non-A.beta. globulomer treated same cells=reference, (2) same
cells 10 min after treatment with A.beta. globulomer (at a
concentration corresponding to approximately 1 .mu.M of A.beta.
monomer), (3) same cells 15 min after treatment with A.beta.
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer).
[0135] FIG. 15: Effect of 0.5 .mu.M .omega.-agatoxin IVA on the
pharmacologically isolated P/Q current at different time points:
Average amplitude of P/Q currents relative to non-.omega.-agatoxin
treated P/Q-dominated same cells. Left to right: (1)
non-.omega.-agatoxin treated P/Q-dominated same cells =reference,
(2) P/Q-dominated cells 10 min after treatment with 0.5 .mu.M
.omega.-agatoxin, (3) P/Q-dominated cells 15 min after treatment
with 0.5 .mu.M .omega.-agatoxin.
[0136] FIG. 16: Effect of A.beta. on the pharmacologically isolated
P/Q current at different time points, revealing the effect of
washing out the A.beta. globulomer: Average amplitude of
P/Q-mediated current relative to non-A.beta. globulomer treated
P/Q-dominated cells. Left to right: (1) non-A.beta. globulomer
treated P/Q-dominated cells=reference, (2) P/Q-dominated cells 10
min after treatment with A.beta. globulomer (at a concentration
corresponding to approximately 1 .mu.M of A.beta. monomer), (3)
P/Q-dominated cells 15 min after treatment with A.beta. globulomer
(at a concentration corresponding to approximately 1 .mu.M of
A.beta. monomer), (4) P/Q-dominated cells treated with A.beta.
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer) after washing out the A.beta.
globulomer.
[0137] FIG. 17: Effect of A.beta. on spontaneous synaptic activity
in the hippocampal slice: Number of synaptic events during 5 min
relative to non-A.beta. globulomer treated tissue. Left to right:
(1) non-A.beta. globulomer treated same slice=reference, (2) same
slice treated with A.beta. globulomer (at a concentration
corresponding to approximately 1 .mu.M of A.beta. monomer).
[0138] FIG. 18: Spontaneous synaptic activity is reversibly
suppressed by A.beta.(1-42) globulomer. Original recording of
spontaneously occurring synaptic currents in a cultured hippocampal
neuron before (top), during (middle) and after (bottom) application
of A.beta.(1-42) globulomer.
[0139] FIG. 19: Effects of A.beta.(1-42) globulomer on different
types of synaptic currents in cultured hippocampal neurons. White
bars: effect of A.beta.(1-42) globulomer; black bars: washout for
at least 10 min. A: Reduction of event frequency as percentage of
previously recorded control currents (1.0). B: Effects of
A.beta.(1-42) globulomer on median amplitude of the respective
currents. sPSCs: spontaneously occurring pharmacologically naive
postsynaptic currents; mPSCs: pharmacologically naive miniature
postsynaptic currents recorded in the presence of TTX; mIPSCs:
miniature inhibitory postsynaptic currents; mEPSCs: spontaneously
occurring excitatory postsynaptic currents; mEPSCs: miniature
excitatory postsynaptic currents.
[0140] FIG. 20: Stability of GABA.sub.A receptor-mediated currents
towards A.beta.(1-42) globulomer. A: Repetitive application of 100
.mu.M GABA to a cultured hippocampal neuron yields stable inward
current before, during, and after application of the oligomer. B:
Enlarged view of current traces marked with * in A. Note the
stability of response in the absence (left) and presence (right) of
A.beta.(1-42) globulomer. C: Time course of GABA-induced currents
from 5 cells recorded in control solution (dashed line) and from 3
neurons where A.beta.(1-42) globulomer was applied (continuous
line, time of application indicated by bar). Amplitudes normalized
to the last GABA-induced current before application of
A.beta.(1-42) globulomer.
[0141] FIG. 21 Suppression of P/Q-type calcium currents by
A.beta.(1-42) globulomer. A: Time course of current amplitudes upon
application of globulomer. Currents were elicited by voltage steps
to -10 mV. B: Example traces of P/Q-type currents before, during
and after globulomer.
[0142] FIG. 22 Steady-state activation and inactivation parameters
of P/Q currents. A: Current/voltage relationship before globulomer
(squares) and during A.beta..sub.1-42 (triangles). A reduction of
the current amplitudes over the entire voltage-range, were the
current could be activated, was observed following application of
the globulomer. B & C: No difference in steady-state activation
(B) and inactivation curves (C) for P/Q channel-mediated barium
currents in the absence and presence of A.beta.(1-42) globulomer.
D: A significant decrease in maximal conductance (g.sub.max) of the
P/Q channels was induced by A.beta.(1-42) globulomer.
[0143] FIG. 23 Pharmacological modulation of the effect of
A.beta.(1-42) globulomer by agents interacting with P/Q-type
calcium channels. A: Effects of A.beta.(1-42) globulomer on
frequency of mixed synaptic currents. B: Effects on median
amplitude. Values are given relative to data in control solution.
Note suppression of the effect by .omega.-agatoxin and partial
recovery of event frequency by roscovitine.
[0144] FIG. 24 Pharmacological modulation of the effect of
A.beta.(1-42) globulomer by agents interacting with P/Q-type
calcium channels. Left to right: (1) frequency of mixed synaptic
currents of non-A.beta.(1-42) globulomer treated cultivated
hippocampal cells, (2) frequency of mixed synaptic currents after
application of A.beta.(1-42) globulomer (at a concentration
corresponding to approximately 1 .mu.M of A.beta. monomer), (3)
frequency of mixed synaptic currents after application of
A.beta.(1-42) globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer) and 15 .mu.M
isoproterenol.
[0145] FIG. 25 Enhancing P/Q calcium currents by roscovitine
prevents/reverses chronic A.beta. globulomer-induced deficits on
evoked synaptic transmission in hippocampal tissue (slice
cultures). Recordings were performed after incubation with
A.beta.(1-42) globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer), A.beta.(1-42) globulomer
(at a concentration corresponding to approximately 1 .mu.M of
A.beta. monomer)+20 .mu.M roscovitine, or control (SDS).
[0146] FIG. 26 Enhancing P/Q calcium currents by a roscovitine
analogue prevents/reverses chronic A.beta. globulomer-induced
deficits on evoked synaptic transmission in hippocampal tissue
(slice cultures). Recordings were performed after incubation with
A.beta.(1-42) globulomer (at a concentration corresponding to
approximately 1 .mu.M of A.beta. monomer), A.beta.(1-42) globulomer
(at a concentration corresponding to approximately 1 .mu.M of
A.beta. monomer)+20 .mu.M roscovitine analogue A, or control
(SDS).
[0147] FIG. 27 Effect of extracellular Ca.sup.2+ on sPSC frequency
after treatment with A.beta.(1-42) globulomer: Original recording
of sPSCs before (control in 1 mM Ca.sup.2+), after addition of
A.beta.(1-42) globulomer (glob in 1 mM Ca.sup.2+) and after
subsequent elevation of Ca.sup.2+-concentration (glob in 4 mM
Ca.sup.2+). B: Reduction of event frequency after application of
A.beta.(1-42) globulomer (p<0.05; n=6) and partial recovery
after elevation of Ca.sup.2+ from 1 mM to 4 mM. Values are given as
percentage of control currents. C: Event frequency of single cells
(n=6) after application of A.beta.(1-42) globulomer and after
subsequent elevation of Ca.sup.2+ from 1 mM to 4 mM. Values are
given as percentage of control currents. D: No difference in median
amplitude after application of A.beta.(1-42) globulomer (n=6) and
after subsequent elevation of Ca.sup.2+. Values are given as
percentage of control currents. E: Original recordings of massive
discharges directly after Ca.sup.2+ elevation for the cell shown in
A. These currents were rejected from analysis.
FIRST SERIES OF EXPERIMENTS
REFERENCE EXAMPLE 1
Determination of Synaptic Potentials
[0148] Neuronal cells from the rat hippocampus were obtained and
cultured in accordance with methods known per se in the art (Banker
G A, Cowan W M, Brain Res. 1977 May 13; 126(3):397-42). Cultured
neurons show spontaneous postsynaptic currents (PSCs), i. e.
spontaneous PSCs and, in the presence of the sodium channel blocker
tetrodotoxin, miniature PSCs. As mentioned above, the influx of
Ca.sup.++ through presynaptic ion channels such as the N, P/Q and R
type voltage-gated presynaptic calcium channels is what causes the
release of neurotransmitter from preformed vesicles in presynaptic
terminals. The measured signal reflects the current response of the
postsynaptic cell to the release of such transmitters, e.g.
gamma-aminobutyric acid or glutamate.
[0149] For measurements, primary cell cultures were transferred to
a recording chamber mounted on a microscope (Olympus CKX1) and were
immersed at room temperature into a buffered solution consisting of
156 mM NaCl, 2 mM KCl, 2 mM CaCl.sub.2, 1 mM MgCl.sub.2, 16.5 mM
glucose and 10 mM HEPES at a pH of 7.3. The osmolarity of the
solution was 330 mosmol.
[0150] Electrodes were produced by pulling from borosilicate
capillaries (available from Science Products) with a horizontal
pipette pulling device (P-97 from Sutter Instruments). After
filling with the intracellular solution, the final resistance of
the electrodes was from 2 to 5 M.OMEGA.. The intracellular solution
consisted of either (for recordings of miniature PSCs) 100 mM KCl,
10 mM NaCl, 0.25 mM CaCl.sub.2, 5 mM EGTA, 40 mM glucose, 4 mM
MgATP and 0.1 mM NaGTP at a pH of 7.3, or (for recording of calcium
currents) 110 mM CsCl, 10 mM EGTA, 25 mM HEPES, 10 mM
tris-phosphocreatine, 20 U/ml creatine phosphokinase, 4 mM MgATP
and 0.3 mM NaGTP.
[0151] All test compounds were applied either by bath perfusion or
by addition to the bath by means of a micropump connected to a
manually guided pipette.
[0152] All recordings of miniature PSCs were made in the presence
of 0.5 .mu.M tetrodotoxin (TTX; available from Tocris Bioscience)
to block the Na.sup.+ and K.sup.+ channels in the neuronal cell
membrane which would otherwise also influence the electrical status
of the membrane. For calcium current recordings the extracellular
solution contained 140 mM TEA-CI (to block K.sup.+-channels) 10 mM
BaCl.sub.2, 0.5 .mu.M TTX, 10 mM HEPES and 20 mM glucose at a pH
7.3. When required, .omega.-conotoxin MVIIA (available from Alomone
Labs, Jerusalem, Israel) was added to a final concentration of 0.5
.mu.M to block N type voltage-gated presynaptic Ca.sup.++ channels,
thereby "pharmacologically isolating" the ion fluxes through the
P/Q type voltage-gated presynaptic calcium channel. If necessary,
L-type voltage-gated calcium channels were blocked by addition of
10 .mu.M nifedipine.
[0153] To mimic the effect of A.beta. globulomer as P/Q type
blocker, .omega.-agatoxin IVA (available from Alomone Labs,
Jerusalem, Israel) was added to a final concentration of 0.5 .mu.M
to specifically block the P/Q type voltage-gated presynaptic
Ca.sup.++ channels of the sample cell.
[0154] All substances were stored as lyophilized powders at -20
.degree. C. Stock solutions were prepared with vehicles appropriate
for the solubility (i. e. immersion solution). Vehicle was
destilled water or standard extracellular solution for all drugs
except nifedipine, which was dissolved in ethanol, and roscovitine,
which was dissolved in dimethyl sulfoxide (DMSO). The final
concentration of the solvents in the A.beta.-globulomer solvent
buffer which was applied to neurons was <1%0 and the final
concentration of DMSO was <1.5%o.
[0155] Whole-cell patch-clamp recordings (sPSCs and mPSCs) were
conducted in a manner essentially known per se (see, e.g., Sakmann
B and Neher E. Single-Channel Recording. Springer US, 97 A.D.) at a
holding potential of -70 mV using an EPC7 amplifier (available from
HEKA Electronics). Signals were filtered at 3 kHz and sampled at 20
kHz.
[0156] After formation of a seal, rupture of the membrane by the
electrode and establishment of the whole-cell configuration, the
perfusion of the bath was stopped, and the substances to be tested
were injected into the bath using a custom-made syringe pump.
[0157] The sPSCs or mPSCs were then recorded for 10 minutes giving
the control values before any toxins were added.
[0158] For the selective determination of P/Q type voltage-gated
presynaptic calcium channel currents, the cells were activated in a
manner known per se (see Yan et al., 2002, supra) by a voltage
protocol, where the cells were excited by depolarization to -10 mV
for 50 ms every 20 sec. After the formation of the whole-cell
configuration, currents increased steadily until they had reached a
stable amplitude level. After this stable amplitude level had been
established, the effects of different test compounds on the rate of
ion flux were observed and expressed in terms of the normalized
mean P/Q amplitude and standard error of the mean SEM. Frequency
and amplitude of synaptic currents were calculated offline using a
template-based algorithm (custom made routine within the Signal and
Spike software, purchased from CED Inc., Cambridge, UK).
[0159] When desired, the measurement was evaluated at several
timepoints and optionally after a washout. Student's t-test was
applied to determine significance, p<0.05 being considered as
indicative of significant differences.
REFERENCE EXAMPLE 2
Generation of A.beta. Globulomer
[0160] An A.beta.(1-42) globulomer preparation with an apparent
molecular weight of 38/48 kDa as determined by SDS-PAGE was
obtained as described in Example 6b of WO2004/067561. Essentially,
A.beta. monomer was pretreated with HFIP for dissolving hydrogen
bonds, then diluted and further incubated in the presence of 0.2%
SDS, followed by isolation of the thus formed globulomer.
EXAMPLE 3
Inhibitory Effect of A.beta. Globulomer on Spontaneous Synaptic
Activity
[0161] Using acute application of the P/Q channel blocker
.omega.-agatoxin as a negative control and cells untreated with
regard to the P/Q type voltage-gated presynaptic calcium channel as
a positive control, the effects of A.beta.(1-42) globulomer on the
frequency of spontaneous synaptic events in cultured hippocampal
neurons treated with .omega.-conotoxin to achieve synaptic
dominance of the P/Q type channel, as described in Reference
Example 1, were observed.
[0162] A.beta. globulomer, obtained as described in Reference
Example 2, was tested according to the procedure described in
Reference Example 1 for channel function inhibitors such as
.omega.-agatoxin. In the presence of .omega.-agatoxin, A.beta.
globulomer had no further effect on synaptic activity, indicating
that the effects of both agents involved a common mechanism. A
total of 200 .mu.l A.beta.-globulomer solvent buffer comprising a
A.beta.(1-42) globulomer concentration corresponding to
approximately 2 .mu.M of A.beta. monomer was added to the bath
(previous volume 200 .mu.l), resulting in a final A.beta.(1-42)
globulomer concentration corresponding to approximately 1 .mu.M of
A.beta. monomer. Based on the assumption that the A.beta.(1-42)
globulomer consists of 12 A.beta.(1-42) monomers a final
A.beta.(1-42) globulomer concentration of approximately 83 nM can
be calculated. Measurements of synaptic activity were then
taken.
[0163] Results are shown in FIGS. 1-7, demonstrating that the
A.beta. globulomer inhibits the frequency of spontaneous synaptic
events with an efficiency approaching that of the strong P/Q
inhibitor .omega.-agatoxin but has no or little effect on the
amplitude of the synaptic events. Thus, A.beta.(1-42) globulomer
reduces synaptic activity, most likely by a presynaptic mechanism,
which shares crucial elements with the effect of
.omega.-agatoxin.
[0164] These results were verified by subjecting the A.beta.(1-42)
globulomer containing A.beta.-globulomer solvent buffer to
ultrafiltration with a filter having a molecular cutoff size of 5
kDa for globular proteins. The resulting solvent buffer contained
no detectable amounts of A.beta. globulomer protein prior to
bringing it into contact with the cells. The ultrafiltrate had no
effect on the synaptic events (see FIG. 2), indicating that the
agent responsible for reducing the frequency of spontaneous
synaptic events was unable to pass ultrafilters.
[0165] Furthermore, the effect of A.beta.(1-42) globulomer is
absent in cells predominantly expressing presynaptic N-type calcium
channels. Results are shown in FIGS. 8 and 9, demonstrating that in
the N-dominated cells no reduction of the frequency nor any
reduction in amplitude is achieved by either .omega.-agatoxin or
A.beta. globulomer, i. e. that both .omega.-agatoxin and A.beta.
globulomer target the P/Q type voltage-gated presynaptic calcium
channel.
EXAMPLE 4
Rescue of Spontaneous Synaptic Activity by Roscovitine
[0166] Using the A.beta.(1-42) globulomer of Reference Example 2 as
a negative control and cells untreated with regard to the P/Q type
voltage-gated presynaptic calcium channel as a positive control,
the effects of the P/Q type voltage-gated presynaptic calcium
channel activator roscovitine on the A.beta. globulomer-induced
reduction of the frequency of spontaneous synaptic events in
cultured hippocampal neurons treated with .omega.-conotoxin, as
described in Reference Example 1, were observed.
[0167] Roscovitine was used at a final concentration of 20 .mu.M,
by adding it simultaneously with A.beta.(1-42) globulomer (final
concentration of A.beta. globulomer corresponding to approximately
1 .mu.M of A.beta. monomer). Roscovitine is known (Zhen Yan et al.,
J. Physiol. 540: 761-770 (2002)) to slow down the inactivation of
the P/Q type voltage-gated presynaptic calcium channel, i. e. to
extend the time for which a channel, once opened, remains in the
open state, thereby increasing the calcium ion flow through the P/Q
type voltage-gated presynaptic calcium channel.
[0168] Results are shown in FIGS. 10 and 11, demonstrating that a
P/Q type voltage-gated presynaptic calcium channel activator is
capable of restoring the frequency of spontaneous synaptic events
under the influence of A.beta. globulomer to almost that of
untreated cells, i. e., that a P/Q activator may be used to reverse
the detrimental effects of A.beta. globulomer.
REFERENCE EXAMPLE 5
Direct Determination of the Activity of the P/Q Type Voltage-Gated
Presynaptic Calcium Channel, and of Inhibitory and Activating
Influences, by the Voltage-Clamp Method
[0169] Cells were prepared and subjected to measurement of membrane
currents by the voltage-clamp method basically as described in
Reference Example 1, the difference being essentially that all
irrelevant (non-P/Q type) ion channels of the cells were blocked
chemically, thereby allowing for direct determination of the ion
fluxes rather than of the resulting IPSCs. Blocking of the
irrelevant channels was achieved using the following additions to
the bath or electrode solution:
TABLE-US-00001 Compound Concentration Channel blocked TEA-Cl 140 mM
I[K.sup.+] BaCl.sub.2 10 mM CsCl (in the pipette) 110 mM Nifedipine
10 mM L-type Ca.sup.++ channel .omega.-conotoxin MVIIA 0.5 mM
N-type Ca.sup.++ channel Tetrodotoxin 0.5 Na.sup.+ channels
[0170] The Ba.sup.++ also served as the charge carrier (i. e.
substrate replacement) for the P/Q type voltage-gated presynaptic
Ca.sup.++ channel, with the additional advantage that conductance
through this channel and hence the sensitivity of the assay were
thereby increased to approximately tenfold. This made it possible
to directly detect ion fluxes through P/Q-channels in somatic
recordings.
[0171] In order to prevent the "run down" of Ca.sup.++ currents in
the samples, the electrode solution also comprised, in addition to
the substances listed above, 10 mM tris-phosphocreatinine and 20
U/ml creatine phosphokinase, which together served as an ATP
regenerating system preventing "run-down", i.e. decline due to a
gradual loss of channel conductance, of the observed currents. ATP
is needed to maintain the conductance of the calcium channels over
time intervals longer than several minutes, allowing to conduct the
described pharmacological experiments with sufficiently stable
calcium currents.
EXAMPLE 6
Direct Effect of A.beta. Globulomer on the P/Q Type Voltage-Gated
Presynaptic Calcium Channel in Cultured Cells
[0172] Using .omega.-agatoxin as a negative control and cells
untreated with regard to the P/Q type voltage-gated presynaptic
calcium channel as a positive control, the effects of A.beta.(1-42)
globulomer of Reference Example 2 (at a concentration corresponding
to approximately 1 .mu.M of A.beta.(1-42) monomers) on calcium flux
in hippocampal neurons treated with .omega.-conotoxin were directly
observed as described in Reference Example 5.
[0173] Recordings were taken at 10 min and 15 min and optionally
after a washout. Typical results are shown in FIGS. 13-16. These
findings demonstrate that A.beta. globulomer directly inhibits the
activity of the P/Q type voltage-gated presynaptic calcium channel
and cannot be readily washed out after binding to the P/Q type
voltage-gated presynaptic calcium channel. They further demonstrate
that A.beta. globulomer impedes, by decreasing the amplitude of the
calcium flux, the initiation of synaptic currents.
EXAMPLE 7
Direct Effect of A.beta. Globulomer on the P/Q Type Voltage-Gated
Presynaptic Calcium Channel In Situ
[0174] To verify whether the effect of the globulomer on neurons in
cell cultures also takes place in the more organotypic
slice-preparation of the hippocampus, synaptic currents were
determined in this tissue.
[0175] 400 .mu.m thick slices were prepared from freshly dissected
hippocampi of the mouse using a method known per se (Dingledine R.
Brain Slices. New York: Plenum Press, 1983). CA1 pyramidal cells
were patched and spontaneous synaptical currents were recorded
prior and after application of A.beta.(1-42) globulomer via an
Eppendorff pipette.
[0176] Typical results are shown in FIG. 17. These findings
demonstrate that the mechanism for A.beta. globulomer mediated
inhibition disclosed herein is also valid in situ.
SECOND SERIES OF EXPERIMENTS
REFERENCE EXAMPLE 8
Cell Culture
[0177] Primary hippocampal cell cultures were prepared from Wistar
rat embryos at the embryonic age E19 in accordance with the
protocol described earlier by Banker and Cowan (1977). Briefly,
pregnant rats were deeply anesthetized by ether narcosis and
decapitated. Embryos were rapidly removed and brains were dissected
under constant cooling with chilled (.about.4.degree. C.) phosphate
buffered saline (PBS). Then both hippocampi were taken out and
washed twice with ice-cold PBS followed by a wash with PBS at room
temperature. Hippocampi were triturated using three siliconized
pipettes with decreasing tip diameters. Cells were then plated on
coverslips (density 60000 cells/coverslip) coated with 0.01%
poly-L-lysine solution and stored at 37.degree. C. in an incubator
gassed with 5% CO.sub.2 in normal air. The culture medium contained
0.25% penicilline/streptomycine, 2% B27, 0.25% L-glutamine (Gibco,
Karlsruhe, Germany). Throughout culturing, we added 0.5 .mu.M/L
.omega.-conotoxin MVIIA to the culture medium to block N-type
calcium channels and to stabilize the expression of P/Q-type
currents. Cells were cultured for 14 to 28 days until used for
experiments.
REFERENCE EXAMPLE 9
Current Recording
[0178] Currents were measured under whole-cell voltage-clamp
conditions at room temperature using borosilicate pipettes of 2-4
M.OMEGA. resistance. Electrode solution contained (in mM/l): NaCl
10, KCl 100, CaCl.sub.2 0.25, EGTA 5, HEPES 10, glucose 40 (pH set
at 7.3) when used for recordings of synaptic events. A low-chloride
solution was used for experiments in which GABA induced currents
were elicited, which consists of (mM): Cs-gluconate 130, CsCl 10,
CaCl.sub.2 0.5, MgCl.sub.2 2, EGTA 10, HEPES 10, Mg-ATP 2 (pH:
7.3). Using this solution the calculated equilibrium potential for
chloride-ions was -54 mV. During calcium current measurements the
solution contained in (mM): CsCl 110, EGTA 10, HEPES 25,
tris-phosphocreatine 10, Mg-ATP 4, Na-GTP 0.3 and 20 units/ml
creatine-phosphokinase at pH 7.3. Osmolarity was adjusted to 295
mosmol/l, when necessary, by adding glucose. Bath solutions
contained (in mM): NaCl 156, KCl 2, CaCl.sub.2 2, MgCl.sub.2,
Glucose 16.5, HEPES 10 (pH set to 7.3) for recordings of synaptic
events and TEA-Cl 140, BaCl.sub.2, 10, HEPES 10, and Glucose 20 at
a pH: 7.3 for calcium currents, respectively. The bath perfusion
was stopped for 10 min prior to the application of the
A.beta.(1-42) globulomer and baseline activity was recorded.
Subsequently, A.beta.(1-42) globulomer (164 nM in respect to the
12mer complex) was added to the bath by means of a micro pump,
yielding a final concentration of 82 nM. TTX, .omega.-agatoxin IVA,
.omega.-conotoxin MVIIA, roscovitine (Alomone Labs, Jerusalem,
Israel), and nifedipine (Sigma, Deisenhofen, Germany) were added
directly to the bath solution at the concentrations indicated.
[0179] Currents were measured with an Axopatch 200B (Axon
Instruments, Union City, US) or an EPC-7 amplifier (HEKA,
Lambrecht, Germany), digitized by a CED 1401 micro analog/digital
converter (CED, Cambridge, UK) and stored on a PC (sample frequency
20 kHz). All recorded currents were low-pass filtered with a
cut-off frequency of 3 kHz. Capacitive transients and series
resistances were compensated on-line (.about.50-60% compensation)
during the calcium current measurements. No compensation was
performed during recordings of synaptic events. Data were evaluated
off-line using Spike5 and Signal3 software (CED, Cambridge, UK).
All calcium current traces were corrected for aspecific linear leak
(reversal potential 0 mV) determined at holding potential using
.+-.5 mV potential steps.
REFERENCE EXAMPLE 10
Current Analysis
[0180] All cells were voltage clamped at a holding potential of -80
mV, and calcium ions were substituted by Barium ions to increase
the amplitude of the current flow through the calcium channels.
Peak amplitudes of the currents (I) evoked with the activation
protocol were plotted as a function of membrane potential (V). The
resulting IV-relations were fitted with a combination of a first
order Boltzmann activation function and the Goldman-Hodgkin-Katz
(GHK) current-voltage relation (Kortekaas and Wadman, 1997):
I ( V ) = V g max 1 + exp ( V h - V V c ) [ Ba + ] in / [ Ba + ]
out - exp ( - .alpha. V ) 1 - exp ( - .alpha. V ) with a = F / RT
and g max = .alpha. FP 0 [ Ba + ] out , [ 1 ] ##EQU00003##
where g.sub.max is the maximal membrane conductance (which is
proportional to the maximal permeability and the extracellular
concentration of barium), V.sub.h is the potential of half maximal
activation and V.sub.c is proportional to the slope of the curve at
V.sub.h. F represents the Faraday constant, R the gas constant,
P.sub.0 is the maximal permeability, and T the absolute
temperature. The intracellular concentration of Ba.sup.2+ was
assumed to be 0.01 .mu.M. Assuming higher values of up to 0.1 mM
did not significantly change the resulting values of the
parameters.
[0181] The voltage dependence of steady state inactivation of the
barium current was estimated from the relation of peak current
amplitude versus the pre-potential. This relation was well
described by a Boltzmann function, which normalized the
current:
N ( V ) = I ( V ) I max where I ( V ) = I max 1 + exp ( V h - V V c
) [ 2 ] ##EQU00004##
where N(V) is the level of steady state inactivation determined
from the current amplitude I(V) normalized to I.sub.max, V is the
pre-pulse potential, V.sub.h is the potential of half maximal
inactivation and V.sub.c is a factor proportional to the slope of
the curve at V.sub.h.
REFERENCE EXAMPLE 11
Synaptic Events
[0182] For these recordings, all cells were voltage clamped at a
holding potential of -70 mV. Synaptic events triggered by the
release of GABA were inwardly directed (E.sub.Cl.about.-10 mV) due
to the use of high chloride concentrations in the pipette and the
bath. Routinely, 10 min of baseline activity was acquired, serving
as control data, before any drug application was started. Synaptic
events were then analyzed off-line for frequency and amplitude,
using a custom-made, template based algorithm.
REFERENCE EXAMPLE 12
Statistics
[0183] Values are presented as the mean.+-.standard error of the
mean (SEM). Statistical comparisons were made with Student's
t-test. A p-value<0.05 was used to indicate significant
differences.
EXAMPLE 13
A.beta.(1-42) Globulomer Reduces Spontaneous Synaptic Activity in
Hippocampal Cell Cultures
[0184] Spontaneous synaptic was measured activity in cultured
hippocampal neurons using whole-cell voltage clamp techniques
(V.sub.hold=-70 mV). Under our ionic conditions, all synaptic
events appeared as inward currents (spontaneous postsynaptic
currents; sPSCs) with a mean frequency of 189.+-.63/min (n=13).
Bath-application of 82 nM A.beta.(1-42) globulomer (globulomer
molarities calculated with respect to the 12mer complex) rapidly
reduced the frequency of sPSCs to 38.+-.5% of control (p<0.05;
n=13; FIG. 18). This effect was partially reversible upon washout
in 2 of 3 cells tested (61.+-.16%). The median amplitude of events
was 310.+-.168 pA and was reduced to 84.+-.10% under A.beta.(1-42)
globulomer (p<0.05; n=14; FIG. 19). Similar--but slightly
weaker--effects were seen after application of 8.2 nM A.beta.(1-42)
globulomer (frequency reduced to 63.+-.9%; p<0.05; median
amplitude 94.+-.5% of control, n=8, n.s.). Thus, the suppression of
spontaneous synaptic activity by A.beta.(1-42) globulomer is
dose-dependent and starts at low nanomolar concentrations. Input
resistance was not affected by A.beta.(1-42) globulomer (control:
120.9.+-.13.6 MO; A.beta.(1-42): 131.6.+-.13.7 M.OMEGA.).
[0185] Suppression of synaptic currents by an agent may be caused
by changes in neuronal activity or, alternatively, by specific
synaptic interactions. It was therefore tested for effects of
A.beta.(1-42) globulomer on active discharge properties by
recording action potentials in current clamp mode. Action
potentials elicited by current injection showed no difference in
amplitude, shape or kinetics when compared before and after
A.beta.(1-42) globulomer application. In detail, the threshold for
firing was -22.5.+-.8.2 mV vs. -24.2.+-.9.8 mV, and the amplitude
of the AP (baseline to peak) amounted to 119.9.+-.11.2 vs.
110.9.+-.16.7 mV. Likewise, kinetic parameters did not differ:
values for the half-width time were 3.5.+-.1.6 ms vs. 4.0.+-.2.9
ms, maximal rate of rise 100.5.+-.46.4 V/s vs. 84.2.+-.50.0 V/s and
maximal rate of repolarization 46.0.+-.18.6 V/s vs. 47.4.+-.19.3
V/s (n=16 action potentials from 4 cells before and after
A.beta.(1-42) globulomer respectively. It thus appears that the
alteration of synaptic activity by A.beta.(1-42) globulomer may be
caused by a direct interaction with pre- or postsynaptic proteins,
rather than by an unspecific alteration of cellular
excitability.
[0186] This hypothesis was corroborated by recordings of
spontaneously occurring miniature post-synaptic currents (mPSCs) in
the presence of TTX. Similar to spontaneous "macroscopic" PSCs,
these currents were reduced in frequency by 82 nM A.beta.(1-42)
globulomer (yielding 56.+-.9% of control; p<0.05; FIG. 19).
However, the amplitude of mPSCs was unaltered (median amplitude
31.1.+-.4.0 pA under control conditions vs. 30.2.+-.5.2 pA in the
presence of A.beta.(1-42) globulomer, n=6). Upon washout for 10
minutes, the effect on event frequency recovered partially to
77.+-.7.6% of control, n=6, wash: 4/6). Together, these data
suggest that A.beta.(1-42) globulomer interferes with the
presynaptic machinery of transmitter release.
EXAMPLE 14
Effects on Spontaneous and Miniature Inhibitory Postsynaptic
Currents
[0187] Pharmacologically naive synaptic currents reflect a mixture
of glutamatergic (excitatory) and GABAergic (inhibitory) events. In
order to differentiate between these components, inhibitory
postsynaptic currents were isolated by adding CNQX (20 .mu.M) and
DL-APV (30 .mu.M) to the bath solution. The frequency of
spontaneously occurring IPSCs was suppressed by A.beta.(1-42)
globulomer (yielding 64.+-.5% of control; p<0.05; n=12) and the
median amplitude was reduced to 82.+-.2% of control (p<0.05).
These reductions could be reversed to some degree following
withdrawal of the globulomer (frequency: 90.+-.12%; amplitude:
94.+-.2%). Miniature inhibitory postsynaptic currents (mIPSCs,
recorded in 0.5 .mu.M TTX) did also show a similar reduction of
frequency after application of A.beta.(1-42) globulomer (52.+-.10%
of control; p<0.05; n=6). This effect was partially reversible
upon washout, yielding 68.+-.12% of control (FIG. 19). In addition,
a reduction of mIPSC amplitude was observed (81.+-.6% of control;
p<0.05; no washout in 3/3 cells (85.+-.6%)).
EXAMPLE 15
Effects on Postsynaptic GABA.sub.A Receptors
[0188] In order to test for potential effects of A.beta.(1-42)
globulomer on postsynaptic GABA.sub.A receptors, a high (100 .mu.M)
concentration of GABA was applied by brief pressure-pulses directly
onto the cell. Repetitive application of GABA to cultured cells
elicited large (>1 nA) inward currents which showed only minor
rundown with time. This behaviour was unaltered after application
of A.beta.(1-42) globulomer for 5 min, indicating that GABA.sub.A
receptors are not affected by the agent (FIG. 20).
EXAMPLE 16
Effects on Spontaneous and Miniature Excitatory Postsynaptic
Currents
[0189] Finally, excitatory synaptic currents (EPSCs) were isolated
in the presence of 5 .mu.M gabazine (a GABA.sub.A receptor
antagonist). Basal frequency of these events was 386.+-.124/min.
Their frequency was reduced by A.beta.(1-42) globulomer to 14.+-.4%
of control (p<0.05; n=6; FIG. 19). Likewise, the amplitude was
reduced to 79.+-.4% of control (n=6; p<0.05; FIG. 19). The
effect was partially reversible during washout (frequency
increasing to 52.+-.19% of control, amplitude to 96.+-.6%; n=6).
The frequency of miniature EPSCs was likewise suppressed to
57.+-.9% of control (n=6; p<0.05), while the amplitude of mEPSCs
remained stable (96.+-.3% of control). The frequency suppression
did not recover upon wash-out (54.+-.8%; n=6). Together, these data
indicate that A.beta.(1-42) globulomer depresses vesicular release
at GABAergic and glutamatergic synapses, most likely by decreasing
the probability of vesicle exocytosis from presynaptic
terminals.
EXAMPLE 17
Effects on Voltage-Activated Calcium Currents
[0190] Presynaptic vesicle release is triggered by an influx of
calcium into the presynaptic terminal. Therefore, A.beta.(1-42)
globulomer might act on presynaptic calcium signalling. A common
pathway for release of both, glutamatergic and GABAergic vesicles
is presynaptic calcium influx via N-type or P/Q-type calcium
channels. Therefore, the effects of A.beta.(1-42) on whole-cell
calcium currents in cultured hippocampal neurons were analyzed.
Typical P/Q channel-mediated currents could be reliably elicited in
somatic whole-cell recordings under our culture conditions. In
these experiments, 10 mM Ba.sup.2+ was used as charge carrier in
the extracellular solution (see methods). Measurements were
performed in the presence of 10 .mu.M nifedipine (a L-type calcium
channel blocker), .omega.-conotoxin MVIIA (a N-type calcium channel
blocker) and blockers of other voltage-gated ion channels (TTX 0.5
.mu.M, TEA 140 mM, Cs.sup.+-based intracellular solution). Rundown
of these currents was avoided by adding 20 U/ml phosphocreatine
kinase and 10 mM tris-phosphocreatine to the pipette solution.
Under these conditions, P/Q-type currents were evoked by a
depolarizing voltage step to -10 mV (mean amplitude 1015.+-.145 pA;
FIG. 21). A.beta.(1-42) globulomer reduced the amplitude of these
currents to 62.+-.7% of control (n=10). This effect was partially
reversible in 3/3 cells.
[0191] If the effect of A.beta.(1-42) globulomer on synaptic
currents is mediated by block of P/Q-type calcium channels, it
should be mimicked and occluded by the selective P/Q-type calcium
channel blocker .omega.-Agatoxin IVA. Indeed, this toxin (0.5
.mu.M) reduced the frequency of miniature PSCs to 27.+-.7% (n=3;
amplitude 90.+-.7%), similar to the effect of A.beta.(1-42)
globulomer. Following pre-incubation with .omega.-Agatoxin IVA,
A.beta.(1-42) globulomer had no additional effect on the synaptic
currents (n=6, frequency 108.+-.15%; amplitude 102.+-.7% of
currents after .omega.-Agatoxin IVA control; FIG. 23). These data
suggest that .omega.-Agatoxin IVA and A.beta.(1-42) globulomer
share the same molecular mechanism.
[0192] The effect of A.beta.(1-42) globulomer on P/Q-type calcium
currents was further characterized by steady-state activation and
-inactivation protocols (see methods). Maximal conductance
(g.sub.max) was 61.7.+-.2.4 nS (control) versus 27.2.+-.3.2 nS
(A.beta.(1-42) globulomer; p<0.05; n=6; FIG. 22). Thus,
A.beta.(1-42) globulomer reduces the current amplitude without
affecting its voltage-dependent activation. In contrast to this
marked reduction in conductance (and current amplitude), other
kinetic parameters were not affected by A.beta.(1-42) globulomer.
Steady-state activation was characterized by V.sub.h=-15.4.+-.1.1
mV which was not changed after application of A.beta.(1-42)
globulomer (V.sub.h=-17.3.+-.1.3 mV; n=6). The slope of the fitted
first-order Boltzmann-equation V.sub.c was -7.8.+-.0.3 mV in
control solution and -10.8.+-.0.5 mV in A.beta.(1-42) globulomer
(not different, n=6). Likewise, steady-state inactivation was not
affected by A.beta.(1-42) globulomer, as indicated by stable values
for the voltage at half-maximal inactivation (29.2.+-.0.6 mV in
control; 32.4.+-.1.2 mV in A.beta.(1-42) globulomer; n=4) and for
the slope V.sub.c (-11.0.+-.0.9 mV versus -12.6.+-.1.1 mV; FIG.
22).). Thus, A.beta.(1-42) globulomer reduces the current amplitude
without affecting its voltage-dependent activation or
inactivation.
[0193] In addition the effects of A.beta.(1-42) globulomer on N-
and L-type calcium currents were analyzed. Besides blockers for
Na.sup.+- and K.sup.+-channels (see above) 0.5 .mu.M
.omega.-agatoxin IVA were added to block P/Q-channels. L-type
calcium currents were isolated by addition of 0.5 .mu.M
.omega.-conotoxin MVIIA. Voltage pulses from -80 mV to -10 mV
elicited inward currents of 597.7.+-.230.9 pA amplitude which
remained stable after addition of A.beta.(1-42) globulomer
(573.0.+-.225.6 pA; n=3). When N-type currents were isolated by
adding nifedipine (10 .mu.M) instead of .omega.-conotoxin, the same
voltage clamp protocol elicited inward currents which were, again,
insensitive to A.beta.(1-42) globulomer (amplitude in control
solution 1368.9.+-.332.8; amplitude in A.beta.(1-42) globulomer
1399.8.+-.376.4 pA; n=3). When all blockers were added together,
the remaining calcium current (possibly R-type) was too small for a
detailed analysis (<100 pA), indicating that this component was
only marginally expressed in the cultured hippocampal neurons.
EXAMPLE 18
Rescue by Roscovitine
[0194] Application of roscovitine in the presence of A.beta.(1-42)
globulomer did indeed partially recover the frequency of synaptic
currents. While in these experiments A.beta.(1-42) globulomer
reduced the frequency of spontaneous PSCs to 38.+-.10% of control,
application of roscovitine (20 .mu.M) brought this parameter back
to 75.+-.13% (n=5; FIG. 23).
[0195] Together, these data indicate that A.beta.(1-42) globulomer
reduces the frequency of spontaneous and miniature synaptic
currents by suppression of presynaptic calcium influx via P/Q-type
calcium channels.
THIRD SERIES OF EXPERIMENTS
EXAMPLE 19
Rescue of Spontaneous Synaptic Activity by Isoproterenol
[0196] Isoproterenol was used at a final concentration of 15 .mu.M,
by adding it simultaneously with A.beta.(1-42) globulomer (final
concentration of A.beta. globulomer corresponding to approximately
1 .mu.M of A.beta. monomer). Isoproterenol is known (Huang C.-C.,
et al., The Journal of Neuroscience, 1996, 16(3): 1026-1033, Huang
C.-C., et al., The Journal of Neuroscience, 1998, 18(6): 2276-2282)
to increase the Ca.sup.2+ influx through the P/Q type voltage-gated
presynaptic calcium channel.
[0197] Application of isoproterenol in the presence of
A.beta.(1-42) globulomer did indeed recover the frequency of
synaptic currents. While in these experiments A.beta.(1-42)
globulomer reduced the frequency of spontaneous IPSCs to 57.+-.7%
of control, application of isoproterenol (15 .mu.M) brought this
parameter back to 122.+-.58% (n=6; FIG. 24).
[0198] This demonstrates that the P/Q type voltage-gated
presynaptic calcium channel activator isoproterenol is capable of
restoring the frequency of spontaneous synaptic events under the
influence of A.beta. globulomer to that of untreated cells, i. e.,
that the P/Q activator may be used to reverse the detrimental
effects of A.beta. globulomer.
EXAMPLE 20
Enhancing P/Q Calcium Currents by Roscovitine Prevents/Reverses
Chronic A.beta. Globulomer-Induced Deficits on Evoked Synaptic
Transmission in Hippocampal Tissue
[0199] Rat hippocampal slice cultures (9 days old Wistar rats;
15-17 DIV) were incubated over night with either A.beta.(1-42)
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer), A.beta.(1-42) globulomer (at a
concentration corresponding to approximately 1 .mu.M of A.beta.
monomer)+20 .mu.M roscovitine, or control (SDS). Recordings were
performed (in artificial cerebrospinal fluid) from CA1 stratum
radiatum after stimulation of the Schaffer collateral at different
intensities.
[0200] Results are shown in FIG. 25, demonstrating that the
application of globulomer strongly suppresses synaptic
transmission. Co-application of 20 .mu.M roscivitine completely
prevents/reverses the globulomer-induced deficit.
EXAMPLE 21
Enhancing P/Q Calcium Currents by Roscovitine Analogue A
Prevents/Reverses Chronic A.beta. Globulomer-Induced Deficits on
Evoked Synaptic Transmission in Hippocampal Tissue
[0201] Rat hippocampal slice cultures (11 days old Wistar rats;
23-24 DIV) were incubated over night with either A.beta.(1-42)
globulomer (at a concentration corresponding to approximately 1
.mu.M of A.beta. monomer), A.beta.(1-42) globulomer (at a
concentration corresponding to approximately 1 .mu.M of A.beta.
monomer)+20 .mu.M roscovitine analogue A, or control (SDS).
Recordings were performed (in artificial cerebrospinal fluid) from
CA1 stratum radiatum after stimulation of the Schaffer collateral
at different intensities.
[0202] Results are shown in FIG. 26, demonstrating that the
application of globulomer strongly suppresses synaptic
transmission. Co-application of 20 .mu.M roscivitine analogue A
completely prevents/reverses the globulomer-induced deficit.
EXAMPLE 22
Effect of Extracellular Ca.sup.2+ on sPSC Frequency After Treatment
with A.beta.(1-42) Globulomer
[0203] Spontaneous synaptic activity was measured in cultured
hippocampal neurons using whole-cell voltage clamp techniques
(V.sub.hold=-70 mV). Under the ionic conditions used
(E.sub.Cl.about.-10 mV) all synaptic events appeared as inward
currents.
[0204] The effects of A.beta.(1-42) globulomer (at a concentration
corresponding to approximately 1 .mu.M of A.beta. monomer) were
assessed by comparing spontaneously occurring postsynaptic currents
(sPSCs) in single cells in 5 min intervals in the presence or
absence of globulomer in bath solution containing 1 mM Ca.sup.2+.
Currents recorded prior to the addition of the globulomer served as
control describing basal synaptic transmission. Currents recorded
in the interval immediately after application were analysed with
respect to the control data. Afterwards, extracellular Ca.sup.2+
was elevated from 1 mM to 4 mM (leaving the concentration of
globulomer unchanged). Currents in the following 5 min recording
interval were again analysed with respect to control data.
[0205] Basal frequency of sPSCs in 1 mM Ca.sup.2+ was 4.2.+-.1.2
Hz. Bath-application of A.beta.(1-42) globulomer rapidly reduced
the sPSC frequency to 63.+-.7% of control (p<0.05; n=6; FIG. 27
A+B). After elevation of extracellular Ca.sup.2+ to 4 mM, sPSC
frequency partially recovered to 77.+-.13% of control (FIG. 27 B).
In 4 of 6 cells tested, sPSC frequency increased, whereas it
remained unaltered in the other 2 cells (FIG. 27 C).
[0206] Median amplitude of sPSCs under control conditions was
27.7.+-.2.2 pA and remained unaltered after addition of
A.beta.(1-42) globulomer (97.+-.5%; FIG. 27 D) or subsequent
elevation of extracellular Ca.sup.2+ (98.+-.6%).
[0207] In most cases, prominent currents with amplitudes up to 2000
pA occurred directly after elevation of extracellular
Ca.sup.2+-concentration. These currents with multiple peaks (see
FIG. 27 E) were rejected from analysis.
[0208] This clearly demonstrates that the principle of activating
the P/Q type presynaptic calcium channel is effective in
compensating the detrimental effects exerted by A.beta. globulomer.
Sequence CWU 1
1
312505PRTHomo sapiens 1Met Ala Arg Phe Gly Asp Glu Met Pro Ala Arg
Tyr Gly Gly Gly Gly1 5 10 15Ser Gly Ala Ala Ala Gly Val Val Val Gly
Ser Gly Gly Gly Arg Gly 20 25 30Ala Gly Gly Ser Arg Gln Gly Gly Gln
Pro Gly Ala Gln Arg Met Tyr 35 40 45Lys Gln Ser Met Ala Gln Arg Ala
Arg Thr Met Ala Leu Tyr Asn Pro 50 55 60Ile Pro Val Arg Gln Asn Cys
Leu Thr Val Asn Arg Ser Leu Phe Leu65 70 75 80Phe Ser Glu Asp Asn
Val Val Arg Lys Tyr Ala Lys Lys Ile Thr Glu 85 90 95Trp Pro Pro Phe
Glu Tyr Met Ile Leu Ala Thr Ile Ile Ala Asn Cys 100 105 110Ile Val
Leu Ala Leu Glu Gln His Leu Pro Asp Asp Asp Lys Thr Pro 115 120
125Met Ser Glu Arg Leu Asp Asp Thr Glu Pro Tyr Phe Ile Gly Ile Phe
130 135 140Cys Phe Glu Ala Gly Ile Lys Ile Ile Ala Leu Gly Phe Ala
Phe His145 150 155 160Lys Gly Ser Tyr Leu Arg Asn Gly Trp Asn Val
Met Asp Phe Val Val 165 170 175Val Leu Thr Gly Ile Leu Ala Thr Val
Gly Thr Glu Phe Asp Leu Arg 180 185 190Thr Leu Arg Ala Val Arg Val
Leu Arg Pro Leu Lys Leu Val Ser Gly 195 200 205Ile Pro Ser Leu Gln
Val Val Leu Lys Ser Ile Met Lys Ala Met Ile 210 215 220Pro Leu Leu
Gln Ile Gly Leu Leu Leu Phe Phe Ala Ile Leu Ile Phe225 230 235
240Ala Ile Ile Gly Leu Glu Phe Tyr Met Gly Lys Phe His Thr Thr Cys
245 250 255Phe Glu Glu Gly Thr Asp Asp Ile Gln Gly Glu Ser Pro Ala
Pro Cys 260 265 270Gly Thr Glu Glu Pro Ala Arg Thr Cys Pro Asn Gly
Thr Lys Cys Gln 275 280 285Pro Tyr Trp Glu Gly Pro Asn Asn Gly Ile
Thr Gln Phe Asp Asn Ile 290 295 300Leu Phe Ala Val Leu Thr Val Phe
Gln Cys Ile Thr Met Glu Gly Trp305 310 315 320Thr Asp Leu Leu Tyr
Asn Ser Asn Asp Ala Ser Gly Asn Thr Trp Asn 325 330 335Trp Leu Tyr
Phe Ile Pro Leu Ile Ile Ile Gly Ser Phe Phe Met Leu 340 345 350Asn
Leu Val Leu Gly Val Leu Ser Gly Glu Phe Ala Lys Glu Arg Glu 355 360
365Arg Val Glu Asn Arg Arg Ala Phe Leu Lys Leu Arg Arg Gln Gln Gln
370 375 380Ile Glu Arg Glu Leu Asn Gly Tyr Met Glu Trp Ile Ser Lys
Ala Glu385 390 395 400Glu Val Ile Leu Ala Glu Asp Glu Thr Asp Gly
Glu Gln Arg His Pro 405 410 415Phe Asp Gly Ala Leu Arg Arg Thr Thr
Ile Lys Lys Ser Lys Thr Asp 420 425 430Leu Leu Asn Pro Glu Glu Ala
Glu Asp Gln Leu Ala Asp Ile Ala Ser 435 440 445Val Gly Ser Pro Phe
Ala Arg Ala Ser Ile Lys Ser Ala Lys Leu Glu 450 455 460Asn Ser Thr
Phe Phe His Lys Lys Glu Arg Arg Met Arg Phe Tyr Ile465 470 475
480Arg Arg Met Val Lys Thr Gln Ala Phe Tyr Trp Thr Val Leu Ser Leu
485 490 495Val Ala Leu Asn Thr Leu Cys Val Ala Ile Val His Tyr Asn
Gln Pro 500 505 510Glu Trp Leu Ser Asp Phe Leu Tyr Tyr Ala Glu Phe
Ile Phe Leu Gly 515 520 525Leu Phe Met Ser Glu Met Phe Ile Lys Met
Tyr Gly Leu Gly Thr Arg 530 535 540Pro Tyr Phe His Ser Ser Phe Asn
Cys Phe Asp Cys Gly Val Ile Ile545 550 555 560Gly Ser Ile Phe Glu
Val Ile Trp Ala Val Ile Lys Pro Gly Thr Ser 565 570 575Phe Gly Ile
Ser Val Leu Arg Ala Leu Arg Leu Leu Arg Ile Phe Lys 580 585 590Val
Thr Lys Tyr Trp Ala Ser Leu Arg Asn Leu Val Val Ser Leu Leu 595 600
605Asn Ser Met Lys Ser Ile Ile Ser Leu Leu Phe Leu Leu Phe Leu Phe
610 615 620Ile Val Val Phe Ala Leu Leu Gly Met Gln Leu Phe Gly Gly
Gln Phe625 630 635 640Asn Phe Asp Glu Gly Thr Pro Pro Thr Asn Phe
Asp Thr Phe Pro Ala 645 650 655Ala Ile Met Thr Val Phe Gln Ile Leu
Thr Gly Glu Asp Trp Asn Glu 660 665 670Val Met Tyr Asp Gly Ile Lys
Ser Gln Gly Gly Val Gln Gly Gly Met 675 680 685Val Phe Ser Ile Tyr
Phe Ile Val Leu Thr Leu Phe Gly Asn Tyr Thr 690 695 700Leu Leu Asn
Val Phe Leu Ala Ile Ala Val Asp Asn Leu Ala Asn Ala705 710 715
720Gln Glu Leu Thr Lys Asp Glu Gln Glu Glu Glu Glu Ala Ala Asn Gln
725 730 735Lys Leu Ala Leu Gln Lys Ala Lys Glu Val Ala Glu Val Ser
Pro Leu 740 745 750Ser Ala Ala Asn Met Ser Ile Ala Val Lys Glu Gln
Gln Lys Asn Gln 755 760 765Lys Pro Ala Lys Ser Val Trp Glu Gln Arg
Thr Ser Glu Met Arg Lys 770 775 780Gln Asn Leu Leu Ala Ser Arg Glu
Ala Leu Tyr Asn Glu Met Asp Pro785 790 795 800Asp Glu Arg Trp Lys
Ala Ala Tyr Thr Arg His Leu Arg Pro Asp Met 805 810 815Lys Thr His
Leu Asp Arg Pro Leu Val Val Asp Pro Gln Glu Asn Arg 820 825 830Asn
Asn Asn Thr Asn Lys Ser Arg Ala Ala Glu Pro Thr Val Asp Gln 835 840
845Arg Leu Gly Gln Gln Arg Ala Glu Asp Phe Leu Arg Lys Gln Ala Arg
850 855 860Tyr His Asp Arg Ala Arg Asp Pro Ser Gly Ser Ala Gly Leu
Asp Ala865 870 875 880Arg Arg Pro Trp Ala Gly Ser Gln Glu Ala Glu
Leu Ser Arg Glu Gly 885 890 895Pro Tyr Gly Arg Glu Ser Asp His His
Ala Arg Glu Gly Ser Leu Glu 900 905 910Gln Pro Gly Phe Trp Glu Gly
Glu Ala Glu Arg Gly Lys Ala Gly Asp 915 920 925Pro His Arg Arg His
Val His Arg Gln Gly Gly Ser Arg Glu Ser Arg 930 935 940Ser Gly Ser
Pro Arg Thr Gly Ala Asp Gly Glu His Arg Arg His Arg945 950 955
960Ala His Arg Arg Pro Gly Glu Glu Gly Pro Glu Asp Lys Ala Glu Arg
965 970 975Arg Ala Arg His Arg Glu Gly Ser Arg Pro Ala Arg Gly Gly
Glu Gly 980 985 990Glu Gly Glu Gly Pro Asp Gly Gly Glu Arg Arg Arg
Arg His Arg His 995 1000 1005Gly Ala Pro Ala Thr Tyr Glu Gly Asp
Ala Arg Arg Glu Asp Lys 1010 1015 1020Glu Arg Arg His Arg Arg Arg
Lys Glu Asn Gln Gly Ser Gly Val 1025 1030 1035Pro Val Ser Gly Pro
Asn Leu Ser Thr Thr Arg Pro Ile Gln Gln 1040 1045 1050Asp Leu Gly
Arg Gln Asp Pro Pro Leu Ala Glu Asp Ile Asp Asn 1055 1060 1065Met
Lys Asn Asn Lys Leu Ala Thr Ala Glu Ser Ala Ala Pro His 1070 1075
1080Gly Ser Leu Gly His Ala Gly Leu Pro Gln Ser Pro Ala Lys Met
1085 1090 1095Gly Asn Ser Thr Asp Pro Gly Pro Met Leu Ala Ile Pro
Ala Met 1100 1105 1110Ala Thr Asn Pro Gln Asn Ala Ala Ser Arg Arg
Thr Pro Asn Asn 1115 1120 1125Pro Gly Asn Pro Ser Asn Pro Gly Pro
Pro Lys Thr Pro Glu Asn 1130 1135 1140Ser Leu Ile Val Thr Asn Pro
Ser Gly Thr Gln Thr Asn Ser Ala 1145 1150 1155Lys Thr Ala Arg Lys
Pro Asp His Thr Thr Val Asp Ile Pro Pro 1160 1165 1170Ala Cys Pro
Pro Pro Leu Asn His Thr Val Val Gln Val Asn Lys 1175 1180 1185Asn
Ala Asn Pro Asp Pro Leu Pro Lys Lys Glu Glu Glu Lys Lys 1190 1195
1200Glu Glu Glu Glu Asp Asp Arg Gly Glu Asp Gly Pro Lys Pro Met
1205 1210 1215Pro Pro Tyr Ser Ser Met Phe Ile Leu Ser Thr Thr Asn
Pro Leu 1220 1225 1230Arg Arg Leu Cys His Tyr Ile Leu Asn Leu Arg
Tyr Phe Glu Met 1235 1240 1245Cys Ile Leu Met Val Ile Ala Met Ser
Ser Ile Ala Leu Ala Ala 1250 1255 1260Glu Asp Pro Val Gln Pro Asn
Ala Pro Arg Asn Asn Val Leu Arg 1265 1270 1275Tyr Phe Asp Tyr Val
Phe Thr Gly Val Phe Thr Phe Glu Met Val 1280 1285 1290Ile Lys Met
Ile Asp Leu Gly Leu Val Leu His Gln Gly Ala Tyr 1295 1300 1305Phe
Arg Asp Leu Trp Asn Ile Leu Asp Phe Ile Val Val Ser Gly 1310 1315
1320Ala Leu Val Ala Phe Ala Phe Thr Gly Asn Ser Lys Gly Lys Asp
1325 1330 1335Ile Asn Thr Ile Lys Ser Leu Arg Val Leu Arg Val Leu
Arg Pro 1340 1345 1350Leu Lys Thr Ile Lys Arg Leu Pro Lys Leu Lys
Ala Val Phe Asp 1355 1360 1365Cys Val Val Asn Ser Leu Lys Asn Val
Phe Asn Ile Leu Ile Val 1370 1375 1380Tyr Met Leu Phe Met Phe Ile
Phe Ala Val Val Ala Val Gln Leu 1385 1390 1395Phe Lys Gly Lys Phe
Phe His Cys Thr Asp Glu Ser Lys Glu Phe 1400 1405 1410Glu Lys Asp
Cys Arg Gly Lys Tyr Leu Leu Tyr Glu Lys Asn Glu 1415 1420 1425Val
Lys Ala Arg Asp Arg Glu Trp Lys Lys Tyr Glu Phe His Tyr 1430 1435
1440Asp Asn Val Leu Trp Ala Leu Leu Thr Leu Phe Thr Val Ser Thr
1445 1450 1455Gly Glu Gly Trp Pro Gln Val Leu Lys His Ser Val Asp
Ala Thr 1460 1465 1470Phe Glu Asn Gln Gly Pro Ser Pro Gly Tyr Arg
Met Glu Met Ser 1475 1480 1485Ile Phe Tyr Val Val Tyr Phe Val Val
Phe Pro Phe Phe Phe Val 1490 1495 1500Asn Ile Phe Val Ala Leu Ile
Ile Ile Thr Phe Gln Glu Gln Gly 1505 1510 1515Asp Lys Met Met Glu
Glu Tyr Ser Leu Glu Lys Asn Glu Arg Ala 1520 1525 1530Cys Ile Asp
Phe Ala Ile Ser Ala Lys Pro Leu Thr Arg His Met 1535 1540 1545Pro
Gln Asn Lys Gln Ser Phe Gln Tyr Arg Met Trp Gln Phe Val 1550 1555
1560Val Ser Pro Pro Phe Glu Tyr Thr Ile Met Ala Met Ile Ala Leu
1565 1570 1575Asn Thr Ile Val Leu Met Met Lys Phe Tyr Gly Ala Ser
Val Ala 1580 1585 1590Tyr Glu Asn Ala Leu Arg Val Phe Asn Ile Val
Phe Thr Ser Leu 1595 1600 1605Phe Ser Leu Glu Cys Val Leu Lys Val
Met Ala Phe Gly Ile Leu 1610 1615 1620Asn Tyr Phe Arg Asp Ala Trp
Asn Ile Phe Asp Phe Val Thr Val 1625 1630 1635Leu Gly Ser Ile Thr
Asp Ile Leu Val Thr Glu Phe Gly Asn Asn 1640 1645 1650Phe Ile Asn
Leu Ser Phe Leu Arg Leu Phe Arg Ala Ala Arg Leu 1655 1660 1665Ile
Lys Leu Leu Arg Gln Gly Tyr Thr Ile Arg Ile Leu Leu Trp 1670 1675
1680Thr Phe Val Gln Ser Phe Lys Ala Leu Pro Tyr Val Cys Leu Leu
1685 1690 1695Ile Ala Met Leu Phe Phe Ile Tyr Ala Ile Ile Gly Met
Gln Val 1700 1705 1710Phe Gly Asn Ile Gly Ile Asp Val Glu Asp Glu
Asp Ser Asp Glu 1715 1720 1725Asp Glu Phe Gln Ile Thr Glu His Asn
Asn Phe Arg Thr Phe Phe 1730 1735 1740Gln Ala Leu Met Leu Leu Phe
Arg Ser Ala Thr Gly Glu Ala Trp 1745 1750 1755His Asn Ile Met Leu
Ser Cys Leu Ser Gly Lys Pro Cys Asp Lys 1760 1765 1770Asn Ser Gly
Ile Leu Thr Arg Glu Cys Gly Asn Glu Phe Ala Tyr 1775 1780 1785Phe
Tyr Phe Val Ser Phe Ile Phe Leu Cys Ser Phe Leu Met Leu 1790 1795
1800Asn Leu Phe Val Ala Val Ile Met Asp Asn Phe Glu Tyr Leu Thr
1805 1810 1815Arg Asp Ser Ser Ile Leu Gly Pro His His Leu Asp Glu
Tyr Val 1820 1825 1830Arg Val Trp Ala Glu Tyr Asp Pro Ala Ala Trp
Gly Arg Met Pro 1835 1840 1845Tyr Leu Asp Met Tyr Gln Met Leu Arg
His Met Ser Pro Pro Leu 1850 1855 1860Gly Leu Gly Lys Lys Cys Pro
Ala Arg Val Ala Tyr Lys Arg Leu 1865 1870 1875Leu Arg Met Asp Leu
Pro Val Ala Asp Asp Asn Thr Val His Phe 1880 1885 1890Asn Ser Thr
Leu Met Ala Leu Ile Arg Thr Ala Leu Asp Ile Lys 1895 1900 1905Ile
Ala Lys Gly Gly Ala Asp Lys Gln Gln Met Asp Ala Glu Leu 1910 1915
1920Arg Lys Glu Met Met Ala Ile Trp Pro Asn Leu Ser Gln Lys Thr
1925 1930 1935Leu Asp Leu Leu Val Thr Pro His Lys Ser Thr Asp Leu
Thr Val 1940 1945 1950Gly Lys Ile Tyr Ala Ala Met Met Ile Met Glu
Tyr Tyr Arg Gln 1955 1960 1965Ser Lys Ala Lys Lys Leu Gln Ala Met
Arg Glu Glu Gln Asp Arg 1970 1975 1980Thr Pro Leu Met Phe Gln Arg
Met Glu Pro Pro Ser Pro Thr Gln 1985 1990 1995Glu Gly Gly Pro Gly
Gln Asn Ala Leu Pro Ser Thr Gln Leu Asp 2000 2005 2010Pro Gly Gly
Ala Leu Met Ala His Glu Ser Gly Leu Lys Glu Ser 2015 2020 2025Pro
Ser Trp Val Thr Gln Arg Ala Gln Glu Met Phe Gln Lys Thr 2030 2035
2040Gly Thr Trp Ser Pro Glu Gln Gly Pro Pro Thr Asp Met Pro Asn
2045 2050 2055Ser Gln Pro Asn Ser Gln Ser Val Glu Met Arg Glu Met
Gly Arg 2060 2065 2070Asp Gly Tyr Ser Asp Ser Glu His Tyr Leu Pro
Met Glu Gly Gln 2075 2080 2085Gly Arg Ala Ala Ser Met Pro Arg Leu
Pro Ala Glu Asn Gln Arg 2090 2095 2100Arg Arg Gly Arg Pro Arg Gly
Asn Asn Leu Ser Thr Ile Ser Asp 2105 2110 2115Thr Ser Pro Met Lys
Arg Ser Ala Ser Val Leu Gly Pro Lys Ala 2120 2125 2130Arg Arg Leu
Asp Asp Tyr Ser Leu Glu Arg Val Pro Pro Glu Glu 2135 2140 2145Asn
Gln Arg His His Gln Arg Arg Arg Asp Arg Ser His Arg Ala 2150 2155
2160Ser Glu Arg Ser Leu Gly Arg Tyr Thr Asp Val Asp Thr Gly Leu
2165 2170 2175Gly Thr Asp Leu Ser Met Thr Thr Gln Ser Gly Asp Leu
Pro Ser 2180 2185 2190Lys Glu Arg Asp Gln Glu Arg Gly Arg Pro Lys
Asp Arg Lys His 2195 2200 2205Arg Gln His His His His His His His
His His His Pro Pro Pro 2210 2215 2220Pro Asp Lys Asp Arg Tyr Ala
Gln Glu Arg Pro Asp His Gly Arg 2225 2230 2235Ala Arg Ala Arg Asp
Gln Arg Trp Ser Arg Ser Pro Ser Glu Gly 2240 2245 2250Arg Glu His
Met Ala His Arg Gln Gly Ser Ser Ser Val Ser Gly 2255 2260 2265Ser
Pro Ala Pro Ser Thr Ser Gly Thr Ser Thr Pro Arg Arg Gly 2270 2275
2280Arg Arg Gln Leu Pro Gln Thr Pro Ser Thr Pro Arg Pro His Val
2285 2290 2295Ser Tyr Ser Pro Val Ile Arg Lys Ala Gly Gly Ser Gly
Pro Pro 2300 2305 2310Gln Gln Gln Gln Gln Gln Gln Gln Gln Gln Gln
Ala Val Ala Arg 2315 2320 2325Pro Gly Arg Ala Ala Thr Ser Gly Pro
Arg Arg Tyr Pro Gly Pro 2330 2335 2340Thr Ala Glu Pro Leu Ala Gly
Asp Arg Pro Pro Thr Gly Gly His 2345 2350 2355Ser Ser Gly Arg Ser
Pro Arg Met Glu Arg Arg Val Pro Gly Pro 2360 2365 2370Ala Arg Ser
Glu Ser Pro Arg Ala Cys Arg His Gly Gly Ala Arg 2375 2380 2385Trp
Pro Ala Ser Gly Pro His Val Ser Glu Gly Pro Pro Gly Pro 2390 2395
2400Arg His His Gly Tyr Tyr Arg Gly Ser Asp Tyr Asp Glu Ala Asp
2405 2410 2415Gly Pro Gly Ser Gly Gly Gly Glu Glu Ala Met Ala Gly
Ala Tyr 2420 2425 2430Asp Ala Pro Pro Pro Val Arg His Ala Ser Ser
Gly Ala Thr Gly 2435 2440 2445Arg Ser
Pro Arg Thr Pro Arg Ala Ser Gly Pro Ala Cys Ala Ser 2450 2455
2460Pro Ser Arg His Gly Arg Arg Leu Pro Asn Gly Tyr Tyr Pro Ala
2465 2470 2475His Gly Leu Ala Arg Pro Arg Gly Pro Gly Ser Arg Lys
Gly Leu 2480 2485 2490His Glu Pro Tyr Ser Glu Ser Asp Asp Asp Trp
Cys 2495 2500 250521145PRTHomo sapiensMISC_FEATURE(1)..(1145)PQ
calcium channel, alpha 2/delta subunit 2 isoform a 2Met Ala Val Pro
Ala Arg Thr Cys Gly Ala Ser Arg Pro Gly Pro Ala1 5 10 15Arg Thr Ala
Arg Pro Trp Pro Gly Cys Gly Pro His Pro Gly Pro Gly 20 25 30Thr Arg
Arg Pro Thr Ser Gly Pro Pro Arg Pro Leu Trp Leu Leu Leu 35 40 45Pro
Leu Leu Pro Leu Leu Ala Ala Pro Gly Ala Ser Ala Tyr Ser Phe 50 55
60Pro Gln Gln His Thr Met Gln His Trp Ala Arg Arg Leu Glu Gln Glu65
70 75 80Val Asp Gly Val Met Arg Ile Phe Gly Gly Val Gln Gln Leu Arg
Glu 85 90 95Ile Tyr Lys Asp Asn Arg Asn Leu Phe Glu Val Gln Glu Asn
Glu Pro 100 105 110Gln Lys Leu Val Glu Lys Val Ala Gly Asp Ile Glu
Ser Leu Leu Asp 115 120 125Arg Lys Val Gln Ala Leu Lys Arg Leu Ala
Asp Ala Ala Glu Asn Phe 130 135 140Gln Lys Ala His Arg Trp Gln Asp
Asn Ile Lys Glu Glu Asp Ile Val145 150 155 160Tyr Tyr Asp Ala Lys
Ala Asp Ala Glu Leu Asp Asp Pro Glu Ser Glu 165 170 175Asp Val Glu
Arg Gly Ser Lys Ala Ser Thr Leu Arg Leu Asp Phe Ile 180 185 190Glu
Asp Pro Asn Phe Lys Asn Lys Val Asn Tyr Ser Tyr Ala Ala Val 195 200
205Gln Ile Pro Thr Asp Ile Tyr Lys Gly Ser Thr Val Ile Leu Asn Glu
210 215 220Leu Asn Trp Thr Glu Ala Leu Glu Asn Val Phe Met Glu Asn
Arg Arg225 230 235 240Gln Asp Pro Thr Leu Leu Trp Gln Val Phe Gly
Ser Ala Thr Gly Val 245 250 255Thr Arg Tyr Tyr Pro Ala Thr Pro Trp
Arg Ala Pro Lys Lys Ile Asp 260 265 270Leu Tyr Asp Val Arg Arg Arg
Pro Trp Tyr Ile Gln Gly Ala Ser Ser 275 280 285Pro Lys Asp Met Val
Ile Ile Val Asp Val Ser Gly Ser Val Ser Gly 290 295 300Leu Thr Leu
Lys Leu Met Lys Thr Ser Val Cys Glu Met Leu Asp Thr305 310 315
320Leu Ser Asp Asp Asp Tyr Val Asn Val Ala Ser Phe Asn Glu Lys Ala
325 330 335Gln Pro Val Ser Cys Phe Thr His Leu Val Gln Ala Asn Val
Arg Asn 340 345 350Lys Lys Val Phe Lys Glu Ala Val Gln Gly Met Val
Ala Lys Gly Thr 355 360 365Thr Gly Tyr Lys Ala Gly Phe Glu Tyr Ala
Phe Asp Gln Leu Gln Asn 370 375 380Ser Asn Ile Thr Arg Ala Asn Cys
Asn Lys Met Ile Met Met Phe Thr385 390 395 400Asp Gly Gly Glu Asp
Arg Val Gln Asp Val Phe Glu Lys Tyr Asn Trp 405 410 415Pro Asn Arg
Thr Val Arg Val Phe Thr Phe Ser Val Gly Gln His Asn 420 425 430Tyr
Asp Val Thr Pro Leu Gln Trp Met Ala Cys Ala Asn Lys Gly Tyr 435 440
445Tyr Phe Glu Ile Pro Ser Ile Gly Ala Ile Arg Ile Asn Thr Gln Glu
450 455 460Tyr Leu Asp Val Leu Gly Arg Pro Met Val Leu Ala Gly Lys
Glu Ala465 470 475 480Lys Gln Val Gln Trp Thr Asn Val Tyr Glu Asp
Ala Leu Gly Leu Gly 485 490 495Leu Val Val Thr Gly Thr Leu Pro Val
Phe Asn Leu Thr Gln Asp Gly 500 505 510Pro Gly Glu Lys Lys Asn Gln
Leu Ile Leu Gly Val Met Gly Ile Asp 515 520 525Val Ala Leu Asn Asp
Ile Lys Arg Leu Thr Pro Asn Tyr Thr Leu Gly 530 535 540Ala Asn Gly
Tyr Val Phe Ala Ile Asp Leu Asn Gly Tyr Val Leu Leu545 550 555
560His Pro Asn Leu Lys Pro Gln Thr Thr Asn Phe Arg Glu Pro Val Thr
565 570 575Leu Asp Phe Leu Asp Ala Glu Leu Glu Asp Glu Asn Lys Glu
Glu Ile 580 585 590Arg Arg Ser Met Ile Asp Gly Asn Lys Gly His Lys
Gln Ile Arg Thr 595 600 605Leu Val Lys Ser Leu Asp Glu Arg Tyr Ile
Asp Glu Val Thr Arg Asn 610 615 620Tyr Thr Trp Val Pro Ile Arg Ser
Thr Asn Tyr Ser Leu Gly Leu Val625 630 635 640Leu Pro Pro Tyr Ser
Thr Phe Tyr Leu Gln Ala Asn Leu Ser Asp Gln 645 650 655Ile Leu Gln
Val Lys Tyr Phe Glu Phe Leu Leu Pro Ser Ser Phe Glu 660 665 670Ser
Glu Gly His Val Phe Ile Ala Pro Arg Glu Tyr Cys Lys Asp Leu 675 680
685Asn Ala Ser Asp Asn Asn Thr Glu Phe Leu Lys Asn Phe Ile Glu Leu
690 695 700Met Glu Lys Val Thr Pro Asp Ser Lys Gln Cys Asn Asn Phe
Leu Leu705 710 715 720His Asn Leu Ile Leu Asp Thr Gly Ile Thr Gln
Gln Leu Val Glu Arg 725 730 735Val Trp Arg Asp Gln Asp Leu Asn Thr
Tyr Ser Leu Leu Ala Val Phe 740 745 750Ala Ala Thr Asp Gly Gly Ile
Thr Arg Val Phe Pro Asn Lys Ala Ala 755 760 765Glu Asp Trp Thr Glu
Asn Pro Glu Pro Phe Asn Ala Ser Phe Tyr Arg 770 775 780Arg Ser Leu
Asp Asn His Gly Tyr Val Phe Lys Pro Pro His Gln Asp785 790 795
800Ala Leu Leu Arg Pro Leu Glu Leu Glu Asn Asp Thr Val Gly Ile Leu
805 810 815Val Ser Thr Ala Val Glu Leu Ser Leu Gly Arg Arg Thr Leu
Arg Pro 820 825 830Ala Val Val Gly Val Lys Leu Asp Leu Glu Ala Trp
Ala Glu Lys Phe 835 840 845Lys Val Leu Ala Ser Asn Arg Thr His Gln
Asp Gln Pro Gln Lys Cys 850 855 860Gly Pro Asn Ser His Cys Glu Met
Asp Cys Glu Val Asn Asn Glu Asp865 870 875 880Leu Leu Cys Val Leu
Ile Asp Asp Gly Gly Phe Leu Val Leu Ser Asn 885 890 895Gln Asn His
Gln Trp Asp Gln Val Gly Arg Phe Phe Ser Glu Val Asp 900 905 910Ala
Asn Leu Met Leu Ala Leu Tyr Asn Asn Ser Phe Tyr Thr Arg Lys 915 920
925Glu Ser Tyr Asp Tyr Gln Ala Ala Cys Ala Pro Gln Pro Pro Gly Asn
930 935 940Leu Gly Ala Ala Pro Arg Gly Val Phe Val Pro Thr Val Ala
Asp Phe945 950 955 960Leu Asn Leu Ala Trp Trp Thr Ser Ala Ala Ala
Trp Ser Leu Phe Gln 965 970 975Gln Leu Leu Tyr Gly Leu Ile Tyr His
Ser Trp Phe Gln Ala Asp Pro 980 985 990Ala Glu Ala Glu Gly Ser Pro
Glu Thr Arg Glu Ser Ser Cys Val Met 995 1000 1005Lys Gln Thr Gln
Tyr Tyr Phe Gly Ser Val Asn Ala Ser Tyr Asn 1010 1015 1020Ala Ile
Ile Asp Cys Gly Asn Cys Ser Arg Leu Phe His Ala Gln 1025 1030
1035Arg Leu Thr Asn Thr Asn Leu Leu Phe Val Val Ala Glu Lys Pro
1040 1045 1050Leu Cys Ser Gln Cys Glu Ala Gly Arg Leu Leu Gln Lys
Glu Thr 1055 1060 1065His Cys Pro Ala Asp Gly Pro Glu Gln Cys Glu
Leu Val Gln Arg 1070 1075 1080Pro Arg Tyr Arg Arg Gly Pro His Ile
Cys Phe Asp Tyr Asn Ala 1085 1090 1095Thr Glu Asp Thr Ser Asp Cys
Gly Arg Gly Ala Ser Phe Pro Pro 1100 1105 1110Ser Leu Gly Val Leu
Val Ser Leu Gln Leu Leu Leu Leu Leu Gly 1115 1120 1125Leu Pro Pro
Arg Pro Gln Pro Gln Val Leu Val His Ala Ser Arg 1130 1135 1140Arg
Leu 11453598PRTHomo sapiensMISC_FEATURE(1)..(598)channel beta
subunit PQ 3Met Val Gln Lys Thr Ser Met Ser Arg Gly Pro Tyr Pro Pro
Ser Gln1 5 10 15Glu Ile Pro Met Glu Val Phe Asp Pro Ser Pro Gln Gly
Lys Tyr Ser 20 25 30Lys Arg Lys Gly Arg Phe Lys Arg Ser Asp Gly Ser
Thr Ser Ser Asp 35 40 45Thr Thr Ser Asn Ser Phe Val Arg Gln Gly Ser
Ala Glu Ser Tyr Thr 50 55 60Ser Arg Pro Ser Asp Ser Asp Val Ser Leu
Glu Glu Asp Arg Glu Ala65 70 75 80Leu Arg Lys Glu Ala Glu Arg Gln
Ala Leu Ala Gln Leu Glu Lys Ala 85 90 95Lys Thr Lys Pro Val Ala Phe
Ala Val Arg Thr Asn Val Gly Tyr Asn 100 105 110Pro Ser Pro Gly Asp
Glu Val Pro Val Gln Gly Val Ala Ile Thr Phe 115 120 125Glu Pro Lys
Asp Phe Leu His Ile Lys Glu Lys Tyr Asn Asn Asp Trp 130 135 140Trp
Ile Gly Arg Leu Val Lys Glu Gly Cys Glu Val Gly Phe Ile Pro145 150
155 160Ser Pro Val Lys Leu Asp Ser Leu Arg Leu Leu Gln Glu Gln Lys
Leu 165 170 175Arg Gln Asn Arg Leu Gly Ser Ser Lys Ser Gly Asp Asn
Ser Ser Ser 180 185 190Ser Leu Gly Asp Val Val Thr Gly Thr Arg Arg
Pro Thr Pro Pro Ala 195 200 205Ser Ala Lys Gln Lys Gln Lys Ser Thr
Glu His Val Pro Pro Tyr Asp 210 215 220Val Val Pro Ser Met Arg Pro
Ile Ile Leu Val Gly Pro Ser Leu Lys225 230 235 240Gly Tyr Glu Val
Thr Asp Met Met Gln Lys Ala Leu Phe Asp Phe Leu 245 250 255Lys His
Arg Phe Asp Gly Arg Ile Ser Ile Thr Arg Val Thr Ala Asp 260 265
270Ile Ser Leu Ala Lys Arg Ser Val Leu Asn Asn Pro Ser Lys His Ile
275 280 285Ile Ile Glu Arg Ser Asn Thr Arg Ser Ser Leu Ala Glu Val
Gln Ser 290 295 300Glu Ile Glu Arg Ile Phe Glu Leu Ala Arg Thr Leu
Gln Leu Val Ala305 310 315 320Leu Asp Ala Asp Thr Ile Asn His Pro
Ala Gln Leu Ser Lys Thr Ser 325 330 335Leu Ala Pro Ile Ile Val Tyr
Ile Lys Ile Thr Ser Pro Lys Val Leu 340 345 350Gln Arg Leu Ile Lys
Ser Arg Gly Lys Ser Gln Ser Lys His Leu Asn 355 360 365Val Gln Ile
Ala Ala Ser Glu Lys Leu Ala Gln Cys Pro Pro Glu Met 370 375 380Phe
Asp Ile Ile Leu Asp Glu Asn Gln Leu Glu Asp Ala Cys Glu His385 390
395 400Leu Ala Glu Tyr Leu Glu Ala Tyr Trp Lys Ala Thr His Pro Pro
Ser 405 410 415Ser Thr Pro Pro Asn Pro Leu Leu Asn Arg Thr Met Ala
Thr Ala Ala 420 425 430Leu Ala Ala Ser Pro Ala Pro Val Ser Asn Leu
Gln Gly Pro Tyr Leu 435 440 445Ala Ser Gly Asp Gln Pro Leu Glu Arg
Ala Thr Gly Glu His Ala Ser 450 455 460Met His Glu Tyr Pro Gly Glu
Leu Gly Gln Pro Pro Gly Leu Tyr Pro465 470 475 480Ser Ser His Pro
Pro Gly Arg Ala Gly Thr Leu Arg Ala Leu Ser Arg 485 490 495Gln Asp
Thr Phe Asp Ala Asp Thr Pro Gly Ser Arg Asn Ser Ala Tyr 500 505
510Thr Glu Leu Gly Asp Ser Cys Val Asp Met Glu Thr Asp Pro Ser Glu
515 520 525Gly Pro Gly Leu Gly Asp Pro Ala Gly Gly Gly Thr Pro Pro
Ala Arg 530 535 540Gln Gly Ser Trp Glu Asp Glu Glu Glu Asp Tyr Glu
Glu Glu Leu Thr545 550 555 560Asp Asn Arg Asn Arg Gly Arg Asn Lys
Ala Arg Tyr Cys Ala Glu Gly 565 570 575Gly Gly Pro Val Leu Gly Arg
Asn Lys Asn Glu Leu Glu Gly Trp Gly 580 585 590Arg Gly Val Tyr Ile
Arg 595
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