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THE NMDA RECEPTOR POSITIVE ALLOSTERIC MODULATOR NYX-458 RESCUES AGE-RELATED SYNAPTIC DYSFUNCTION VIA CAMKIIΒ-MEDIATED SIGNALING IN THE PREFRONTAL CORTEX AND HIPPOCAMPUS
Abstract
Aims
Objectives: NYX-458, a positive allosteric modulator of the N-methyl-D-aspartate receptor (NMDAR), enhances NMDAR-mediated synaptic plasticity and is currently in Phase II clinical development for the treatment of mild dementia in Parkinson’s Disease and Lewy body dementia. NYX-458 enhances attention, working-memory, and cognitive flexibility in a primate model of Parkinson’s disease cognitive-impairment that depends on optimal activity in the prefrontal cortex (PFC) and hippocampus. This study sought to examine the molecular mechanism of action of NYX-458 within the PFC and hippocampus in a rodent model of age-related cognitive decline.
Methods
Methods: Male, 3-4-month-old (young) and 26-27-month-old (aged) F344 rats were assessed for changes in NMDAR-mediated plasticity and performance in the Morris water-maze (MWM) after oral dosing with NYX-458 (0.1-10 mg/kg, PO). Synaptic spine density and NMDAR-relevant protein levels were quantified in the hippocampus and PFC following learning assessments in the MWM.
Results
Results: NYX-458 enhances NMDAR-mediated current and plasticity within the PFC and enhances PFC-dependent learning in a novel object recognition assay. NYX-458 also enhances hippocampal plasticity specifically in aged F344 rats and hippocampal-dependent learning in the MWM. The dose of NYX-458 (1 mg/kg, PO) that improved MWM performance reversed age-related synaptic spine loss and increased CAMKIIβ-mediated signaling and resultant downstream effects on NMDAR2B and AMPAR trafficking in both the hippocampus and PFC of aged rats.
Conclusions
Conclusions: NYX-458 enhances synaptic plasticity mechanisms associated with hippocampal-dependent learning and memory and induces changes within the PFC as part of an interconnected network. These data support the development of NYX-458 for the treatment of cognitive decline.