Newly developed reversible MAO-B inhibitor circumvents the shortcomings of irreversible inhibitors in Alzheimer's disease

Sci Adv. 2019 Mar 20;5(3):eaav0316. doi: 10.1126/sciadv.aav0316. eCollection 2019 Mar.

Abstract

Monoamine oxidase-B (MAO-B) has recently emerged as a potential therapeutic target for Alzheimer's disease (AD) because of its association with aberrant γ-aminobutyric acid (GABA) production in reactive astrocytes. Although short-term treatment with irreversible MAO-B inhibitors, such as selegiline, improves cognitive deficits in AD patients, long-term treatments have shown disappointing results. We show that prolonged treatment with selegiline fails to reduce aberrant astrocytic GABA levels and rescue memory impairment in APP/PS1 mice, an animal model of AD, because of increased activity in compensatory genes for a GABA-synthesizing enzyme, diamine oxidase (DAO). We have developed a potent, highly selective, and reversible MAO-B inhibitor, KDS2010 (IC50 = 7.6 nM; 12,500-fold selectivity over MAO-A), which overcomes the disadvantages of the irreversible MAO-B inhibitor. Long-term treatment with KDS2010 does not induce compensatory mechanisms, thereby significantly attenuating increased astrocytic GABA levels and astrogliosis, enhancing synaptic transmission, and rescuing learning and memory impairments in APP/PS1 mice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alzheimer Disease / complications
  • Alzheimer Disease / drug therapy*
  • Alzheimer Disease / genetics
  • Alzheimer Disease / pathology
  • Animals
  • Astrocytes / drug effects
  • Astrocytes / metabolism
  • Cognitive Dysfunction / complications
  • Cognitive Dysfunction / drug therapy
  • Cognitive Dysfunction / genetics
  • Cognitive Dysfunction / pathology
  • D-Amino-Acid Oxidase / antagonists & inhibitors
  • D-Amino-Acid Oxidase / genetics*
  • Enzyme Inhibitors / pharmacology
  • Humans
  • Mice
  • Monoamine Oxidase / genetics*
  • Monoamine Oxidase Inhibitors / pharmacology*
  • Selegiline / adverse effects
  • Selegiline / pharmacology
  • gamma-Aminobutyric Acid / biosynthesis
  • gamma-Aminobutyric Acid / genetics

Substances

  • Enzyme Inhibitors
  • Monoamine Oxidase Inhibitors
  • Selegiline
  • gamma-Aminobutyric Acid
  • Dao1 protein, mouse
  • D-Amino-Acid Oxidase
  • Monoamine Oxidase