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Publication : Blocking glutamate mGlu(5) receptors with the negative allosteric modulator CTEP improves disease course in SOD1(G93A) mouse model of amyotrophic lateral sclerosis.

First Author  Milanese M Year  2021
Journal  Br J Pharmacol Volume  178
Issue  18 Pages  3747-3764
PubMed ID  33931856 Mgi Jnum  J:360624
Mgi Id  MGI:7783865 Doi  10.1111/bph.15515
Citation  Milanese M, et al. (2021) Blocking glutamate mGlu(5) receptors with the negative allosteric modulator CTEP improves disease course in SOD1(G93A) mouse model of amyotrophic lateral sclerosis. Br J Pharmacol 178(18):3747-3764
abstractText  BACKGROUND AND PURPOSE: The pathogenesis of amyotrophic lateral sclerosis (ALS) is not fully clarified, although excessive glutamate (Glu) transmission and the downstream cytotoxic cascades are major mechanisms for motor neuron death. Two metabotropic glutamate receptors (mGlu(1) and mGlu(5) ) are overexpressed in ALS and regulate cellular disease processes. Expression and function of mGlu(5) receptors are altered at early symptomatic stages in the SOD1(G93A) mouse model of ALS and knockdown of mGlu5 receptors in SOD1(G93A) mice improved disease progression. EXPERIMENTAL APPROACH: We treated male and female SOD1(G93A) mice with 2-chloro-4-((2,5-dimethyl-1-(4-(trifluoromethoxy)phenyl)-1H-imidazol-4-yl)ethynyl)pyridine (CTEP), an orally available mGlu(5) receptor negative allosteric modulator (NAM), using doses of 2 mg.kg(-1) per 48 h or 4 mg.kg(-1) per 24 h from Day 90, an early symptomatic disease stage. Disease progression was studied by behavioural and histological approaches. KEY RESULTS: CTEP dose-dependently ameliorated clinical features in SOD1(G93A) mice. The lower dose increased survival and improved motor skills in female mice, with barely positive effects in male mice. Higher doses significantly ameliorated disease symptoms and survival in both males and females, females being more responsive. CTEP also reduced motor neuron death, astrocyte and microglia activation, and abnormal glutamate release in the spinal cord, with equal effects in male and female mice. No differences were also observed in CTEP access to the brain. CONCLUSION AND IMPLICATIONS: Our results suggest that mGlu(5) receptors are promising targets for the treatment of ALS and highlight mGlu5 receptor NAMs as effective pharmacological tools with translational potential.
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