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Publication : Aryloxypropanolamine targets amyloid aggregates and reverses Alzheimer-like phenotypes in Alzheimer mouse models.

First Author  Lee HY Year  2022
Journal  Alzheimers Res Ther Volume  14
Issue  1 Pages  177
PubMed ID  36443837 Mgi Jnum  J:351743
Mgi Id  MGI:7663164 Doi  10.1186/s13195-022-01112-6
Citation  Lee HY, et al. (2022) Aryloxypropanolamine targets amyloid aggregates and reverses Alzheimer-like phenotypes in Alzheimer mouse models. Alzheimers Res Ther 14(1):177
abstractText  BACKGROUND: Aggregated amyloid-beta (Abeta) is considered a pathogenic initiator of Alzheimer's disease (AD), in strong association with tau hyperphosphorylation, neuroinflammation, synaptic dysfunction, and cognitive decline. As the removal of amyloid burden from AD patient brains by antibodies has shown therapeutic potential, the development of small molecule drugs inducing chemical dissociation and clearance of Abeta is compelling as a therapeutic strategy. In this study, we synthesized and screened aryloxypropanolamine derivatives and identified 1-(3-(2,4-di-tert-pentylphenoxy)-2-hydroxypropyl)pyrrolidin-1-ium chloride, YIAD002, as a strong dissociator of Abeta aggregates. METHODS: The dissociative activity of aryloxypropanolamine derivatives against Abeta aggregates were evaluated through in vitro assays. Immunohistochemical staining, immunoblot assays, and the Morris water maze were used to assess the anti-Alzheimer potential in YIAD002-treated 5XFAD and transgenic APP/PS1 mice. Target-ligand interaction mechanism was characterized via a combination of peptide mapping, fluorescence dissociation assays, and constrained docking simulations. RESULTS: Among 11 aryloxypropanolamine derivatives, YIAD002 exerted strongest dissociative activity against beta-sheet-rich Abeta aggregates. Upon oral administration, YIAD002 substantially reduced amyloid burden and accordingly, improved cognitive performance in the Morris water maze and attenuated major pathological hallmarks of AD including tauopathy, neuroinflammation, and synaptic protein loss. Mechanism studies suggest that YIAD002 interferes with intermolecular beta-sheet fibrillation by directly interacting with KLVFFA and IGLMVG domains of Abeta. In addition, YIAD002 was found to possess dissociative activity against aggregates of pyroglutamate-modified Abeta and tau. CONCLUSIONS: Collectively, our results evince the potential of chemical-driven dissociation of Abeta aggregates by aryloxypropanolamines as a therapeutic modality of the amyloid clearance approach.
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