PMID- 26210936 OWN - NLM STAT- MEDLINE DCOM- 20160614 LR - 20181113 IS - 1872-7549 (Electronic) IS - 0166-4328 (Print) IS - 0166-4328 (Linking) VI - 294 DP - 2015 Nov 1 TI - Rapastinel (GLYX-13) has therapeutic potential for the treatment of post-traumatic stress disorder: Characterization of a NMDA receptor-mediated metaplasticity process in the medial prefrontal cortex of rats. PG - 177-85 LID - S0166-4328(15)30110-8 [pii] LID - 10.1016/j.bbr.2015.07.039 [doi] AB - Rapastinel (GLYX-13) is a NMDA receptor modulator with glycine-site partial agonist properties. It is a robust cognitive enhancer and shows rapid and long-lasting antidepressant properties in both animal models and in humans. Contextual fear extinction (CFE) in rodents has been well characterized and used extensively as a model to study the neurobiological mechanisms of post-traumatic stress disorder (PTSD). Since CFE is NMDA receptor modulated and neural circuitry in the medial prefrontal cortex (MPFC) regulates both depression and PTSD, studies were undertaken to examine the effects of rapastinel for its therapeutic potential in PTSD and to use rapastinel as a tool to study its underlying glutamatergic mechanisms. A 21-day chronic mild unpredictable stress (CUS) rat model was used to model depression and PTSD. The effects of CUS alone compared to No CUS controls, and the effects of rapastinel (3 mg/kg IV) on CUS-treated animals were examined. The effect of rapastinel was first assessed using CUS-treated rats in three depression models, Porsolt, sucrose preference, and novelty-induced hypophagia tests, and found to produce a complete reversal of the depressive-like state in each model. Rapastinel was then assessed in a MPFC-dependent positive emotional learning paradigm and in CFE and again a reversal of the impairments induced by CUS treatment was observed. Both synaptic plasticity and metaplasticity, as measured by the induction of long-term potentiation in rat MPFC slice preparations, was found to be markedly impaired in CUS-treated animals. This impairment was reversed when CUS-treated rats were administered rapastinel and tested 24 h later. Transcriptomic analysis of MPFC mRNA expression in CUS-treated rats corroborated the link between rapastinel's behavioral effects and synaptic plasticity. A marked enrichment in both the LTP and LTD connectomes in rapastinel-treated CUS rats was observed compared to CUS-treated controls. The effects of rapastinel on depression models, PEL, and most importantly on CFE demonstrate the therapeutic potential of rapastinel for the treatment of PTSD. Moreover, rapastinel appears to elicit its therapeutic effects through a NMDA receptor-mediated, LTP-like, metaplasticity process in the MPFC. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Burgdorf, Jeffrey AU - Burgdorf J AD - Falk Center for Molecular Therapeutics, Department of Biomedical Engineering, Northwestern University, 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA. FAU - Kroes, Roger A AU - Kroes RA AD - Naurex Inc., 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA. FAU - Zhang, Xiao-lei AU - Zhang XL AD - Department of Cell Biology & Anatomy, Basic Sciences Building, Rm. 217, New York Medical College, Valhalla, NY 10595, USA. FAU - Gross, Amanda L AU - Gross AL AD - Naurex Inc., 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA. FAU - Schmidt, Mary AU - Schmidt M AD - Naurex Inc., 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA. FAU - Weiss, Craig AU - Weiss C AD - Department of Physiology, Northwestern University Feinberg School of Medicine, 303 E. Chicago Avenue, Ward Building 7-140, Chicago, IL 6061, USA. FAU - Disterhoft, John F AU - Disterhoft JF AD - Department of Physiology, Northwestern University Feinberg School of Medicine, 303 E. Chicago Avenue, Ward Building 7-140, Chicago, IL 6061, USA. FAU - Burch, Ronald M AU - Burch RM AD - Naurex Inc., 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA. FAU - Stanton, Patric K AU - Stanton PK AD - Department of Cell Biology & Anatomy, Basic Sciences Building, Rm. 217, New York Medical College, Valhalla, NY 10595, USA. FAU - Moskal, Joseph R AU - Moskal JR AD - Falk Center for Molecular Therapeutics, Department of Biomedical Engineering, Northwestern University, 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA; Naurex Inc., 1801 Maple Ave., Suite 4300, Evanston, IL 60201, USA. Electronic address: j-moskal@northwestern.edu. LA - eng GR - NS044421/NS/NINDS NIH HHS/United States GR - R01 NS059879/NS/NINDS NIH HHS/United States GR - R01 MH047340/MH/NIMH NIH HHS/United States GR - R56 MH047340/MH/NIMH NIH HHS/United States GR - R56 NS044421/NS/NINDS NIH HHS/United States GR - MH094835/MH/NIMH NIH HHS/United States GR - R01 NS044421/NS/NINDS NIH HHS/United States GR - R01 MH094835/MH/NIMH NIH HHS/United States GR - NS059879/NS/NINDS NIH HHS/United States GR - MH47340/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150722 PL - Netherlands TA - Behav Brain Res JT - Behavioural brain research JID - 8004872 RN - 0 (Excitatory Amino Acid Agents) RN - 0 (Oligopeptides) RN - 0 (Psychotropic Drugs) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 6A1X56B95E (GLYX-13 peptide) SB - IM MH - Animals MH - Chronic Disease MH - Depressive Disorder/drug therapy/physiopathology MH - Disease Models, Animal MH - Excitatory Amino Acid Agents/pharmacology MH - Learning/drug effects/physiology MH - Long-Term Potentiation/drug effects/physiology MH - Male MH - Memory/drug effects/physiology MH - Oligopeptides/*pharmacology MH - Prefrontal Cortex/*drug effects/physiopathology MH - Psychotropic Drugs/*pharmacology MH - Rats, Sprague-Dawley MH - Receptors, N-Methyl-D-Aspartate/*metabolism MH - Stress Disorders, Post-Traumatic/*drug therapy/physiopathology MH - Stress, Psychological MH - Tissue Culture Techniques MH - Transcriptome/drug effects/physiology MH - Uncertainty PMC - PMC4702501 MID - NIHMS720144 OTO - NOTNLM OT - Depression OT - GLYX-13 OT - LTP OT - Medial Prefrontal Cortex OT - NMDA Receptor EDAT- 2015/07/27 06:00 MHDA- 2016/06/15 06:00 PMCR- 2016/11/01 CRDT- 2015/07/27 06:00 PHST- 2015/06/01 00:00 [received] PHST- 2015/07/14 00:00 [revised] PHST- 2015/07/15 00:00 [accepted] PHST- 2015/07/27 06:00 [entrez] PHST- 2015/07/27 06:00 [pubmed] PHST- 2016/06/15 06:00 [medline] PHST- 2016/11/01 00:00 [pmc-release] AID - S0166-4328(15)30110-8 [pii] AID - 10.1016/j.bbr.2015.07.039 [doi] PST - ppublish SO - Behav Brain Res. 2015 Nov 1;294:177-85. doi: 10.1016/j.bbr.2015.07.039. Epub 2015 Jul 22.