PMID- 28089695 OWN - NLM STAT- MEDLINE DCOM- 20170907 LR - 20180719 IS - 1878-4216 (Electronic) IS - 0278-5846 (Linking) VI - 75 DP - 2017 Apr 3 TI - The pharmacology of tacrine at N-methyl-d-aspartate receptors. PG - 54-62 LID - S0278-5846(16)30278-0 [pii] LID - 10.1016/j.pnpbp.2017.01.003 [doi] AB - The mechanism of tacrine as a precognitive drug has been considered to be complex and not fully understood. It has been reported to involve a wide spectrum of targets involving cholinergic, gabaergic, nitrinergic and glutamatergic pathways. Here, we review the effect of tacrine and its derivatives on the NMDA receptors (NMDAR) with a focus on the mechanism of action and biological consequences related to the Alzheimer's disease treatment. Our findings indicate that effect of tacrine on glutamatergic neurons is both direct and indirect. Direct NMDAR antagonistic effect is often reported by in vitro studies; however, it is achieved by high tacrine concentrations which are not likely to occur under clinical conditions. The impact on memory and behavioral testing can be ascribed to indirect effects of tacrine caused by influencing the NMDAR-mediated currents via M1 receptor activation, which leads to inhibition of Ca(2+)-activated potassium channels. Such inhibition prevents membrane repolarization leading to prolonged NMDAR activation and subsequently to long term potentiation. Considering these findings, we can conclude that tacrine-derivatives with dual cholinesterase and NMDARs modulating activity may represent a promising approach in the drug development for diseases associated with cognitive dysfunction, such as the Alzheimer disease. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Horak, Martin AU - Horak M AD - Institute of Physiology, Academy of Sciences of the Czech Republic v.v.i., Videnska 1083, 14220 Prague 4, Czech Republic. FAU - Holubova, Kristina AU - Holubova K AD - National Institute of Mental Health, Topolova 748, 250 67 Klecany, Czech Republic. FAU - Nepovimova, Eugenie AU - Nepovimova E AD - Biomedical Research Centre, University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic. FAU - Krusek, Jan AU - Krusek J AD - Institute of Physiology, Academy of Sciences of the Czech Republic v.v.i., Videnska 1083, 14220 Prague 4, Czech Republic. FAU - Kaniakova, Martina AU - Kaniakova M AD - Institute of Physiology, Academy of Sciences of the Czech Republic v.v.i., Videnska 1083, 14220 Prague 4, Czech Republic. FAU - Korabecny, Jan AU - Korabecny J AD - Biomedical Research Centre, University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic. FAU - Vyklicky, Ladislav AU - Vyklicky L AD - Institute of Physiology, Academy of Sciences of the Czech Republic v.v.i., Videnska 1083, 14220 Prague 4, Czech Republic. FAU - Kuca, Kamil AU - Kuca K AD - Biomedical Research Centre, University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic. FAU - Stuchlik, Ales AU - Stuchlik A AD - Institute of Physiology, Academy of Sciences of the Czech Republic v.v.i., Videnska 1083, 14220 Prague 4, Czech Republic. FAU - Ricny, Jan AU - Ricny J AD - National Institute of Mental Health, Topolova 748, 250 67 Klecany, Czech Republic. FAU - Vales, Karel AU - Vales K AD - National Institute of Mental Health, Topolova 748, 250 67 Klecany, Czech Republic. FAU - Soukup, Ondrej AU - Soukup O AD - Biomedical Research Centre, University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic. Electronic address: ondrej.soukup@fnhk.cz. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20170113 PL - England TA - Prog Neuropsychopharmacol Biol Psychiatry JT - Progress in neuro-psychopharmacology & biological psychiatry JID - 8211617 RN - 0 (Cholinesterase Inhibitors) RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 4VX7YNB537 (Tacrine) SB - IM MH - Animals MH - Cholinesterase Inhibitors/*pharmacology MH - Humans MH - Membrane Potentials/drug effects MH - Models, Molecular MH - Neurons/*drug effects MH - Receptors, N-Methyl-D-Aspartate/drug effects/*metabolism MH - Tacrine/chemistry/*pharmacology OTO - NOTNLM OT - Cognition OT - Long term potentiation OT - M1 activation OT - Multi-target directed ligands OT - NMDA receptors OT - Tacrine EDAT- 2017/01/17 06:00 MHDA- 2017/09/08 06:00 CRDT- 2017/01/17 06:00 PHST- 2016/10/07 00:00 [received] PHST- 2016/12/15 00:00 [revised] PHST- 2017/01/09 00:00 [accepted] PHST- 2017/01/17 06:00 [pubmed] PHST- 2017/09/08 06:00 [medline] PHST- 2017/01/17 06:00 [entrez] AID - S0278-5846(16)30278-0 [pii] AID - 10.1016/j.pnpbp.2017.01.003 [doi] PST - ppublish SO - Prog Neuropsychopharmacol Biol Psychiatry. 2017 Apr 3;75:54-62. doi: 10.1016/j.pnpbp.2017.01.003. Epub 2017 Jan 13.