PMID- 38529699 OWN - NLM STAT- MEDLINE DCOM- 20240509 LR - 20240509 IS - 1476-5381 (Electronic) IS - 0007-1188 (Linking) VI - 181 IP - 12 DP - 2024 Jun TI - Radiprodil, a selective GluN2B negative allosteric modulator, rescues audiogenic seizures in mice carrying the GluN2A(N615S) mutation. PG - 1886-1894 LID - 10.1111/bph.16361 [doi] AB - BACKGROUND AND PURPOSE: GRIN-related disorders are neurodevelopmental disorders caused by mutations in N-methyl-D-aspartate receptor (NMDAR) subunit genes. A large fraction of these mutations lead to a 'gain of function' (GoF) of the NMDAR. Patients present with a range of symptoms including epilepsy, intellectual disability, behavioural and motor. Controlling seizures is a significant unmet medical need in most patients with GRIN-related disorders. Although several hundred GRIN mutations have been identified in humans, until recently none of the mouse models carrying Grin mutations/deletions showed an epileptic phenotype. The two recent exceptions both carry mutations of GluN2A. The aim of this study was to assess the efficacy of radiprodil, a selective negative allosteric modulator of GluN2B-containing NMDARs, in counteracting audiogenic seizures (AGS) in a murine model carrying the GluN2A(N615S) homozygous mutation (Grin2a(S/S) mice). EXPERIMENTAL APPROACH: Grin2a(S/S) mice were acutely treated with radiprodil at different doses before the presentation of a high-frequency acoustic stimulus commonly used for AGS induction. KEY RESULTS: Radiprodil significantly and dose-dependently reduced the onset and severity of AGS in Grin2a(S/S) mice. Surprisingly, the results revealed a sex-dependent difference in AGS susceptibility and in the dose-dependent protection of radiprodil in the two genders. Specifically, radiprodil was more effective in female versus male mice. CONCLUSION AND IMPLICATIONS: Overall, our data clearly show that radiprodil, a GluN2B selective negative allosteric modulator, may have the potential to control seizures in patients with GRIN2A GoF mutations. Further studies are warranted to better understand the sex-dependent effects observed in this study. CI - (c) 2024 GRIN Therapeutics. British Journal of Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society. FAU - Bertocchi, Ilaria AU - Bertocchi I AD - Neuroscience Institute Cavalieri Ottolenghi (NICO), University of Turin, Orbassano (Turin), Italy. AD - Department of Neuroscience Rita Levi Montalcini, University of Turin, Turin, Italy. AD - Neuroscience Institute of Turin, Orbassano (Turin), Italy. FAU - Cifarelli, Lorenzo AU - Cifarelli L AD - Neuroscience Institute Cavalieri Ottolenghi (NICO), University of Turin, Orbassano (Turin), Italy. FAU - Oberto, Alessandra AU - Oberto A AD - Neuroscience Institute Cavalieri Ottolenghi (NICO), University of Turin, Orbassano (Turin), Italy. AD - Department of Neuroscience Rita Levi Montalcini, University of Turin, Turin, Italy. AD - Neuroscience Institute of Turin, Orbassano (Turin), Italy. FAU - Eva, Carola Eugenia AU - Eva CE AD - Neuroscience Institute Cavalieri Ottolenghi (NICO), University of Turin, Orbassano (Turin), Italy. AD - Department of Neuroscience Rita Levi Montalcini, University of Turin, Turin, Italy. AD - Neuroscience Institute of Turin, Orbassano (Turin), Italy. FAU - Sprengel, Rolf AU - Sprengel R AD - Max Planck Institute for Medical Research, Heidelberg, Germany. FAU - Mirza, Naheed Rohman AU - Mirza NR AD - GRIN Therapeutics Inc, New York, NY, USA. AD - Sygnature Discovery, BioCity, Nottingham, UK. FAU - Muglia, Pierandrea AU - Muglia P AD - GRIN Therapeutics Inc, New York, NY, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240326 PL - England TA - Br J Pharmacol JT - British journal of pharmacology JID - 7502536 RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 0 (NR2B NMDA receptor) RN - VH92ICR8HX (N-methyl D-aspartate receptor subtype 2A) RN - 0 (Piperidines) RN - 0 (Anticonvulsants) SB - IM MH - Animals MH - *Receptors, N-Methyl-D-Aspartate/genetics MH - Male MH - Female MH - Mice MH - *Mutation MH - Piperidines/pharmacology/administration & dosage/therapeutic use MH - Epilepsy, Reflex/genetics/drug therapy MH - Allosteric Regulation/drug effects MH - Seizures/drug therapy/genetics MH - Mice, Inbred C57BL MH - Anticonvulsants/pharmacology/therapeutic use/administration & dosage MH - Dose-Response Relationship, Drug OTO - NOTNLM OT - audiogenic seizures OT - dose-response curve OT - gain of function mutation OT - knock-in mice EDAT- 2024/03/26 06:45 MHDA- 2024/05/09 06:42 CRDT- 2024/03/26 05:34 PHST- 2024/02/09 00:00 [revised] PHST- 2023/08/04 00:00 [received] PHST- 2024/02/15 00:00 [accepted] PHST- 2024/05/09 06:42 [medline] PHST- 2024/03/26 06:45 [pubmed] PHST- 2024/03/26 05:34 [entrez] AID - 10.1111/bph.16361 [doi] PST - ppublish SO - Br J Pharmacol. 2024 Jun;181(12):1886-1894. doi: 10.1111/bph.16361. Epub 2024 Mar 26.