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D-NAP Prophylactic Treatment in the SOD Mutant Mouse Model of Amyotrophic Lateral Sclerosis: Review of Discovery and Treatment of Tauopathy

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Abstract

Davunetide (NAP) is a leading drug candidate being tested against tauopathy. Davunetide is an eight-amino-acid peptide fragment derived by structure—activity studies from activity-dependent neuroprotective protein, activity-dependent neuroprotective protein (ADNP). ADNP is essential for brain formation. ADNP haploinsufficiency in mice results in tauopathy and cognitive deficits ameliorated by davunetide treatment. This article summarizes in brief recent reviews about NAP protection against tauopathy including the all D-amino acid analogue—D-NAP (AL-408). D-NAP was discovered to have similar neuroprotective functions to NAP in vitro. Here, D-NAP was tested as prophylactic as well as therapeutic treatment for amytrophic lateral sclerosis (ALS) in the widely used TgN(SOD1-G93A)1Gur transgenic mouse model. Results showed D-NAP-associated prophylactic protection, thus daily treatment starting from day 2 of age resulted in a prolonged life course in the D-NAP-treated mice, which was coupled to a significant decrease in tau hyperphosphorylation. These studies correlate protection against tau hyperphosphorylation and longevity in a severe model of ALS-like motor impairment and early mortality. NAP is a first-in-class drug candidate/investigation compound providing neuroprotection coupled to inhibition of tau pathology. D-NAP (AL-408) is a pipeline product.

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References

  • Baker M, Litvan I, Houlden H, Adamson J, Dickson D, Perez-Tur J, Hardy J, Lynch T, Bigio E, Hutton M (1999) Association of an extended haplotype in the tau gene with progressive supranuclear palsy. Hum Mol Genet 8:711–715

    Article  PubMed  CAS  Google Scholar 

  • Bassan M, Zamostiano R, Davidson A, Pinhasov A, Giladi E, Perl O, Bassan H, Blat C, Gibney G, Glazner G, Brenneman DE, Gozes I (1999) Complete sequence of a novel protein containing a femtomolar-activity-dependent neuroprotective peptide. J Neurochem 72:1283–1293

    Article  PubMed  CAS  Google Scholar 

  • Berger Z, Roder H, Hanna A, Carlson A, Rangachari V, Yue M, Wszolek Z, Ashe K, Knight J, Dickson D, Andorfer C, Rosenberry TL, Lewis J, Hutton M, Janus C (2007) Accumulation of pathological tau species and memory loss in a conditional model of tauopathy. J Neurosci 27:3650–3662

    Article  PubMed  CAS  Google Scholar 

  • Boillee S, Vande Velde C, Cleveland DW (2006) ALS: a disease of motor neurons and their nonneuronal neighbors. Neuron 52:39–59

    Article  PubMed  CAS  Google Scholar 

  • Braak H, Braak E (1991) Neuropathological stageing of Alzheimer-related changes. Acta Neuropathol 82:239–259

    Article  PubMed  CAS  Google Scholar 

  • Brandt R, Hundelt M, Shahani N (2005) Tau alteration and neuronal degeneration in tauopathies: mechanisms and models. Biochim Biophys Acta 1739:331–354

    Article  PubMed  CAS  Google Scholar 

  • Brenneman DE, Gozes I (1996) A femtomolar-acting neuroprotective peptide. J Clin Invest 97:2299–2307

    Article  PubMed  CAS  Google Scholar 

  • Brenneman DE, Hauser J, Neale E, Rubinraut S, Fridkin M, Davidson A, Gozes I (1998) Activity-dependent neurotrophic factor: structure-activity relationships of femtomolar-acting peptides. J Pharmacol Exp Ther 285:619–627

    PubMed  CAS  Google Scholar 

  • Brenneman DE, Spong CY, Hauser JM, Abebe D, Pinhasov A, Golian T, Gozes I (2004) Protective peptides that are orally active and mechanistically nonchiral. J Pharmacol Exp Ther 309:1190–1197

    Article  PubMed  CAS  Google Scholar 

  • Chen SY, Charness ME, Wilkemeyer MF, Sulik KK (2005) Peptide-mediated protection from ethanol-induced neural tube defects. Dev Neurosci 27:13–19

    Article  PubMed  Google Scholar 

  • Devred F, Douillard S, Briand C, Peyrot V (2002) First tau repeat domain binding to growing and taxol-stabilized microtubules, and serine 262 residue phosphorylation. FEBS Lett 523:247–251

    Article  PubMed  CAS  Google Scholar 

  • Divinski I, Mittelman L, Gozes I (2004) A femtomolar acting octapeptide interacts with tubulin and protects astrocytes against zinc intoxication. J Biol Chem 279:28531–28538

    Article  PubMed  CAS  Google Scholar 

  • Divinski I, Holtser-Cochav M, Vulih-Schultzman I, Steingart RA, Gozes I (2006) Peptide neuroprotection through specific interaction with brain tubulin. J Neurochem 98:973–984

    Article  PubMed  CAS  Google Scholar 

  • Farah CA, Nguyen MD, Julien JP, Leclerc N (2003) Altered levels and distribution of microtubule-associated proteins before disease onset in a mouse model of amyotrophic lateral sclerosis. J Neurochem 84:77–86

    Article  PubMed  CAS  Google Scholar 

  • Goedert M, Spillantini MG (2011) Pathogenesis of the tauopathies. J Mol Neurosci 45:425–431

    Article  PubMed  CAS  Google Scholar 

  • Gold M, Lorenzl S, Stewart AJ, Morimoto BH, Williams DR, Gozes I (2012) Critical appraisal of the role of davunetide in the treatment of progressive supranuclear palsy. Neuropsychiatr Dis Treat 8:85–93

    PubMed  CAS  Google Scholar 

  • Gozes I (2010a) Davunetide (NAP) pharmacology: neuroprotection and tau. In: Martinez A (ed) Emerging drugs and targets for Alzheimer’s disease, 1st edn. Royal Society of Chemistry, Cambridge, pp 108–128

    Chapter  Google Scholar 

  • Gozes I (2010b) Tau pathology and future therapeutics. Curr Alzheimer Res 7:685–696

    Article  PubMed  CAS  Google Scholar 

  • Gozes I (2011) Microtubules (tau) as an emerging therapeutic target: NAP (davunetide). Curr Pharm Des 17:3413–3417

    Article  PubMed  CAS  Google Scholar 

  • Gozes I, Brenneman DE (1996) Activity-dependent neurotrophic factor (ADNF). An extracellular neuroprotective chaperonin? J Mol Neurosci 7:235–244

    Article  PubMed  CAS  Google Scholar 

  • Gurney ME, Pu H, Chiu AY, Dal Canto MC, Polchow CY, Alexander DD, Caliendo J, Hentati A, Kwon YW, Deng HX et al (1994) Motor neuron degeneration in mice that express a human Cu, Zn superoxide dismutase mutation. Science 264:1772–1775

    Article  PubMed  CAS  Google Scholar 

  • He CZ, Hays AP (2004) Expression of peripherin in ubiquinated inclusions of amyotrophic lateral sclerosis. J Neurol Sci 217:47–54

    Article  PubMed  CAS  Google Scholar 

  • Holtser-Cochav M, Divinski I, Gozes I (2006) Tubulin is the target binding site for NAP-related peptides: ADNF-9, D-NAP, and D-SAL. J Mol Neurosci 28:303–307

    Article  PubMed  CAS  Google Scholar 

  • Idan-Feldman A, Ostritsky R, Gozes I (2012) Tau and caspase 3 as targets for neuroprotection. Int J Alzheimers Dis 2012:493670.

  • Incerti M, Toso L, Vink J, Roberson R, Nold C, Abebe D, Spong CY (2011) Prevention of learning deficit in a Down syndrome model. Obstet Gynecol 117:354–361

    Article  PubMed  Google Scholar 

  • Leker RR, Teichner A, Grigoriadis N, Ovadia H, Brenneman DE, Fridkin M, Giladi E, Romano J, Gozes I (2002) NAP, a femtomolar-acting peptide, protects the brain against ischemic injury by reducing apoptotic death. Stroke 33:1085–1092

    Article  PubMed  CAS  Google Scholar 

  • Ludolph AC, Bendotti C, Blaugrund E, Hengerer B, Loffler JP, Martin J, Meininger V, Meyer T, Moussaoui S, Robberecht W, Scott S, Silani V, Van Den Berg LH (2007) Guidelines for the preclinical in vivo evaluation of pharmacological active drugs for ALS/MND: report on the 142nd ENMC international workshop. Amyotroph Lateral Scler 8:217–223

    Article  PubMed  CAS  Google Scholar 

  • Matsuoka Y, Gray AJ, Hirata-Fukae C, Minami SS, Waterhouse EG, Mattson MP, LaFerla FM, Gozes I, Aisen PS (2007) Intranasal NAP administration reduces accumulation of amyloid peptide and tau hyperphosphorylation in a transgenic mouse model of Alzheimer’s disease at early pathological stage. J Mol Neurosci 31:165–170

    PubMed  CAS  Google Scholar 

  • Matsuoka Y, Jouroukhin Y, Gray AJ, Ma L, Hirata-Fukae C, Li HF, Feng L, Lecanu L, Walker BR, Planel E, Arancio O, Gozes I, Aisen PS (2008) A neuronal microtubule-interacting agent, NAPVSIPQ, reduces tau pathology and enhances cognitive function in a mouse model of Alzheimer’s disease. J Pharmacol Exp Ther 325:146–153

    Article  PubMed  CAS  Google Scholar 

  • Nguyen MD, Lariviere RC, Julien JP (2001) Deregulation of Cdk5 in a mouse model of ALS: toxicity alleviated by perikaryal neurofilament inclusions. Neuron 30:135–147

    Article  PubMed  CAS  Google Scholar 

  • Pasinelli P, Brown RH (2006) Molecular biology of amyotrophic lateral sclerosis: insights from genetics. Nat Rev Neurosci 7:710–723

    Article  PubMed  CAS  Google Scholar 

  • Pollak D, Cairns N, Lubec G (2003) Cytoskeleton derangement in brain of patients with Down syndrome, Alzheimer’s disease and Pick’s disease. J Neural Transm Suppl:149–158

  • Ramsden M, Kotilinek L, Forster C, Paulson J, McGowan E, SantaCruz K, Guimaraes A, Yue M, Lewis J, Carlson G, Hutton M, Ashe KH (2005) Age-dependent neurofibrillary tangle formation, neuron loss, and memory impairment in a mouse model of human tauopathy (P301L). J Neurosci 25:10637–10647

    Article  PubMed  CAS  Google Scholar 

  • Shiryaev N, Jouroukhin Y, Giladi E, Polyzoidou E, Grigoriadis NC, Rosenmann H, Gozes I (2009) NAP protects memory, increases soluble tau and reduces tau hyperphosphorylation in a tauopathy model. Neurobiol Dis 34:381–388

    Article  PubMed  CAS  Google Scholar 

  • Shiryaev N, Pikman R, Giladi E, Gozes I (2011) Protection against tauopathy by the drug candidates NAP (davunetide) and D-SAL: biochemical, cellular and behavioral aspects. Curr Pharm Des 17:2603–2612

    PubMed  CAS  Google Scholar 

  • Terry RD (1996) The pathogenesis of Alzheimer disease: an alternative to the amyloid hypothesis. J Neuropathol Exp Neurol 55:1023–1025

    PubMed  CAS  Google Scholar 

  • Vulih-Shultzman I, Pinhasov A, Mandel S, Grigoriadis N, Touloumi O, Pittel Z, Gozes I (2007) Activity-dependent neuroprotective protein snippet NAP reduces tau hyperphosphorylation and enhances learning in a novel transgenic mouse model. J Pharmacol Exp Ther 323:438–449

    Article  PubMed  CAS  Google Scholar 

  • Wilkemeyer MF, Chen SY, Menkari CE, Sulik KK, Charness ME (2004) Ethanol antagonist peptides: structural specificity without stereospecificity. J Pharmacol Exp Ther 309:1183–1189

    Article  PubMed  CAS  Google Scholar 

  • Witman GB, Cleveland DW, Weingarten MD, Kirschner MW (1976) Tubulin requires tau for growth onto microtubule initiating sites. Proc Natl Acad Sci U S A 73:4070–4074

    Article  PubMed  CAS  Google Scholar 

  • Zemlyak I, Sapolsky R, Gozes I (2009a) NAP protects against cytochrome c release: inhibition of the initiation of apoptosis. Eur J Pharmacol 618:9–14

    Article  PubMed  CAS  Google Scholar 

  • Zemlyak I, Sapolsky R, Gozes I (2009b) NAP protects against cyanide-related microtubule destruction. J Neural Transm 116:1411–1416

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This work is in partial fulfillment of the Ph.D. thesis requirements of Y. Jouroukhin and the M.Sc. thesis of Ms. Regina Ostritsky. Support was provided by the Levie-Edersheim-Gitter functional brain imaging scholarship, AMN Foundation, IsrALS, Prize4life, Canadian Friends of Tel Aviv University—Montreal Circle of Friends, Joe and Grace Alter, Barbara and Don Seal, the Oberfeld family and the Adams Family, and Allon Therapeutics Inc. We thank the Allon Therapeutics team, Drs. Michael Gold and Alistair Stewart, for valuable input. Professor Illana Gozes is the incumbent of the Lily and Avraham Gildor Chair for the Investigation of Growth Factors and the Director of the Adams Super Center for Brain Studies, the Levie-Edersheim-Gitter Institute for Functional Brain Imaging and the Dr. Diana and Zelman Elton (Elbaum) Laboratory for Molecular Neuroendocrinology at Tel Aviv University.

Conflict of Interest

Professor Gozes serves as Director, Founding Scientist at Allon Therapeutics Inc., the company that develops davunetide (NAP) (www.allontherapeutics.com).

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Correspondence to Illana Gozes.

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Jouroukhin, Y., Ostritsky, R. & Gozes, I. D-NAP Prophylactic Treatment in the SOD Mutant Mouse Model of Amyotrophic Lateral Sclerosis: Review of Discovery and Treatment of Tauopathy. J Mol Neurosci 48, 597–602 (2012). https://doi.org/10.1007/s12031-012-9882-6

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