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Brice NL, Schiffer HH, Monenschein H, Mulligan VJ, Page K, Powell J, Xu X, Cheung T, Burley JR, Sun H, Dickson L, Murphy ST, Kaushal N, Sheardown S, Lawrence J, Chen Y, Bartkowski D, Kanta A, Russo J, Hosea N, Dawson LA, Hitchcock SH, Carlton MB. Development of CVN424: A Selective and Novel GPR6 Inverse Agonist Effective in Models of Parkinson Disease. J Pharmacol Exp Ther 2021; 377:407-416. [PMID: 33795395 DOI: 10.1124/jpet.120.000438] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 03/29/2021] [Indexed: 07/25/2024] Open
Abstract
GPR6 is an orphan G-protein-coupled receptor that has enriched expression in the striatopallidal, indirect pathway and medium spiny neurons of the striatum. This pathway is greatly impacted by the loss of the nigro-striatal dopaminergic neurons in Parkinson disease, and modulating this neurocircuitry can be therapeutically beneficial. In this study, we describe the in vitro and in vivo pharmacological characterization of (R)-1-(2-(4-(2,4-difluorophenoxy)piperidin-1-yl)-3-((tetrahydrofuran-3-yl)amino)-7,8-dihydropyrido[3,4-b]pyrazin-6(5H)-yl)ethan-1-one (CVN424), a highly potent and selective small-molecule inverse agonist for GPR6 that is currently undergoing clinical evaluation. CVN424 is brain-penetrant and shows dose-dependent receptor occupancy that attained brain 50% of receptor occupancy at plasma concentrations of 6.0 and 7.4 ng/ml in mice and rats, respectively. Oral administration of CVN424 dose-dependently increases locomotor activity and reverses haloperidol-induced catalepsy. Furthermore, CVN424 restored mobility in bilateral 6-hydroxydopamine lesion model of Parkinson disease. The presence and localization of GPR6 in medium spiny neurons of striatum postmortem samples from both nondemented control and patients with Parkinson disease were confirmed at the level of both RNA (using Nuclear Enriched Transcript Sort sequencing) and protein. This body of work demonstrates that CVN424 is a potent, orally active, and brain-penetrant GPR6 inverse agonist that is effective in preclinical models and is a potential therapeutic for improving motor function in patients with Parkinson disease. SIGNIFICANCE STATEMENT: CVN424 represents a nondopaminergic novel drug for potential use in patients with Parkinson disease.
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Affiliation(s)
- Nicola L Brice
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Hans H Schiffer
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Holger Monenschein
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Victoria J Mulligan
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Keith Page
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Justin Powell
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Xiao Xu
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Toni Cheung
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - J Russell Burley
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Huikai Sun
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Louise Dickson
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Sean T Murphy
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Nidhi Kaushal
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Steve Sheardown
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Jason Lawrence
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Yun Chen
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Darian Bartkowski
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Anne Kanta
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Joseph Russo
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Natalie Hosea
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Lee A Dawson
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Stephen H Hitchcock
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
| | - Mark B Carlton
- Cerevance Ltd, Cambridge, United Kingdom (N.L.B., V.J.M., K.P., J.P., X.X., T.C., J.R.B., L.D., S.S., J.L., L.A.D., M.B.C.); and Takeda California, San Diego, California (H.H.S., H.M., H.S., S.T.M., N.K., Y.C., D.B., A.K., J.R., N.H., S.H.H.)
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Afrin F, Chi M, Eamens AL, Duchatel RJ, Douglas AM, Schneider J, Gedye C, Woldu AS, Dun MD. Can Hemp Help? Low-THC Cannabis and Non-THC Cannabinoids for the Treatment of Cancer. Cancers (Basel) 2020; 12:cancers12041033. [PMID: 32340151 PMCID: PMC7226605 DOI: 10.3390/cancers12041033] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 04/20/2020] [Indexed: 12/21/2022] Open
Abstract
Cannabis has been used to relieve the symptoms of disease for thousands of years. However, social and political biases have limited effective interrogation of the potential benefits of cannabis and polarised public opinion. Further, the medicinal and clinical utility of cannabis is limited by the psychotropic side effects of ∆9-tetrahydrocannabinol (∆9-THC). Evidence is emerging for the therapeutic benefits of cannabis in the treatment of neurological and neurodegenerative diseases, with potential efficacy as an analgesic and antiemetic for the management of cancer-related pain and treatment-related nausea and vomiting, respectively. An increasing number of preclinical studies have established that ∆9-THC can inhibit the growth and proliferation of cancerous cells through the modulation of cannabinoid receptors (CB1R and CB2R), but clinical confirmation remains lacking. In parallel, the anti-cancer properties of non-THC cannabinoids, such as cannabidiol (CBD), are linked to the modulation of non-CB1R/CB2R G-protein-coupled receptors, neurotransmitter receptors, and ligand-regulated transcription factors, which together modulate oncogenic signalling and redox homeostasis. Additional evidence has also demonstrated the anti-inflammatory properties of cannabinoids, and this may prove relevant in the context of peritumoural oedema and the tumour immune microenvironment. This review aims to document the emerging mechanisms of anti-cancer actions of non-THC cannabinoids.
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Affiliation(s)
- Farjana Afrin
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
| | - Mengna Chi
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
| | - Andrew L. Eamens
- Centre for Plant Science, School of Environmental and Life Sciences, University of Newcastle, Callaghan, NSW 2308, Australia;
| | - Ryan J. Duchatel
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
| | - Alicia M. Douglas
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
| | - Jennifer Schneider
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
- Priority Research Centre for Chemical Biology and Clinical Pharmacology, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia
| | - Craig Gedye
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
- Calvary Mater Newcastle, Waratah, NSW 2298, Australia
| | - Ameha S. Woldu
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
- Correspondence: (A.S.W.); (M.D.D.); Tel.: +61-02-4921-7807 (A.S.W.); +61-02-4921-5693 (M.D.D.)
| | - Matthew D. Dun
- Cancer Signalling Research Group, Medical Biochemistry, School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia; (F.A.); (M.C.); (R.J.D.); (A.M.D.); (C.G.)
- Priority Research Centre for Cancer Research, Innovation & Translation, Faculty of Health and Medicine, Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia;
- Correspondence: (A.S.W.); (M.D.D.); Tel.: +61-02-4921-7807 (A.S.W.); +61-02-4921-5693 (M.D.D.)
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