[HTML][HTML] Latrepirdine is a potent activator of AMP-activated protein kinase and reduces neuronal excitability

P Weisová, SP Alvarez, SM Kilbride… - Translational …, 2013 - nature.com
P Weisová, SP Alvarez, SM Kilbride, U Anilkumar, B Baumann, J Jordán, T Bernas
Translational psychiatry, 2013nature.com
Latrepirdine/Dimebon is a small-molecule compound with attributed neurocognitive-
enhancing activities, which has recently been tested in clinical trials for the treatment of
Alzheimer's and Huntington's disease. Latrepirdine has been suggested to be a
neuroprotective agent that increases mitochondrial function, however the molecular
mechanisms underlying these activities have remained elusive. We here demonstrate that
latrepirdine, at (sub) nanomolar concentrations (0.1 n M), activates the energy sensor AMP …
Abstract
Latrepirdine/Dimebon is a small-molecule compound with attributed neurocognitive-enhancing activities, which has recently been tested in clinical trials for the treatment of Alzheimer’s and Huntington’s disease. Latrepirdine has been suggested to be a neuroprotective agent that increases mitochondrial function, however the molecular mechanisms underlying these activities have remained elusive. We here demonstrate that latrepirdine, at (sub) nanomolar concentrations (0.1 n M), activates the energy sensor AMP-activated protein kinase (AMPK). Treatment of primary neurons with latrepirdine increased intracellular ATP levels and glucose transporter 3 translocation to the plasma membrane. Latrepirdine also increased mitochondrial uptake of the voltage-sensitive probe TMRM. Gene silencing of AMPKα or its upstream kinases, LKB1 and CaMKKβ, inhibited this effect. However, studies using the plasma membrane potential indicator DisBAC 2 (3) demonstrated that the effects of latrepirdine on TMRM uptake were largely mediated by plasma membrane hyperpolarization, precluding a purely ‘mitochondrial’mechanism of action. In line with a stabilizing effect of latrepirdine on plasma membrane potential, pretreatment with latrepirdine reduced spontaneous Ca 2+ oscillations as well as glutamate-induced Ca 2+ increases in primary neurons, and protected neurons against glutamate toxicity. In conclusion, our experiments demonstrate that latrepirdine is a potent activator of AMPK, and suggest that one of the main pharmacological activities of latrepirdine is a reduction in neuronal excitability.
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