2018
DOI: 10.1038/s41598-018-35687-8
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A small molecule ApoE4-targeted therapeutic candidate that normalizes sirtuin 1 levels and improves cognition in an Alzheimer’s disease mouse model

Abstract: We describe here the results from the testing of a small molecule first-in-class apolipoprotein E4 (ApoE4)-targeted sirtuin1 (SirT1) enhancer, A03, that increases the levels of the neuroprotective enzyme SirT1 while not affecting levels of neurotoxic sirtuin 2 (SirT2) in vitro in ApoE4-transfected cells. A03 was identified by high-throughput screening (HTS) and found to be orally bioavailable and brain penetrant. In vivo, A03 treatment increased SirT1 levels in the hippocampus of 5XFAD-ApoE4 (E4FAD) Alzheimer’… Show more

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Cited by 26 publications
(15 citation statements)
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References 71 publications
(80 reference statements)
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“…Finally, a first-in-class small molecule, apolipoprotein E4 (ApoE4)-targeted SIRT1 A03, showed SIRT1-enhancing effects in the hippocampus of 5XFAD-ApoE4 AD model mice improving their performance in cognitive tasks. The neurotoxic SIRT2 levels were not significantly affected ( Campagna et al, 2018 ).…”
Section: Sirt1 and Sirt2 In Alzheimer’s Diseasementioning
confidence: 99%
“…Finally, a first-in-class small molecule, apolipoprotein E4 (ApoE4)-targeted SIRT1 A03, showed SIRT1-enhancing effects in the hippocampus of 5XFAD-ApoE4 AD model mice improving their performance in cognitive tasks. The neurotoxic SIRT2 levels were not significantly affected ( Campagna et al, 2018 ).…”
Section: Sirt1 and Sirt2 In Alzheimer’s Diseasementioning
confidence: 99%
“…It has been reported that Human APOE4 could modulate the expression of Sirtuin 1 in brain regions of targeted replacement apoE mice 53 . In addition, a small molecule APOE4 − targeted therapeutic candidate that normalizes sirtuin 1 levels and improves cognition in an Alzheimer’s disease mouse model 54 , suggesting the potential APOE4 and Sirt1 pathways. It is worth nothing that Sirt1 was recently reported that playing critical role to preventing autoimmunity and participate in sepsis progress 55 , 56 .…”
Section: Discussionmentioning
confidence: 99%
“…The major genetic risk factor in AD is apolipoprotein-E4 (ApoE4), which has a significant potential to reduce Sirtuin 1 ( Sirt1 ) expression. This sirt1 reduction leads to decreases in the FOXO3-mediated oxidative stress response, Coactivator 1-α (PGC1α)-mediated ROS sequestration, and RARβ-mediated ADAM10 expression and increases in P53-mediated apoptosis, NFκB-mediated Aβ toxicity, as well as the acetylation of tau, which leads to microtubule instability and tau pathology [77]. Various Sirt1 enhancers have been identified, such as alaproclate, resveratrol, quercetin, fisetin, SRT1720, SRT1460, and A03 racemates [78,79,80,81,82,83,84].…”
Section: Novel Treatment Strategies In Admentioning
confidence: 99%
“…The Sirt1 function has a major role related to tau pathology, which is an additional risk for progression during AD. The first-in-class ApoE4 targeted therapeutic, A03, which influences Sirt1 levels might be a good candidate for preclinical trails in MCI and AD due to its excellent brain bioavailability and promising efficacy after chronic oral treatment [77].…”
Section: Novel Treatment Strategies In Admentioning
confidence: 99%