Involvement of BDNF in the regulation of neuroplasticity and neurogenesis in
the hippocampus, impairment of which underlies the pathophysiology of
depression, makes this endogenous protein a promising object for the
development of new-generation antidepressants with a neurophysiologically based
mechanism of action. A low-molecular-weight BDNF mimetic, GSB-106 (a
substituted dimeric dipeptide, bis-(N-monosuccinyl- L-seryl-L-lysine)
hexamethylenediamide), was designed and synthesized at the Zakusov Institute of
Pharmacology. GSB-106 was found to activate BDNF-specific TrkB receptors and
their main post-receptor signaling pathways MAPK/ERK and PI3K/AKT. GSB-106
exhibited pronounced antidepressant activity in a rodent test battery at a dose
of 0.1 to 1.0 mg/kg administered intraperitoneally. Because oral administration
is preferable in the treatment of depression, which is associated with a
prolonged duration and outpatient character of pharmacotherapy, we examined the
antidepressant properties of GSB-106 administered orally as a pharmaceutical
substance (PS) and in tablet dosage form (TDF). In the study, we used the
Porsolt forced swim test in rats; a conventional antidepressant, Amitriptyline,
was used as a reference drug. The antidepressant activity of GSB-106 was found
to retain upon oral administration and to manifest at doses of 0.5–5.0
mg/kg for PS and 0.01–5.0 mg/kg for TDF. The effective dose of TDF was
50-fold lower than that of PS, and the efficacy of tableted GSB-106 exceeded
that of Amitriptyline, the “gold standard” in antidepression care.
Therefore, GSB-106, both as a substance and as a tablet dosage form, exhibits
antidepressant activity when administered orally, which makes it a promising
antidepressant agent, the first in the class of BDNF mimetics.