1 We have previously demonstrated that continuous i.c.v. infusion of amyloid b-peptide (Ab), the major constituent of senile plaques in the brains of patients with Alzheimer's disease, results in learning and memory de®cits in rats. 2 In the present study, we investigated the e ects of ne®racetam [N-(2,6-dimethylphenyl)-2-(2-oxo-1-pyrrolidinyl) acetamide, DM-9384] on Ab-(1-42)-induced learning and memory de®cits in rats. 3 In the Ab-(1-42)-infused rats, spontaneous alternation behaviour in a Y-maze task, spatial reference and working memory in a water maze task, and retention of passive avoidance learning were signi®cantly impaired as compared with Ab-(40-1)-infused control rats. 4 Ne®racetam, at a dose range of 1 ± 10 mg kg 71 , improved learning and memory de®cits in the Ab-(1-42)-infused rats when it was administered p.o. 1 h before the behavioural tests. 5 Ne®racetam at a dose of 3 mg kg 71 p.o. increased the activity of choline acetyltransferase in the hippocampus of Ab-(1-42)-infused rats. 6 Ne®racetam increased dopamine turnover in the cerebral cortex and striatum of Ab-(1-42)-infused rats, but failed to a ect the noradrenaline, serotonin and 5-hydroxyindoleacetic acid content. 7 These results suggest that ne®racetam may be useful for the treatment of patients with Alzheimer's disease. Keywords: Alzheimer's disease; amyloid b-peptide; ne®racetam (DM-9384); reference memory; voltage-sensitive calcium channels; working memoryAbbreviations: 5-HIAA, 5-hydroxyindoleacetic acid; Ab, amyloid b-peptide; ACh, acetylcholine; AD, Alzheimer's disease; ANOVA, one-way analysis of variance; APP, b-amyloid precursor protein; ChAT, choline acetyltransferase; DOPAC, 3,4-dihydroxyphenylacetic acid; GABA, g-aminobutyric acid; HVA, homovanillic acid; VSCC, voltagesensitive calcium channels
IntroductionAlzheimer's disease (AD) is the most common cause of progressive decline of cognitive function in aged humans. The disease is characterized neuropathologically by the presence of numerous senile plaques and neuro®brillary tangles accompanied by neuronal loss. The senile plaques are composed of amyloid b-peptide (Ab), a 40 ± 42 amino acid peptide fragment of the b-amyloid precursor protein (APP) (Kang et al., 1987). Transgenic mice, which overexpress human APP containing the mutations associated with familial AD, develop many of the pathological characterizations associated with AD (Games et al., 1995;Johnson-Wood et al., 1997; Sturchler-Pierrat et al., 1997). Furthermore, Ab is cytotoxic to neurons (Yankner et al., 1990) and renders neurons vulnerable to various insults including excitotoxicity (Koh et al., 1990;Mattson et al., 1992). These previous ®ndings suggest that Ab has a central role in the pathogenesis of AD. We have previously demonstrated that continuous infusion of Ab-(1-40) into the cerebral ventricle of rats results in learning and memory de®cits, suggesting that accumulation of Ab in the brain is related to cognitive impairments in AD . Continuous Ab-(1-40) infusion causes a decrease in choline acetyltransferase ...