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Vol. 301, Issue 1, 284-292, April 2002
Program in Clinical and Experimental Therapeutics, University of Georgia College of Pharmacy, Medical College of Georgia, Augusta, Georgia (A.V.T.); Alzheimer's Research Center and Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta, Georgia (A.V.T., J.J.B.); Department of Veterans Affairs Medical Center, Augusta, Georgia (A.V.T., J.J.B.); and Merck Research Laboratories, La Jolla, California (V.B.R., F.M.)
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Abstract |
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Nicotine, a nonselective ligand for nicotinic acetylcholine
receptors (nAChRs), has been shown to improve attention and reduce distractibility in humans. Although the numerous side effects induced
by nicotine prevent its use as a therapeutic agent, it is hypothesized
that subtype-selective nAChR ligands may offer a potential therapeutic
benefit to humans with attention deficits. In this study, we evaluated
the attention-enhancing properties of
(±)-4-{[2-(1-methyl-2-pyrrolidinyl)ethyl]thio}phenol
hydrochloride (SIB-1553A), a ligand selective for neuronal nAChRs with
predominant activity at the human
4 subtype. SIB-1553A was evaluated
in a test of attention (i.e., five-choice serial reaction time task or
SRTT) and distractibility (i.e., delayed matching to sample task with
distractor or DMTS-D) in adult rats and monkeys, respectively. SIB-1553A did not improve SRTT performance in normal rats, but reversed
deficits induced by the N-methyl-D-aspartate
(NMDA) antagonist dizocilpine. In the DMTS-D, SIB-1553A improved
accuracy across several doses at the short delay intervals, which were
affected most by distracting stimuli in adult monkeys. Subsequent
testing with optimal doses for each monkey was also associated with
significant improvements in DMTS-D accuracy at short delays, indicating
the reproducibility of the drug effect. In both species, SIB-1553A had
no significant effects on latencies for sample or choice selection and
was not associated with adverse effects at efficacious doses. Although
it remains to be further demonstrated, SIB-1553A may act through
combined nicotinic and non-nicotinic mechanisms. Collectively, the
present data suggest that in specific conditions SIB-1553A may improve
certain aspects of attentional function in young adult rats and
nonhuman primates without adverse side effects.
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Introduction |
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Inattention
and the susceptibility to distracting stimuli (i.e., distractibility)
are among the cognitive changes that may occur in normal aging (Hoyer
et al., 1979
) and are salient features of numerous neurodegenerative
and psychiatric disorders, including Alzheimer's disease
(Lawrence and Sahakian, 1995
), schizophrenia (Addington et al., 1997
),
and attention deficit hyperactivity disorder (ADHD) (Zametkin and
Ernst, 1999
). First line therapeutic agents available for attention
deficits (particularly those associated with ADHD) are psychostimulants
such as methylphenidate, which have clearly demonstrated efficacy
(Spencer et al., 1996
). Approximately 25% of ADHD patients however,
fail to respond to psychostimulants or exhibit serious side effects
(Green, 1991
; Elia et al., 1999
), requiring the development of
alternative agents for attentional disorders.
Nicotine, a nonselective ligand for nicotinic acetylcholine receptors
(nAChRs) appears to improve attention and reduce distractibility in
animals and humans (Rezvani and Levin, 2001
). Improvements of attention
in Alzheimer's disease and ADHD patients administered nicotine (Jones
et al., 1992
; Levin et al., 1996
; White and Levin, 1999
) appear
particularly promising. Although the numerous side effects (such as
cardiovascular, gastrointestinal dysfunction, and addiction) induced by
nicotine prevent its use as a therapeutic agent, it is hypothesized
that subtype-selective nAChR ligands, with potential improved efficacy
and limited side effect profiles compared with nicotine, may offer
potential therapeutic benefits to humans with cognitive impairments and
attention deficits in particular. Accordingly, subtype-selective nAChR
agonists with predominant activity for the nAChR
2 subtype,
such as ABT-418, ABT-089, and SIB-1765F, have been shown to
improve attention in animals (Prendergast et al., 1998
; Grottick and
Higgins, 2000
).
The purpose of this study was to evaluate the attention-enhancing
properties of the nAChR ligand
(±)-4-{[2-(1-methyl-2-pyrrolidinyl)ethyl]thio}phenol hydrochloride] (SIB-1553A), which has demonstrated predominant agonist
activity at the human
4 subtype, with no
activity at muscle nAChR subtypes (Menzaghi et al., 1999
; Vernier et
al., 1999
). In vivo, SIB-1553A induces a dose-dependent increase in acetylcholine (ACh) release in the rat prefrontal cortex and
hippocampus, both brain regions known to play an important role in
cognitive functions. Ex vivo studies also demonstrated that SIB-1553A
induces the release of other neurotransmitters besides ACh, including dopamine and norepinephrine from rat prefrontal cortex (Menzaghi et
al., 1999
). Furthermore, recent studies with SIB-1553A in rodents and
nonhuman primates have indicated enhancements in working memory tasks
(Bontempi et al., 2001
), which led to the suggestion that this effect
may be secondary to enhanced attention and warrants the evaluation of
SIB-1553A in models of attention. SIB-1553A also represents a
pharmacological tool with which to probe the function of nAChR
subtypes, because it is presently one of the few
4 subunit-selective
ligands described in the literature and its effects have not yet been
reported in models of attention.
In the present studies, we assessed the effects of SIB-1553A on attention by using a choice serial reaction time task (SRTT) in rats and a delayed matching to sample task with distractor (DMTS-D) in young monkeys.
The DMTS-D is a method to assess distractibility in nonhuman primates performing a working memory task by using delayed matching to sample in which brief distracting (task relevant) stimuli are presented during some of the trials. This model has been shown to be sensitive to nAChR ligands as well as methylphenidate and is therefore considered a relevant model to evaluate the effect of SIB-1553A.
The SRTT is a visuospatial attentional task that has been used
extensively to examine the role of the cholinergic system in attention.
A light stimulus is presented randomly in one of five possible
apertures and a nose-poke response in the lit aperture is reinforced by
a food reward. Well trained animals reach a level of performance
accuracy that usually precludes observation of attentional enhancement
over baseline. Procedural manipulations such as decreasing stimulus
duration, which reduces accuracy, have been shown to unmask attentional
deficits in animals with lesions of the basal forebrain, suggesting a
cholinergic component to performance in these conditions (Muir et al.,
1994
). SIB-1553A was therefore evaluated after reduction of the
stimulus duration. In a second experiment, performance was disrupted by
pharmacological manipulations by administration of the noncompetitive
blocker of the glutamate
N-methyl-D-aspartate (NMDA) receptor
dizocilpine. Because glutamergic hypofunction occurs in many cognitive
disorders, dizocilpine is commonly used as a pharmacological model of
cognitive deficits in rats and monkeys (Buffalo et al., 1994
; Dai and
Carey, 1994
). Interestingly, dizocilpine inhibits nAChRs, with
receptors containing the
4 subunit showing greater sensitivity than
those containing
2 subunits (Amador and Dani, 1991
; Yamakura et al., 2000
). It was therefore hypothesized that SIB-1553A would reverse the
procedural and dizocilpine-induced attentional deficits in the SRTT in rats.
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Materials and Methods |
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Subjects
Rats. Male Lister hooded rats (Harlan Sera-Lab, Crawley Down, Sussex, UK) (300 g at the start of the study) were housed two per cage and maintained in a humidity- (50-55%) and temperature- (22-24°C) controlled facility on a 12-h light/dark cycle (lights on at 6:30 AM). Food was restricted to that earned during the test [maximum of 100 × 45 mg Formula 1 pellets (P. J. Noyes Co. Inc., Lancaster, NH)] and 12 g of standard rodent chow (Harlan-Teklad 4% rat diet 7001), which was given a minimum of 1 h post-testing. This food restriction regimen maintained their body weight at an average of 350 g (i.e., 80% of normal body weight). Except for during testing, water was available ad libitum. All testing was conducted during the light cycle. Only rats that have reached consistent baseline performance (see below) before and between testing were used. All procedures were performed in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the Institutional Animal Care and Use Committee.
Monkeys.
Five adult pigtail macaques (Macaca
nemestrina, one female and four male), originally colony-reared at
the Washington Regional Primate Center (Seattle, WA), served as
subjects. The gender, weight, age, and testing parameters (delays) used
for the behavioral tests appear in Table
1. The subjects were individually housed at the Animal Behavior Center of the Medical College of Georgia in
stainless steel cages composed of multiple 50- × 28- × 26-in. units.
Toys and foraging tubes were provided routinely and monkeys were
allowed to observe television programs each afternoon after testing to
promote psychological well-being. During a test week, monkeys were
maintained on a feeding schedule that allowed approximately 15% of
their normal daily food intake to be derived from banana-flavored reinforcement pellets awarded for correct responses during testing. Testing was conducted 5 days/week. Standard laboratory monkey chow,
fresh fruits, and vegetables comprised the remainder of their daily
food intake, which was given after completion of testing each day.
Water was available ad libitum. All procedures used during this study
were reviewed and approved by the Medical College of Georgia
Institutional Animal Care and Use Committee and are consistent with
Association for Assessment and Accreditation of Laboratory Animal Care
guidelines.
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Behavioral Procedures
Choice Serial Reaction Time Task Procedure in Rats. Apparatus. The SRTT was performed in automated nine-hole operant chambers (Paul Fray Ltd., Cambridge, UK) housed in sound-insulated and ventilated enclosures. In brief, each SRTT apparatus contained a food magazine on one wall, and on the opposite wall five square niches (i.e., nose-poke holes) (2.5-cm-wide square, 4 cm in depth) arranged on a curved panel and raised 2 cm above a grid the floor. All apertures in the chamber, including the food magazine, were controlled by a photocell monitoring the entrance. Each hole could be illuminated by a 2.8-W lamp located at the rear of the hole. Each animal had to poke its nose in one of the holes when it was illuminated then turn around and go to the food magazine to collect a food pellet as a reward. The rat collected the food pellets by pushing a Perspex panel that covered the food magazine.
Training and testing procedures.
The training procedure was
as reported by Muir et al. (1995)
. In brief, during each session, the
rat was trained to push the food magazine to initiate a trial. Five
seconds later, one of the five nose-poke apertures was lit for 0.5 s. The rat was then trained to quickly respond with a nose poke in the
hole in which the stimuli was just presented (correct response). The
stimuli were presented across the five possible nose-poke apertures in a pseudorandom order. Each correct response was rewarded with a food
pellet, and each failure to respond (omissions, longer than 5-s
poststimuli presentation) or incorrect response (response in aperture
that was not lit by light stimulus) was punished with a 10-s time-out
with no access to a food pellet.
80% accuracy and <20% omissions over a 30-min
test session (i.e., 100 trials total). Subjects were considered to have
reached a stable baseline and were used for testing once they repeated
these performance criteria for at least five consecutive days.
The effect of SIB-1553A on SRTT performance was measured in conditions
where the performance accuracy was decreased by procedural or
pharmacological means. In the first experiment, task difficulty was
increased by decreasing the duration of the stimulus presentation from
0.5 to 0.15 s. Subjects were administered vehicle (saline) and
four doses of SIB-1553A (0.5, 1.0, 2.0, and 4 mg/kg salt) in a Latin
square design (i.e., each rat was tested five times). Each test day was
followed by 1 day without testing and one baseline session day
(stimulus parameters at 0.15-s duration) to test for carryover effects.
In a second experiment, task performance was disrupted through
administration of the noncompetitive NMDA antagonist dizocilpine. Due
to observed carryover effects of dizocilpine on performance, a
between-subjects design was used in which the animals received only one
treatment in each experiment. There was a 10-day washout period in
between the dizocilpine dose-response test day and the SIB-1553A
reversal of dizocilpine test day. Only rats that consistently achieved
baseline performance before the experiment day were used. Dizocilpine
was administered 1 min before SIB-1553A administration and 15 min
before testing.
Standard DMTS Procedure in Monkeys.
The monkey's home cage
was equipped with testing panels for the DMTS procedure (Terry et al.,
1993
). Stimuli on the test panels were three 2.54-cm-diameter colored
disks (red, yellow, or green) presented by light-emitting diodes
located behind clear plastic push keys. A trial began with the
illumination of one of the push keys (the sample key) by one of the
colored disks. A key press extinguished the sample light and initiated
one of four preprogrammed delay intervals, during which no disks were
illuminated. After the delay interval, two choice lights located below
the sample key were illuminated. One of the choice lights matched the
hue of the sample light. These disks remained illuminated until a monkey pressed one of the two lit keys. Key presses of choice stimuli
that matched the hue of the sample stimulus were rewarded with a 300-mg
banana-flavored pellet. Nonmatching choices were neither rewarded nor
punished. Matching configurations were fully counterbalanced for side,
delay, and hue. A new trial was initiated 5 s after the second key
press on a preceding trial. Monkeys completed 96 trials on each day of
testing. The lack of a response by a monkey for 700 s resulted in
the preprogrammed cessation of the session.
DMTS Procedure with Distractors (DMTS-D) in Monkeys.
On 18 of the 96 trials completed during DMTS-D test sessions, a distractor
stimulus consisting of a random array of flashing colored lights
appeared on the test panels and lasted for 3 s (Prendergast et
al., 1998
). Distractor lights were generated by the same diodes, as
were sample and choice stimuli. This duration of the distractor was
chosen based on our observation that distractors of lesser duration
were not effective in disrupting DMTS performance. The remaining trials
were presented as standard DMTS trials distributed across all delay intervals.
Compounds.
All drugs were diluted in 0.9% saline.
Dizocilpine maleate was obtained from Sigma/RBI (Natick, MA). SIB-1553A
was synthesized at SIBIA Neurosciences, Inc. (now Merck Research
Laboratories) as per methods previously described (Vernier et al.,
1999
). Doses of dizocilpine are expressed as base, whereas doses of
SIB-1553A are expressed as salt. Compounds were administered s.c. in
rats after administration into the dorsal neck region in a volume of 1 ml/kg of body weight, and i.m. in monkeys after administration in the
gastrocnemius muscle within a volume of 0.035 ml/kg of body weight.
Statistical Analysis. Data were analyzed by either one- and two-way analyses of variance with or without repeated measures or one-tailed Student's t test when appropriate. Post hoc analysis was made using the Newman-Keuls, Fisher's, or Dunnett's test as necessary for appropriate comparison. In the SRTT in rats, the effects of reducing stimulus duration on performance were assessed with a paired t test comparing the vehicle treatment day of testing (0.15-s stimulus duration) to their average baseline performance (0.5-s stimulus duration) measured for 1 week before testing. In monkeys, DMTS accuracy on short, medium, and long delay distractor and nondistractor trials during interference trials were compared with accuracy on trials completed during standard DMTS testing. Accuracy on distractor and nondistractor trials completed after administration of doses of SIB-1553A was compared with like trials completed after saline administration and to accuracy during standard DMTS testing. Median latencies (in s) for both sample and choice were analyzed by the nonparametric method of Kruskal-Wallis (analysis of variance on ranks). All analysis was performed using SigmaStat (Jandel Scientific, San Rafael, CA) with the criterion for significance being p < 0.05.
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Results |
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Effect of SIB-1553A on SRTT Performance in Rats.
As
illustrated in Fig. 1, decreasing the
stimulus duration significantly disrupted SRTT performance by
decreasing percentage of correct responses, but having no significant
effect on inappropriate responding [t4 =
5.16,
p = 0.003 and t4 = 2.03, N.S.].
This effect was maintained over the course of the study. One-way
analysis of variance with repeated measures revealed that SIB-1553A
alone has no significant effect on accuracy or inappropriate responding [F(4,15) = 1.27, N.S. and F(4,15) = 0.27, N.S., respectively]. Furthermore, there were no effects of
SIB-1553A administration on speed of correct responding (data not
shown). There was a slight, but significant increase in latency to
respond for food at the highest dose tested [F(4,15) = 8.97, p < 0.001; vehicle = 1.96 ± 0.087 s
versus 4.0 mg/kg = 2.32 ± 0.12 s, p < 0.05; Dunnett's test]. No carryover effects of SIB-1553A
administration were found on nondrug test days. Effects of day (i.e.,
order effects) were also not observed, with response accuracy and
inappropriate responding remaining constant over the entire testing
period (data not shown). In this study the 4-mg/kg dose of SIB-1553A
was found to significantly increase latency for reward collection.
Thus, a 3-mg/kg dose of SIB-1553A was arbitrarily chosen to ensure
pharmacological efficacy (Bontempi et al., 2001
) without task
disruption in the subsequent dizocilpine study.
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Effect of SIB-1553A on Dizocilpine-Induced Deficits in SRTT
Performance in Rats.
As shown in Fig.
2, dizocilpine dose-dependently decreased
percentage of correct responses and increased inappropriate responding compared with vehicle-treated group with the highest tested dose (0.05 mg/kg) being the most effective dose [F(3,19) = 5.60, p = 0.006; F(3,19) = 5.24, p = 0.008, respectively]. Dizocilpine markedly reduced
performance accuracy without disrupting speed of responding (correct
latency) or motivation (latency to collect food rewards) (data not
shown). The 0.05-mg/kg dose of dizocilpine was therefore selected to
test the effect of SIB-1553A on dizocilpine-induced disruption of SRTT
performance in rats.
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3.442, p = 0.002, respectively]. Pretreatment with SIB-1553A significantly attenuated
dizocilpine (0.05 mg/kg)-induced deficits in accuracy without affecting
the number of inappropriate responses [t13 =
2.09, p = 0.0285; t13 = 0.44, N.S., respectively] (Fig. 3). Correct response and food collection
latencies remained unaffected after administration of either
dizocilpine alone or after combined administration of dizocilpine and
SIB-1553A (data not shown).
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DMTS-D Baseline in Monkeys.
Baseline performance of standard
DMTS and DMTS-D with interference sessions (distractor and
nondistractor trials) was acquired from data obtained during sessions
initiated 10 min after saline injections on individual days throughout
the study (i.e., nine standard saline-DMTS sessions and eight DMTS-D
sessions). Averaged baseline performance across the study for each
method is illustrated and compared in Fig.
4. Performance (accuracy) of each task
was significantly different as were the effects of the imposed delay intervals: task effect, F(2,8) = 13.5, p = 0.003; delay effect, F(2,8) = 70.6, p < 0.001; and task × delay interaction,
F(4,16) = 6.18, p = 0.003. Post hoc
analysis (Fisher's test) indicated that under standard DMTS testing
conditions (i.e., days in which no distractors were used) accuracy was
reduced significantly with each increase in the duration of delay
interval (i.e., accuracy at short > medium > long delays,
p < 0.05). On days in which distractors were included
(DMTS-D), in the case of nondistractor trials, accuracy at short delays
was higher than at medium and long delays (i.e., short > medium
and long), and in the case of the distractor associated trials,
accuracy at short and medium delays was higher than at long delays
(i.e., short and medium > long). Post hoc analyses further
revealed that there was a significant difference between the accuracy
of each method (i.e., DMTS was different from DMTS-D) at short delay
intervals (p < 0.05). Exposure to a distractor of 3-s
duration immediately after depression of the sample key significantly
impaired DMTS performance on short delays, producing a mean reduction
in accuracy of 21.8% correct compared with standard DMTS trials.
Performance efficiency was also somewhat impaired on the nondistractor
trials (i.e., mean reduction in accuracy of 9.3% correct).
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SIB-1553A Dose-Effect Study in Monkeys.
The effects of
SIB-1553A across 10 different doses (one to two replicates per dose) on
short delay trials appear in Figs. 5 and
6. The compound significantly improved
performance accuracy of distractor-associated trials [dose effect,
F(11,41) = 2.46, p = 0.018 (Fig. 5)].
Post hoc analyses revealed that improvements in accuracy occurred after
the test subjects received four of the 10 different doses. No dose of
SIB-1553A significantly affected performance associated with
nondistractor trials [dose effect: F(11,41) = 1.41, p = 0.204 at short delays (Fig. 6)]. In addition, significant effects of SIB-1553A were not observed at the other delay
intervals (data not shown).
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SIB-1553A Repeated Optimal Dose Study in Monkeys.
After
analysis of the dose-effect data, the optimal (best) dose was selected
for each monkey and repeated on a separate occasion (at least 2 weeks
after dose-effect studies) and randomized with additional saline
interference and standard DMTS-saline sessions. The best dose was
determined by examining the scores for short-delay performance for each
test subject (see the legend of Fig. 7
for the doses selected). Best dose re-administration was associated with highly significant improvements in accuracy for trials associated with short delays [treatment effect: F(2,6) = 30.89, p < 0.001 (Fig. 7)]. Post hoc analyses revealed that
the drug produced significant reversal of the performance decrement
induced by distractor trials associated with short delay intervals, but
it did not significantly affect the accuracy of the
nondistractor-associated trials of DMTS-D method.
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Sample/Choice Latencies in Monkeys.
Two measures of response
latency were also recorded during DMTS testing conducted after drug
administration: choice latency, the time interval between presentation
of the two choice stimuli and depression of one of the choice keys; and
sample latency, the time interval between initiation of a new trial
(illumination of the stimulus light behind the sample key) and
depression of the sample key by the monkeys. Latency data were analyzed
for both correctly and incorrectly completed trials after
administration of each dose of SIB-1553A. Median sample and choice
latencies on trials completed correctly or incorrectly under baseline
conditions (during both standard DMTS testing and during sessions in
which distractors were present) are provided in Table
2. Although there appeared to be a slight
trend toward longer latencies associated with sessions in which
distractors were present, no statistically significant differences were
found. Furthermore, none of the latencies were significantly altered
after administration of any dose of SIB-1553A (data not shown).
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Discussion |
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The aim of the present study was to explore the effect of SIB-1553A in tests of visual attention and distractibility in rats and monkeys, respectively. The data indicate that SIB-1553A reduces distractibility in young monkeys but has no effect on choice reaction time performance in young rats. On the other hand, SIB-1553A administration was found to attenuate dizocilpine-induced impairment of attentional performance in rats.
The lack of effect of SIB-1553A on SRTT performance in normal rats is
in agreement with previous reports on the activity of other nicotinic
ligands or cholinergic agents on SRTT performance under similar testing
parameters. For example, no effects of acute administration of nicotine
or physostigmine, a cholinesterase inhibitor, were found on attentional
performance in the SRTT during baseline or low-stimulus duration
conditions (Muir et al., 1994
, 1995
; Stolerman et al., 2000
). Shortened
stimulus durations, however, have been used successfully to probe both
deficits in SRTT performance induced by excitotoxic lesions of the
cholinergic basal forebrain and the subsequent reversal of those
deficits by procholinergic compounds, suggesting a cholinergic
component to the attenuation of performance deficits induced by the
decrease of stimulus presentation (Muir et al., 1994
, 1995
). The
assumption was that a drug such as SIB-1553A that induces the release
of cortical ACh in rats will reverse the deficits induced by the
decrease of stimulus duration in the SRTT. However, the level of ACh in
cortical areas does not appear to correlate with modulation of the
stimulus duration in normal intact rats (Passetti et al., 2000
). It has
been recently reported that basal levels of ACh are already
substantially increased in performing rats (Passetti et al., 2000
;
Himmelheber et al., 2001
) and the modulation of stimulus duration,
although creating the expected changes in performance accuracy, does
not produce further changes in the ACh efflux. Because the release of
ACh induced by SIB-1553A was reported in nonperforming rats and was not
explored in rats performing the SRTT, it is speculated that rats
performing the SRTT task have already high levels of ACh, which cannot
be further increased by a cholinergic drug. Thus, the effects of
SIB-1553A on ACh release may be minimal when cortical efflux levels are
already high. This may explain why SIB-1553A did not improve
performance in this task, even though it has been shown to enhance
cortical ACh release. ACh release in this particular condition may not
be relevant. Recently, nAChR agonists have been reported to enhance
SRTT performance in rats in conditions where the stimulus presentation
was made temporally unpredictable (Stolerman et al., 2000
). Further
studies are needed to examine the efficacy of SIB-1553A under other
conditions. Taken together, these data suggest that cortical ACh
release data alone may be limited as an explanation for the observed
functional effects on attention and task performance. This may also be
applied to the dizocilpine study.
In agreement with a report by Grottick and Higgins (2000)
,
administration of the noncompetitive NMDA antagonist dizocilpine disrupted SRTT performance in rats as measured by decreases in accuracy
and increases in inappropriate responding (premature and perseverative
responses). In the present study, SIB-1553A was shown to significantly
attenuate the dizocilpine-induced deficits in accuracy without
affecting inappropriate responding. These data suggest that SIB-1553A
effects are specific to the attentional disruptions induced by
dizocilpine, and not to the disruption of response sequence or
behavioral inhibition. It is therefore unlikely that SIB-1553A acts
through direct competition at the NMDA receptor (Aizenman et al., 1991
)
because SIB-1553A only attenuated the effects of dizocilpine on
accuracy, and had no effect on dizocilpine-induced increases in
inappropriate responding.
On the other hand, it has been shown that dizocilpine inhibits
nicotinic receptors, with receptors containing a
4 subunit showing
greater sensitivity than those containing a
2 subunit (Amador and
Dani, 1991
; Yamakura et al., 2000
). This suggests the possibility that
dizocilpine-induced deficits in attention may be in part due to direct
activity at
4-containing nAChRs, whereas the effects on
behavioral inhibition are not. This effect could have therefore been
reversed by SIB-1553A. These data warrant the investigation of the
effect of SIB-1553A on the modulation of glutamatergic synaptic transmission.
Although SIB-1553A did not improve attentional performance of normal
rats in the SRTT, it significantly reduced the distractibility of adult
monkeys performing the DMTS-D, improving accuracy across several doses
at the delay that was most affected by interference sessions (i.e.,
short delays). Optimal dose re-administration was also associated with
significant improvements, indicating reproducibility of the drug
effect. This discrepancy across species could be due to the different
behaviors and attentional components being probed in each task. It is
also surprising that the efficacious doses of SIB-1553A in monkeys were
low compared with the doses used in rodents. This may be due to
differences in pharmacokinetic profile and this should be further
investigated. It is also interesting to note that SIB-1553A did not
significantly affect standard DMTS (i.e., nondistractor trials) trials
in the present study in young monkeys as was observed previously in
aged monkeys (Bontempi et al., 2001
). Young and aged monkeys represent
two different types of behavioral subjects with proven differences in
cognitive performance (Prendergast et al., 1997
) and response to
cholinergic manipulations (Bartus and Uehara, 1979
; Buccafusco and
Jackson, 1991
). It is thus certainly conceivable to observe an effect
of a particular drug in aged, compromised monkeys without seeing an
effect in young animals that may reach a ceiling level of performance
in the same cognitive test. Furthermore, it is not clear at present how
standard DMTS trials compare between studies when distractor trials are
included in one investigation and not the other.
Overall, SIB-1553A appears to share some properties with other
nicotinic agonists such as nicotine and particularly the nicotinic agonists ABT-418 and ABT-089 (Prendergast et al., 1998
), which also
improved DMTS-D performance at doses lower than those that improved
working memory. This may imply that nicotinic ligands have preferential
effects on certain attentional components rather than memory per se. It
is also important to note that the ABT compounds that are effective in
this task are reported to demonstrate predominant activity at
2
subunits (as well as
4 and
2) (Prendergast et al., 1998
), a
different nAChR subtype profile than SIB-1553A. Therefore, the role of
4 in attentional processes can be hypothesized, but this does not
exclude the possibility of additional, and/or alternative effects by
other nAChR subtypes on attentional processes.
In addition to activity at nAChR receptors, SIB-1553A shows weak
agonist activity at histaminergic H3,
serotonergic 5-hydroxytryptamine1A, and sigma
sites, and antagonist activity at
5-hydroxytryptamine2 receptors. Antagonism of
H3 receptors has been shown to improve attention
processes (Passani and Blandina, 1998
), and therefore the affinity of
SIB-1553A for H3 receptors may not contribute to
the effects presently reported or may have undermined the effect observed. On the other hand, the activity at certain serotoninergic receptors and at sigma sites may contribute to the cognitive
enhancement properties of SIB-1553A, and therefore a non-nicotinic
component cannot be excluded. Finally, both dopaminergic and
noradrenergic activity in the prefrontal cortex have been described as
consequential in attention and distractibility in nonhuman primates
(Goldman-Rakic and Brown, 1981
; Arnsten and Goldman-Rakic, 1984
).
Accordingly, the beneficial effects of SIB-1553A may have been
attributed at least in part to enhanced noradrenergic and dopaminergic
activity in frontal cortex (Arnsten and Contant, 1992
; Levin and Simon, 1998
) but there is not enough information at this stage to link these
effects to the
4 nAChR subtype.
In conclusion, the selective nAChR ligand SIB-1553A improved
performance in a rat model of disrupted visual attention and improved
accuracy in a nonhuman primate model of distractibility in specific
conditions only. Thus, SIB-1553A or related compounds may offer a
potential benefit for disorders associated with the susceptibility to
distraction or specific forms of attentional deficits. The possibility
that the
4-preferring properties of SIB-1553A may account for some
of the beneficial effects on attention observed in the present study
deserves further examination.
| |
Footnotes |
|---|
Accepted for publication January 7, 2002.
Received for publication October 25, 2001.
1 Present address: University of California, San Diego, CA 92093.
2 Present address: Arena Pharmaceuticals Inc., San Diego, CA 92121.
A.V.T. and V.B.R. contributed equally to this publication.
Address correspondence to: Dr. Alvin V. Terry Jr., University of Georgia College of Pharmacy and Medical College of Georgia Alzheimer's Research Center, CJ-1020, The Medical College of Georgia, Augusta, GA 30912. E-mail: aterry{at}mail.mcg.edu
| |
Abbreviations |
|---|
ADHD, attention deficit hyperactivity disorder; nAChR, nicotinic acetylcholine receptor; ACh, acetylcholine; SRTT, serial reaction time task; DMTS-D, delayed matching to sample task with distractor; NMDA, N-methyl-D-aspartate; ABT-418, (S)-3-methyl-2-pyrrolidinyl isoxazole; ABT-089, 2-methyl-3-(2-(S)-pyrrolidinylmethoxy)pyridine dihydrochloride; SIB-1765F, (±)-5-ethynyl-3-(1-methyl-2-pyrrolidinyl)pyridine fumararte.
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