RT Journal Article SR Electronic T1 Concentration-Dependent Modulation of Amyloid-β in Vivo and in Vitro Using the γ-Secretase Inhibitor, LY-450139 JF Journal of Pharmacology and Experimental Therapeutics JO J Pharmacol Exp Ther FD American Society for Pharmacology and Experimental Therapeutics SP 924 OP 933 DO 10.1124/jpet.106.110700 VO 319 IS 2 A1 Lanz, Thomas A. A1 Karmilowicz, Michael J. A1 Wood, Kathleen M. A1 Pozdnyakov, Nikolay A1 Du, Ping A1 Piotrowski, Mary A. A1 Brown, Tracy M. A1 Nolan, Charles E. A1 Richter, Karl E. G. A1 Finley, James E. A1 Fei, Qing A1 Ebbinghaus, Charles F. A1 Chen, Yuhpyng L. A1 Spracklin, Douglas K. A1 Tate, Barbara A1 Geoghegan, Kieran F. A1 Lau, Lit-Fui A1 Auperin, David D. A1 Schachter, Joel B. YR 2006 UL http://jpet.aspetjournals.org/content/319/2/924.abstract AB LY-450139 is a γ-secretase inhibitor shown to have efficacy in multiple cellular and animal models. Paradoxically, robust elevations of plasma amyloid-β (Aβ) have been reported in dogs and humans after administration of subefficacious doses. The present study sought to further evaluate Aβ responses to LY-450139 in the guinea pig, a nontransgenic model that has an Aβ sequence identical to that of human. Male guinea pigs were treated with LY-450139 (0.2–60 mg/kg), and brain, cerebrospinal fluid, and plasma Aβ levels were characterized at 1, 3, 6, 9, and 14 h postdose. Low doses significantly elevated plasma Aβ levels at early time points, with return to baseline within hours. Higher doses inhibited Aβ levels in all compartments at early time points, but elevated plasma Aβ levels at later time points. To determine whether this phenomenon occurs under steady-state drug exposure, guinea pigs were implanted with subcutaneous minipumps delivering LY-450139 (0.3–30 mg/kg/day) for 5 days. Plasma Aβ was significantly inhibited at 10–30 mg/kg/day, but significantly elevated at 1 mg/kg/day. To further understand the mechanism of Aβ elevation by LY-450139, H4 cells overexpressing the Swedish mutant of amyloid-precursor protein and a mouse embryonic stem cell-derived neuronal cell line were studied. In both cellular models, elevated levels of secreted Aβ were observed at subefficacious concentrations, whereas dose-responsive inhibition was observed at higher concentrations. These results suggest that LY-450139 modulates the γ-secretase complex, eliciting Aβ lowering at high concentrations but Aβ elevation at low concentrations. The American Society for Pharmacology and Experimental Therapeutics