Major characteristics of
Alzheimer's disease (AD) are synaptic loss,
cholinergic dysfunction, and abnormal
protein depositions in the brain. The
amyloid beta-peptide (Abeta), a proteolytic fragment of
amyloid beta precursor protein (APP), aggregates to form
neuritic plaques and has a causative role in AD. A present focus of AD research is to develop safe Abeta-lowering drugs. A selective
acetylcholinesterase inhibitor,
phenserine, in current human trials lowers both APP and Abeta.
Phenserine is dose-limited in animals by its
cholinergic actions; its cholinergically inactive enantiomer,
posiphen (+)-[
phenserine], was assessed. In cultured human
neuroblastoma cells,
posiphen, like
phenserine, dose- and time-dependently lowered APP and Abeta levels by reducing the APP synthesis rate. This action translated to an in vivo system.
Posiphen administration to mice (7.5-75 mg/kg daily, 21 consecutive days) significantly decreased levels of total APP (tissue mass-adjusted) in a dose-dependent manner. Abeta40 and Abeta42 levels were significantly lowered by
posiphen (> or =15 mg/kg) compared with controls. The activities of alpha-, beta-, and gamma-
secretases were assessed in the same brain samples, and
beta-secretase activity was significantly reduced.
Posiphen, like
phenserine, can lower Abeta via multiple mechanisms and represents an interesting
drug candidate for AD treatment.