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In a phase 2 study Homotaurine reduced Abeta(42) levels a type of amyloid beta (Abeta), a toxic protein known to aggregate, leading to amyloid plaque deposition in the brain.<ref name=pmid17082468>{{cite journal |doi=10.1212/01.wnl.0000244346.08950.64 |pmid=17082468 |title=A Phase II study targeting amyloid-  with 3APS in mild-to-moderate Alzheimer disease |journal=Neurology |volume=67 |issue=10 |pages=1757–63 |year=2006 |last1=Aisen |first1=P. S |last2=Saumier |first2=D |last3=Briand |first3=R |last4=Laurin |first4=J |last5=Gervais |first5=F |last6=Tremblay |first6=P |last7=Garceau |first7=D }}</ref>
In a phase 2 study Homotaurine reduced Abeta(42) levels a type of amyloid beta (Abeta), a toxic protein known to aggregate, leading to amyloid plaque deposition in the brain.<ref name=pmid17082468>{{cite journal |doi=10.1212/01.wnl.0000244346.08950.64 |pmid=17082468 |title=A Phase II study targeting amyloid-  with 3APS in mild-to-moderate Alzheimer disease |journal=Neurology |volume=67 |issue=10 |pages=1757–63 |year=2006 |last1=Aisen |first1=P. S |last2=Saumier |first2=D |last3=Briand |first3=R |last4=Laurin |first4=J |last5=Gervais |first5=F |last6=Tremblay |first6=P |last7=Garceau |first7=D }}</ref>


In 2012 Homotaurine was investigated in a [[Phase III]] clinical trial as a potential treatment for [[Alzheimer's disease]] that did not show efficacy in its primary endpoints but did show positive and significant effects of homotaurine on secondary endpoints and subgroups of patients, including a reduction in hippocampal volume loss and lower decline in memory function in the overall cohort, as well as a reduction in global cognitive decline in APOE4 allele carriers, suggesting a disease-modifying effects.<ref name=pmid22961121>{{cite journal |doi=10.3275/8585 }}</ref>
In 2012 Homotaurine was investigated in a [[Phase III]] clinical trial as a potential treatment for [[Alzheimer's disease]] that did not show efficacy in its primary endpoints but did show positive and significant effects of homotaurine on secondary endpoints and subgroups of patients, including a reduction in hippocampal volume loss and lower decline in memory function in the overall cohort, as well as a reduction in global cognitive decline in APOE4 allele carriers, suggesting a disease-modifying effects.<ref name=pmid22961121>{{cite journal |pmid=22961121 }}</ref>


October 24, 2017 The FDA Granted Fast Track Designation to Alzheon’s ALZ-801 Development Program for the Treatment of Alzheimer’s Disease. <ref>https://alzheon.com/fda-grants-fast-track-designation-to-alzheons-alz-801-development-program-for-the-treatment-of-alzheimers-disease/{{full}}</ref>
October 24, 2017 The FDA Granted Fast Track Designation to Alzheon’s ALZ-801 Development Program for the Treatment of Alzheimer’s Disease. <ref>https://alzheon.com/fda-grants-fast-track-designation-to-alzheons-alz-801-development-program-for-the-treatment-of-alzheimers-disease/{{full}}</ref>

Revision as of 13:53, 15 April 2018

Homotaurine[1]
Skeletal formula
Ball-and-stick model
Names
IUPAC name
3-Aminopropane-1-sulfonic acid
Other names
Tramiprosate; Alzhemed; 3-APS
Identifiers
3D model (JSmol)
ChEMBL
ChemSpider
ECHA InfoCard 100.020.889 Edit this at Wikidata
KEGG
  • InChI=1S/C3H9NO3S/c4-2-1-3-8(5,6)7/h1-4H2,(H,5,6,7) checkY
    Key: SNKZJIOFVMKAOJ-UHFFFAOYSA-N checkY
  • InChI=1/C3H9NO3S/c4-2-1-3-8(5,6)7/h1-4H2,(H,5,6,7)
    Key: SNKZJIOFVMKAOJ-UHFFFAOYAT
  • O=S(=O)(O)CCCN
Properties
C3H9NO3S
Molar mass 139.17 g·mol−1
Melting point 293 °C (559 °F; 566 K) (decomposition)
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
checkY verify (what is checkY☒N ?)

Homotaurine (3-amino-1-propanesulfonic acid (3-APS) or tramiprosate (INN)) is a natural organic compound found in seaweed.[2] It is analogous to taurine, but with an extra carbon in its chain. It has GABAergic activity, apparently by mimicking GABA, which is it resembles.[3]

In a phase 2 study Homotaurine reduced Abeta(42) levels a type of amyloid beta (Abeta), a toxic protein known to aggregate, leading to amyloid plaque deposition in the brain.[4]

In 2012 Homotaurine was investigated in a Phase III clinical trial as a potential treatment for Alzheimer's disease that did not show efficacy in its primary endpoints but did show positive and significant effects of homotaurine on secondary endpoints and subgroups of patients, including a reduction in hippocampal volume loss and lower decline in memory function in the overall cohort, as well as a reduction in global cognitive decline in APOE4 allele carriers, suggesting a disease-modifying effects.[5]

October 24, 2017 The FDA Granted Fast Track Designation to Alzheon’s ALZ-801 Development Program for the Treatment of Alzheimer’s Disease. [6]

In 2018 a new phase 3 study for genetically-defined subpopulation of high risk patients who are homozygous for the ε4 allele of apolipoprotein E (APOE4/4 homozygotes) at the Mild stage of AD has been filed with the FDA under the name ALZ-801 by the drug company Alzheon.[7][8]

It is approved by Canada's FDA to sell as a dietary supplement.[9]

It is approved in Israel as a dietary supplement.[10]

Biochemical properties

In preclinical studies it had been found to bind to soluble amyloid beta and inhibit the formation of neurotoxic aggregates.[5][11] Homotaurine has also shown anticonvulsant activities, reduction in skeletal muscle tonus, and hypothermic activity.[12]

Homotaurine has been reported as a GABA antagonist[3] as well as a GABA agonist.[12][13] In vitro studies have found that homotaurine is a GABAA partial agonist[14] as well as a GABAB receptor partial agonist with low efficacy, becoming an antagonist and a displacing full agonist of GABA or baclofen at this receptor.[15] In a study in rats, homotaurine reversed the catatonia induced by baclofen (the prototypical GABAB agonist),[16] and was able to produce analgesia via the GABAB receptor, an effect that was abolished when CGP 35348, a GABAB receptor antagonist was applied.[17][18]

One study suggests Homotaurine increases dopamine levels.[19]

One study in rats showed that homotaurine suppressed ethanol-stimulated dopamine release, as well as ethanol intake and preference in rats in a way similar to the N-acetyl derivative of homotaurine, acamprosate.[20] Acamprosate was approved by the FDA in 2004 to treat alcohol dependence.[3]

Homotaurine has shown pain relieving effects in animal studies that may involve the opioid receptors.[17]

See also

References

  1. ^ Homotaurine at Sigma-Aldrich
  2. ^ https://patents.google.com/patent/WO2010096925A1/en[full citation needed]
  3. ^ a b c Lednicer, Daniel (2008). The Organic Chemistry of Drug Synthesis (7th ed.). Hoboken: John Wiley & Sons. p. 15. ISBN 978-0-470-18066-2. {{cite book}}: Unknown parameter |name-list-format= ignored (|name-list-style= suggested) (help)
  4. ^ Aisen, P. S; Saumier, D; Briand, R; Laurin, J; Gervais, F; Tremblay, P; Garceau, D (2006). "A Phase II study targeting amyloid-  with 3APS in mild-to-moderate Alzheimer disease". Neurology. 67 (10): 1757–63. doi:10.1212/01.wnl.0000244346.08950.64. PMID 17082468. {{cite journal}}: no-break space character in |title= at position 36 (help)
  5. ^ a b . PMID 22961121. {{cite journal}}: Cite journal requires |journal= (help); Missing or empty |title= (help)
  6. ^ https://alzheon.com/fda-grants-fast-track-designation-to-alzheons-alz-801-development-program-for-the-treatment-of-alzheimers-disease/[full citation needed]
  7. ^ https://alzheon.com/[full citation needed]
  8. ^ https://www.iadvanceseniorcare.com/article/alzheon-goes-public-fund-alzheimers-drug[full citation needed]
  9. ^ http://www.canadadrugcenter.com/Health-Canada-Approves-VIVIMIND.asp[full citation needed]
  10. ^ http://www.levpharm.com/site/flash/flashDetail.asp?flash_id=1124719[full citation needed]
  11. ^ Aisen, Paul; Gauthier, Serge; Vellas, Bruno; Briand, Richard; Saumier, Daniel; Laurin, Julie; Garceau, Denis (2007). "Alzhemed: A Potential Treatment for Alzheimers Disease". Current Alzheimer Research. 4 (4): 473–8. doi:10.2174/156720507781788882. PMID 17908052.
  12. ^ a b Oja SS and Kontro P. Taurine. Chapter 18 in Metabolism in the Nervous System, Ed. Lajtha ANS. Springer Science & Business Media, 2013. ISBN 9781468443677. Page 520
  13. ^ Armen H. Tashjian and Ehrin J. Armstrong. Principles of Pharmacology: The Pathophysiologic Basis of Drug Therapy. Edited by David E. Golan. Lippincott Williams & Wilkins, 2011 ISBN 9781451118056. Page 308
  14. ^ Reyes-Haro, Daniel; Cabrera-Ruíz, Elizabeth; Estrada-Mondragón, Argel; Miledi, Ricardo; Martínez-Torres, Ataúlfo (2014). "Modulation of GABA-A receptors of astrocytes and STC-1 cells by taurine structural analogs". Amino Acids. 46 (11): 2587–93. doi:10.1007/s00726-014-1813-0. PMID 25119985.
  15. ^ Giotti, A; Luzzi, S; Spagnesi, S; Zilletti, Lucilla (1983). "Homotaurine: A GABAB antagonist in guinea-pig ileum". British Journal of Pharmacology. 79 (4): 855–62. doi:10.1111/j.1476-5381.1983.tb10529.x. PMC 2044932. PMID 6652358.
  16. ^ Mehta, A; Ticku, M (1987). "Baclofen induces catatonia in rats". Neuropharmacology. 26 (9): 1419–23. doi:10.1016/0028-3908(87)90108-0. PMID 2823166.
  17. ^ a b Serrano, M.Isabel; Serrano, Jose S; Fernández, Ana; Asadi, Ihklas; Serrano-Martino, M.Carmen (1998). "GABAB Receptors and Opioid Mechanisms Involved in Homotaurine-Induced Analgesia". General Pharmacology: the Vascular System. 30 (3): 411–5. doi:10.1016/s0306-3623(97)00279-6. PMID 9510095.
  18. ^ Serrano, Maria Isabel; Serrano, Jose S; Asadi, Ikhlas; Fernandez, Ana; Serrano-Martino, Maria Carmen (2001). "Role of K+-channels in homotaurine-induced analgesia". Fundamental and Clinical Pharmacology. 15 (3): 167–73. doi:10.1046/j.1472-8206.2001.00026.x. PMID 11468027.
  19. ^ Ruotsalainen, M; Majasaari, M; Salimäki, J; Ahtee, L (1998). "Locally infused taurine, GABA and homotaurine alter differently the striatal extracellular concentrations of dopamine and its metabolites in rats". Amino Acids. 15 (1–2): 117–34. doi:10.1007/BF01345285. PMID 9871492.
  20. ^ Olive, M.Foster; Nannini, Michelle A; Ou, Christine J; Koenig, Heather N; Hodge, Clyde W (2002). "Effects of acute acamprosate and homotaurine on ethanol intake and ethanol-stimulated mesolimbic dopamine release". European Journal of Pharmacology. 437 (1–2): 55–61. doi:10.1016/s0014-2999(02)01272-4. PMID 11864639.
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