The novel triple reuptake inhibitor JZAD-IV-22 exhibits an antidepressant pharmacological profile without locomotor stimulant or sensitization properties

J Pharmacol Exp Ther. 2010 Dec;335(3):762-70. doi: 10.1124/jpet.110.174011. Epub 2010 Sep 23.

Abstract

Triple reuptake inhibitors (TRIs) that block the dopamine transporter (DAT), norepinephrine transporter, and serotonin transporter are being developed as a new class of antidepressant that may have better efficacy and fewer side effects compared with traditional antidepressants. We describe a novel TRI, 2-[4-(4-chlorophenyl)-1-methylpiperidin-3-ylmethylsulfanyl]-1-(3-methylpiperidin-1-yl)-ethanone (JZAD-IV-22), that inhibits all three monoamine transporters with approximately equal potency in vitro. (+/-)-1-(3,4-dichlorophenyl)-3-azabicyclo-[3.1.0]hexane hydrochloride (DOV 216,303), a TRI shown to be an effective antidepressant in a clinical trial, shows reuptake inhibition similar to that of JZAD-IV-22 in vitro. Furthermore, both JZAD-IV-22 and DOV 216,303 increase levels of dopamine, norepinephrine, and serotonin in the mouse prefrontal cortex when administered by peripheral injection. JZAD-IV-22 and DOV 216,303 exhibited antidepressant-like efficacy in the mouse forced-swim and tail-suspension tests at doses that increased neurotransmitter levels. Because development of DAT inhibitors could be hindered by abuse liability, both JZAD-IV-22 and DOV 216,303 were compared in two assays that are markers of abuse potential. Both JZAD-IV-22 and DOV 216,303 partially substituted for cocaine in a drug discrimination assay in rats, and high doses of DOV 216,303 produced locomotor sensitization in mice. JZAD-IV-22 showed no evidence of sensitization at any dose tested. These results demonstrate that JZAD-IV-22 is a TRI with antidepressant-like activity similar to that of DOV 216,303. The striking feature that distinguishes the two TRIs is that locomotor sensitization, a common underlying feature of drugs of abuse, is seen with DOV 216,303 but is completely lacking in JZAD-IV-22. These findings may have implications for the potential for abuse liability in humans.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adrenergic Uptake Inhibitors / pharmacology
  • Adrenergic Uptake Inhibitors / therapeutic use
  • Animals
  • Antidepressive Agents / pharmacology*
  • Antidepressive Agents / therapeutic use
  • Aza Compounds / adverse effects
  • Aza Compounds / pharmacology
  • Behavior, Animal / drug effects
  • Brain / cytology
  • Bridged Bicyclo Compounds, Heterocyclic / adverse effects
  • Bridged Bicyclo Compounds, Heterocyclic / pharmacology
  • Cocaine / pharmacology
  • Corpus Striatum / cytology
  • Depression / prevention & control
  • Discrimination, Psychological
  • Dopamine / metabolism
  • Dopamine Uptake Inhibitors / pharmacology
  • Dopamine Uptake Inhibitors / therapeutic use
  • Hindlimb Suspension
  • Hypothalamus / cytology
  • Locomotion / drug effects*
  • Male
  • Mice
  • Mice, Inbred A
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Motor Activity / drug effects
  • Neurotransmitter Uptake Inhibitors / pharmacology*
  • Neurotransmitter Uptake Inhibitors / therapeutic use
  • Norepinephrine / metabolism
  • Piperidines / pharmacology*
  • Piperidines / therapeutic use
  • Prefrontal Cortex / drug effects
  • Prefrontal Cortex / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Selective Serotonin Reuptake Inhibitors / pharmacology
  • Selective Serotonin Reuptake Inhibitors / therapeutic use
  • Serotonin / metabolism
  • Swimming
  • Synaptosomes / drug effects
  • Synaptosomes / metabolism

Substances

  • 1-(3,4-dichlorophenyl)-3-azabicyclo-(3.1.0)hexane hydrochloride
  • 2-(4-(4-chlorophenyl)-1-methylpiperidin-3-ylmethylsulfanyl)-1-(3-methylpiperidin-1-yl)-ethanone
  • Adrenergic Uptake Inhibitors
  • Antidepressive Agents
  • Aza Compounds
  • Bridged Bicyclo Compounds, Heterocyclic
  • Dopamine Uptake Inhibitors
  • Neurotransmitter Uptake Inhibitors
  • Piperidines
  • Serotonin Uptake Inhibitors
  • Serotonin
  • Cocaine
  • Dopamine
  • Norepinephrine