Newsletter # 104
 
              In vivo studies
													Pridopidine (formerly Huntexil) is considered as a "Dopamine stabilizer" due to its D2 dopamine receptor (D2R) antagonism and was therefore developed initially for the treatment of motor symptoms in  Huntington's disease1.
However, additional investigations reported a much higher affinity of pridopidine for sigma-1 receptor (Sig-1R) than for D2R.
Furthermore, in a human PET imaging study, Pridopidine selectively occupied a large fraction of Sig-1R in the brain, and not D2R2. The role of Sig-1R in the etiology and treatment of various psychiatric conditions, including Schizophrenia, has attracted much attention. Since Sig-1R has been shown to enhance the function of NMDA receptor (NMDAR), it is reasonable to imagine Sig-1R agonism as a potential therapeutic strategy for Schizophrenia3.
			   
				  However, additional investigations reported a much higher affinity of pridopidine for sigma-1 receptor (Sig-1R) than for D2R.
Furthermore, in a human PET imaging study, Pridopidine selectively occupied a large fraction of Sig-1R in the brain, and not D2R2. The role of Sig-1R in the etiology and treatment of various psychiatric conditions, including Schizophrenia, has attracted much attention. Since Sig-1R has been shown to enhance the function of NMDA receptor (NMDAR), it is reasonable to imagine Sig-1R agonism as a potential therapeutic strategy for Schizophrenia3.
									At Neurofit we found that in an NMDAR hypofunction animal model of Schizophrenia such as "Phencyclidine-induced cognitive deficit"4, Pridopidine dose-dependently restores the behavioral symptoms of mice. Thus, this finding further supports the potential of Sig-1R agonists as a treatment for NMDAR hypofunction disorders. 
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 1 Phase 3 PROOF-HD trial - NCT04556656
 2 https://doi.org/10.1007/s00259-020-05030-3
 3 https://doi.org/10.1159/000376549
 4 https://doi.org/10.3389/fnmol.2019.00185
 
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		   Pridopidine treatment restores the cognitive ability of PCP-treated mice 
 The graph shows the cognitive performance of mice as measured by their spontaneous alternation in the T-maze. Due to the adverse psychological effects of PCP (memory and attention impairment, confusion and disorientation), a dramatic decrease in the spontaneous alternation of mice is observed (blue vs orange column).
 The administration of Pridopidine increases in a dose-dependent manner the spontaneous alternation performance of PCP-mice, hence reflecting an improved cognitive ability (orange vs purple columns).
 
 ***, p ≤ 0.001 significantly different as compared
 to PCP / Placebo group (n = 10 mice per group)
 
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