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The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional. © 2017 Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD Advanced Receptor Psychopharmacology 1 Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

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Page 1: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

© 2017 Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD

Advanced Receptor Psychopharmacology

1

Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC.

February 2017 MRC2.CORP.D.00208

Page 2: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

This program was developed with the support of Otsuka Pharmaceutical Development &

Commercialization, Inc. and Lundbeck, LLC. The speakers are either employees or

paid contractors of Otsuka Pharmaceutical Development & Commercialization, Inc.

2

Page 3: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

• Receptor Types and Subtypes– Ionotropic vs Metabotropic

– Autoreceptor vs Heteroreceptor

• Intrinsic Activity and Functional Selectivity

• Neurotrophic Factors

• Synaptic Plasticity

3

Table of Contents

Page 4: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

• Ionotropic receptor– Fast and direct action1,2

– Examples include some glutamate receptors (AMPA, NMDA, Kainate) and nicotinic acetylcholine receptors3,4

4

1. Purves D, Augustine GJ, Fitzpatrick D, et al (eds). Neuroscience. 3rd edition. Sinauer Associates; 2004.

2. Turk E, et al. Hum Brain Mapp. 2016;37(5):1856-65.3. Vignes M, et al. Nature. 1997;388(6638):179-82.4. Sargent PB. Annu Rev Neurosci. 1993;16:403-43. Image from: Purves D, et al; 20041

Receptor Types: Ionotropic vs Metabotropic

AMPA, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid; NMDA, N-methyl-D-aspartate.

Page 5: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

• Metabotropic receptor– Comparatively slow and

indirect action1

– Examples include some Glutamate receptors (mGluR) and muscarinic acetylcholine receptors2

5

1. Purves D, Augustine GJ, Fitzpatrick D, et al (eds). Neuroscience. 3rd edition. Sinauer Associates; 2004.2. Sherman SM. Trends Neurosci. 2001;24(2):122-6.

Image from: Purves D, et al. 20041

Receptor Types: Ionotropic vs Metabotropic (continued)

mGluRs, metabotropic glutamate receptors.

Page 6: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

Autoreceptor

• Receptor is only sensitive to the neurotransmitter of the cell type it’s located on1

• Example:– A serotonin (5-HT) receptor can be

located on a presynaptic 5-HT neuron2

• Result:– 5-HT binding to an autoreceptor on

its own neuron can influence the activity or concentration of 5-HT release3

Heteroreceptor

• Receptor is only sensitive to neurotransmitters of cell types other than the type it’s located on4

• Example:– A 5-HT receptor can be located on

a dopamine (DA) neuron5,6

• Result:– 5-HT binding to a heteroreceptor

on a DA neuron can influence the activity or concentration of DA release6

6

1. Starke K, et al. Physiol Rev. 1989;69(3):864-989.2. Barnes NM, et al. Neuropharmacology. 1999;38(8):1083-152.3. Sharp T, et al. Trends Pharmacol Sci. 2007;28(12):629-36.

Receptor Types: Auto vs Hetero

4. Gilsbach R, et al. Br J Pharmacol. 2012;165(1):90-102.5. Esposito E, et al. Prog Brain Res. 2008;172:3-6.6. Bostwick JM, et al. J Clin Psychiatry. 1999;60(12):857-60.

Page 7: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

1. Brunton LL, Lazo, JS, Parker KL (eds). Goodman & Gilman’s The Pharmacological Basis of Therapeutics. 11th edition. McGraw-Hill; 2005.2. Jackson CM, et al. Accred Qual Assur. 2007; 2:283–294.3. Kore PP, et al. Open Journal of Medicinal Chemistry. 2012;2:139-148.4. Lieberman JA. CNS Drugs. 2004;18(4):251-67.

• Intrinsic activity of drug at a receptor– The physiologic effect a ligand elicits once bound to its receptor1,2

– Ligand can partially or fully stimulate (agonism) or inhibit (antagonism, inverse agonism) receptor activity1,3,4

Intrinsic Activity

Partial activationFull activation No activation

AntagonistPartial agonistAgonist

Reduced likelihood of activation

Inverse agonist

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Page 8: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

Spectrum of Intrinsic Activity

Szkudlinski MW. Front Endocrinol (Lausanne). 2015;6:155.

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Image from: Szkudlinski MW; 2015

Page 9: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

Neurotrophic Factors

• Greek “trophé,” meaning “nourishment”• Regulate neuronal differentiation and growth• Signaling via neurotrophic factors can activate:

– cell survival/death– synapse stabilization/elimination– process growth/retraction

• Types:– Nerve growth factor (NGF)– Brain-derived neurotrophic factor (BDNF)– Neurotrophin 3 (NT-3)– Neurotrophin 4/5 (NT-4/5)

Purves D, Augustine GJ, Fitzpatrick D, et al (eds). Neuroscience. 3rd edition. Sinauer Associates; 2004.

10

Page 10: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

Neurotrophin Signaling Pathway

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(B)

Outside

Inside

TrkB receptor

PI 3 kinase ras PLC

PKBAkt kinase

Kinases

MAP Kinase

IP3 DAG

Ca2+

release PKC

Cellsurvival

Neuriteoutgrowth

and neuronaldifferentiation

Activity–dependentplasticity

TrkC receptorTrkA receptor

(A) NGF BDNF NT-4/5 NT-3

Neuritegrowth

Cell cycle arrest

Celldeath

RhoASC1 NADE

p75 receptor

BDNF

NGF NT-4/5NT-3

NGF, nerve growth factor; BDNF, brain-derivedneurotrophic factor; NT, neurotrophin; Trk, tyrosine receptor kinase; PI 3, phosphoinositide 3; ras, rat sarcoma; PLC, phospholipase C; PKB, protein kinase B; Akt, AKT serine/threonine kinase 1; MAP, mitogen-activated protein; IP3, inositol trisphosphate; DAG, diacylglycerol, Ca2+, calcium; PKC, protein kinase C; SC1, Schwann cell 1; NADE, neurotrophin-associated cell death executor; RhoA, Ras homolog gene family member A.

Purves D, Augustine GJ, Fitzpatrick D, et al (eds). Neuroscience. 3rd edition. Sinauer Associates; 2004.

Page 11: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

AMPAR, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor; PSD, postsynaptic density

1. Collingridge GL, et al. Nat Rev Neurosci. 2004;5(12):952-62.2. Sweatt JD. J Neurochem. 2001;76(1):1-10.3. Vitureira N, et al. J Cell Biol. 2013;203(2):175-86.

Synaptic plasticity: complex, ongoing, structural/functional alterations in the nervous system1,2

• Long-term potentiation (LTP): robust and long-lasting form of synaptic plasticity2

– Leading candidate for a cellular mechanism contributing to learning and memory2

– Glutamate receptors are required for the induction and expression of this form of plasticity, and GABA receptors are involved in their modulation3

Synaptic Plasticity and Long-term Potentiation

12

Image from: Vitureira N, et al; 20133

Page 12: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

© PsychU. All rights reserved.

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

• Specific subtypes of neurotransmitters can have different signaling pathways (eg, ionotropic vs. metabotropic) or functions (eg, autoreceptor vs heteroreceptor), depending on their neuroanatomical location1,2,3

• Receptor activation via ligand binding can variably influence a receptor’s intrinsic activity and functional selectivity2–5

• Neurotrophic factor signaling can regulate activities such as neuronal differentiation, growth, survival, and plasticity2,6

Summary

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1. Starke K, et al. Physiol Rev. 1989;69(3):864-989.2. Purves D, Augustine GJ, Fitzpatrick D, et al (eds). Neuroscience. 3rd edition. Sinauer Associates; 2004.3. Gilsbach R, et al. Br J Pharmacol. 2012;165(1):90-102.4. Jackson CM, et al. Accred Qual Assur. 2007; 2:283–294.5. Gilchrist A. Trends Pharmacol Sci 2007;28(8):431-437.6. Lo DC. Neuron. 1995;15(5):979-81.

Page 13: Advanced Receptor Psychopharmacology...Advanced Receptor Psychopharmacology. 1. Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC. February 2017 MRC2.CORP.D.00208

The information provided by PsychU is intended for your educational benefit only. It is not intended as, nor is it a substitute for medical care or advice or professional diagnosis. Users seeking medical advice should consult with their physician or other healthcare professional.

© 2017 Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD

Advanced Receptor Psychopharmacology

14

Otsuka Pharmaceutical Development & Commercialization, Inc. Lundbeck, LLC.

February 2017 MRC2.CORP.D.00208