A chemical with proven clinical safety rescues Down-syndrome-related phenotypes in through DYRK1A inhibition

Dis Model Mech. 2016 Aug 1;9(8):839-48. doi: 10.1242/dmm.025668. Epub 2016 Jul 7.

Abstract

DYRK1A is important in neuronal development and function, and its excessive activity is considered a significant pathogenic factor in Down syndrome and Alzheimer's disease. Thus, inhibition of DYRK1A has been suggested to be a new strategy to modify the disease. Very few compounds, however, have been reported to act as inhibitors, and their potential clinical uses require further evaluation. Here, we newly identify CX-4945, the safety of which has been already proven in the clinical setting, as a potent inhibitor of DYRK1A that acts in an ATP-competitive manner. The inhibitory potency of CX-4945 on DYRK1A (IC50=6.8 nM) in vitro was higher than that of harmine, INDY or proINDY, which are well-known potent inhibitors of DYRK1A. CX-4945 effectively reverses the aberrant phosphorylation of Tau, amyloid precursor protein (APP) and presenilin 1 (PS1) in mammalian cells. To our surprise, feeding with CX-4945 significantly restored the neurological and phenotypic defects induced by the overexpression of minibrain, an ortholog of human DYRK1A, in the Drosophila model. Moreover, oral administration of CX-4945 acutely suppressed Tau hyperphosphorylation in the hippocampus of DYRK1A-overexpressing mice. Our research results demonstrate that CX-4945 is a potent DYRK1A inhibitor and also suggest that it has therapeutic potential for DYRK1A-associated diseases.

Keywords: Alzheimer's disease; CX-4945; DYRK1A; Down syndrome; Tau hyperphosphorylation.

MeSH terms

  • Adenosine Triphosphate / pharmacology
  • Administration, Oral
  • Alzheimer Disease / pathology
  • Amyloid beta-Protein Precursor / metabolism
  • Animals
  • Calcineurin / metabolism
  • Disease Models, Animal
  • Down Syndrome / drug therapy*
  • Down Syndrome / enzymology*
  • Down Syndrome / pathology
  • Drosophila melanogaster / metabolism
  • HEK293 Cells
  • Hippocampus / pathology
  • Humans
  • Mice, Inbred C57BL
  • Models, Molecular
  • NFATC Transcription Factors / metabolism
  • Naphthyridines / administration & dosage
  • Naphthyridines / chemistry
  • Naphthyridines / pharmacology
  • Naphthyridines / therapeutic use*
  • Neurons / drug effects
  • Neurons / pathology
  • Phenazines
  • Phenotype
  • Phosphorylation / drug effects
  • Presenilin-1
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use*
  • Protein Serine-Threonine Kinases / antagonists & inhibitors*
  • Protein Serine-Threonine Kinases / metabolism
  • Signal Transduction / drug effects
  • tau Proteins / metabolism

Substances

  • Amyloid beta-Protein Precursor
  • NFATC Transcription Factors
  • Naphthyridines
  • Phenazines
  • Presenilin-1
  • Protein Kinase Inhibitors
  • tau Proteins
  • Adenosine Triphosphate
  • silmitasertib
  • Protein Serine-Threonine Kinases
  • Calcineurin