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8 - Use of Induced Pluripotent Stem Cell-Derived Neuronal Disease Models from Patients with Familial Early-Onset Alzheimer’s Disease in Drug Discovery

from Section 2 - Non-clinical Assessment of Alzheimer’s Disease Candidate Drugs

Published online by Cambridge University Press:  03 March 2022

Jeffrey Cummings
Affiliation:
University of Nevada, Las Vegas
Jefferson Kinney
Affiliation:
University of Nevada, Las Vegas
Howard Fillit
Affiliation:
Alzheimer’s Drug Discovery Foundation
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Summary

Incorporation of familial early-onset Alzheimer’s disease (EOAD) patient-based induced pluripotent stem cell (iPSC)-derived neuronal cell models into the AD drug discovery and preclinical development processes, provides for a tremendous technological advance, with implications extending from enabling a far more thorough preclinical pharmacological evaluation, using human patient-derived cellular model systems to assess efficacy against established, clinically relevant disease-associated biomarkers, including the evaluation of the effects on disease-associated endotypes, to unveiling previously unknown, pathologically-relevant pathways and identifying novel and potentially druggable therapeutic targets. This chapter discusses the status of promising disease-modifying therapeutics for AD, including the discovery and preclinical development of a clinically relevant series of small molecules and how familial EOAD patient-based iPSC-derived neuronal cell models have been critically utilized to dramatically improve this arduous yet necessary process.

Type
Chapter
Information
Alzheimer's Disease Drug Development
Research and Development Ecosystem
, pp. 95 - 105
Publisher: Cambridge University Press
Print publication year: 2022

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References

Tanzi, RE, Bertram, L. Twenty years of the Alzheimer’s disease amyloid hypothesis: a genetic perspective. Cell 2005; 120: 545–55.CrossRefGoogle ScholarPubMed
Coric, V, van Dyck, CH, Salloway, S, et al. Safety and tolerability of the gamma-secretase inhibitor avagacestat in a phase 2 study of mild to moderate Alzheimer disease. Arch Neurol 2012; 69: 1430–40.Google Scholar
Fleisher, AS, Raman, R, Siemers, ER, et al. Phase 2 safety trial targeting amyloid beta production with a gamma-secretase inhibitor in Alzheimer disease. Arch Neurol 2008; 65: 1031–8.CrossRefGoogle ScholarPubMed
Miles, LA, Crespi, GA, Doughty, L, Parker, MW. Bapineuzumab captures the N-terminus of the Alzheimer’s disease amyloid-beta peptide in a helical conformation. Sci Rep 2013; 3: 1302.CrossRefGoogle ScholarPubMed
Salloway, S, Sperling, R, Fox, NC, et al. Two phase 3 trials of bapineuzumab in mild-to-moderate Alzheimer’s disease. N Engl J Med 2014; 370: 322–33.CrossRefGoogle ScholarPubMed
Sevigny, J, Chiao, P, Bussière, T, et al. The antibody aducanumab reduces Aβ plaques in Alzheimer’s disease. Nature 2016; 537: 50–6.CrossRefGoogle ScholarPubMed
Iwatsubo, T, Odaka, A, Suzuki, N, et al. Visualization of A beta 42(43)and A beta 40 in senile plaques with end-specific A beta monoclonals: evidence that an initially deposited species is A beta 42(43). Neuron 1994; 13: 4553.CrossRefGoogle Scholar
Kumar-Singh, S, Theuns, J, Van Broeck, B, et al. Mean age-of-onset of familial alzheimer disease caused by presenilin mutations correlates with both increased Abeta42 and decreased Abeta40. Hum Mutat 2006; 27: 686–95.Google Scholar
Alzheimer’s Association Expert Advisory Workgroup on NAPA. Workgroup on NAPA’s scientific agenda for a national initiative on Alzheimer’s disease. Alzheimers Dement 2012; 8: 357–71.Google Scholar
Shi, Y, Inoue, H, Wu, JC, Yamanaka, S. Induced pluripotent stem cell technology: a decade of progress. Nat Rev Drug Discov 2017; 16: 115–30.CrossRefGoogle ScholarPubMed
Khurana, V, Tardiff, DF, Chung, CY, Lindquist, S. Toward stem cell-based phenotypic screens for neurodegenerative diseases. Nat Rev Neurol 2015; 11: 339–50.CrossRefGoogle ScholarPubMed
Yagi, T, Ito, D, Nihei, Y, Ishihara, T, Suzuki, N. N88S seipin mutant transgenic mice develop features of seipinopathy/BSCL2-related motor neuron disease via endoplasmic reticulum stress. Hum Mol Genet 2011; 20: 3831–40.CrossRefGoogle ScholarPubMed
Liu, Q, Waltz, S, Woodruff, G, et al. Effect of potent gamma-secretase modulator in human neurons derived from multiple presenilin 1-induced pluripotent stem cell mutant carriers. JAMA Neurol 2014; 71: 1481–9.CrossRefGoogle ScholarPubMed
Kounnas, MZ, Danks, AM, Cheng, S, et al. Modulation of gamma-secretase reduces beta-amyloid deposition in a transgenic mouse model of Alzheimer’s disease. Neuron 2010; 67: 769–80.CrossRefGoogle Scholar
van der Kant, R, Langness, VF, Herrera, CM, et al. Cholesterol metabolism is a druggable axis that independently regulates tau and amyloid-β in iPSC-derived Alzheimer’s disease neurons. Cell Stem Cell 2019; 24: 363–75.e9.Google Scholar
Israel, MA, Yuan, SH, Bardy, C, et al. Probing sporadic and familial Alzheimer’s disease using induced pluripotent stem cells. Nature 2012; 482: 216–20.Google Scholar
Kondo, T, Imamura, K, Funayama, M, et al. iPSC-based compound screening and in vitro trials identify a synergistic anti-amyloid β combination for Alzheimer’s disease. Cell Rep 2017; 21: 2304–12.CrossRefGoogle ScholarPubMed
Shi, Y, Kirwan, P, Smith, J, et al. A human stem cell model of early Alzheimer’s disease pathology in Down syndrome. Sci Transl Med 2012; 4: 124ra29.CrossRefGoogle ScholarPubMed
Brownjohn, PW, Smith, J, Portelius, E, et al. Phenotypic screening identifies modulators of amyloid precursor protein processing in human stem cell models of Alzheimer’s disease. Stem Cell Rep 2017; 8: 870–82.Google Scholar
Kukar, TL, Ladd, TB, Bann, MA, et al. Substrate-targeting γ-secretase modulators. Nature 2008; 453: 925–9.CrossRefGoogle ScholarPubMed
Weggen, S, Eriksen, JL, Das, P, et al. A subset of NSAIDs lower amyloidogenic Abeta42 independently of cyclooxygenase activity. Nature 2001; 414: 212–16.CrossRefGoogle ScholarPubMed
Crump, CJ, Johnson, DS, Li, Y-M. Development and mechanism of γ-secretase modulators for Alzheimer’s disease. Biochemistry 2013; 52: 3197–216.CrossRefGoogle ScholarPubMed
Wagner, SL, Rynearson, KD, Duddy, SK, et al. Pharmacological and toxicological properties of the potent oral gamma-secretase modulator BPN-15606. J Pharmacol Exp Ther 2017; 362: 3144.Google Scholar
Wagner, SL, Zhang, C, Cheng, S, et al. Soluble gamma-secretase modulators selectively inhibit the production of the 42-amino acid amyloid beta peptide variant and augment the production of multiple carboxy-truncated amyloid beta species. Biochemistry 2014; 53: 702–13.CrossRefGoogle ScholarPubMed
Rynearson, KD, Buckle, RN, Herr, RJ, et al. Design and synthesis of novel methoxypyridine-derived gamma-secretase modulators. Bioorg Med Chem 2020; 28: 115734.CrossRefGoogle ScholarPubMed
Rynearson, KD, Buckle, RN, Barnes, KD, et al. Design and synthesis of aminothiazole modulators of the gamma-secretase enzyme. Bioorg Med Chem Lett 2016; 26: 3928–37.CrossRefGoogle ScholarPubMed
Sunderland, T, Linker, G, Mirza, N, et al. Decreased beta-amyloid1–42 and increased tau levels in cerebrospinal fluid of patients with Alzheimer disease. JAMA 2003; 289: 2094–103.Google Scholar
Hardy, JA, Higgins, GA. Alzheimer’s disease: the amyloid cascade hypothesis. Science 1992; 256: 184–5.CrossRefGoogle ScholarPubMed
Gilman, S, Koller, M, Black, RS, et al. Clinical effects of Abeta immunization (AN1792) in patients with AD in an interrupted trial. Neurology 2005; 64: 1553–62.Google Scholar
Wagner, SL, Tanzi, RE, Mobley, WC, Galasko, D. Potential use of gamma-secretase modulators in the treatment of Alzheimer disease. Arch Neurol 2012; 69: 1255–8.Google Scholar
Potter, R, Patterson, BW, Elbert, DL, et al. Increased in vivo amyloid-beta42 production, exchange, and loss in presenilin mutation carriers. Sci Transl Med 2013; 5: 189ra77.CrossRefGoogle ScholarPubMed
Kretner, B, Fukumori, A, Gutsmiedl, A, et al. Attenuated Aβ42 responses to low potency γ-secretase modulators can be overcome for many pathogenic presenilin mutants by second-generation compounds. J Biol Chem 2011; 286: 15240–51.Google Scholar
Koch, P, Tamboli, IY, Mertens, J, et al. Presenilin-1 L166P mutant human pluripotent stem cell-derived neurons exhibit partial loss of γ-secretase activity in endogenous amyloid-β generation. Am J Pathol 2012; 180: 2404–16.CrossRefGoogle ScholarPubMed
Yuan, SH, Martin, J, Elia, J, et al. Cell-surface marker signatures for the isolation of neural stem cells, glia and neurons derived from human pluripotent stem cells. PLoS One 2011; 6: e17540.CrossRefGoogle ScholarPubMed
Rynearson, KD, Ponnusamym, M, Prikhodko, O, et al. Preclinical validation of a potent γ-secretase modulator for Alzheimer’s disease prevention. J Exp Med 2021; 218: e20202560.CrossRefGoogle ScholarPubMed
Caldwell, AB, Liu, Q, Schroth, GP, et al. Dedifferentiation and neuronal repression define familial Alzheimer’s disease.Sci Adv 2020; 6: eaba5933.Google Scholar
Antonell, A, Lladó, A, Altirriba, J, et al. A preliminary study of the whole-genome expression profile of sporadic and monogenic early-onset Alzheimer’s disease. Neurobiol Aging 2013; 34: 1772–8.Google Scholar

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