Article
Author: DeLapp, Neil W ; Wright, Rebecca A ; Reinhard, Matthew R ; Schaus, John M ; Wang, Xushan ; Adams, Benjamin L ; Okun, Ilya ; Nelson, David L ; Anderson, Wesley H ; Krushinski, Joseph H ; Cohen, Michael P ; Gehlert, Donald R ; Cramer, Jeffrey W ; Statnick, Michael A ; Hellman, Sarah L ; Menezes, Michelle M ; Bruns, Robert F ; Svensson, Kjell A ; Wiernicki, Todd R ; Yang, Charles R ; Knopp, Kelly L ; Getman, Brian G ; Morin, S Michelle ; Beck, James P ; Maren, Deanna L ; Falcone, Julie F ; Emkey, Renee ; Lucaites, Virginia L ; Hao, Junliang ; Rogovoy, Borys ; Suter, Todd M ; Heinz, Beverly A
Allosteric potentiators amplify the sensitivity of physiologic control circuits, a mode of action that could provide therapeutic advantages. This hypothesis was tested with the dopamine D1 receptor potentiator DETQ [2-(2,6-dichlorophenyl)-1-((1S,3R)-3-(hydroxymethyl)-5-(2-hydroxypropan-2-yl)-1-methyl-3,4-dihydroisoquinolin-2(1H)-yl)ethan-1-one]. In human embryonic kidney 293 (HEK293) cells expressing the human D1 receptor, DETQ induced a 21-fold leftward shift in the cAMP response to dopamine, with a Kb of 26 nM. The maximum response to DETQ alone was ∼12% of the maximum response to dopamine, suggesting weak allosteric agonist activity. DETQ was ∼30-fold less potent at rat and mouse D1 receptors and was inactive at the human D5 receptor. To enable studies in rodents, an hD1 knock-in mouse was generated. DETQ (3-20 mg/kg orally) caused a robust (∼10-fold) increase in locomotor activity (LMA) in habituated hD1 mice but was inactive in wild-type mice. The LMA response to DETQ was blocked by the D1 antagonist SCH39166 and was dependent on endogenous dopamine. LMA reached a plateau at higher doses (30-240 mg/kg) even though free brain levels of DETQ continued to increase over the entire dose range. In contrast, the D1 agonists SKF 82958, A-77636, and dihydrexidine showed bell-shaped dose-response curves with a profound reduction in LMA at higher doses; video-tracking confirmed that the reduction in LMA caused by SKF 82958 was due to competing stereotyped behaviors. When dosed daily for 4 days, DETQ continued to elicit an increase in LMA, whereas the D1 agonist A-77636 showed complete tachyphylaxis by day 2. These results confirm that allosteric potentiators may have advantages compared with direct-acting agonists.