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EEG Gamma Power Changes Following Administration of NMDA Receptor Antagonists Maninder Chopra1, Michael Quirk1, Ray Rothstein2, John Roberts3, Mary J Bock3, Ed Christian1, Russell Bialecki2 and Carlos Fonck2 Neuroscience Biology1, Safety Assessment2, DMPK3, Astrazeneca R&D, Wilmington, DE. 750.1/V36 RESULTS Ketamine 50 12 45 40 10 40 35 8 30 6 25 20 4 Frequency (Hz) 45 5 0 20 40 60 Time (minutes) 60 mg/kg 55 80 100 20 60 Time (minutes) 100 mg/kg 55 80 100 25 20 2 15 10 0 5 20 40 120 mg/kg 55 60 Time (minutes) 80 100 -2 8 40 6 35 30 4 25 20 2 15 10 0 5 0 20 40 60 Time (minutes) Mouse plasma concentrations for Ketamine and Traxoprodil were determined by LC/MS. For the Ketamine PK/PD modeling, PK was fitted simultaneously across 30 and 120 mg/kg doses. Predicted concentrations were then used to fit EEG responses to a sigmoidal Emax link PK/PD model for determination of EC50, Emax and keo. 80 100 60 Time (minutes) 80 -2 100 Z-map 10 8 45 40 6 35 30 4 25 20 2 6 35 30 4 25 20 2 15 10 0 10 Plot comparing the γ band power changes for nonselective NMDAR anatgonists (ketamine, remacemide) and NR2b-selective allosteric antagonist, traxoprodil. 0 5 0 20 40 60 Time (minutes) 80 100 -2 0 10 45 40 60 mg/kg 55 Heat maps showing power spectrum changes following administration of ketamine (left column, 30, 60 and 120 mg/kg), Remacemide (middle column, 30 and 100 mg/kg) or Traxoprodil (Right column, 30, 60 and 100 mg/kg). 20 40 100 mg/kg Z-map 50 20 50 5 0 -1 55 8 15 10 0 0 Frequency (Hz) 4 Frequency (Hz) 30 1 20 5 40 35 2 25 Z-map 45 6 3 30 0 50 8 4 35 10 5 40 5 15 10 20 Spectrogram 40 15 0 40 Frequency (Hz) 40 45 25 Z-map 45 Frequency (Hz) 50 20 5 10 45 25 -2 50 55 30 30 10 0 50 35 35 15 2 Traxoprodil 30 mg/kg Spectrogram Frequency (Hz) 14 10 EEG recordings PK/PD methods 55 15 Surgical implantation of EEG electrodes. Continuous EEG recordings were performed with a Pinnacle Technology system (Lawrence, Kansas). A baseline electrophysiological response was recorded for a period of 30 min prior to drug administration. Test or reference compounds were administered intra-peritoneally, except Traxoprodil, which was administered sub-cutaneously. EEG data was collected for 90 minutes following drug administration. At the end of each experiment, plasma from blood was collected for bioanalysis. Fast-Fourier analysis was applied to EEG data in MATLAB to generate time-frequency series. Z-score maps from individual animals were averaged to obtain average maps shown. The power specific to a band was averaged post-drug administration across 90 minutes to generate response curves. Remacemide 30 mg/kg Z-map 50 EXPERIMENTAL PROCEDURES Male C57BL/6 mice were anesthetized and a head-mount with four screw electrode holes was placed on top of the skull and centered along the midline, with frontal screw positioned 1-1.5 mm anterior to Bregma. The head-mount assembly was cemented onto the skull with dental acrylic. Animals were allowed to recover from surgery for at least 10 days and were used for upto 4 months after surgery. 30 mg/kg 55 Frequency (Hz) Quantitative EEG (qEEG) offers an opportunity to provide a pharmaco-dynamic, mechanistic and potentially translatable biomarker for various drug-induced and disease states. Changes in electroencephalogram (EEG) gamma band power, defined as frequencies ranging between 30 and 80 Hz, have been linked in humans to enhanced cognitive function, but also to pathological states such as schizophrenia, druginduced hallucinations, epilepsy and Alzheimer’s disease. Thus, the ability to pharmacologically modulate gamma power may be of therapeutic interest. The EEG provides temporal resolution in the milliseconds range, and the ability to detect both excitatory and inhibitory neuronal activity. Here we study effects of NMDA receptor blockers on mouse EEG, with an overall aim to develop a useful biomarker for this compound class, with a potential for forward and backtranslation. 60 Time (minutes) 80 -2 100 Spectrogram 5 50 4 45 40 Frequency (Hz) INTRODUCTION -2 3 35 2 30 25 1 20 0 15 10 -1 5 0 20 40 60 Time (minutes) 80 -2 100 Plots showing average fold-change in the γ frequency band power 90 minutes following drug administration as a function of Cmax (Left, ketamine; Right; traxoprodil) Clinical ranges were simulated or quoted from listed references. SUMMARY Non-selective NMDA receptor open channel blockers, ketamine and remacemide increased β and γ-power in a dose- and exposure-dependent manner In contrast, traxoprodil, an NR2b specific allosteric antagonist showed a small decrease in γ-power. Differences in the effects on EEG γ-power caused by the two types of NMDA receptor antagonists may be explained by differences in blocking mechanism (open-channel pore blocker vs allosteric antagonist) subtype-selective effects, and/or a yet unexplored polypharmacology. REFERENCES Deng CY, Yu XY, Kuang SJ, Rao F, Yang M, Shan ZX, Qian WM, Zhou ZL, Lin QX, Wu SL, Zhang YY, Lin SG. Electrophysiological effects of ketamine on human atrial myocytes at therapeutically relevant concentrations Clinical and Experimental Pharmacology and Physiology (2008) 35, 1465–1470. Idvall J, Ahlgren I, Aronsen KR, Stenberg P (1979) Ketamine infusions:pharmacokinetics and clinical effects. Br J Anaesth 51:1167. Pinnault D (2008) N-methyl d-aspartate receptor antagonists ketamine and MK-801 induce wakerelated aberrant gamma oscillations in the rat neocortex. Biol. Psychiatry 63:730. Preskorn SH, Baker B, Kolluri S, Menniti FS, Krams M, Landen JW (2008) An innovative design to establish proof of concept of the antidepressant effects of the NR2B subunit selective Nmethyl-D-aspartate antagonist, CP-101,606, in patients with treatment-refractory major depressive disorder. J Clin Psychopharmacol. 28: 631. Taylor TJ, Diringer K, Russell T, Venkatakrishnan K, Wilner K, Crownover P, Benincosa LJ, Gibbs M (2006) Absolute Oral Bioavailability of Traxoprodil in Cytochrome P450 2D6 Extensive and Poor Metabolisers. Clin Pharmacokinet. 45: 989. Gamma EEG Power White PF, Ham J, Way WL, Trevor AJ (1980) Pharmacology of ketamine isomers in surgical patients. Anesthesiology 52:231. 15 mg/kg 30 mg/kg 60 mg/kg 120 mg/kg Parameter Value %CV Emax 4.15 19 EC50 (μM) 28 23 Keo (min-1) 0.61 18 Hill slope 1.48 7 PK/PD parameter estimates for ketamine were obtained using WinNonlin 4.1. Diagram showing position of the head-mount implant Ketamine concentrations peak and decline rapidly following 30 mg/kg dose while onset of peak effect is slightly delayed in time. At higher doses of ketamine (120 mg/kg) evidence of a prolonged active metabolite contribution or mechanism related indirect effect was observed. Time (min) Plot showing actual and predicted PK/PD fits to ketamine gamma EEG using a link model. Yanagihara Y, Ohtani M, Kariya S, Uchino K, Hiraishi T, Ashizawa N, Aoyama T, Yamamura Y, Yamada Y, Iga T. (2003) Plasma Concentration Profiles of Ketamine and Norketamine after Administration of Various Ketamine Preparations to Healthy Japanese Volunteers Biopharm. Drug Dispos. 24: 37. Zarate CA Jr, Singh JB, Carlson PJ, Brutche NE, Ameli R, Luckenbaugh DA, Charney DS, Manji HK (2006) A randomized trial of an N-methyl-D-aspartate antagonist in treatment-resistant major depression. Arch Gen Psychiatry 63: 856. ACKNOWLEDGEMENTS We wish to thank Mark Eisman and Bernie Lanoue for DMPK support, and Frank McGrath and Lisa Leon for surgery support.