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Dissertation
Zebrafish narcolepsy models: development and pharmacological characterization
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Year: 2021 Publisher: Leuven KU Leuven. Faculteit Farmaceutische Wetenschappen

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Abstract

Narcolepsy is a rare neurological disorder, with typical symptoms such as excessive daytime sleepiness and cataplexy (1–3). The main cause of narcolepsy is the selective loss of orexin neurons in the lateral hypothalamus (4). The current treatment options are associated with side effects and lack of efficacy, therefore, there is a high need for the discovery and development of new and improved drugs (5). In addition to current animal narcolepsy models, such as narcoleptic dogs and rodents, zebrafish could be of added value, since they are small diurnal non-mammalian vertebrates, which makes them suitable for high-throughput purposes, and they possess comparable basic mechanisms of sleep regulation as humans (6–8). This research project aimed to develop and pharmacologically characterize zebrafish narcolepsy models. Both novel chemically-induced models, using orexin receptor (OXR) antagonists (i.e., suvorexant, TCS-1102, and SB-674042), and a state-of-the-art transgenic narcolepsy model (i.e., Tg(hcrt:nfsB-EGFP)), which allows selective ablation of orexin neurons, were phenotypically characterized in zebrafish larvae (9). In addition, OXR agonists were used for further pharmacological characterization and as possible tools to rescue the disease phenotype. Since sleep in zebrafish is mainly characterized by behavioral criteria (7), two behavioral assays were developed to assess the objectives of the study: (1) the dark-light assay that consists of a 2h period with 30min alternating dark-light phases and is recorded during the day, and (2) the night assay, with a light period from 6 - 9 p.m., a dark period from 9 p.m. - 7 a.m., and again a light period from 7 - 8 a.m.. Both the chemically-induced and transgenic Tg(hcrt:nfsB-EGFP) zebrafish narcolepsy models showed an altered behavioral response to dark-light transitions in the two behavioral assays, which is indicative of narcolepsy. The observed differences in altered behavioral response between the two models, could be indicative of additional factors influencing the narcoleptic phenotypes, i.e., the ablation of the entire orexin neurons in contrast to only blocking the OXR. Two OXR agonists (i.e., C15454-2 and C19069) had a strong wake-promoting effect during the night assay. C15454-2 was selected for rescue experiments and was observed to rescue the narcoleptic phenotype of transgenic Tg(hcrt:nfsB-EGFP) zebrafish, which can be considered as a pharmacological validation of the model. However, this should be investigated more thoroughly, in addition to the further investigation of the rescue of the chemically-induced narcolepsy models. Taken together, this study shows the promise of chemically-induced narcolepsy models and contributes to the behavioral characterization and pharmacological validation of the transgenic Tg(hcrt:nfsB-EGFP) narcolepsy model, and therefore confirms the possible value of zebrafish narcolepsy models in future drug discovery and development, as well as in the investigation of the underlying pathophysiology of narcolepsy.

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Dissertation
Plinabulin, a lead compound for drug-resistant epilepsy: efficacy and mode-of-action investigation

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Abstract

Epilepsy is one of the most common neurological diseases, affecting more than 70 million people worldwide, and is characterized by an enduring predisposition to experience unprovoked seizures. The current anti-epileptic treatment strategy is based on pharmacotherapy with antiseizure drugs (ASDs) to control seizures. However, despite many efforts, 30% of epilepsy patients suffer from a drug-resistant form of epilepsy. Hence, there is a high unmet medical need to develop ASDs that are effective for drug-resistant seizures. Recently, the Laboratory for Molecular Biodiscovery identified a novel antiseizure compound, i.e., plinabulin, using a zebrafish-based screening approach that relied on the larval zebrafish pentylenetetrazole (PTZ) seizure model. Plinabulin showed an additional promising antiseizure efficacy against drug-resistant seizures in both the larval zebrafish ethyl ketopentenoate (EKP) seizure model and the mouse 6-Hz psychomotor seizure model. Interestingly, plinabulin is a well-known microtubule depolymerizing agent (MDA) that is currently in late-stage clinical trials for different therapeutic indications in the field of cancer. The initial characterization of plinabulin’s antiseizure efficacy was performed after a short-term treatment period. As plinabulin has a limited water solubility that could limit the amounts of compound that reach the zebrafish brain, this study aimed to further characterize the antiseizure efficacy in the larval zebrafish PTZ and EKP seizure models by investigating whether the efficacy could be improved by prolonging the treatment period and by determining how the efficacy compares to that of clinically used ASDs. Moreover, this project aimed to explore whether plinabulin’s known mechanism of action (MOA) in the field of cancer could also be responsible for its antiseizure action by investigating if functional analogues of plinabulin (i.e., colchicine and indibulin) also exhibit antiseizure activity in the larval zebrafish EKP seizure model. Plinabulin’s antiseizure efficacy in the larval zebrafish PTZ and EKP seizure models increased remarkably by prolonging the treatment period. In comparison to the positive control of each seizure model, plinabulin was observed to be at least as effective as perampanel, and even more effective than sodium valproate, which are both clinically used ASDs. These data show that plinabulin has a promising antiseizure efficacy in the zebrafish model and further research is needed to investigate plinabulin’s antiseizure potential in rodent seizure models. Finally, no antiseizure properties were observed for colchicine and indibulin in the zebrafish EKP seizure model. These data suggest that microtubule depolymerization, if involved in the antiseizure activity of plinabulin, is at least not sufficient for an antiseizure activity. Further research is needed to identify the antiseizure target(s) of plinabulin and to understand its MOA.

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