Prolonged exposure of cultured cortical neurons to the residue 25-35 fragment of beta-amyloid protein, in the presence of dizocilpine, an antagonist of the N-methyl-D-aspartate receptor, and of 6,7-dinitroquinoxaline-2,3-dione, an antagonist of alpha-amino-3-hydroxy-5-methylisoxazole-4-propionate receptors, resulted in the expression of the proapoptotic protein Bax and neuronal death. Beta-amyloid protein(25-35)-induced neuronal death was substantially attenuated by the sigma1 receptor agonist 2-(4-morpholinethyl)1-phenylcyclohexanecarboxylate. The neuroprotective action of 2-(4-morpholinethyl)1-phenylcyclohexanecarboxylate was mimicked by the sigma1 ligand methyl (1S,2R)-2-[1-adamantyl(methyl)amino]methyl-1-phenylcyclopropanecarboxylate and was antagonized by the sigma1 receptor antagonist N,N-dipropyl-2-[4-methoxy-3-(2-phenylethoxy)-phenyl]-ethylamine monohydrochloride. These results suggest that sigma1 receptor agonists might function as neuroprotectant agents in Alzheimer's disease.

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J. Neurochem. (2009) 109, 744–754. Abstract Previous studies have reported that selective sigma‐1 agonists may improve cognitive abilities in experimental animals possibly via a cholinergic mechanism. However, the issue of a direct action on to sigma‐1 receptors in memory‐related brain areas has been much less investigated. The newly synthetised compound methyl(1R,2S/1S,2R)‐2‐[4‐hydroxy‐4‐phenylpiperidin‐1‐yl)methyl]‐1‐(4‐methylphenyl) cyclopropanecarboxylate [(±)‐PPCC] has recently been shown to possess high affinity for the sigma‐1 receptor where it specifically acts as an agonist. Here, the functional effects of (±)‐PPCC were investigated in rat models of mild or severe cognitive dysfunction based on a sub‐total (≤ 70–80%) or complete (≥ 90–95%) central cholinergic depletion induced by different doses of the selective immunotoxin 192 IgG‐saporin injected intraventricularly. At 5–6 weeks post‐surgery, the lesioned animals exhibited dose‐dependent deficits in reference memory, as assessed using the Morris water maze task, whereas working memory abilities, evaluated using the radial arm water maze task, appeared equally impaired in the two dose groups. Daily treatment with (±)‐PPCC significantly improved both reference and working memory performance in all lesioned animals but it did not affect intact or sham‐lesioned subjects. In a separate test, treatment with (±)‐PPCC reversed the learning deficits induced by the muscarinic receptor antagonist atropine sulphate in both control and mild‐lesioned rats. The effect was blocked in lesioned, but not normal animals by pre‐treatment with the sigma‐1 antagonist N‐[2‐(3,4‐dichlorophenyl)ethyl]‐N‐methyl‐2‐(dimethylamino)ethylamine. The results suggest that (±)‐PPCC may efficiently ameliorate perturbed cognitive abilities, and that these anti‐amnesic effects most probably occur via a direct interaction of the compound with sigma‐1 receptors.