Alzheimer’s disorder is one
of the most common worldwide
health problems, and its prevalence continues to increase, thereby
straining the healthcare budgets of both developed and developing
countries. So far, donepezil is the only Food and Drug Administration-approved
dual-binding site inhibitor of acetylcholinesterase (AChE) that can
amplify the cholinergic activity and also decrease Aβ aggregation
in Alzheimer patients. We report herein a new donepezil-like natural
compound derivative (D1) as a convincing AChE inhibitor. The in silico studies suggests that D1 exhibits a dual-binding
mode of action and interacts with both the catalytic anionic site
and peripheral anionic site (PAS) of human AChE. The biological studies
confirm the dual-binding site character of D1 and revealed that D1
not only enhances the acetylcholine levels but also reduces the accumulation
of Aβ plaques in Caenorhabditis elegans. In fact, 5 μM D1 was seen more potent in elevating the acetylcholine
expression than 25 μM donepezil. While most of the non-cholinergic
functions of donepezil, associated with the PAS of AChE, were gradually
lost at higher concentrations, D1 was more functional at similar doses.
Promisingly, D1 also exerted an agonistic effect on the α7 nicotinic
acetylcholine receptor.
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