Our study revealed the previously uncharted potential of a multimodal compound, HBK-15, in mitigating MK-801-induced cognitive deficits across multiple domains, specifically recognition, emotional, and spatial memory. We identified a lack of impact of the compound on motor memory, suggesting its nuanced brain region selectivity. HBK-15’s effects spanned all stages of memory processing, potentially linked to its ability to counteract the MK-801-induced decline in LTP, a fundamental process in memory formation. Additionally, we uncovered HBK-15's capability to modulate hippocampal oscillations, specifically enhancing theta-gamma coupling. This work marks a significant stride in the field of neuropsychiatric disorders, providing new insights into therapeutic strategies for memory impairments.
Available pharmacotherapeutic strategies face challenges in addressing memory impairments of diverse etiological and pathophysiological origins. In some disorders, cognitive deficits remain insufficiently treated and overlooked, despite their significant influence on disease progression. This malpractice is particularly noticeable in neuropsychiatric diseases, such as depression or schizophrenia [54]. Even with a plethora of drugs exhibiting various mechanisms of action, the cognitive symptoms are still inadequately alleviated [55]. During our past investigations, we identified a methoxyphenylpiperazine derivative, HBK-15, that demonstrated fast antidepressant-and anxiolytic-like effects, as well as a potential to reverse memory impairments [5–7, 9, 10].
Given that memory disorders in neuropsychiatric diseases likely originate from dysfunctions within the glutamatergic system [56], we tested if HBK-15 could rectify cognitive impairments induced by MK-801 administration. Our findings indicate that HBK-15 successfully counteracted short-, intermediate-, and long-term deficits in recognition and emotional memory. It is important to emphasize that different mechanisms underpin these memory types. Short-term memory depends on changes in the synaptic strength of pre-existing neuronal connections, driven by modifications of pre-existing proteins [57]. Conversely, long-term memory formation relies on the synthesis of new proteins and morphological modifications [57]. Differentiation between short-, intermediate-, and long-term memory also hinges on the involvement of various signaling proteins [58, 59], distinct stages of gene expression [60], neuronal activity [61] and synaptic plasticity (early and late LTP) [62].
Additionally, the compound alleviated deficits across various stages of memory formation, including acquisition, consolidation, and retrieval. Each learning phase engages separate signaling proteins, kinases, receptors, or brain circuits [63–65]. The involvement of such diverse cellular and molecular mechanisms in each stage of memory formation implies that the mechanism underpinning the antiamnesic effect of HBK-15 may be more intricate than initially suspected, potentially engaging a variety of brain processes.
Another intriguing aspect of our study is the non-linear dose-response relationship of HBK-15 across various types of memory and different learning phases, exhibiting binary, biphasic, or inverted U-shaped patterns. We suspect several explanations of this discovery. First, due to HBK-15's affinity for various receptors and, consequently, its involvement with different signaling pathways, it may exhibit antiamnesic activity at diverse doses based on the investigated memory type, stage, and learning phase. Alternatively, HBK-15 may dose-dependently saturate receptors involved in distinct memory types, leading to observable effects at certain doses and no effects at others. Nevertheless, further research is necessary to explain this phenomenon more comprehensively.
The finding that HBK-15 demonstrated antiamnesic activity in tasks assessing recognition, emotional, and spatial memory, but not motor memory, may suggest a potential regional selectivity of the compound. Different types of memory engage distinct brain structures. For instance, recognition memory draws upon the hippocampus, entorhinal cortex, and medial prefrontal cortex [40], while emotional memory formation involves the amygdala and hippocampus [41]. Motor memory engages the primary motor cortex, basal nuclei, and cerebellum [66], and the hippocampus and entorhinal cortex play crucial roles in spatial memory [42]. Given the varied receptor expression observed in these brain regions, HBK-15 as a multimodal compound, could potentially modulate the activity of these brain areas in a differentiated manner.
Neurotransmitters exert control over learning and memory processes, prompting us to explore if a single dose of HBK-15 alters the concentration of selected neuromodulators in hippocampal homogenates. Our investigations, however, did not identify significant alterations in neurotransmitter levels from any of the administered doses. This outcome might imply that the influence of HBK-15 resides either within other brain structures or within particular regions of the hippocampus.
With these implications in mind, we narrowed our investigation to the CA1 region of the hippocampus. Rodent hippocampal CA1 neurons crucially contribute to the processing of hippocampus-dependent memory [67, 68], warranting our focus. We concentrated on glutamate and acetylcholine, the two vital neurotransmitters for proper memory function, and employed the microdialysis method in our research. Our results revealed an absence of alterations in the extracellular concentration of the chosen neurotransmitters. This discovery suggests that the fluctuation in neurotransmitter levels within the CA1 region of the hippocampus may not significantly contribute to the antiamnesic effects of HBK-15. Thus, it is possible that other hippocampal regions are key to HBK-15's antiamnesic effects, or that these effects result from different mechanisms.
Given the role of LTP as a cellular mechanism fundamental to learning and memory, we sought to determine if the antiamnesic properties of HBK-15 might be linked to concurrent changes in hippocampal synaptic plasticity. Prior research demonstrated that MK-801 impaired LTP in the hippocampus [69, 70], which could potentially correlate with the observed behavioral performance decline in animals during various memory assessment tests. It is important to note that HBK-15 administration counteracted MK-801-induced LTP reduction, offering a plausible rationale for the compound's antiamnesic effects. Intriguingly, a review of HBK-15's receptor profile indicates that its LTP induction could be NMDA-independent since HBK-15 did not bind to any of this receptor's sites. In addition, HBK-15 exhibited no affinity for AMPA, kainate, metabotropic glutamate, 5-HT3, and nicotinic receptors [71] or N-type voltage-gated calcium channels (Cav2.2). However, HBK-15 showed a substantial affinity for the L-type voltage-gated calcium channel (Cav1.2), a significant contributor to NMDA-independent LTP formation in the hippocampus (reviewed in [3]). Therefore, we suspect that this channel might be involved in HBK-15's mitigation of the MK-801-induced LTP decrease. Alternatively, HBK-15 may be indirectly influencing glutamate receptors integral to LTP modulation.
Notably, our previous research suggested that HBK-15 acted as an antagonist at the 5-HT3 receptor in a biofunctional assay [9]. Yet, our current study using radioligand binding assays found no evidence of HBK-15 binding to the 5-HT3 receptor. This seeming contradiction could be attributed to the different methodologies employed to investigate HBK-15's effect on the 5-HT3 receptor i.e., in vitro radioligand binding assays in the current study versus ex vivo isolated guinea pig ileum in the prior research. The former study yielded a false-positive outcome, construed as HBK-15's antagonistic effect on the 5-HT3 receptor, likely due to the compound's interaction with voltage-gated sodium [8] and/or calcium channels. Existing research affirms that blocking voltage-gated sodium and/or calcium channels can inhibit 5-HT3 receptor activity [72, 73], which may account for the previous misinterpretation of the experimental results.
Additionally, alternations in the hippocampal oscillatory activity correspond to impaired memory functions. Studies indicated that MK-801 could augment gamma oscillations and disrupt theta/gamma coupling within the hippocampus during spatial working memory tasks [74]. Our findings resonate with these studies, demonstrating that a single administration of the NMDA receptor antagonist, MK-801, can disrupt this coupling. Interestingly, the co-administration of HBK-15 and MK-801 appeared to improve the theta-gamma coupling, although the differences were not statistically significant. Since we used only one dose for testing, which was selected for its optimal performance in behavioral tests, it is possible that we missed more significant improvements in theta-gamma coupling that could have been observed with a different dosage. On the other hand, HBK-15's antiamnesic effects might not solely depend on hippocampal oscillation coupling, and other mechanisms could be at play. Interestingly, when administered independently, HBK-15 promoted the theta-gamma coupling, suggesting the compound’s potential to improve learning and memory processes. Several studies associated increased theta-gamma coupling in the hippocampus with enhancements in spatial reference memory [75] or associative memory [76]. However, further research is warranted to explore this hypothesis.