Project. 2. NK-1R antagonists, including aprepitant and others, may interrupt NK-1R and CCR5 crosstalk at several different levels including receptor: receptor interaction, amplification of signal transduction, regulation of receptor synthesis and expression, or indirectly through effects on cytokine-chemokines (CCR-5 ligands). We propose that SP signaling through NK-1R has a selective regulatory role in the regulation of the chemokine receptor CCR5 in monocyte/macrophages. CCR5 and NK-1R are G-protein coupled receptors (GPCRs). We hypothesize that activation of the signaling pathway by the SP:NK-1R autocrine loop results in amplification of CCR5 mediated signaling. Further, the interruption of this autocrine loop by NK-1R antagonists, results in functional changes in the CCR5 receptor resulting in inhibition of HIV infection and replication. The overall goal of this project is to determine whether SP: NK-1R interaction regulates CCR5 function through a) GPCR crosstalk at the level of the receptor or through crosstalk between signaling pathways, b) a direct effect on CCR5 expression through alterations in receptor synthesis, or c) indirectly through alterations in cytokine and chemokine synthesis and release.
Specific Aim 1 : Will characterize the antiviral and immunomodulating effects of aprepitant and other candidate NK-1R antagonists on CCR5 mediated cellular functions in monocyte/macrophages.
Specific Aim 2 : Test the hypothesis that NK-1R antagonists alter CCR5 mediated physiological responses through G-protein coupled receptor (GPCR) crosstalk.
Specific Aim 3 : Test the hypothesis that NK-1R antagonists interrupt synergistic crosstalk between NK-1R and CCR5 signal transduction pathways.
Specific Aim 4 : Further define the specificity of aprepitant and other NK-1R antagonists for the NK-1R receptor through knockout studies using siRNA to deplete NK-1R receptor expression in the macrophage cell line THP-1. These studies will determine the specificity/selectivity of NK-1R antagonists in monocyte/macrophages and guide selection of the optimal antagonist for HIV therapeutic development.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Program Projects (P01)
Project #
5P01MH076388-02
Application #
7312695
Study Section
Special Emphasis Panel (ZAI1)
Project Start
Project End
Budget Start
2006-08-01
Budget End
2007-07-31
Support Year
2
Fiscal Year
2006
Total Cost
$262,297
Indirect Cost
Name
Children's Hospital of Philadelphia
Department
Type
DUNS #
073757627
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Douglas, Steven D (2016) Substance P and sickle cell disease-a marker for pain and novel therapeutic approaches. Br J Haematol 175:187-188
Barrett, Jeffrey S; Spitsin, Sergei; Moorthy, Ganesh et al. (2016) Pharmacologic rationale for the NK1R antagonist, aprepitant as adjunctive therapy in HIV. J Transl Med 14:148
Tebas, Pablo; Spitsin, Sergei; Barrett, Jeffrey S et al. (2015) Reduction of soluble CD163, substance P, programmed death 1 and inflammatory markers: phase 1B trial of aprepitant in HIV-1-infected adults. AIDS 29:931-9
Barrett, Jeffrey S; Bajaj, Gaurav; McGuire, Jennifer et al. (2014) Modeling and simulation approach to support dosing and study design requirements for treating HIV-related neuropsychiatric disease with the NK1-R antagonist aprepitant. Curr HIV Res 12:121-31
Barrett, Jeffrey S; McGuire, Jennifer; Vezina, Heather et al. (2013) PET measurement of receptor occupancy as a tool to guide dose selection in neuropharmacology: are we asking the right questions? J Clin Psychopharmacol 33:725-8
Schwartz, Lynnae; Spitsin, Sergei V; Meshki, John et al. (2013) Substance P enhances HIV-1 infection in human fetal brain cell cultures expressing full-length neurokinin-1 receptor. J Neurovirol 19:219-27
McLaughlin, Sherry; Swenson, Luke C; Hu, Shengbo et al. (2013) Development of a novel codon-specific polymerase chain reaction for the detection of CXCR4-utilizing HIV type 1 subtype B. AIDS Res Hum Retroviruses 29:814-25
Spitsin, Sergei; Tuluc, Florin; Meshki, John et al. (2013) Analog of somatostatin vapreotide exhibits biological effects in vitro via interaction with neurokinin-1 receptor. Neuroimmunomodulation 20:247-55
Spitsin, Sergei; Stevens, Kathleen E; Douglas, Steven D (2013) Expression of substance P, neurokinin-1 receptor and immune markers in the brains of individuals with HIV-associated neuropathology. J Neurol Sci 334:18-23
Khan, Mohammad M; Douglas, Steven D; Benton, Tami D (2012) Substance P-neurokinin-1 receptor interaction upregulates monocyte tissue factor. J Neuroimmunol 242:1-8

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