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Submitted to
Prof. Harish R
By Maheshwari Hireholi
Mpharm first year
Government college of pharmacy-Bangaluru
Introduction
• Anxiety is an emotional state
caused by the perception of
real or perceived danger that
threatens the security of an individual.
• It is a normal human adaptive response to
stressful events.
• Physiological anxiety – transient in nature
• Pathological anxiety – needs treatment
Physiological and Pathological Anxiety
Normal Pathological
•Jitter •Panic attacks
•Stage-fright • Obsessions,
compulsions
•Nervousness •Flashbacks,
nightmares
•Worrying • Pathological fear
Pathophysiology of anxiety
• Neurotransmitters like GABA, nor adrenaline,
serotonin abnormalities – anxiety
• Amygdala, temporal lobe, hippocampus and
hypothalamus - involved in anxiety
Classification
1. Benzodiazepines- alprazolam,
chlordiazepoxide , diazepam
2. Azapirones -Buspirone, Ispapirone, gepirone
3. Beta blockers - Propranalol
4. Sedative antihistaminic - Hydroxyzine
5. Carbamates - Meprobamates
Mechanism of action
• Benzodiazepine
Enhances the response to GABA by
facilitating the opening of GABA activated
chlorine channels and increases affinity of GABA
for the receptor.
• Buspirone
Buspirone is a partial agonist at 5-HT 1A
receptor. 5-HT1A receptors are auto receptor that
reduce the release of 5-HT and other mediators.
Contd….
• Beta blockers
Beta blocker help anxious patient by cutting
vicious cycle and provide symptomatic relief.
• Carbamate It acts on several levels of CNS,
including limbic system, thalamus and spinal
cord. It has mild to moderate tranquilizing,
anticonvulsant and skeletal muscle relaxing
activity. It does not interact with GABA, but
inhibits multineuronal spinal reflexes
• Hydroxyzine
Functions principally as an inverse agonist
of the H1 histamine receptor and inhibhits
serotonin 5HT2A receptor sites which
contribute to anxiolytic activity
ANIMAL MODEL FOR ANXIETY
• Animal model is a living, a non-human species
that is extensively studied to understand
particular biological phenomena, with the
expectation that discoveries made in the
model organism will provide insight into the
workings of other organisms and without the
added risk of harming an actual human being
during the process.
Screening methods for Anxiolytics
In vivo methods
Conditioned response Unconditioned response
Geller-Seifter conflict Elevated plus maze (zero/T maze)
Vogel conflict Light/dark exploration (L/D)
Four-plate test Social interaction
Conditioned emotional response Open field
Conditioned taste aversion Ultrasonic vocalization (pain or
separation)
Fear-potentiated startle Fear/anxiety-defense test batteries
Defensive burying Staircase test
Active/passive avoidance Holeboard
Electrical brain stimulation Predator
IN-VITRO METHODS
Invitro assay for GABAergic compounds
• 3H GABA receptor binding
• GABA-A receptor binding
• GABA-B receptor binding
Benzodiazepine receptor
• H-Flunitrazepam binding assay
Serotonin receptor binding
• Binding of 3H 5-OH tryptamine
• Histamine H3 receptor binding in brain
ELEVATED PLUS MAZE TEST
o Most widely used method; male mice used
o Anxiolytics –decrease anxiety
o Increase open arm exploration time
•2 open arms and 2 closed
arms of 50 ˣ 10 ˣ 40cm
dimensions
•Open roof arrangement
•Two open arms are opposite
to each other.
•Maze elevated at 50cm
height
The rats weighing around 200-
300g selected; 6 animals each
group.
Test drug administered 30min
prior to experimentation by i.p
route
The rat is then placed in the
centre of the maze facing one of
the enclosed arm
Parameters Measured During Next 5
minutes:
• Time spent in the open arms
• Entries into the open arms
• Time spent in the closed arms
• Entries into the closed arms
• Total arm entries
Anxiolytic effect indicated by
• Increase in the proportion of time spent in
open arms
• Increase in the proportion of entries into
open arms
Anti-anxiety test (Light-dark model)
• Purpose and rational: A simple behavior
model in mice to detect compounds with
anxiolytic effects.
• Requirement
Animal: Male mice
Chemical: Drug.
Testing apparatus
Procedure
• The testing apparatus consists of a light and a
dark chamber divided by a photocell-
equipped zone.
• A polypropylene animal cage, 44 × 21 × 21
cm, is darkened with black spray over one-
third of its surface.
• A partition containing a 13 cm long × 5 cm
high opening separates the dark one third
from the bright two thirds of the cage.
• The cage rests on an activity monitor which
counts total locomotor activity.
• An electronic system using four sets of
photocells across the partition automatically
counts movements through the partition and
clocks the time spent in the light and dark
compartments.
• Naive male mice or rats are placed into the
cage.
Male mice with the weight
between 18-24g are used
Test drug is administered 30min
prior to experimentation by i.p.
and are then observed for 10 min.
The animal is placed in the cage.
Groups of 6–8 animals are used for
each dose
Evaluation
• Dose-response curves are obtained and the
number of crossings through the partition
between the light and the dark chamber are
compared with total activity counts during the
10 min.
• Loco motor activity also monitored.
• Anxiolytics increase locomotor activity and no.
of crossings
IN-VITRO METHODS
GABA RECEPTOR BINDING
Principle:
• To estimate the test drug’s binding
characteristic to the GABAA Receptor using
radioligand 3H-SR 95531 (3-carboxpropyl)-3-
amino,6-(4-methoxyphenyl)-pyridazinium
bromide
Procedure
MEMBRANE PREPARATION
Rats are killed by decapitation, brains are quickly
removed and separated from cerebellum
Placed into ice cold sucrose solution
homogenized and centrifuged at 1000 at 40C
10min
Pellets are discarded, supernatant is centrifuged at
20,000g for 20min.
Supernatant is discarded; pellets are lysed by
hypo-osmotic shock (addition of 20volume of ice
cold bi-distilled water) homogenisation
suspension
Suspension stirred under cooling for
20mincentrifuge at 48,000g for 20 min→
pellets resuspended in ice-cold bi-distilled
water suspension stirred and recentrifuged
Final pellets are resuspended in the
incubation buffer(1g brain wet weight/1ml
buffer)membrane suspension stored in
aliquots of 1ml at -20 0C.
Protein content determined according to
method of Lowry with bovine serum
albumin as standard.
On the day of the experiment, the required volume of
the membrane suspension is slowly thaweddiluted
to 1: 20 with bi-distilled water stirred for 10 min
centrifuged at 50,000 rpm for 10 min pellets are
re-suspended in ice-cold incubation buffer, yielding a
membrane suspension with a protein content of 1
mg/ml.
Assay
Saturation experiments
Estimation of total binding:
• 50ml 3H-SR 95531
• 50ml incubation buffer.
Estimation of non-specific binding:
• 50ml 3H-SR 95531
• 50ml (+) bicucculine (10-4M)
Competition Experiments
• 50ml 3H-SR 95531
• 50ml incubation buffer without or with non-labeled test
drug
• The binding reaction is started by adding
membrane suspension per incubation sample.
• The sample is incubated for 30min at 4oC.
• The reaction is stopped and subjected to rapid
vacuum filtration over glass fiber filters
thereby, the membrane bound radioactivity is
separated from free radioactivity.
• Filters are washed with approximately 20ml
ice cold rinse buffer (tris-Hcl, pH 7.4)/sample.
• The membrane bound radioactivity is
measured after addition of 2ml of liquid
scintillation cocktail per sample in packard
liquid scintillation counter.
Evaluation
• The following parameters are calculated :
Total binding
Non-specific binding
• Specific binding = total binding-non specific
binding
• Ki = KD3H × IC50/KD3H + 3H
• IC50 = concentration of the test drug, which
inhibits 50% of specifically bound 3H-SR 95531
in the competition experiment.
The Ki-value of the test drug is that
concentration, at which 50% of the receptors
are occupied by the test drug.
HISTAMINE H3 RECEPTOR BINDING IN
BRAIN
PURPOSE AND RATIONALE
• Histamine modulates its own synthesis and release
from depolarized brain slices or synaptosomes by
interacting with H3 auto-receptors with a
pharmacology distinct from that of H1 and H2
receptors. The R-isomer of α- methyl histamine (α-
MeHA) was identified as a highly selective H3-receptor
agonist active at nano molar concentrations.
Furthermore, this compound in 3H-labelled form is a
suitable probe for the H3-receptor.
PROCEDURE
• The cerebral cortex from guinea pigs is dissected
and homogenized in 50 volumes ice-cold 50 mM
KH2PO4/Na2HPO4 buffer, pH 7.5, in a Potter
homogenizer.
• The homogenate is centrifuged for 15 min at 750
rpm.
• The pellet is discarded and the supernatant
centrifuged at 42 000 rpm for 15 min.
• The supernatant is discarded and the pellet
washed superficially with and then re-suspended
in fresh buffer.
• The protein concentration of the membrane
suspension as determined.
• Aliquots of the membrane preparation are incubated
for 60 min at 25 °C with 3H(R) α-MeHA and
unlabeled substances in a final volume of 1 ml.
• The assay is stopped by dilution with 2 × 3 ml ice-
cold medium, followed by rapid filtration under
vacuum over Millipore AAWP filters which are then
rinsed twice with 5 ml of ice-cold medium.
• Radioactivity retained on the filters is measured by
liquid scintillation spectroscopy.
EVALUATION
• Specific binding is defined as the difference
between total binding and binding in the
presence of 10 μM unlabeled α-MeHA. IC50
values are calculated from the percent specific
binding at each drug concentration. The Ki
value may then be calculated by the Cheng-
Prusoff equation:
• Ki = IC50/ 1 + L / KD
Reference
• H. Gerhard Vogel, ‘Drug Discovery and Evaluation:
Pharmacological Assays’, 3rd edition,585-613.
• P.Mahamuni Sagar, S.S.Nipate, ‘Preclinical
evaluation of anxiolytic agents: an overview’
“JOURNAL OF PHARMACEUTICAL RESEARCH AND
OPININION”
• Bourin Michel, ‘Animal models for screening
anxiolytic-like drugs: a perspective’, NCBI, 2015.
Screening methods

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Screening methods

  • 1. Submitted to Prof. Harish R By Maheshwari Hireholi Mpharm first year Government college of pharmacy-Bangaluru
  • 2. Introduction • Anxiety is an emotional state caused by the perception of real or perceived danger that threatens the security of an individual. • It is a normal human adaptive response to stressful events. • Physiological anxiety – transient in nature • Pathological anxiety – needs treatment
  • 3. Physiological and Pathological Anxiety Normal Pathological •Jitter •Panic attacks •Stage-fright • Obsessions, compulsions •Nervousness •Flashbacks, nightmares •Worrying • Pathological fear
  • 4. Pathophysiology of anxiety • Neurotransmitters like GABA, nor adrenaline, serotonin abnormalities – anxiety • Amygdala, temporal lobe, hippocampus and hypothalamus - involved in anxiety
  • 5. Classification 1. Benzodiazepines- alprazolam, chlordiazepoxide , diazepam 2. Azapirones -Buspirone, Ispapirone, gepirone 3. Beta blockers - Propranalol 4. Sedative antihistaminic - Hydroxyzine 5. Carbamates - Meprobamates
  • 6. Mechanism of action • Benzodiazepine Enhances the response to GABA by facilitating the opening of GABA activated chlorine channels and increases affinity of GABA for the receptor. • Buspirone Buspirone is a partial agonist at 5-HT 1A receptor. 5-HT1A receptors are auto receptor that reduce the release of 5-HT and other mediators.
  • 7. Contd…. • Beta blockers Beta blocker help anxious patient by cutting vicious cycle and provide symptomatic relief. • Carbamate It acts on several levels of CNS, including limbic system, thalamus and spinal cord. It has mild to moderate tranquilizing, anticonvulsant and skeletal muscle relaxing activity. It does not interact with GABA, but inhibits multineuronal spinal reflexes
  • 8. • Hydroxyzine Functions principally as an inverse agonist of the H1 histamine receptor and inhibhits serotonin 5HT2A receptor sites which contribute to anxiolytic activity
  • 9. ANIMAL MODEL FOR ANXIETY • Animal model is a living, a non-human species that is extensively studied to understand particular biological phenomena, with the expectation that discoveries made in the model organism will provide insight into the workings of other organisms and without the added risk of harming an actual human being during the process.
  • 10. Screening methods for Anxiolytics
  • 11. In vivo methods Conditioned response Unconditioned response Geller-Seifter conflict Elevated plus maze (zero/T maze) Vogel conflict Light/dark exploration (L/D) Four-plate test Social interaction Conditioned emotional response Open field Conditioned taste aversion Ultrasonic vocalization (pain or separation) Fear-potentiated startle Fear/anxiety-defense test batteries Defensive burying Staircase test Active/passive avoidance Holeboard Electrical brain stimulation Predator
  • 12. IN-VITRO METHODS Invitro assay for GABAergic compounds • 3H GABA receptor binding • GABA-A receptor binding • GABA-B receptor binding Benzodiazepine receptor • H-Flunitrazepam binding assay Serotonin receptor binding • Binding of 3H 5-OH tryptamine • Histamine H3 receptor binding in brain
  • 13. ELEVATED PLUS MAZE TEST o Most widely used method; male mice used o Anxiolytics –decrease anxiety o Increase open arm exploration time
  • 14. •2 open arms and 2 closed arms of 50 ˣ 10 ˣ 40cm dimensions •Open roof arrangement •Two open arms are opposite to each other. •Maze elevated at 50cm height
  • 15. The rats weighing around 200- 300g selected; 6 animals each group. Test drug administered 30min prior to experimentation by i.p route The rat is then placed in the centre of the maze facing one of the enclosed arm
  • 16. Parameters Measured During Next 5 minutes: • Time spent in the open arms • Entries into the open arms • Time spent in the closed arms • Entries into the closed arms • Total arm entries
  • 17. Anxiolytic effect indicated by • Increase in the proportion of time spent in open arms • Increase in the proportion of entries into open arms
  • 18. Anti-anxiety test (Light-dark model) • Purpose and rational: A simple behavior model in mice to detect compounds with anxiolytic effects. • Requirement Animal: Male mice Chemical: Drug.
  • 20. Procedure • The testing apparatus consists of a light and a dark chamber divided by a photocell- equipped zone. • A polypropylene animal cage, 44 × 21 × 21 cm, is darkened with black spray over one- third of its surface. • A partition containing a 13 cm long × 5 cm high opening separates the dark one third from the bright two thirds of the cage.
  • 21. • The cage rests on an activity monitor which counts total locomotor activity. • An electronic system using four sets of photocells across the partition automatically counts movements through the partition and clocks the time spent in the light and dark compartments. • Naive male mice or rats are placed into the cage.
  • 22. Male mice with the weight between 18-24g are used Test drug is administered 30min prior to experimentation by i.p. and are then observed for 10 min. The animal is placed in the cage. Groups of 6–8 animals are used for each dose
  • 23. Evaluation • Dose-response curves are obtained and the number of crossings through the partition between the light and the dark chamber are compared with total activity counts during the 10 min. • Loco motor activity also monitored. • Anxiolytics increase locomotor activity and no. of crossings
  • 24. IN-VITRO METHODS GABA RECEPTOR BINDING Principle: • To estimate the test drug’s binding characteristic to the GABAA Receptor using radioligand 3H-SR 95531 (3-carboxpropyl)-3- amino,6-(4-methoxyphenyl)-pyridazinium bromide
  • 26. Rats are killed by decapitation, brains are quickly removed and separated from cerebellum Placed into ice cold sucrose solution homogenized and centrifuged at 1000 at 40C 10min Pellets are discarded, supernatant is centrifuged at 20,000g for 20min. Supernatant is discarded; pellets are lysed by hypo-osmotic shock (addition of 20volume of ice cold bi-distilled water) homogenisation suspension
  • 27. Suspension stirred under cooling for 20mincentrifuge at 48,000g for 20 min→ pellets resuspended in ice-cold bi-distilled water suspension stirred and recentrifuged Final pellets are resuspended in the incubation buffer(1g brain wet weight/1ml buffer)membrane suspension stored in aliquots of 1ml at -20 0C. Protein content determined according to method of Lowry with bovine serum albumin as standard. On the day of the experiment, the required volume of the membrane suspension is slowly thaweddiluted to 1: 20 with bi-distilled water stirred for 10 min centrifuged at 50,000 rpm for 10 min pellets are re-suspended in ice-cold incubation buffer, yielding a membrane suspension with a protein content of 1 mg/ml.
  • 28. Assay Saturation experiments Estimation of total binding: • 50ml 3H-SR 95531 • 50ml incubation buffer. Estimation of non-specific binding: • 50ml 3H-SR 95531 • 50ml (+) bicucculine (10-4M) Competition Experiments • 50ml 3H-SR 95531 • 50ml incubation buffer without or with non-labeled test drug
  • 29. • The binding reaction is started by adding membrane suspension per incubation sample. • The sample is incubated for 30min at 4oC. • The reaction is stopped and subjected to rapid vacuum filtration over glass fiber filters thereby, the membrane bound radioactivity is separated from free radioactivity. • Filters are washed with approximately 20ml ice cold rinse buffer (tris-Hcl, pH 7.4)/sample. • The membrane bound radioactivity is measured after addition of 2ml of liquid scintillation cocktail per sample in packard liquid scintillation counter.
  • 30. Evaluation • The following parameters are calculated : Total binding Non-specific binding • Specific binding = total binding-non specific binding
  • 31. • Ki = KD3H × IC50/KD3H + 3H • IC50 = concentration of the test drug, which inhibits 50% of specifically bound 3H-SR 95531 in the competition experiment. The Ki-value of the test drug is that concentration, at which 50% of the receptors are occupied by the test drug.
  • 32. HISTAMINE H3 RECEPTOR BINDING IN BRAIN PURPOSE AND RATIONALE • Histamine modulates its own synthesis and release from depolarized brain slices or synaptosomes by interacting with H3 auto-receptors with a pharmacology distinct from that of H1 and H2 receptors. The R-isomer of α- methyl histamine (α- MeHA) was identified as a highly selective H3-receptor agonist active at nano molar concentrations. Furthermore, this compound in 3H-labelled form is a suitable probe for the H3-receptor.
  • 33. PROCEDURE • The cerebral cortex from guinea pigs is dissected and homogenized in 50 volumes ice-cold 50 mM KH2PO4/Na2HPO4 buffer, pH 7.5, in a Potter homogenizer. • The homogenate is centrifuged for 15 min at 750 rpm. • The pellet is discarded and the supernatant centrifuged at 42 000 rpm for 15 min. • The supernatant is discarded and the pellet washed superficially with and then re-suspended in fresh buffer.
  • 34. • The protein concentration of the membrane suspension as determined. • Aliquots of the membrane preparation are incubated for 60 min at 25 °C with 3H(R) α-MeHA and unlabeled substances in a final volume of 1 ml. • The assay is stopped by dilution with 2 × 3 ml ice- cold medium, followed by rapid filtration under vacuum over Millipore AAWP filters which are then rinsed twice with 5 ml of ice-cold medium. • Radioactivity retained on the filters is measured by liquid scintillation spectroscopy.
  • 35. EVALUATION • Specific binding is defined as the difference between total binding and binding in the presence of 10 μM unlabeled α-MeHA. IC50 values are calculated from the percent specific binding at each drug concentration. The Ki value may then be calculated by the Cheng- Prusoff equation: • Ki = IC50/ 1 + L / KD
  • 36. Reference • H. Gerhard Vogel, ‘Drug Discovery and Evaluation: Pharmacological Assays’, 3rd edition,585-613. • P.Mahamuni Sagar, S.S.Nipate, ‘Preclinical evaluation of anxiolytic agents: an overview’ “JOURNAL OF PHARMACEUTICAL RESEARCH AND OPININION” • Bourin Michel, ‘Animal models for screening anxiolytic-like drugs: a perspective’, NCBI, 2015.