Spironolactone is an antagonist of NRG1-ERBB4 signaling and schizophrenia-relevant endophenotypes in mice

Michael C Wehr1, Wilko Hinrichs2, Magdalena M Brzózka3

  • 1Molecular and Behavioral Neurobiology, Department of Psychiatry, Ludwig Maximilian University of Munich, Munich, Germany michael.wehr@med.uni-muenchen.de moritz.rossner@med.uni-muenchen.de.

Insights

Spironolactone, an existing drug, effectively targets the NRG1-ERBB4 pathway implicated in schizophrenia. This study shows spironolactone ameliorates schizophrenia-like behaviors in mice by normalizing ERBB4 signaling.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Genetics

Background:

  • Enhanced Neuregulin 1 (NRG1)-ERBB4 signaling is a risk pathway in schizophrenia.
  • Mouse models of schizophrenia exhibit endophenotypes linked to this pathway, but effective treatments remain elusive.

Purpose of the Study:

  • To identify clinically applicable compounds that modulate NRG1-ERBB4 signaling for potential schizophrenia treatment.
  • To repurpose existing drugs for novel therapeutic applications in schizophrenia.

Main Methods:

  • A cell-based assay utilizing split TEV technology screened a library of clinically approved compounds.
  • Spironolactone was identified as an ERBB4 receptor inhibitor and further tested in pharmacological and biochemical assays.
  • Transgenic mice overexpressing Nrg1 type III were used to model schizophrenia endophenotypes.

Main Results:

  • Spironolactone treatment reverted Erbb4 hyperphosphorylation in Nrg1 type III transgenic mice, mirroring findings in schizophrenia patient brains.
  • Spironolactone ameliorated schizophrenia-relevant behavioral deficits in mice, including sensorimotor gating, hyperactivity, and working memory impairments.
  • Biochemical assays confirmed an ERBB4-mediated mechanism of action, with spironolactone increasing inhibitory postsynaptic currents.

Conclusions:

  • Spironolactone, a clinically safe drug, demonstrates potential as a novel therapeutic agent for schizophrenia by targeting the NRG1-ERBB4 pathway.
  • Drug repurposing of spironolactone offers a promising avenue for developing new treatment options for schizophrenia patients.