Overview
Nefiracetam (N-(2,6-dimethylphenyl)-2-(2-oxopyrrolidin-1-yl)acetamide, development code DM-9384) is a pyrrolidone-type racetam developed by Daiichi Seiyaku. It is one of the more extensively studied racetams at the cellular level, with work on neuronal calcium channels, nicotinic acetylcholine receptors, NMDA receptors and protein kinase signalling1,2,3,4.
Published research includes patch-clamp studies in cell lines and cultured neurons, hippocampal slice electrophysiology, rodent learning models and toxicology studies1,2,3,4,5,6. A randomised clinical trial in post-stroke apathy has also been registered and published7.
Mechanism of action
As described in the research literature
As described in the research literature, nefiracetam increased a long-lasting component of calcium channel currents in NG108-15 cells; the enhanced currents were reduced by the L-type blocker nifedipine and were absent after pertussis toxin treatment, suggesting regulation through inhibitory G proteins1. In rat cortical neurons in long-term culture, it potentiated alpha4beta2-type nicotinic acetylcholine receptor currents and only weakly inhibited alpha7-type currents; the potentiation was abolished by cholera toxin, pointing to Gs proteins2.
Later studies examined glutamatergic signalling. In rat cortical and hippocampal neurons, potentiation of NMDA receptor currents depended on protein kinase C activation and was accompanied by reduced voltage-dependent magnesium block3. In the rat hippocampal CA1 region, enhancement of long-term potentiation was associated with CaMKII and PKC-alpha activation and with phosphorylation of AMPA and NMDA receptors; protein kinase A activity was unaffected4. Several of these effects followed a bell-shaped concentration-response relationship1,2,3,4.
Research areas
What published studies have examined
Ion channels and nicotinic receptors
Whole-cell patch-clamp recordings examined calcium channel currents in NG108-15 cells1 and nicotinic acetylcholine receptor subtypes in cultured rat cortical neurons, including the involvement of protein kinases and G proteins2.
Sources [1] [2]
Glutamate receptors and synaptic plasticity
NMDA receptor currents, magnesium block and PKC-alpha phosphorylation were examined in cultured rat neurons3. Field EPSPs and long-term potentiation in rat hippocampal slices were studied alongside immunoblotting for CaMKII, PKC and their substrates4.
Sources [3] [4]
Amyloid-beta learning model
Rats with continuous central exposure to amyloid-beta (1-42) were tested in Y-maze, water maze and passive avoidance tasks, with choline acetyltransferase activity and monoamine turnover measured in brain tissue5.
Sources [5]
Toxicology and clinical study design
Comparative studies in rats, dogs and monkeys reported renal papillary necrosis in dogs only, and investigated a species-specific role for a metabolite (M-18) and renal prostaglandin synthesis6. A parallel-group, randomised, placebo-controlled, double-blind two-centre trial in post-stroke apathy used change on the 14-item Apathy Scale at 12 weeks as its primary efficacy parameter7.
Sources [6] [7]
Specifications
- Molecular formula
- C14H18N2O2
- Molecular weight
- 246.3 g/mol
- CAS number
- 77191-36-7
- Form
- Measured units with a stated amount per unit, 30 or 60 to a resealable foil pouch
- Storage
- Store in a cool, dry place in the sealed pouch, away from direct light.
- Solubility and reconstitution
- Supplied ready to use: each unit is pre-measured, so no reconstitution is required.
References
- 1
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- 3
Nefiracetam potentiates N-methyl-D-aspartate (NMDA) receptor function via protein kinase C activation and reduces magnesium block of NMDA receptor.
Moriguchi S, Shioda N, Maejima H, et al. Molecular Pharmacology, 2007.
PubMed 17095583 ↗DOI 10.1124/mol.106.027607 ↗
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