Abstract
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Br J Pharmacol. 2025 May;182(9):1930-1956. doi: 10.1111/bph.17457. Epub 2025 Jan 31.
Advancing Alzheimer’s disease pharmacotherapy: efficacy of glucocorticoid modulation with dazucorilant (CORT113176) in preclinical mouse models.
Canet G(1)(2), Zussy C(1), Vitalis M(1), Morin F(2), Chevallier N(1), Hunt H(3), Claeysen S(4), Blaquière M(4), Marchi N(4), Planel E(2), Meijer OC(5), Desrumaux C(1)(6), Givalois L(1)(2)(7).
Author information: (1)MMDN, Univ Montpellier, EPHE-PSL, INSERM, Montpellier, France. (2)Faculty of Medicine, Department of Psychiatry and Neurosciences, CR-CHUQ, Laval University, Québec City, Quebec, Canada. (3)Corcept Therapeutics, Menlo Park, California, USA. (4)IGF, Univ Montpellier, CNRS, INSERM, Montpellier, France. (5)Einthoven Laboratory, Department of Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, The Netherlands. (6)LIPSTIC LabEx, Dijon, France. (7)CNRS, Paris, France.
BACKGROUND AND PURPOSE: Exposure to chronic stress and high levels of glucocorticoid hormones in adulthood has been associated with cognitive deficits and increased risk of Alzheimer’s disease (AD). Dazucorilant has recently emerged as a selective glucocorticoid receptor (NR3C1) modulator, exhibiting efficacy in counteracting amyloid-β toxicity in an acute model of AD. We aim to assess the therapeutic potential of dazucorilant in reversing amyloid and tau pathologies through the inhibition of glucocorticoid receptor pathological activity, and providing additional evidence for its consideration in AD treatment. EXPERIMENTAL APPROACH: The efficacy of dazucorilant was evaluated in two transgenic mouse models of amyloid pathology. The slowly progressing J20 and the aggressively pathological 5xFAD mice. Behavioural analysis was conducted to evaluate welfare, cognitive performances and anxiety levels. The activity of the glucocorticoid receptor system, neuroinflammation, amyloid burden and tau phosphorylation were examined in