Description:
                
                Current 
State of the Art 
The Neuregulin/ErbB4 signaling pathway is involved in GABAergic 
neurotransmission, an important inhibitory neurotransmission that regulates 
several processes in the central nervous system including muscle tone. Aberrant 
GABAergic function has been implicated in Schizophrenia, Schizo-affective 
disorder and in Epilepsy. Clinically overlap has been observed in the 
development of Schizophrenia, Schizo-affective Disorder and Epilepsy. In some 
cases treatments for one disorder can cause symptoms of the other. This implies 
common pathways intertwine in the development of these diseases, implying that 
therapies can be designed to treat one or all disease states. Further, the 
Neuregulin/ErbB4 pathway is dependent on down-regulation of AMPA signaling, an 
anti-epileptic target, to function properly. 
 
Abbott 
Laboratories, Cephalon, GlaxoSmithKline, Johnson & 
Johnson, Novartis AG, Pfizer, Sanofi-Aventis SA, Shire, and UCB Pharma contributes to the antiepileptic market which generated $12 
billion in 2008. Anti-epileptic drugs including Lyrica and Neurontin (Pfizer), 
Topamax (J&J) and Keppra (UCB Pharma) comprise ~65% of the total 2008 
market. 
 
Schizophrenia affects ~ 1.1% of the adult population in the U.S. 
The global schizophrenia market was valued at $15.9 billion in 2008 which is 
expected to reach $17.2 billion by 2015. Therapeutics for patients suffering 
from Schizophrenia include Fanapt (iloperidone) from Novartis and Zyprexia 
Relprevv (olanzapine) from Eli Lilly.
 
Disadvantages 
with the Current Art
Mouse models available for studies in Schizophrenia, 
Schizo-affective disorder and Epilepsy include those that manipulate specific 
candidate genes, those thought to be causative of the disorder. In some cases 
these models only reveal discreet parts of the disease etiology or progression 
and do not represent the entirety of the symptoms. The most useful appear to be 
those that chemically and/or surgically manipulate the animal model to mimic the 
disorders. Although fruitful for therapeutic discoveries these cannot always be 
used to identify therapeutics that can treat a patient with an underlying 
genetic disorder.
 
Advantages 
of the Invention 
Dr. Lin Mei and co-workers have developed a mouse model system 
where Neuregulin1/ErbB4 function is disrupted specifically in 
parvalbumin-positive synapses. PV-positive cells represent GABAergic 
interneurons responsible for the neurological output of pyramidal cells. 
Pyramidal neurons are the primary and most numerous excitation units of the 
mammalian prefrontal cortex and the corticospinal 
tract. This suggests that pyramidal cells 
play important roles in advanced cognitive functions and muscle tone. Mice in 
this model system displayed symptoms of hyperactivity, impaired working memory 
and deficits in prepulse inhibition, similar to other models for Schizophrenia. 
 
Patent 
Status: 
 
Inventor: 
 Lin 
Mei, PhD
 
Case 
Number: 
GHSU 2010-021