XB-ART-53299
Nat Commun
2015 Sep 03;6:8116. doi: 10.1038/ncomms9116.
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Atomic basis for therapeutic activation of neuronal potassium channels.
Kim RY, Yau MC, Galpin JD, Seebohm G, Ahern CA, Pless SA, Kurata HT.
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Retigabine is a recently approved anticonvulsant that acts by potentiating neuronal M-current generated by KCNQ2-5 channels, interacting with a conserved Trp residue in the channel pore domain. Using unnatural amino-acid mutagenesis, we subtly altered the properties of this Trp to reveal specific chemical interactions required for retigabine action. Introduction of a non-natural isosteric H-bond-deficient Trp analogue abolishes channel potentiation, indicating that retigabine effects rely strongly on formation of a H-bond with the conserved pore Trp. Supporting this model, substitution with fluorinated Trp analogues, with increased H-bonding propensity, strengthens retigabine potency. In addition, potency of numerous retigabine analogues correlates with the negative electrostatic surface potential of a carbonyl/carbamate oxygen atom present in most KCNQ activators. These findings functionally pinpoint an atomic-scale interaction essential for effects of retigabine and provide stringent constraints that may guide rational improvement of the emerging drug class of KCNQ channel activators.
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GM106569 NIGMS NIH HHS , MOP-97988 Canadian Institutes of Health Research , U54 GM087519 NIGMS NIH HHS , GM087519 NIGMS NIH HHS , R01 GM106569 NIGMS NIH HHS
Species referenced: Xenopus laevis
Genes referenced: kcnq2 kcnq3 mt-tr trna
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Figure 1. Multiple retigabine molecules modulate KCNQ2 and KCNQ3 channel subunits via an S5 Trp side chain.(a,b) Conductance–voltage relationships for (a) KCNQ2 (n=3) and KCNQ2[Trp236Phe] (n=6), and (b) KCNQ3* (n=5) and KCNQ3*[Trp265Phe] (n=3) homomeric channels along with indicated mutants (retigabine concentration of 100 μM). (c) Conductance–voltage relationships for heteromeric combinations of KCNQ2 and KCNQ3 (1:1 ratio of injected mRNA, with or without Trp→Phe mutations as indicated, n=5 for each combination), used to generate channels with reduced numbers of retigabine binding sites. (d) Summary of V1/2 shifts in saturating 100 μM retigabine for mutations of KCNQ2 Trp236 and KCNQ3 Trp265 as indicated (*P<0.05 in a paired Students t-test comparing control versus 100 μM retigabine in each experimental oocyte, n=3–6 per mutant). Only a Trp at either position is sufficient for retigabine sensitivity. (e) Exemplar currents of KCNQ3* and KCNQ3*[Trp265Phe] mutant coexpressed with CiVSP, illustrating that the Trp side chain responsible for retigabine sensitivity is not required for PIP2 sensitivity. (f) Summary data of tail current magnitude (−20 mV) after prepulses to a range of voltages, in oocytes expressing KCNQ3* (n=5) or KCNQ3*[Trp265Phe] (n=5) channels, along with CiVSP. In all panels, error bars represent s.e.m. |
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Figure 2. Nonsense suppression for amino-acid incorporation in KCNQ3* channels.(a) Schematic diagram of the nonsense suppression method, in which mRNA (with a stop codon at Trp265) and amino-acylated tRNA are co-injected into Xenopus oocytes. Incorporation of the unnatural amino acid enables readthrough of the stop codon and expression of functional channels. (b) Current magnitudes in oocytes injected with KCNQ3*[Trp265TAG] mRNA and either an unconjugated tRNA (pdCpA; n=5) or tRNA amino-acylated with Trp (n=8, *P<0.05, Student's t-test). (c) Activation kinetics of KCNQ3* (n=5) and KCNQ3*[Trp265TAG] (n=8) channels rescued with Trp, in the presence or absence of 100âμM retigabine (*P<0.05, Student's t-test). (dâf) Exemplar currents from oocytes injected with KCNQ3*[Trp265TAG] mRNA, and indicated synthetic tRNAs. (g) Conductanceâvoltage relationships for Trp-rescued KCNQ3*[Trp265TAG] (n=8), with retigabine response, illustrating faithful incorporation of the desired side chain at position 265. For KCNQ3* channels V1/2=â44±1âmV, k=7.5±0.5âmV; for Trp-rescued KCNQ3*[Trp265TAG] V1/2=â43±2âmV, k=7.9±0.5âmV (± indicates s.e.). Error bars throughout represent s.e.m. |
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Figure 3. The position of the Trp 265 indole nitrogen is essential for retigabine sensitivity.(a) Chemical structures of Trp and Ind side chains, illustrating the subtle change in the position of the indole nitrogen atom. (b) Exemplar currents elicited from a Xenopus oocyte with Ind-rescued KCNQ3*[Trp265TAG] channels illustrating retigabine insensitivity. (c) Current magnitudes in oocytes injected with KCNQ3*[Trp265TAG] mRNA and either an unconjugated tRNA (pdCpA; n=5) or tRNA amino-acylated with Ind (n=7, *P<0.05, Student's t-test). (d) Conductanceâvoltage relationships for Ind-rescued KCNQ3*[Trp265TAG], in the presence and absence of retigabine, illustrating the importance of the correct positioning of the NâH group. For KCNQ3*[Trp265Trp], V1/2=â43±2âmV, k=7.9±0.5âmV; for KCNQ3*[Trp265Ind], V1/2=â48±2âmV, k=7.3±0.6âmV (no statistical significance, ±indicates s.e.). (e) Activation kinetics for KCNQ3*[Trp265Ind] measured at â20âmV in the presence and absence of 100âμM retigabine (n=7, no statistical significance). In all panels, error bars represent s.e.m. |
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Figure 4. The polarity of the Trp265 indole nitrogen modulates retigabine sensitivity.(a) Chemical structures of Trp (with ring positions labelled) and F3-Trp, accompanied by colorimetric representations of electrostatic surface potentials. (b) Current magnitudes in oocytes injected with KCNQ3*[Trp265TAG] mRNA and either an unconjugated tRNA (pdCpA; n=5) or tRNA amino acylated with F3-Trp (n=12, *P<0.05, Student's t-test). (c) Exemplar currents from F3-Trp-rescued KCNQ3*[Trp265TAG] channels in the presence and absence of retigabine. (d) Conductanceâvoltage relationships illustrating the effects of 1âμM retigabine on Trp-rescued (n=12) and F3-Trp-rescued KCNQ3*[Trp265TAG] (n=12) channels. (e) Activation kinetics (â20âmV) for F3-Trp-rescued channels (n=3), in the presence and absence of 100âμM retigabine (*P<0.05, Student's t-test). (f) Concentrationâresponse curves for retigabine effects on numerous fluoro-Trp analogues (n=9â12 per Trp analogue) substituted at position Trp265, illustrating enhanced retigabine potency with increased fluorination. (g) Conductanceâvoltage relationships with indicated retigabine concentrations on a KCNQ3 mutant (Asn220Cys, n=4) with an intrinsic hyperpolarizing shift in gating. Conductanceâvoltage relationships for F3-Trp substituted at Trp265TAG are shown for comparison. (h) Concentrationâresponse curves for retigabine effects on KCNQ3* (n=5) and KCNQ3*[Asn220Cys] (n=4) channels. In all panels, error bars represent s.e.m. |
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Figure 5. Detailed characterization of secondary retigabine binding residues and alternative binding site orientations.(a) Conductance–voltage relationships were gathered for the indicated KCNQ3* mutant channels (n=4–6 per mutant), in 0, 100 or 300 μM retigabine. (b) Maximal ΔV1/2 in 300 μM retigabine measured in each mutant channel. Error bars in a,b represent s.e.m. (c) Retigabine was docked into a molecular model of the pore-forming domain of KCNQ3 (see ref. 19). Two orientations are shown with the carbamate group in either the vicinity of Leu314 (‘original' model) or Trp265 (‘flip' model). The two binding models are superimposed in the ‘overlay', showing the similar space occupied by both drug orientations. |
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Figure 6. ML-213 exhibits a stronger electrostatic surface potential and higher potency than retigabine for KCNQ3* activation.(a,b) Chemical structures and electrostatic surface potentials for retigabine and ML-213. Note the increased negative surface potential in the vicinity of the carbonyl oxygen atom in ML-213. The scale for electrostatic surface potential representation is red: −80 kcal, yellow: 0 kcal, blue: +80 kcal. (c) Concentration–response curves for retigabine and ML-213 (n=5) effects on KCNQ3* channels (n=5). Error bars represent s.e.m. |
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Figure 7. Effects of retigabine analogues correlate with electrostatic surface potential.(a) Chemical structures and electrostatic surface potentials for a series of retigabine analogues. All structures and surface potential maps have been aligned on the basis of the location of the conserved amide-ester bond—note the gradient of the intensity of the negative surface potential around the carbonyl oxygen atom (scaling is the same as in Fig. 6). (b) Summary illustrating the EC50 of each drug on Trp-rescued, F3-Trp-rescued and Ind-rescued KCNQ3*[Trp265TAG] channels (n=4–9 per data point), and the maximal efficacy (ΔV1/2) of each drug in F3-Trp and Trp-rescued channels (effects on Ind-rescued channels are minimal and thus have been omitted). Error bars represent s.e.m. |
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Figure 8. Diverse structures of KCNQ openers.Multiple structures of KCNQ channel openers are presented to highlight the overall features of an amide group flanked by various ring structures. Our findings highlight the importance of the amide carbonyl for interaction with KCNQ3 Trp 265 and likely equivalent positions in KCNQ2, 4 and 5. Drugs depicted are (a) retigabine, (b) ztz-240 (described in ref. 24), (c) acrylamide (s)-1, (d) BMS-204352 and (e) an unnamed experimental drug described in ref. 43. |
References [+] :
Beene, Unnatural amino acid mutagenesis in mapping ion channel function. 2003, Pubmed , Xenbase
Bentzen, The acrylamide (S)-1 differentially affects Kv7 (KCNQ) potassium channels. 2006, Pubmed , Xenbase
Blackburn-Munro, Retigabine: chemical synthesis to clinical application. 2005, Pubmed
Boehlen, The new KCNQ2 activator 4-Chlor-N-(6-chlor-pyridin-3-yl)-benzamid displays anticonvulsant potential. 2013, Pubmed , Xenbase
Brodie, Efficacy and safety of adjunctive ezogabine (retigabine) in refractory partial epilepsy. 2010, Pubmed
Brodie, Antiepileptic drug therapy the story so far. 2010, Pubmed
Burley, Aromatic-aromatic interaction: a mechanism of protein structure stabilization. 1985, Pubmed
Cao, Rescue of homeostatic regulation of striatal excitability and locomotor activity in a mouse model of Huntington's disease. 2015, Pubmed
Deutsch, Intracellular pH as measured by 19F NMR. 1987, Pubmed
Dougherty, Cation-pi interactions in chemistry and biology: a new view of benzene, Phe, Tyr, and Trp. 1996, Pubmed
Gallivan, Cation-pi interactions in structural biology. 1999, Pubmed
Gao, Isoform-specific prolongation of Kv7 (KCNQ) potassium channel opening mediated by new molecular determinants for drug-channel interactions. 2010, Pubmed
Jepps, One man's side effect is another man's therapeutic opportunity: targeting Kv7 channels in smooth muscle disorders. 2013, Pubmed
Klassen, Exome sequencing of ion channel genes reveals complex profiles confounding personal risk assessment in epilepsy. 2011, Pubmed
Kwan, Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. 2010, Pubmed
Lacroix, Intermediate state trapping of a voltage sensor. 2012, Pubmed , Xenbase
Lange, Refinement of the binding site and mode of action of the anticonvulsant Retigabine on KCNQ K+ channels. 2009, Pubmed , Xenbase
Li, Pathogenic plasticity of Kv7.2/3 channel activity is essential for the induction of tinnitus. 2013, Pubmed
Luszczki, Third-generation antiepileptic drugs: mechanisms of action, pharmacokinetics and interactions. 2009, Pubmed
Lutas, The ketogenic diet: metabolic influences on brain excitability and epilepsy. 2013, Pubmed
Main, Modulation of KCNQ2/3 potassium channels by the novel anticonvulsant retigabine. 2000, Pubmed , Xenbase
Martyn-St James, The efficacy and safety of retigabine and other adjunctive treatments for refractory partial epilepsy: a systematic review and indirect comparison. 2012, Pubmed
Miceli, Molecular pharmacology and therapeutic potential of neuronal Kv7-modulating drugs. 2008, Pubmed
Mitcheson, A structural basis for drug-induced long QT syndrome. 2000, Pubmed , Xenbase
Murata, Phosphoinositide phosphatase activity coupled to an intrinsic voltage sensor. 2005, Pubmed , Xenbase
Nowak, In vivo incorporation of unnatural amino acids into ion channels in Xenopus oocyte expression system. 1998, Pubmed , Xenbase
Orhan, Retigabine/Ezogabine, a KCNQ/K(V)7 channel opener: pharmacological and clinical data. 2012, Pubmed
Otto, Effects of the anticonvulsant retigabine on cultured cortical neurons: changes in electroresponsive properties and synaptic transmission. 2002, Pubmed
Pati, Pharmacoresistant epilepsy: from pathogenesis to current and emerging therapies. 2010, Pubmed
Peretz, A tale of switched functions: from cyclooxygenase inhibition to M-channel modulation in new diphenylamine derivatives. 2007, Pubmed
Peretz, Targeting the voltage sensor of Kv7.2 voltage-gated K+ channels with a new gating-modifier. 2010, Pubmed
Pless, Molecular basis for class Ib anti-arrhythmic inhibition of cardiac sodium channels. 2011, Pubmed
Pless, A novel mechanism for fine-tuning open-state stability in a voltage-gated potassium channel. 2013, Pubmed , Xenbase
Pless, Hydrogen bonds as molecular timers for slow inactivation in voltage-gated potassium channels. 2013, Pubmed
Porter, Retigabine. 2007, Pubmed
Sander, Retigabine, a K(V)7 (KCNQ) potassium channel opener, attenuates L-DOPA-induced dyskinesias in 6-OHDA-lesioned rats. 2012, Pubmed
Sanguinetti, Physicochemical basis for binding and voltage-dependent block of hERG channels by structurally diverse drugs. 2005, Pubmed
Schenzer, Molecular determinants of KCNQ (Kv7) K+ channel sensitivity to the anticonvulsant retigabine. 2005, Pubmed , Xenbase
Shah, Molecular correlates of the M-current in cultured rat hippocampal neurons. 2002, Pubmed
Strutz-Seebohm, Structural basis of slow activation gating in the cardiac I Ks channel complex. 2011, Pubmed , Xenbase
Tatulian, Activation of expressed KCNQ potassium currents and native neuronal M-type potassium currents by the anti-convulsant drug retigabine. 2001, Pubmed
Wickenden, Characterization of KCNQ5/Q3 potassium channels expressed in mammalian cells. 2001, Pubmed , Xenbase
Wickenden, Retigabine, a novel anti-convulsant, enhances activation of KCNQ2/Q3 potassium channels. 2000, Pubmed
Wilcox, Issues related to development of new antiseizure treatments. 2013, Pubmed
Wu, Synthesis and structure-activity relationship of acrylamides as KCNQ2 potassium channel openers. 2004, Pubmed , Xenbase
Wua, Recent developments on KCNQ potassium channel openers. 2005, Pubmed
Xiong, Activation of Kv7 (KCNQ) voltage-gated potassium channels by synthetic compounds. 2008, Pubmed
Xiong, Zinc pyrithione-mediated activation of voltage-gated KCNQ potassium channels rescues epileptogenic mutants. 2007, Pubmed
Yellen, Ketone bodies, glycolysis, and KATP channels in the mechanism of the ketogenic diet. 2008, Pubmed
Yu, Discovery, Synthesis, and Structure Activity Relationship of a Series of N-Aryl- bicyclo[2.2.1]heptane-2-carboxamides: Characterization of ML213 as a Novel KCNQ2 and KCNQ4 Potassium Channel Opener. 2011, Pubmed
Zaika, Determinants within the turret and pore-loop domains of KCNQ3 K+ channels governing functional activity. 2008, Pubmed
