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MOLECULAR
and
Experimental
Therapeutics
39:691-696
PHARMACOLOGY,
ACCELERA
for Pharmacology
reserved.
TED
COMMUNICATION
PUIA,
STEFANO
VICINI,
PETER
H. SEEBURG,
Fidia-Georgetown
Institute for the Neurosciences,
Georgetown
Center for Molecular
Biology, University
of Heidelberg,
D6900
Received
November
and ERMINIO
University
Heidelberg
of
COSTA
School of Medicine,
FRG (P.H.S.)
Washington
DC 20007
and
SUMMARY
y-Aminobutyric
acid
rat cortical
neurons
(GABA)-activated
and in cultured
configuration.
C1 currents
in neonatal
cells engineered
for the
a,
was
equally
efficacious
receptors
except
tor
The
GABAA
in
mammalian
receptor
brain;
is the most
this
receptor
abundant
has
inhibitory
recep-
a heteropolymeric
structure
that forms
a Cl channel
(1). To date,
12 distinct
receptor
subunits
have been identified
(six a, three 13, two y,
and one 5) (2-10).
The biophysical
properties
of receptors
assembled
from a number
of subunit
combinations
have been
defined
(11).
GABA binding
to its specific
recognition
site on the GABAA
receptor
opens
the ion channel
and allows
an inward
flow of
Cl into the cell. This Cl current
can be regulated
both by
drugs and by endogenous
ligands
that act as positive
or negative
allosteric
modulators.
GABA
action
can be modified
by isosteric
receptor
antagonists,
which
are thought
to bind to the extracellular
domain
of the receptor.
Allosteric
modulation
is elicited
by two classes
of compounds,
those that act on the extracellular
domain
and those
that
act on the channel
domain
of the
a3,
or a5 subunits together with f1 and yl subunits.
The 13carboline
derivatives
methyl-6,7-dimethoxy-4-ethyl-fl-carboline3-carboxylate
(DMCM) and methyl-fi-carboline-3-carboxylate
(13CCM)
elicited
a positive
allosteric
modulation
of al /3lyl
or
a2/3l yl receptors,
whereas they acted as negative allostenc
modulators
at nearly all other receptors
tested,
as they do in
cortical neurons. Although
the positive
allostenc
modulation
by
13-carbolines
never exceeded a doubling of the GABA response,
a2,
receptor
(1), with
allosteric
both
classes
modulators.
The
including
positive
positive
modulators
and
negative
acting
on
the
extracellular
whereas
the
domain
negative
include
BZs,
modulators
tives.
positive
and
allosteric
These
the extracellular
ited
by
flumazenil
modulator
(12).
GABAA
receptor
allosteric
(1).
The
rates
and
lone
sulfate
13, 14).
The
presence
structure
modulators
within
to depend
of the
GABAA
only
BZ
is 4-chlorodiazepam,
resistant
bind
negative
domain
the
(4).
channel
steroid
hormone
and
picrotoxin)
on the
These
structural
compounds
but
or absence
can
known
its
In contrast,
and
derivatives)
to act
the
on
as negative
y2 subunit
action
the
effects
as positive
of the
on homopolymeric
in the
of positive
act
modulators
configuration
act
are inhib-
is flumazenil
or negative
allosteric
act
and
action
of the
influence
domain
also
modulators
receptor
of drugs
that
(barbitu(pregneno-
do not
receptor
appear
(3, 4,
receptors
ABBREVIATiONS:
GABAA receptor, type A -y-aminobutyric
acid receptor; DMCM, methyl-6,7-dimethoxy-4-ethyfi-carboIine-3-carboxylate;
GABA,
y-aminobutync
acid; fl-CCM, methyl-13-carboline-3-carboxylate;
zolpidem, N,N-6-tnmethyl-2-(4-methylphenyl)imidazo[1
,2-aJ-pyndine-3-acetamide
hemitartrate;
alpidem, N,N-dipropyl-6-chloro-2-(4-chlorophenyl)imidazo[1
,2-a]-pyndine-3-acetamidehemitartrate;
BZ, benzodiazepine; BC, fl-carboline;
IZ, imidazopyndine;
HEPES, 4-(2-hydroxyethyl)-1
-piperazineethanesulfonic
acid; EGTA, ethylene gycoI bis($-aminoethyl
ether)-N,N,N,Ntetraacetic
acid.
691
692
Pula ef al.
13, and
The activities
of BCs
require
a heteropolymeric
y subunits
and
BZs, including
4-chlostructure
containing
a,
(4, 12).
Recently,
the distinction
between
the
type
I and
type
II
classes
of BZs based
on binding
studies
(15) was shown
to be
related
to
different
However,
molecular
in situ
brain
areas
and
binding
the
assumption
BZ receptor
Our
three
present
BZs
studies
that
appears
of
studies
there
the
(5,
with
subunit
assemblies
heterogeneity
of
and
forms
hybridization
various
only
(16).
of different
GABAA
evidence
subunits
are
subunit
17-19)
receptor
two
natural
types
of
to be reductionistic.
studies
address
(diazepam,
the
pharmacological
clonazepam,
and
profiles
of
4-chlorodiazepam),
two
BCs
(DMCM
and f3-CCM),
and two IZs (alpidem
and zolpidem).
We describe
the effects
of subunit
compositions
of heteropolymeric
recombinant
GABAA
receptors
on the efficacy
and potency
of these
allosteric
of the allosteric
modulation
modulators
they elicit.
and
on the
cation
GABA
pipette
of dimethylsulfoxide
(0.01% in bath medium)
failed to modify
responses.
To avoid uncontrolled
drug leakage,
we kept the
outside
the bath before the pressure
injection
and brought
it
into proximity
with the recorded
celljust
before
drug application.
Drugs
were applied
for 5 sec between
two GABA pulses
delivered
every 10
sec. The maximal
Cl current
measured
from each cell was larger (>1
nA) than the test response
of 150-200
pA we used, indicating
that the
percentages
of potentiation
we observed
were far below the maximal
efficacy
of the system.
Current
traces were recorded
by a patch-clamp
amplifier
(EPC-7;
List Electronics),
filtered
at 1500 Hz (eight-pole
lowpass Bessel;
Frequency
Devices),
and recorded
on a chart
recorder
(Gould 26005) for off-line
analysis.
Often the GABA response
was greater
in cells adjacent
to those from
which currents
were being recorded.
This observation
might relate to
electrical
coupling
easier
were
performed
Primary
rons
culture
were
of
and Methods
cortical
neurons.
trypsin
(0.25
mg/ml;
35-mm
Nunc
dishes
rat cortical
neu-
(20). Briefly,
cells were dispersed
with
Sigma)
and plated at a density
of 0.8-1 x 106 on
that were coated
with poly-L-lysine
(10 tg/ml;
were maintained
in basal Eagles
medium,
10%
(GIBCO),
25 mM KCI, 2 mM glutamine
(Sigma),
(GIBCO),
for 1 to 3 weeks.
After
24 hr, the
Sigma).
The cultures
fetal bovine
serum
100 tg/ml
gentamicin
incubation
medium
was replaced
was added
to inhibit
replication
Culture
Neonatal
of kidney
and
1 gM cytosine
of nonneuronal
embryonic
cell
line
arabinofuranoside
eDNA
transfeetion.
Transformed
human
embryonic
kidney 293 cells (American
Type Culture Collection
no. CRL 1573) were grown in minimal
essential
medium
(GIBCO),
supplemented
with 10% fetal bovine
serum,
100 units/ml
penicillin
(GIBCO),
and 100 units/ml
streptomycin
(GIBCO),
in a 6%
CO2 incubator.
Exponentially
growing
cells were dispersed
with trypsin
and seeded
at 2 x iO cells/35-mm
dish, in 2 ml of culture
medium.
Transfection
was
performed
with
the
calcium
phosphate
precipitation
technique
(21). Human
(al, a2, a3, flu, -yi, and y2) and rat (aS) GABAA
receptor
subunit
cDNAs
singly inserted
into the eukaryotic
expression
vector pCIS2
(22) were used to perform
the transfections.
Cells were
incubated
in the presence
(3 gg/35-mm
dish) ofone or more supercoiled
plasmids
for 12-16
hr at 37, under
3% CO2. The medium
was removed,
and the cells were rinsed twice with culture
medium
and then incubated
in the same
medium
for 24 hr at 37, under
6% CO2, before electrophysiological
studies.
subunit
combinations:
a2fllyl,
a3fllyl,
Cells
and
were
the
whole-cell
microscope
(Zeiss
in
inverted
pipette
contained
mM HEPES-CsOH
KC1, 2 mM CaCl2,
adjusted
to 325
pH 4 with
positive
range,
in such
outward
a way
145
expressed
a3flly2,
the
following
a5fily2,
cultures
studied
with
of cortical
the
single-electrode
configuration
IM-35)
mM
CsC1,
neurons
at room
1 mM
on
the
temperature.
MgCl2,
stage
The
11 nM
M with
sucrose.
was applied
With
of
and
generated
a peak
in neurons
amplitude
of
in the
pA.
was
to
pulses
of
25-50
or transfected
150-200
10
5 mrsi
adjusted
30-msec
currents
an
recording
EGTA,
M in H2O,
with
iontophoretic
were
as to obtain
(0.5
by iontophoresis
GABA
currents
GABA
BZs
nA
cells
were
containing
of 0.01%.
of the
Drugs
cell
body,
dimethylsulfoxide
were
with
applied
at a maximal
by pressure
micropipettes
final
(2 to 4 psi),
of 5-10
gm
concentration
in the
diameter.
3 days
proximity
The
This
appli-
phenomenon
receptor
made
subunits.
it
Recordings
of transfection.
neurons
and
shown
in Fig.
diazepam
and
and
diazepam
of the positive
(both
at 10 zM)
on
of the
(i0
little
GABA
of
by
GABAA
receptors
are
records,
alpidem
and
toward
a5131y2
diazepam
mediated
by
diazepam
(Fig.
had
similarly
Diazepam
was
receptors,
much
greater
Alpidem
apas at native
different
concentrations
2) in cortical
low
and
in axflFy2
efficacy
at
a1f31y2,
a5/31y2,
and native
GABAA
receptors,
and its lowest
was at a5fl1y2
receptors.
Diazepam
efficacy
was nearly
greater
for the a3131-y2
assemblage
than
for a1131y2,
and
native
receptors,
an intermediate
mately
the same
and
a2f31-y2
a5f31y2
and
at a2/31y2
efficacy.
for the
receptors
receptor
The
native
(-.-50
(-4000
Differences
tuted
GABAA
receptors
expressed
efficacious
cacy
and
but
was
much
Zolpidem
chose
such
alpidem
between
ceptors
(Fig.
a5131y2
receptors.
3A)
but
failed
sensitivity
y 1 subunit.
lation
GABA
of the
expressing
did
alfll-y2,
Decreased
taming
the
in cells
for
the
reconstielicited
by
the
alf3Fy2
combination
as
a receptor
seems
to be frequently
clonazepam
receptors,
were equally
but their
effi-
subunit
was present
However,
a signifi-
potentiation
at the a3f3Fy2
receptors,
compared
receptors
(Duncan
test),
could
be observed.
and
in efficacy
greater
of 10 M, in cortical
a2f3Fy2,
a3f31y2,
or
considerably
when
the a2
greater
in a3fl1y2
receptors.
cantly
greater
with a1/31y2
showed
BZ efficacy
at various
Fig. 3A shows the effects
in brain
(18). Diazepam
and
in cortical
and in a1131-y2
increased
was even
diazepam
EC50 of diazepam
receptors
and
nM)
potency
3 times
a5f31y2,
nM).
in IZ and
receptors.
receptors.
We
point
because
and
of cortical
efficacy
and potency
of diazepam
We measured
the allosteric
modulation
response
M)
receptors
these
activity
receptors.
of diazepam
than
for other
receptors.
as efficacious
at a1f31y2
at a3f31y2
receptors.
in the
receptors.
receptors.
from
of facilitation
to 10
GABAA
reconstituted
evident
for a3flFy2
receptors
peared
to be nearly
receptors
and lower
on ax13ly2
effects
on native
very
extent
alpidem
modulatory
various
1. As
showed
the
a5131y2
reference
or cultures
voltage-clamp
(23),
(13).
a131y1,
mOs
HC1)
current.
analyzed
a2f31-y2,
Primary
cells
technique
were
cs5f.Thyl.
Eleetrophysiology.
of transfected
that
cr131-y2,
of
Differences
at ax131y2
cells.
and
within
cells
the GABAA
Results
Examples
alpidem
as described
prepared
293
direction
Action
Materials
between
show
yl
significant
to potentiate
by the
subunit
differences
a3f31y2,
to BZs and
We further
response
the
not
a2/3Fy2,
and
GABA
cortical
re-
responses
at
IZs at receptors
investigated
the
two
together
BZs
and
with
the
alfll,
conmodutwo
IZs
a2131,
Heterogenefty
Pharmacological
of GABAA Receptors
693
IJIIIIIIIIIIIIIIIIJIIIIIIIIHILIIILILIHLLLL
Cortex
alJ3ly2
a3f3 1y2
V Diazeparn
-Tin_mT
r-1-nl-mTmTrmTnTrffrnTn
-
yAlpidem
a513 ly2JlOOpA
10
Negative
receptors.
c(nM)
Cortex
so
a1l1Pr2
53
u2111fz
60
u3111Y2
a5l1lp2
140
4000
a3ly2
a2ly2
I-
zLU
-1
-7
Log
-6
-5
cs
behaved
as
receptors
containing
GABA
receptors.
response
in cells
expressing
a1131y1,
receptors
containing
a2131, a3$1,
or a5131
at
negative
GABAA
as 4-chlo-
the yl or y2
subunit
com-
decreased
GABA-actiand in all the recombiDMCM
and 13-CCM
modulators
in cortical
neurons
and
at
y2 subunit
but acted
as positive
modand
a2131-yl
receptors.
DMCM
was
more
the
alfllyl
efficacious
at ali3lyl
than
at a2f3Fyl
CCM
showed
a higher
efficacy
at
receptors;
a2fl1y1
than
13-
conversely,
at alfllyl
receptors.
At a3$1-yl
receptors,
fl-CCM
was a negative
modulator, whereas
DMCM
was almost
inactive.
DMCM
elicited
a
weak positive
modulation
at a5131yl receptors,
whereas
13-CCM
was inactive.
Thus, BC derivatives
might behave
as positive
or
negative
modulators
according
to the receptor
structure.
Fig. 5
shows
Fig. 2. Dose-dependent
potentiation by diazepam of GABA-evoked
C1
current in cortical cells and cells expressing cr1 131y2, a2$1 y2, cr3131 y2,
and a5131 y2 transfected
receptors. Each concentration
point is mean
standard error of six different cells. The ECse of each curve is shown in
the inset. The maximal potentiation values for the different receptors are
as follows: a5$1 y2, 1 1 0%; al$1 y2 and cortex, 120%; a2131 y2, 270%;
and a3131y2, 400%.
at recombinant
/3-CCM,
as well
(Fig.
4). 4-Chlorodiazepam
C
currents
in cortical
neurons
receptors
by 30-70%.
In contrast,
binations
ulators
ally2
Cortex
a5pj
a2$lyl,
modulatory
activity
The BCs DMCM
and
rodiazepam,
were tested
on
subunit
together
with
a1131,
vated
nant
potentiation
the
DMCM
and the
same
dose-dependent
positive
of GABA-activated
dose-dependent
drug
Cl
negative
of GABA-activated
Cl
allosteric
currents
allosteric
currents
modulation
in a1$1y1
by
receptors
modulation
by the
in al$1-y2
receptors.
Discussion
Recent
cloning
various
subunits
a search
for the
erogeneity.
Our
causes
a diversity
and IZ
currents.
structure
spite
acting
This
of the
of the
fact
of the cDNAs
encoding
for the mRNA
for
of the GABAA receptor
(2-10)
has prompted
functional
significance
of this structural
hetexperiments
show
that
this
heterogeneity
in the
pharmacological
profiles
of BZ,
as allosteric
modulators
of GABA-gated
diversity
may arise
from
differences
modulatory
that
differences
translational
modifications
underlie
some of the diversity
center
where
in the
of reconstituted
we observed,
these
drugs
stochiometry
receptors
we believe
BC,
in
Cl
the
act.
In
or post-
might
that our
694
Puia et a!.
500
400
a113172
Cortex
#{149}
a2131y2
C
300
a3131-y2
Cu
C
0)
0
a5131-y2
200
100
Diazepam
Clonazepam
Alpidem
Zolpidem
GABA
responses
of al/3ly1
a2f31y1,
a3131 yl
or a5$1 yl receptors.
Each
value is the mean standard error of 812 cells.
Subunit combinations showing
a significant (p < 0.05, Duncan test) difference
in potentiation of the GABA response, compared with that measured for
al$1 y2 receptors. Drug concentrations
in all experiments
were 1 0 PA.
,
400
alf3ly2
a1j3171
300
a21y1
C
a3171
200
.2
Cu
af3171
C
0)
0
a.
-100
Diazepam
results
in
are
a good
first
pharmacological
efficacy
the
the
not
Clonazepam
approximation
profiles
only
a subunit
y subunit.
of
changes
of structural
GABAA
in relation
BC derivatives
seems
Alpidem
Zolpidem
differences
receptors.
to the
The
form
of
insensitive
of
of
Ligand
dependent
on the type
of
V subunit.
Drug
potency
to be related
in
contrast
ligand
for the
was
studied
only
for
diazepam
to changes
in the molecular
form
the efficacy
of 4-chlorodiazepam,
and
of the
to
peripheral
BZ receptor
similar;
that
also
appeared
a subunit,
a selective
decreases
GABA-
4 -chlorodiazepam
transmembrane
the molecular
structure
of the modulatory
effect
to be markedly
molecular
be
drug
distinct
exist
domain
to flumazenil
binding
in the
brain.
or a2
or a3
more,
in those
the
(type
presence
rather
than
al
first
ent
BZ sensitivities
This
are
not
are
operative
suggests
in the
two
that
types
the
molecular
of allosteric
mechanisms
modulation
that
may
not
tional
II)
differences
GABAA
differences
that
but
Our
and
diazepam
to
via
the
to be
binding
also
expand
receptor
suggested
verify
on
type
have
been
either
al
the
This
relation
a3
not
repro-
(type
I)
Furtherby
subunit,
only
have
BZ type
existence
two
II (15),
facilitated
if the
subtypes
that
the
(16).
was
extent
was present.
distinct
at least
I and
subunits
a greater
results
that
type
receptor
or a2 subunits,
indication
uniform.
binding
receptors,
the
act
is known
indicated
termed
containing
of GABA
gated
Cr currents
in a manner
that is insensitive
to flumazenil
(12). Moreover,
the direction
of its modulatory
action
appeared
to be independent
of the molecular
form
of a and y subunits.
difference
have
receptors,
These
receptors
which
inhibiton.
of BZ
with
may
receptor,
experiments
classes
duced
modulation
of the
was
differ-
II receptors
of such
between
funcstruc-
Pharmacological
120
Heterogeneity
of GABAA
695
Receptors
alali2
Cortex
80
E:J
a2172
40
a3
172
a5
172
ferent
0)
subunit assemblies.
Drugs
at a concentration
of iO
Significant (p < 0.05, Duncan test)
ence relative to the effect on al
receptors.
Each value is an average
cells.
a1171
a2fl171
50
0
were
applied
a3jIlyl
PA.
differflu y2
of six
-40
a5j3171
-80
4-chlorodiazepam
f3-CCM
DMM
100
al1yl
C
0
expressing
a3131y2
potentiation
with
4.,
for a1f31y2
and a2fl1y2
likely,
GABAA
receptors
consist
of a heterogeneous
C-
receptors
actions
with
Our
CO
data
results
of zolpidemofprevious
for
a3
Fig. 5. Dose-response
to DMCM of GABA-evoked
Cl current in cells
and al flu yl transfected
receptors.
Each concentra-
expressing cr1131y2
tion point is mean standard
tural
heterogeneity
and functional
diversity
in the allosteric
modulation
of the GABAA receptor
by BZs, BCs, and IZs.
The extent
of GABA
activity
potentiation
by maximally
efficacious
doses
of diazepam
and clonazepam
(10 M)
was
similar
in rat cortical
neurons
expressing
native
receptors
and
in cells engineered
for the expression
of al13Fy2
and a5f31y2
receptors.
However,
both drugs were more efficacious
when
a2
substituted
for
al,
al.
the
diazepam
In fact,
of GABA
al/31y2
activity
or a5f31y2
and
even
more
so when
dose-response
in cortical
receptors
a3
curves
neurons
and
demonstrate
substituted
in cells
low
(10)
tors.
but
action
modulation
on
efficacies
certain
have
neity
GABAA
and
the
drugs
therapeutic
targeting
produced
ture,
potentiation
of
GABA
activity
in
cells
molecular
structure
was
investigated
in Xenopu.s
oocytes
(25).
sensitivity
BZ
subtypes
a preference
seem
to be located
the
relation
heteroge-
anxiolytic
to specific
and
between
for
GABAA
for certain
to BZs,
in
the -yl
cells.
implications
Differences
of
a positive
was described
of various
in
in astrog-
structural
to
-yl
was
modulation
(17-19),
responses
was
the
However,
by DMCM
drugs
the
conferring
be expressed
important
perhaps
of
IZs
negative
modulaor a3f31y1
recep-
and
IZ
the
there
might
potency
Recently,
pressed
with
and
carried
Furthermore,
receptor
subtypes,
diversity
the
shows
BZs
that
structures
have
of these
more
subunit.
of
receptor
and
may
are
support
(24), which
suggests
that
GABAA
receptors
of glial
between
efficacy
anxiogenic
both
is lacking.
brain
demonstrated
al
to elicit
a2131yl
response
in certain
cells
cultures
of astrocytes
may be present
in the
Because
we
3B).
study
these
and
zolpidem
the
by
combination
of the GABA
primary
subunit
preferentially
expressing
that
receptors
(Fig.
a complete
inter-
(7) aSshowing
is lower thatthan the foraffinity
a2 or
currents
of y2
a subunit
cells,
GABA
instead
these
drug
assemblages
and
GABAA
to
at
of the
by BZs
containing
of C
in
regard
subtypes.
for zolpidem
and alpidem
applied
to cells expressing
Such
hal
receptors
reduced
average
than
studies
containing
neurons
with
measured
subunit
IZs
receptors
for
modulation
tendency
tion when
for
for potentiation
similar
The
subunit
cells.
binding
receptors
affinity
markedly
an
receptor
by
in cortical
responses
certain
subunit-containing
highest
-100
that
to modulation
show
maximal
of this IZ was
population
reflect
GABAA
not
efficacy
receptors.
expressed
the
probably
suggest
susceptible
a in! y2
and
diverse
did
the
receptor
compositions,
native
Co
--4
Alpidem
receptors;
greatest
Very
subunit
.,-4
receptors.
a3flFy2
brain
BZs
GABAA
structures.
related
to
receptors
in molecular
our
the
receptor
reconstitution
the
ex-
struc-
696
Pula et a!.
model
and the
difference
Xenopus
between
cies differences
human).
might
oocytes
the
two
expression
in recombinant
be related
to the
systems
and/or
subunit
structures
Differences
intrinsic
to spe-
(rat
versus
Acknowledgments
Dr.
G. David
Lange
and
Dr.
Keith
Blockehurst
for
comments.
in the
negative
allosteric
modulation
of -y-aminobutyric
acid
receptors
elicited
by 4-chlorodiazepam
and by a fl-carboline-3-carboxylate
ester:
a study with natural
and reconstituted
receptors.
Proc. NatL Aced.
Sd.
USA 86:7275-7279
(1989).
13. Pritchett,
D. B., H. Sontheimer,
C. M. Gorman,
H. Kettenmann,
P. H.
Seeburg,
and P. R. Schofield.
Transient
expression
shows ligand gating and
allosteric
potentiation
of GABAA receptor
subunits.
Science
(Washington
D.
C.) 242:1306-1308
(1988).
14. Puia, G., M. R. Santi, S. Vicini, D. B. Pritchett,
R. H. Purdy,
S. M. Paul, P.
H. Seeburg, and E. Costa. Neurosteroids
act on recombinant
human GABA
receptors.
References
15. Sieghart,
receptors.
16.
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18.
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20.
21.
22.
23.
24.
25.
Neuron
4:759-765
(1990).
Send
reprint
Neurosciences,
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requests
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Georgetown
University
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