30th Nov - Drug action at Ion Channels II Flashcards

1
Q

Describe the nicotonic receptor superfamily

A

Cys-loop receptors
Assemble as a pentamer of subunits and TM2 forms the pore and is important for ion selectivity
Anion selective inhibitory receptors activated by GABA or glycine
Contain selective excitatory receptors activated by ACH of 5HT

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2
Q

Describe Cys loop receptors

A

Contain a signature extracellular sequence of 13 aa flanked by cysteines which form covalent bonds
Cys loop forms a closed loop between the ligand binding domains and channel domains

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3
Q

Describe nicotonic acetylcholine receptors

A

They are an archetypical member of the cys-loop family

2 acetylcholine molecules are required to activate it

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4
Q

How was the structure of nicotonic acetylcholine receptors derived?

A

EM images of purified ACh receptors from torpedo electric rays

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5
Q

How was the structure of the serotonin receptor modelled?

A

Using the EM model of the nicotonic ACh receptor and the crystal structure of AChBP

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6
Q

What is the key residue in a serotonin receptor for binding serotonin?

A

Y141

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7
Q

What is AChBP?

A

A protein secreted by garden pond snails which binds to ACh and has 25% sequence identity to nicotonic acetylcholine receptors

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8
Q

Why was it difficult to derive the structure of the serotonin receptor?

A

Crystallising large membrane proteins is impossible

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9
Q

How was the structure of the serotonin receptor derived?

A

Used the VHH domain of the camel heavy chain antibody to develop a nanobody which stabilises the receptor allowing crystallisation

  1. Made antibodies to the serotonin receptor to be used as crystallisation chaperones
  2. Expressed serotonin receptors in a human cell line
  3. Purified the serotonin receptor
  4. Split the receptor by trypsin proteolysis
  5. Crystallised the fragments with the nanobody/VHH chaperone
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10
Q

What is a Nanobody?

A

A single domain antibody which is able to selectively bind to an antigen

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11
Q

How was the subunit configuration of the serotonin receptor elucidated?

A

Used a whole cell recording to identify how different subunit compositions affected the whole cell recording.

A+B receptors were less potent than A homomers. B-E homomers do not form functional channels thus the A subunit must be present for the ion channel to function

A+C-E do not form functional channels

therefore the configuration was 2A:3B to form the channel

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12
Q

Are 5HT3a receptors inward rectifying?

A

Yes

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13
Q

Why does the 5HT3A and 5HT3B homomer single channel conductance vary so much and how was it investigated?

A

To investigate this they developed chimeric receptors in which varying regions of the homomers were swapped.

This slowly narrowed down the region responsible. Was found that there are key differences in the HA region. Part of the intracellular loop between M3 and M4, 3Arginines are conserved in A but not in A+B. Altering these arginines can alter the A homomers conductance to be the same as the AB heteromer.

As these 3 arginines create a lot of positive charge in the intracellular loop barring the way for sodium entry

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14
Q

Outline the expression of serotonin receptors across the body

A

Brain - both pre and post synaptically
GI tract - expressed in enteric NS, the vagus nerve and released from enterochromaffin cells
Peripheral sensory neurons

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15
Q

How does the subunit distribution of the serotonin receptor vary in the gut?

A

Based on the different layers:
Myenteric plexus: A, C, D, E
Submucosal plexus: A, B, D
Mucosa: A, C, D, E

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16
Q

What would be the clinical role of serotonin receptor antagonists?

A
Ernesis (vomiting)
GI function (IBS)
17
Q

Give an example of a serotonin receptor antagonist

A

Alosetron
Ordansetron
Tropisetron

18
Q

Outline the vomiting reflex

A

Sights smells and emotions and GI tract signals –> vomiting centre
Labryinth, motion and vertigo and Toxins, cytotoxic drugs–> chemoreceptor trigger zone –> vomiting centre
Vominting centre –> retching and vomiting

19
Q

How can the Vomiting centre be activated?

A

Vomiting reflex can be triggered from the chemoreceptor trigger zone - high levels of serotonin receptor expression, not protected by the BBB so it can detect toxins in the blood. The chemoreceptor trigger zone releases serotonin in the neuro-circuitry linking to the vomiting centre to trigger vomiting

Vomiting reflex can be initiated from the GI tract. Serotonin release from enterochromaffin cells of the intestinal mucosa stimulated by luminal stimuli, resutls in the stimulation of peripheral serotonin receptors on vagal afferants, this vagal afferants then stimulates the local release of serotonin in the vomiting centre triggering the vomiting reflex

20
Q

What is emesis a common side effect of?

A

Cytotoxic cancer treatment
Radiotherapy
General anaesthetics leading to postoperative nausea
Opiods

21
Q

Give an example of a cytotoxic chemotherapy

A

Cisplatin

22
Q

How do serotonin receptor antagonists treat emesis?

A

Block the stimulation of the CTZ from any source and blocks the initiation of the vomiting reflex

23
Q

Give an example of an antidiarrheal

A

Alosetron

24
Q

What are the potential future uses of serotonin antagonists?

A

Anxiolytic- ondansetron has anxiolytic effects and serotonin receptor KO mice show anxiolytic behaviour

Cognitive function - ondansetron has been shown to improve memory for dementia patients

Analgesic