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Published on: November 11, 2022
Probing the bradycardic drug binding receptor of HCN-encoded pacemaker channels
Yau-Chi Chan1, Kai Wang, Ka-Wing Au
1Division of Cardiology, Department of Medicine, Queen Mary Hospital, Li Ka Shing Faculty of Medicine, University of Hong Kong, Pokfulam, Hong Kong.
Insights
This study investigates the drug receptor site on HCN1 channels, crucial for heart pacing. Alanine scanning revealed specific residues in the inner pore vestibule are key for ZD7288 binding, informing antiarrhythmic drug design.
Area of Science:
- Cardiovascular Physiology
- Molecular Pharmacology
- Ion Channel Biophysics
Background:
- The hyperpolarization-activated, cyclic nucleotide-gated (HCN) channel family, particularly HCN1-4, is vital for cardiac pacing.
- Bradycardic agents targeting HCN channels, like ZD7288, are used clinically, but their precise binding site remains undefined.
Purpose of the Study:
- To elucidate the molecular structure of the ZD7288 drug receptor within HCN1 channels.
- To identify specific amino acid residues in the HCN1 channel pore that interact with ZD7288.
Main Methods:
- Systematic alanine scanning mutagenesis was performed on residues within the selectivity filter, P-S6 linker, and S6 pore vestibule of HCN1 channels.
- Heterologous expression of mutant HCN1 channels in HEK293 cells followed by patch-clamp electrophysiology to record ionic currents.
- Dose-response curves were generated to determine the half-blocking concentration (IC50) of ZD7288 for wild-type and mutant channels.
- Thermodynamic cycle analysis was employed to investigate energetic interactions between S6 residues.
Main Results:
- Mutations I348A, G349A, Y350A, G351A (P-loop), P355A, and V356A (P-S6 linker) abolished measurable currents.
- Wild-type HCN1 channels had an IC50 for ZD7288 of 25.8 µM.
- Mutations C347A, S357A, F378A, and V379A significantly increased the IC50 for ZD7288, indicating reduced drug sensitivity.
- Mutation M377A in the S6 region showed hypersensitivity to ZD7288 (IC50 = 5.1 µM), suggesting specific site interactions.
- Thermodynamic analysis revealed significant coupling energies between M377-F378 and F378-V379 residues.
Conclusions:
- Specific residues within the inner pore vestibule (S6 region) of HCN1 channels are critical for ZD7288 binding.
- The findings support a refined model of ZD7288 block within the HCN1 channel pore.
- This detailed understanding can guide the development of improved antiarrhythmic drugs and bioartificial pacemakers.
Abstract:
If (or Ih), encoded by the hyperpolarization-activated, cyclic nucleotide-gated (HCN1-4) channel gene family, contributes significantly to cardiac pacing. Bradycardic agents such as ZD7288 that target HCN channels have been developed, but the molecular configuration of their receptor is poorly defined. Here, we probed the drug receptor by systematically introducing alanine scanning substitutions into the selectivity filter (C347A, I348A, G349A, Y350A, G351A in the P-loop), outer (P355A, V356A, S357A, M358A in the P-S6 linker), and inner (M377A, F378A, V379A in S6) pore vestibules of HCN1 channels. When heterologously expressed in human embryonic kidney 293 cells for patch-clamp recordings, I348A, G349A, Y350A, G351A, P355A, and V356A did not produce measurable currents. The half-blocking concentration (IC50) of wild type (WT) for ZD7288 was 25.8+/-9.7microM. While the IC50 of M358A was identical to WT, those of C347A, S357A, F378A, and V379A markedly increased to 137.6+/-56.4, 113.3+/-34.1, 587.1+/-167.5, and 1726.3+/-673.4microM, respectively (p<0.05). Despite the proximity of the S6 residues studied, M377A was hypersensitive (IC50=5.1+/-0.7microM; p<0.05) implicating site specificity. To explore the energetic interactions among the S6 residues, double and triple substitutions (M377A/F378A, M377A/V379A, F378A/V379A, and M377A/F378A/V379A) were generated for thermodynamic cycle analysis. Specific interactions with coupling energies (deltadeltaG)>1kT for M377-F378 and F378-V379 but not M377-V379 were identified. Based on these new data and others, we proposed a refined drug-blocking model that may lead to improved antiarrhythmics and bioartificial pacemaker designs.
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