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Published on: November 6, 2018
BK channels play a counter-adaptive role in drug tolerance and dependence
Alfredo Ghezzi1, Jascha B Pohl, Yan Wang
1Section of Neurobiology and The Waggoner Center for Alcohol and Addiction Research, University of Texas, Austin, TX 78712, USA.
Abstract:
Disturbance of neural activity by sedative drugs has been proposed to trigger a homeostatic response that resists unfavorable changes in net cellular excitability, leading to tolerance and dependence. The Drosophila slo gene encodes a BK-type Ca(2+)-activated K(+) channel implicated in functional tolerance to alcohol and volatile anesthetics. We hypothesized that increased expression of BK channels induced by these drugs constitutes the homeostatic adaptation conferring resistance to sedative drugs. In contrast to the dogmatic view that BK channels act as neural depressants, we show that drug-induced slo expression enhances excitability by reducing the neuronal refractory period. Although this neuroadaptation directly counters some effects of anesthetics, it also causes long-lasting enhancement of seizure susceptibility, a common symptom of drug withdrawal. These data provide a possible mechanism for the long-standing counter-adaptive theory for drug tolerance in which homeostatic adaptations triggered by drug exposure to produce drug tolerance become counter-adaptive after drug clearance and result in symptoms of dependence.
Insights
Sedative drugs can alter neural activity, prompting a homeostatic response. In Drosophila, increased BK channels (slo gene) from drug exposure enhance excitability, contributing to tolerance and dependence.
Area of Science:
- Neuroscience
- Pharmacology
- Genetics
Background:
- Sedative drugs disrupt neural activity, potentially triggering homeostatic mechanisms.
- The Drosophila slo gene encodes BK-type Ca(2+)-activated K(+) channels, linked to tolerance to alcohol and anesthetics.
Purpose of the Study:
- To investigate if increased BK channel expression is a homeostatic adaptation conferring resistance to sedative drugs.
- To explore the role of BK channels in neuronal excitability and drug dependence.
Main Methods:
- Utilized Drosophila as a model organism.
- Examined the effects of drug-induced slo gene expression on neuronal excitability and seizure susceptibility.
Main Results:
- Contrary to the view of BK channels as neural depressants, drug-induced slo expression enhances neuronal excitability by shortening the refractory period.
- This neuroadaptation confers resistance to anesthetics but increases long-lasting seizure susceptibility.
Conclusions:
- Drug-induced BK channel expression represents a homeostatic adaptation contributing to sedative drug tolerance.
- This adaptation may explain the counter-adaptive theory of drug dependence, where tolerance mechanisms lead to withdrawal symptoms.
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