Norfluoxetine inhibits TREK-2 K2P channels by multiple mechanisms including state-independent effects on the

Peter Proks1,2, Marcus Schewe3, Linus J Conrad1,2

  • 1Clarendon Laboratory, Department of Physics, University of Oxford, Oxford, UK.

Insights

Norfluoxetine (NFx) affects both open and closed states of TREK K2P channels, influencing gating via multiple mechanisms unrelated to its charge. This reveals complex allosteric regulation of channel activity.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Biophysics

Background:

  • TREK subfamily of two-pore domain K+ (K2P) channels are modulated by antidepressants like fluoxetine.
  • Norfluoxetine (NFx), a metabolite of fluoxetine, inhibits TREK channels, offering insights into channel gating and selectivity filter function.
  • The exact mechanisms of NFx inhibition and its interaction with TREK channel conformations remain unclear.

Purpose of the Study:

  • To elucidate the precise mechanisms by which NFx inhibits TREK K2P channels.
  • To investigate the influence of NFx on channel gating, including open and closed states.
  • To determine the role of NFx's charge and interactions with agonists/voltage on channel activity.

Main Methods:

  • Single-channel electrophysiology to analyze TREK channel behavior.
  • Utilizing activators like 2-APB and ML335 to probe channel states.
  • Investigating the impact of NFx charge and voltage-dependent gating on filter function.

Main Results:

  • NFx affects both open and closed states of TREK channels, demonstrating state-dependent inhibition.
  • Channel activation by 2-APB can occur while the channel remains in a 'down' conformation.
  • NFx inhibition is independent of its positive charge but influenced by agonists and intrinsic voltage-dependent filter gating.
  • NFx modulates the equilibrium between channel conformations and directly impacts filter gating.

Conclusions:

  • NFx exerts complex, multimodal regulation on TREK K2P channel gating.
  • Inhibition mechanisms involve altering conformational equilibria and directly influencing filter gating.
  • These findings deepen the understanding of allosteric modulation in TREK channels and their polymodal regulation.

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