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Vol. 55, Issue 1, 102-108, January 1999
Department of Anesthesia and Critical Care, Massachusetts General
Hospital, Boston, Massachusetts
Ethanol enhances the gating of a family of related ligand-gated
ion channels including nicotinic acetylcholine, serotonin type 3,
-aminobutyric acid-A, and glycine receptors. This common action may reflect shared molecular and kinetic mechanisms. In all of
these receptors, ethanol enhances multichannel currents elicited with
low agonist concentrations, but not with high agonist concentrations. A
single mutation in the nicotinic receptor
subunit,
T263I, causes
ethanol to enhance multichannel currents elicited with both low and
high acetylcholine concentrations. Based on the ratios of acetylcholine
EC50s in the presence and absence of ethanol, this
mutant's sensitivity to enhancement is similar to wild type. Ethanol
enhancement of
T263I receptor activation shows no voltage
dependence. In the presence of ethanol, the apparent single-channel
conductance of the
T263I receptor is reduced and the apparent
channel lifetime is lengthened. Both the 28% increase in maximal
current and the 2-fold reduction in EC50 observed at 300 mM
ethanol are quantitatively predicted by simulation of a simple kinetic
scheme in which ethanol increases by 4-fold the ratio of microscopic
opening rate (
) to closing rate (
) for acetylcholine-bound
T263I receptors. We conclude that ethanol enhancement of
T263I
currents reflects stabilization of its open-channel state relative to
agonist-bound closed states. Ethanol effects in wild-type receptors can
also be explained by this mechanism.
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