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Vol. 55, Issue 6, 1060-1066, June 1999
Brekardin,
Institut für Pharmakologie und Toxikologie, Universität
Braunschweig, Mendelssohnstra Hypoglycemic sulfonylureas (e.g., glibenclamide, glipizide, and
tolbutamide) exert their stimulatory effect on excitatory cells by
closure of ATP-sensitive potassium (KATP) channels. These channels are heteromultimers composed with a 4:4 stoichiometry of an
inwardly rectifying K+ channel (KIR)
subunit 6.x plus a sulfonylurea receptor (SUR). SUR1/KIR6.2 reconstitutes the neuronal/pancreatic
e 1, 38106 Braunschweig, Germany
-cell
channel, whereas SUR2A/KIR6.2 and SUR2B/KIR6.1
(or KIR6.2) are proposed to reconstitute the cardiac and
the vascular smooth muscle-type KATP channels,
respectively. SUR2A and SUR2B are splice variants of a single gene
differing only in their C-terminal 42 amino acids. Affinities of
sulfonylureas for rat SUR2A, rat or human SUR2B, and a SUR2 chimera
containing the C-terminal 42 amino acids of SUR1 did not differ
significantly, implying that the C terminus does not form part of the
binding pocket. Consistent with these findings, reconstituted
SUR2A/KIR6.2 and SUR2B/KIR6.2 channels revealed
similar sensitivities for glibenclamide and tolbutamide. Dissociation
constants of sulfonylureas for SUR2A and SUR2B were 10- to 400-fold
higher than for SUR1, however, amazingly the benzoic acid derivative
meglitinide did not show lower affinity for SUR2 isoforms. Potencies of
glibenclamide, glipizide, tolbutamide, and meglitinide to inhibit
activity of SUR1/KIR6.2 and SUR2B/KIR6.2 channels were 3- to 6-fold higher than binding affinities of these drugs with concentration-inhibition relations being significantly steeper (Hill coefficients 1.23-1.32) than binding curves (Hill coefficients 0.93-1.06). The data establish that the C terminus of
SURs does not affect sulfonylurea affinity and sensitivity. We conclude
that occupation of one of the four SUR sites per channel complex is
sufficient to induce KATP channel closure.
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