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Molecular Pharmacology Fast Forward
First published on September 19, 2008; DOI: 10.1124/mol.108.050500


0026-895X/08/7406-1687-1695$20.00
Mol Pharmacol 74:1687-1695, 2008

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Tryptophan Mutations at Azi-Etomidate Photo-Incorporation Sites on {alpha}1 or β2 Subunits Enhance GABAA Receptor Gating and Reduce Etomidate Modulation

Deirdre Stewart, Rooma Desai, Qi Cheng1, Aiping Liu, and Stuart A. Forman

Beecher-Mallincrodt Laboratories, Department of Anesthesia & Critical Care, Massachusetts General Hospital, Boston, Massachusetts

The potent general anesthetic etomidate produces its effects by enhancing GABAA receptor activation. Its photolabel analog [3H]azi-etomidate labels residues within transmembrane domains on {alpha} and β subunits: {alpha}Met236 and βMet286. We hypothesized that these methionines contribute to etomidate sites formed at {alpha}-β subunit interfaces and that increasing side-chain bulk and hydrophobicity at either locus would mimic etomidate binding and block etomidate effects. Channel activity was electrophysiologically quantified in {alpha}1β2{gamma}2L receptors with {alpha}1M236W or β2M286W mutations, in both the absence and the presence of etomidate. Measurements included spontaneous activation, GABA EC50, etomidate agonist potentiation, etomidate direct activation, and rapid macrocurrent kinetics. Both {alpha}1M236W and β2M286W mutations induced spontaneous channel opening, lowered GABA EC50, increased maximal GABA efficacy, and slowed current deactivation, mimicking effects of etomidate on {alpha}1β2{gamma}2L channels. These changes were larger with {alpha}1M236W than with β2M286W. Etomidate (3.2 µM) reduced GABA EC50 much less in {alpha}1M236Wβ2{gamma}2L receptors (2-fold) than in wild type (23-fold). However, etomidate was more potent and efficacious in directly activating {alpha}1M236Wβ2{gamma}2L compared with wild type. In {alpha}1β2M286W{gamma}2L receptors, etomidate induced neither agonist-potentiation nor direct channel activation. These results support the hypothesis that {alpha}1Met236 and β2Met286 are within etomidate sites that allosterically link to channel gating. Although {alpha}1M236W produced the larger impact on channel gating, β2M286W produced more profound changes in etomidate sensitivity, suggesting a dominant role in drug binding. Furthermore, quantitative mechanistic analysis demonstrated that wild-type and mutant results are consistent with the presence of only one class of etomidate sites mediating both agonist potentiation and direct activation.


Received for publication July 14, 2008.

Accepted for publication September 18, 2008.

Address correspondence to: Dr. Stuart A. Forman, Beecher/Mallincrodt Labs, Dept. of Anesthesia and Critical Care, Gray-Jackson 4, Mass. General Hospital, 55 Fruit Street, Boston, MA 02114. E-mail: saforman{at}partners.org




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G.-D. Li, D. C. Chiara, J. B. Cohen, and R. W. Olsen
Neurosteroids Allosterically Modulate Binding of the Anesthetic Etomidate to {gamma}-Aminobutyric Acid Type A Receptors
J. Biol. Chem., May 1, 2009; 284(18): 11771 - 11775.
[Abstract] [Full Text] [PDF]




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