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Department of Molecular Physiology and Biophysics, Faculty of Medical Sciences, University of Fukui, Fukui, Japan (T.M., H.S., S.O.); and Pharmaceutical Research Division, Takeda Pharmaceutical Company Limited, Osaka, Japan (T.M., S.R.)
Received for publication September 25, 2007.
Accepted for publication March 7, 2008.
| Abstract |
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| Materials and Methods |
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Western Blot Analysis. HEK293 cells stably expressing HERG channels were homogenized at 4°C in lysis buffer (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, and 1 mM EDTA), containing a protease inhibitor mix (Roche Applied Science, Indianapolis, IN) and spun at 500g for 10 min. Pellets of the membrane fractions were produced from the low-speed supernatants by centrifugation at 150,000 rpm for 30 min. For Western blots, membrane proteins were separated on 7% SDS-polyacrylamide gels and transferred onto polyvinylidene difluoride membranes. Membranes were probed with polyclonal rabbit anti-HERG antibody (Millipore Bioscience Research Reagents, Temecula, CA) and the antibody was detected with an ECL detection kit (GE Healthcare, Chalfont St. Giles, Buckinghamshire, UK).
Electrophysiological Recordings. Two-electrode voltage-clamp experiments were performed. Procedures for the isolation of X. laevis oocytes, injection of cRNA and electrophysiological experiments have been described in detail previously (Shimizu et al., 2003
) and were approved by the Animal Research Committee of University of Fukui. The bath solution contained 4 mM KCl, 96 mM N-methyl-D-glucamine Cl, 1.8 mM CaCl2, 1 mM MgCl2, and 5 mM HEPES, pH 7.40. Cisapride (Accurate Chemicals, Westbury, NY) was dissolved into dimethyl sulfoxide to make 10 mM stock solutions and kept at -20°C until use. Voltage clamp experiments were performed on the oocytes 2 to 6 days after injection using a Dagan CA1 amplifier (Dagan Corporation, Minneapolis, IL) at 22-24°C. For the recordings from oocytes expressing the F656A mutant, which has been known as poor expression of channels (Mitcheson et al., 2000
; Milnes et al., 2003
), electrophysiological experiments were performed within 3 days after the injection until the oocyte became damaged. The oocytes were perfused continually with the perfusates at the rate of 1 ml/min using an infusion pump (TE-331; TERUMO, Tokyo, Japan). Oocytes exhibiting endogenous currents were excluded from analyses.
Activation and Inactivation Gate. To characterize the activation gate for mutant channels, the peak amplitudes for the tail currents at -50 mV were plotted as a function of the preceding activation voltages. This tail I-V curve was fitted with the Boltzmann function.
![]() | (1) |
is the half activation voltage, dx is the slope factor, and A1 and A2 are the amplitude factors. For the inactivation gate, the current amplitudes at the end of the 3-s depolarization pulses (isochronal I-V curves) were drawn, which were superimposed on the tail I-V curves for each channel species (Fig. S1). The isochronal I-V curves show a typical bell shape, indicating the characteristic inactivation of HERG channel. The double-Boltzmann function was used for the fitting.
![]() | (2) |
and dx) were used.
Blocking Inhibition Constants. Block of the HERG currents at each cisapride concentration was evaluated after the steady state of blocking was reached. This was performed by eliciting repeatedly 3.5-s depolarization pulses to +20 mV followed by repolarization at -50 mV an interval of 20 s (the holding potential was -80 mV) and checking the current amplitudes reached at the steady state. At low concentrations, it took 10 to 20 minutes. Inhibition constants (Ki) were obtained from the peak amplitudes of the tail currents at -50 mV preceded by the depolarizing pulse to +20 mV for 3 s. From concentration dependence of current amplitude, Ki values and the Hill coefficients (n) were obtained from the concentration dependence of current amplitude by fits to the equation:
![]() | (3) |
Voltage-dependence of the binding affinity was obtained by fitting the Ki values with the function.
![]() | (4) |
Thermodynamic Double-Mutant Cycle. To estimate the interaction free energy upon binding, thermodynamic double-mutant cycle analysis was applied (Schreiber and Fersht, 1995
; Ranganathan et al., 1996
; Fersht, 1999
; Yan et al., 2006
). First, the binding free energy (G) was evaluated from the inhibition constant.
![]() | (5) |
The differences in the affinities between two channel species were obtained from the differences in G. For example, the change in the binding free energy by a single mutation relative to the wild type (WT) is
![]() | (6) |
A double mutant can be regarded as a combination of two single mutations. Therefore,
G for the double mutant compared with WT is:
![]() | (7) |
G for mutation of Phe656 site introduced into either WT or Y652A is
GsingleM-WT or
GdoubleM-singleM. The difference in these energies defines the coupling energy, 
Gint, which represents interaction between two sites.
![]() | (8) |

Gint indicate cooperativity between residues.
Blocking Kinetics. The apparent blocking rate (equal to the reciprocal of the time constant) for a simple three-state model can be expressed as the following equation, if the binding and unbinding kinetics are fast relative to the subsequent transition represented by the rate constants of k3 and koff.
![]() | (9) |
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| Results |
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Electrophysiological Characterization of Mutant Channels. The electrophysiological properties of mutant and WT HERG channels expressed in X. laevis oocytes were examined. Gating properties for WT and all the mutants, including the tandem WT (td[wt:wt]), were evaluated from the current traces elicited by depolarizing pulses (Fig. 2A). The activation and inactivation gating were measured by plotting the tail I-V curves and the isochronal I-V curves at the end of the depolarization pulses (Fig. 2A, inset, and Supplemental Fig. S1). The voltage dependence of activation and inactivation gating for WT and td[wt:wt] were basically similar, suggesting that concatenation did not affect the steady-state gating. In all mutants, the activation curves were shifted slightly in the negative direction (Table 2), although the slope factor was not changed significantly. Deactivation for td[wt:wt] was faster compared with the WT. This tendency seemed to hold for all the tandem dimers. A contribution of the N-terminal domain to the deactivation gating of HERG channel has been reported (Morais Cabral et al., 1998
; Wang et al., 2000
). Then a cytoplasmic domain between subunits in the tandem dimers might be restricted by the short linker, which may accelerate the deactivation rate.
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The Steady-State Blocking of Cisapride. To examine the concentration dependence of current blocking to cisapride, an oocyte was perfused continually throughout the experiment, and HERG currents were evaluated after the block reached the steady-level. The current traces showed (Fig. 2B) a slow decay during depolarizing pulses for WT and some of the other mutants and mostly reached the steady state at the end of the depolarization pulses. This decay was not observed for Y652A, F656A, and td[Y652A:F656A]. Ki values were obtained from the concentration dependence of the peak amplitudes of the tail currents at -50 mV (Table 3). The Hill coefficients were nearly one, suggesting the binding stoichiometry of the drug-HERG channel as one to one.
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The free energy of the binding of cisapride to HERG channels, which was calculated from the Ki values as G = kT log Ki, is shown in Fig. 3. It is clearly seen that not only the number of the aromatic residues but also the spatial location of each residue is crucial for the binding affinity. The affinities were reduced dramatically by complete deletion of either of the aromatic residues (F656A and Y652A), confirming previous reports (Mitcheson et al., 2000
). The levels of the binding energy for WT and td[wt:wt] were similar, indicating that the concatenation did not affect the binding of the blocker. The affinity for td[wt:F656A] was similar to that of WT, which indicates that, although Phe656 contributed to the binding significantly, at most two Phe656 residues from diagonal subunits were required for binding. On the other hand, the affinity of td[wt:Y652A] was significantly reduced, suggesting that Tyr652 residues from adjacent subunits contributed to the binding. This is the first experimental observation that cisapride may interact with multiple Tyr652 residues.
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G = 3.5 kJ/mol) of td[wt:Y652AF656A] than td[Y652A:F656A] indicates that having both Tyr652 and Phe656 on the same subunit is crucial for a channel to show a high affinity. Energetic considerations provided further clues on the contributions of residues to the binding and interactions between residues upon binding, which will be discussed below.
Voltage-Dependent Blocking. Voltage-dependent blocking was evaluated from current traces elicited by depolarizing pulses (Fig. 2B). In WT and some mutants, the slow decay of the currents seen at depolarized potentials was accelerated as the membrane potential was depolarized more. In the presence of cisapride, the tail I-V curves (the peak amplitudes of the tail currents as a function of the preceding depolarizing voltages) showed a maximum at around 0 mV for WT (Fig. 4A). The current amplitudes were depressed slightly as the membrane potential was depolarized further. This pattern is an indication of the presence of voltage-dependent block (Walker et al., 1999
; Sánchez-Chapula et al., 2003
). At each voltage, the Ki values were calculated from the concentration-dependence curves (Fig. 4B).
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Kinetics of Blocking. Current traces of some of the mutants as well as WT exhibited slow decays at depolarized potentials, whereas others did not. To examine the mechanisms underlying the different blocking kinetics, we focused on F656A. F656A showed voltage-dependent block, but the currents did not show a decay at depolarized potentials. We found that the shapes of the tail currents were changed in the presence of cisapride (Fig. 5). Expansion of the tail current traces showed that the currents reached their peak with a slower rising phase in the presence of cisapride (Fig. 5, right), which was not observed in the absence of cisapride (Fig. 5, left). The slowly rising phases became more prominent as the preceding voltages were more depolarized. The tail currents of F656A were fitted with a double-exponential function in the absence of cisapride (the recovery from the inactivation and deactivation components) and with a triple-exponential function in the presence of cisapride. The novel kinetic component having an intermediate time constant (
100 ms) between those of recovery from the inactivation and deactivation seems to be related to blocking. In fact, the time constant of the intermediate component was reduced as the cisapride concentration was increased (see Supplemental Data). This is in contrast to the time constant for recovery from the inactivation being unaltered. These results suggest that the intermediate component represented unblocking kinetics. The amplitudes of the unblocking component increased as the prepotential was more depolarized (see Supplemental Data). This is because more channels had been blocked at more depolarized potentials, and those blocked channels released more drug upon repolarization. These are typical voltage-dependent unblocking kinetics (Hille, 2001
). The plot of the apparent rate of block (equal to the reciprocal of the unblocking time constant) as a function of cisapride concentration showed a nearly linear relationship (Fig. 7A, open diamonds). This kinetic feature will be discussed with respect to the blocking mechanism below.
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For other types of channels, the kinetics of tail current were examined, but kinetic components relevant to the unblocking of cisapride were not found. However, the blocking kinetics was evaluated on a longer time scale from a pulse protocol shown in Fig. 6. Depolarizing pulses to +20 mV were prolonged progressively from 50 to 7000 ms, and the tail currents at -50 mV were recorded. The peaks of the tail currents were plotted as a function of the duration of the depolarization (the envelope current; Fig. 6B, inset). In the absence of cisapride, the current envelopes reached saturation as the depolarization pulses were prolonged (inset, filled squares). These represent the time courses of the activation gating. In the presence of cisapride the envelope currents were depressed as the duration of depolarization was prolonged. This depression was seen for WT, td[wt:wt], td[wt: F656A], td[wt:Y652A], and td[wt:Y652AF656A] (these channels are named here as the high-affinity channels) but not for td[Y652A:F656A], F656A, and Y652A. The envelope currents were fitted with a double-exponential function (Fig. 6B, inset). The fast and slow components represent the time course of activation and block. The envelope experiments were performed at different cisapride concentrations. The time constants of activation for all the channel species were similar and did not change significantly with cisapride concentration. On the other hand, the time constants for the blocking changed significantly. For channel species exhibiting depression of the current envelopes, plots of the apparent rates of block (equal to reciprocal of the blocking time constants) as a function of cisapride concentration showed nearly linear relationships (Fig. 7A).
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| Discussion |
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Binding Energetics and Topology. The set of mutants revealed the importance of the spatial arrangement of distinct residues to the binding. In this study, we found that cisapride binding was not confined to a single subunit but spans multiple subunits in a tetrameric channel: Tyr652 residues of adjacent subunits contribute to the binding. In contrast, at most two Phe656 residues in diagonal subunits, rather than those in adjacent subunits, were enough for binding, although complete loss of Phe656 (F656A) destabilized the binding dramatically. For the high-affinity binding, retaining intact subunits seems to be important.
For the two double mutants (td[wt:Y652AF656A] and td[Y652A:F656A]), the binding energy differed significantly, which indicates the importance of the arrangements of the aromatic residues in a channel. The contribution of residues to the binding and the interactions between residues upon binding can be evaluated quantitatively by examining the coupling energies (
Gint) in the thermodynamic double-mutant cycle analysis (see Materials and Methods; Schreiber and Fersht, 1995
; Ranganathan et al., 1996
; Fersht, 1999
; Yan et al., 2006
). For each of two double mutants, a cyclic diagram was drawn (Fig. 8A). In these diagrams, a double mutant can be regarded as the consequences of two successive single mutations reached through two different routes. Inspection of a set of cartoons for a cycle gives ideas how the residues interact upon drug binding.
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Gint of 0.3 kJ/mol was obtained. This value of 
Gint did not deviate statistically from zero, indicating that no interaction took place between Tyr652 and Phe656 upon binding. The results indicate that, as far as intact subunits were retained in a channel, Tyr652 and Phe656 residues on the subunits adjacent to the intact subunits contributed to the binding independently of each other. This additivity is important because it suggests that deleting bulky aromatic rings in two sites did not significantly change the structures of the binding site (Fersht, 1999
Next, look at another cycle with td[Y652A: F656A] as a double mutant (Fig. 8A, lower panel). The 
Gint value of -3.1 kJ/mol indicates significant interactions. The negative sign of 
Gint represents that Phe656 and Tyr652 contribute to the binding with negative interactions. What is the origin of this cooperativity? In the double-mutant cycle analysis, significant coupling is explained as being attributable to the proximity of mutated residues (Schreiber and Fersht, 1995
). The set of cartoons demonstrates that two mutational sites are proximally positioned on the two adjacent subunits. Then the strong interaction can be interpreted that Phe656 and Tyr652 residues on two adjacent subunits are closely apposed.
In the thermodynamic double-mutant cycle analysis, two different types of interactions were elucidated. Tyr652 and Phe656 on the same subunits interact additively (upper cycle) and Tyr652 and Phe656 on adjacent subunits interact cooperatively (lower cycle). One may imagine that the Tyr652 and Phe656 residues from adjacent subunits are placed closer than those placed on the same subunits.
Hypothetical Binding Pose of Cisapride in the High-Affinity Site of HERG Channels. Cisapride contains two aromatic moieties and one basic tertiary nitrogen (Fig. 8B) that can interact with the aromatic amino acids by cation-
and
-
interactions or by hydrophobic interactions (Mitcheson et al., 2000
; Fernandez et al., 2004
). Here we propose a possible binding mode of cisapride. Two Tyr652 residues from adjacent subunits and one Phe656 form a favorable binding site, whereas Phe656 in the adjacent subunit hinders the binding (Fig. 8B).
This mode of interaction was compared with the computational docking model built on a homology model of HERG channel (Aronov and Goldman, 2004
; Osterberg and Aqvist, 2005
; Farid et al., 2006
). It was predicted that multiple simultaneous aromatic ring stacking and/or hydrophobic interactions between Tyr652 and Phe656 side chains and aromatic/hydrophobic blocker groups are involved in the docking poses (Farid et al., 2006
). It was also predicted that Tyr652 and Phe656 from multiple subunits might be involved in cisapride binding (Farid et al., 2006
). This docking pose is in general agreement with our experimental data.
Voltage-Dependent Block Suggested a Sequential Binding Mechanism. The voltage-dependence of cisapride block has been reported (Walker et al., 1999
), and in this study, it was shown that the Ki values for WT and some mutants were voltage-dependent (Fig. 4). Not only Y652A but also td[Y652A:F656A] and td[wt:Y652A] exhibited voltage independence. The presence or absence of the voltage dependence for different mutants indicates that voltage-dependent block occurs through voltage-dependent conformational changes of the binding site rather than the binding of a charged drug to the site under the influence of the membrane electric field. To introduce voltage-dependence into the blocking mechanism, a sequential binding model was applied:
in which O represents the open state, B1 represents the first blocked state, and B2 is the subsequent blocked state. [B] indicates the concentration of blocker. In this model, drug-bound channels undergo conformational changes between the B1 and B2 states in a voltage-dependent manner, leading to more stable binding of the drug in the B2 state. A similar model has been proposed for blocking by chloroquine (Sánchez-Chapula et al., 2002
).
The behavior of channels exhibiting voltage-independent blocking (Y652A, td[wt:Y652A] and td[Y652A:F656A]) can be explained by the absence of transitions from B1 to B2. In these mutants, some of Tyr652 residues were deleted, suggesting that they contribute to the voltage-dependence through changes in their orientation upon depolarization (Sánchez-Chapula et al., 2003
). In this study, we found that the voltage dependence was almost abolished even for td[wt: Y652A]. On the other hand, td[wt:Y652AF656A] retained voltage dependence. It is suggested that rearrangements of Tyr652 residues seem to be affected by surrounding Phe656 residues.
Kinetic Data Suggest a Low-Affinity Binding Site. Blocking kinetics were evaluated by two different methods: unblocking kinetics after repolarization and slow blocking kinetics by the envelope analyses. In either case, the apparent rate constants of block were found to be a nearly linear function of the cisapride concentrations (Fig. 7A). If the blocking kinetics is described by a simple two-state model, the rate constant of block should be linear. Sublinearity of the blocking rate constant can be accounted for by the presence of an intermediate state of block. Therefore at least three states are necessary to describe the kinetic data, which is compatible with the linear 3-state model proposed for the voltage-dependent block. Sublinearity of the kinetic data demands that the model has a fast low-affinity binding process followed by a slow transition.
where k1 through k4 represent the rate constants, and the white arrow indicates fast transitions.
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The relationships between the inactivated state and the high-affinity binding state have been discussed. The inactivation state is a state for a nonconducting selectivity filter, whereas the high-affinity binding state represents arrangements of aromatic residues in the central cavity. From a spatial perspective, they are closely located. However, the kinetic analyses suggest that the high-affinity site appears later (Fig. 7A, legends) than the fast inactivation. Then it is likely that the inactivation may induce the transition to the high-affinity state. This is in agreement with the previous papers that inactivation controlled the high-affinity binding (Numaguchi et al., 2000
).
For F656A, the Kf and koff (Fig. 7, B and C) values were significantly greater, which led to the low affinity of this mutant. Voltage dependence of this channel indicates that the transition between B1 and B2 was retained. Then, the absence of current decay in the envelope experiment is related to the fast transition from the B1 to the B2 state. This feature suggests that Phe656 residues may retard the rearrangements of Tyr652 residues.
An overview of the kinetic features of channel species revealed that only in F656A did the initial binding site show a reduced affinity and the other channels did not. All of the latter possess at least two diagonal Phe656 residues in common. Therefore, it is suggested that the diagonal Phe656 residues may form the initial binding site for cisapride.
| Conclusion |
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In this study, a topological picture of the interaction between HERG and cisapride was obtained. Systematic approaches using a set of mutants and thermodynamic and kinetic analyses mapped the binding site and the blocking process. This approach will be applied to understand better the mechanism of action between HERG channels and the broad spectrum of blocking substances.
| Acknowledgements |
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| Footnotes |
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ABBREVIATIONS: HERG, human ether-à-go-go related gene product; V
, the half activation voltage; Ki, the blocking inhibition constant.
The online version of this article (available at http://molpharm.aspetjournals.org) contains supplemental material. ![]()
Address correspondence to: Shigetoshi Oiki, Department of Molecular Physiology and Biophysics, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan. E-mail: oiki-fki{at}umin.ac.jp
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