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Pregnane-based steroids are novel positive NMDA receptor modulators that may compensate for the effect of loss-of-function disease-associated GRIN mutations
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SYSNO ASEP 0558978 Document Type J - Journal Article R&D Document Type Journal Article Subsidiary J Článek ve WOS Title Pregnane-based steroids are novel positive NMDA receptor modulators that may compensate for the effect of loss-of-function disease-associated GRIN mutations Author(s) Kysilov, Bohdan (FGU-C) ORCID, SAI
Hrčka Krausová, Barbora (FGU-C) ORCID, RID
Vyklický, Vojtěch (FGU-C) RID, ORCID, SAI
Smejkalová, Tereza (FGU-C) RID, ORCID
Kořínek, Miloslav (FGU-C) RID, ORCID
Horák, Martin (FGU-C) RID, ORCID
Chodounská, Hana (UOCHB-X) RID, ORCID
Kudová, Eva (UOCHB-X) RID, ORCID
Černý, Jiří (FGU-C) RID, ORCID
Vyklický ml., Ladislav (FGU-C) RID, ORCID, SAISource Title British Journal of Pharmacology. - : Wiley - ISSN 0007-1188
Roč. 179, č. 15 (2022), s. 3970-3990Number of pages 21 s. Language eng - English Country GB - United Kingdom Keywords GRIN channelopathy ; NMDA receptor ; positive allosteric modulator ; steroids ; transmembrane domain OECD category Neurosciences (including psychophysiology R&D Projects GA20-17945S GA ČR - Czech Science Foundation (CSF) EF16_025/0007444 GA MZd - Ministry of Health (MZ) TN01000013 GA TA ČR - Technology Agency of the Czech Republic (TA ČR) Method of publishing Open access Institutional support FGU-C - RVO:67985823 ; UOCHB-X - RVO:61388963 UT WOS 000779296100001 EID SCOPUS 85127541114 DOI 10.1111/bph.15841 Annotation Background and Purpose N-methyl-D-aspartate receptors (NMDARs) play a critical role in synaptic plasticity, and mutations in human genes encoding NMDAR subunits have been described in individuals with various neuropsychiatric disorders. Compounds with a positive allosteric effect are thought to compensate for reduced receptor function. Experimental Approach We have used whole-cell patch-clamp electrophysiology on recombinant rat NMDARs and human variants found in individuals with neuropsychiatric disorders, in combination with in silico modelling, to explore the site of action of novel epipregnanolone-based NMDAR modulators. Key Results Analysis of the action of 4-(20-oxo-5 beta-pregnan-3 beta-yl) butanoic acid (EPA-But) at the NMDAR indicates that the effect of this steroid with a “bent” structure is different from that of cholesterol and oxysterols and shares a disuse-dependent mechanism of NMDAR potentiation with the “planar” steroid 20-oxo-pregn-5-en-3 beta-yl sulfate (PE-S). The potentiating effects of EPA-But and PE-S are additive. Alanine scan mutagenesis identified residues that reduce the potentiating effect of EPA-But. No correlation was found between the effects of EPA-But and PE-S at mutated receptors that were less sensitive to either steroid. The relative degree of potentiation induced by the two steroids also differed in human NMDARs carrying rare variants of hGluN1 or hGluN2B subunits found in individuals with neuropsychiatric disorders, including intellectual disability, epilepsy, developmental delay, and autism spectrum disorder. Conclusion and Implications Our results show novel sites of action for pregnanolones at the NMDAR and provide an opportunity for the development of new therapeutic neurosteroid-based ligands to treat diseases associated with glutamatergic system hypofunction. Workplace Institute of Physiology Contact Lucie Trajhanová, lucie.trajhanova@fgu.cas.cz, Tel.: 241 062 400 Year of Publishing 2023 Electronic address https://doi.org/10.1111/bph.15841
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