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Shared structural mechanisms of general anaesthetics and benzodiazepines
Stockholm University, Faculty of Science, Department of Biochemistry and Biophysics. Stockholm University, Science for Life Laboratory (SciLifeLab).
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Number of Authors: 102020 (English)In: Nature, ISSN 0028-0836, E-ISSN 1476-4687, Vol. 585, p. 303-308Article in journal (Refereed) Published
Abstract [en]

Most general anaesthetics and classical benzodiazepine drugs act through positive modulation of gamma-aminobutyric acid type A (GABA(A)) receptors to dampen neuronal activity in the brain(1-5). However, direct structural information on the mechanisms of general anaesthetics at their physiological receptor sites is lacking. Here we present cryo-electron microscopy structures of GABA(A)receptors bound to intravenous anaesthetics, benzodiazepines and inhibitory modulators. These structures were solved in a lipidic environment and are complemented by electrophysiology and molecular dynamics simulations. Structures of GABA(A)receptors in complex with the anaesthetics phenobarbital, etomidate and propofol reveal both distinct and common transmembrane binding sites, which are shared in part by the benzodiazepine drug diazepam. Structures in which GABA(A)receptors are bound by benzodiazepine-site ligands identify an additional membrane binding site for diazepam and suggest an allosteric mechanism for anaesthetic reversal by flumazenil. This study provides a foundation for understanding how pharmacologically diverse and clinically essential drugs act through overlapping and distinct mechanisms to potentiate inhibitory signalling in the brain. Cryo-electron microscopy structures of GABA(A)receptors bound to intravenous anaesthetics and benzodiazepines reveal both common and distinct transmembrane binding sites, and show that the mechanisms of action of anaesthetics partially overlap with those of benzodiazepines.

Place, publisher, year, edition, pages
2020. Vol. 585, p. 303-308
National Category
Cell and Molecular Biology
Identifiers
URN: urn:nbn:se:su:diva-185290DOI: 10.1038/s41586-020-2654-5ISI: 000565516400004PubMedID: 32879488OAI: oai:DiVA.org:su-185290DiVA, id: diva2:1478724
Available from: 2020-10-23 Created: 2020-10-23 Last updated: 2023-09-05Bibliographically approved
In thesis
1. Simulating Functional Cycles and Drug Modulation in Ligand-gated Ion Channels
Open this publication in new window or tab >>Simulating Functional Cycles and Drug Modulation in Ligand-gated Ion Channels
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Understanding the intricate motions and conformational changes that govern biological processes remains a fascinating and challenging endeavor. The research presented in this thesis aims to elucidate the dynamic processes underlying biological functions, specifically focusing on the dynamics of pentameric ligand-gated ion channels (pLGICs), which play a crucial role in signal transduction within the brain. To achieve this, molecular dynamics (MD) simulations were employed to examine local protein dynamics within their native environment and in response to perturbations with collaborative engagements with experimentalists. It enabled the investigation of ion permeation pathways in nicotinic receptors, which involve the less-explored lateral portals in the intracellular domain. I further quantified the permeation free energy using enhanced sampling methods for different structural models, subsequently providing functional annotations for the observed states. Furthermore, I revealed the interplay between different ligand binding sites in gamma-aminobutyric acid type (GABA) A receptors and their bacterial homologue, shedding light on how the binding of positive allosteric modulators can influence agonist affinity. Additionally, I used coarse-grained simulations to identify the binding sites of these modulators and illustrated the importance of differential binding in channel gating. These findings led to the formulation of a testable hypothesis regarding a competitive mechanism between lipids, e.g. cholesterol, and lipidic drugs. To validate the hypothesis and enhance our understanding of the complete gating cycle, I conducted extensive simulations of nicotinic receptors, coupled with the development of machine learning algorithms for constructing Markov state model. This comprehensive investigation provided crucial insights into gating dynamics and functional modulation, emphasizing the critical role of symmetry. Moreover, it laid a solid foundation for future research in rational drug design. In conclusion, this thesis contributes to our understanding of the intricate dynamics and complexity of proteins as biological machinery through the analysis of their dynamic landscapes. It expands our knowledge of pLGICs and their essential roles in biological systems, while also offering valuable insights for the development of therapeutics.

Place, publisher, year, edition, pages
Stockholm: Department of Biochemistry and Biophysics, Stockholm University, 2023. p. 48
Keywords
ion channels, molecular dynamics, markov state model, lipid modulation, nicotinic receptor, protein conformational transitions
National Category
Biophysics
Research subject
Biophysics
Identifiers
urn:nbn:se:su:diva-220676 (URN)978-91-8014-448-3 (ISBN)978-91-8014-449-0 (ISBN)
Public defence
2023-10-19, Air&Fire, Gamma 2, SciLifeLab, Tomtebodavägen 23A, Stockholm, 13:00 (English)
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Available from: 2023-09-26 Created: 2023-09-05 Last updated: 2025-02-20Bibliographically approved

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Zhuang, YuxuanHoward, Rebecca J.Lindahl, Erik

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