One drug-sensitive subunit is sufficient for a nearmaximal retigabine effect in KCNQ channels

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  • Michael C. Yau
  • Robin Y. Kim
  • Caroline K. Wang
  • Jingru Li
  • Tarek Ammar
  • Runying Y. Yang
  • Pless, Stephan
  • Harley T. Kurata

Retigabine is an antiepileptic drug and the first voltage-gated potassium (Kv) channel opener to be approved for human therapeutic use. Retigabine is thought to interact with a conserved Trp side chain in the pore of KCNQ2-5 (Kv7.2-7.5) channels, causing a pronounced hyperpolarizing shift in the voltage dependence of activation. In this study, we investigate the functional stoichiometry of retigabine actions by manipulating the number of retigabine-sensitive subunits in concatenated KCNQ3 channel tetramers. We demonstrate that intermediate retigabine concentrations cause channels to exhibit biphasic conductance-voltage relationships rather than progressive concentration-dependent shifts. This suggests that retigabine can exert its effects in a nearly "all-or-none" manner, such that channels exhibit either fully shifted or unshifted behavior. Supporting this notion, concatenated channels containing only a single retigabine-sensitive subunit exhibit a nearly maximal retigabine effect. Also, rapid solution exchange experiments reveal delayed kinetics during channel closure, as retigabine dissociates from channels with multiple drug-sensitive subunits. Collectively, these data suggest that a single retigabine-sensitive subunit can generate a large shift of the KCNQ3 conductance-voltage relationship. In a companion study (Wang et al. 2018. J. Gen. Physiol. https:// doi .org/ 10 .1085/ jgp .201812014), we contrast these findings with the stoichiometry of a voltage sensor-targeted KCNQ channel opener (ICA-069673), which requires four drugsensitive subunits for maximal effect.

Original languageEnglish
JournalJournal of General Physiology
Volume215
Issue number10
Pages (from-to)1421-1431
Number of pages11
ISSN0022-1295
DOIs
Publication statusPublished - 1 Oct 2018

ID: 204112889