Page 13 - CBAC Newsletter 2016
P. 13

with beta adrenergic receptors or may keep step with a                                                                                                                               6. L-735821 (L-7)
signal cascade of the beta-adrenergic receptors. These
effects may happen at the threshold concentrations of                                                                                                                                L-735821 is an analog to cholecystokinin-B antagonists
drug  (100µM), leading to potentiation                     odfruthg,einIKhs icbuitriroennt.                                                                                          (specific antagonists that block the receptor sites for the
With  increasing concentrations of the                                                                                                                                               peptide hormone cholecystokinin) (Fig.3) (203). L-7 is a
becomes dominant, possibly through the direct                                                                                                                                        potent blocker of both  oKcCcNyQte1s.anLd-7Ikiss  channels
interactions between the drug and the KCNQ1 channel                                                                                                                                  expressed in Xenopus                              slightly more
(193). The potentiation and inhibition of azimilide                       on        IKs                                                                                              I2pto0st0aecnnttMioonnonpIkrsIoktslhoaannngdsKKtChCNeNQdQ1u1rc,ahrteaiosnnpneeoclfsttivh(IeeCly5c0)a=(rTda4iab0clenaM2c)tai(o2nn1d0).
channels seem to be underlined by independent
mechanism, however, inhibition is the main component,
with an overall reduction of steady state currents (193).                                                                                                                            potential (210). L-7 has no effect on KCNQ2 channels
                                                                                                                                                                                     at 10 µM concentration (203,210). The effect of L-7 is
5. L-768673                                                                                                                                                                          voltage-independent (210).

The benzodiazepine analog L-768,673 (Fig. 3) is very                                                                                                                                 L-735821 physically blocks the channel pore by binding
r(pICIeCoast5cpe0hen=actnt6oinvnneeMlIlskys))(cI((hC2Ta5a00nb3=nl)e.e6l2Csµ)o,ManwtvahneneMrdrseec1aloyµsn,MciLt-e7ions6ntl8reIak6srt7siao3npndoshtaIeCsanntchooanenfInkfreeoclsrt,  to T312 of the pore helix, and I337, F339, F340, and
                                                                                                                                                                                     A344 of the S6 transmembrane segment (210).

ownithItovoarriIok1ucshtaensnteedlsc.hTahnenreelfsorreev, ethaeleedffitesctsseloefcLt-i7vi6ty8,673                                                                                   7. Clofilium

                                                                                                                                                                                     Clofilium is an antagonist on KCNQ1 channels (Fig.3),
Lfo-7r6IK8s,c6h7a3nncaenls  (204). These              results suggested that                                                                                                         wbliothckasnmICu5r0inleesKsCtNhaQn21c0haµnMne(Tlsabalte220)  (211). It partially
                            be a potential            anti-arrhythmic therapeutic                                                                                                                                                                 µM when the
(158). This ligand was first reported to have no effect                                                                                                                              current is elicited by depolarized voltage from -80 to
on the function or structure of rat cochlea after oral                                                                                                                               +40 mV (77). At 10 µM concentration, clofilium inhibits
administration (205); however, another study reported                                                                                                                                KCNQ3 currents by 30% (202). It inhibits KCNQ5
an ototoxic side effect for L-768,673 after intravenous                                                                                                                              currents by 40% at 30 µM concentration (77).
administration, predicting ototoxicity because of its
esafffeec, twoitnhIKosnclyhasnlignhetlse(f2fe0c6t)s.  Generally, L-768,673 is                                                                                                        (cCIuClor5rf0ieli=nutm5s0,irsµeamspbealocnctdikvIeeCrly5o0) f(=Tca1abrµdleMia2co) In(K2sI1Kas1na,d2n1IdK2rIc)K.rucrhreanntnsel
                                                      on the studied animals with
only moderate QT prolongation (204). L-768673 induces
heterotaxia, predicting a functional role for KCNQ1 chan-
nels in early embryonic asymmetry (207). L-678,673                                                                                                                                   cCinulhorirfbieliinutstmaKtdC3oNe0Qs1µnMcoh,taiitnnihnnihebilibst.iItkWss chahislaemnitnueicnlhshiaabssit8se0f2f-e59c%0ti%voefolIyfKSas it
effects have been reported with granulosa cells (which                                                                                                                               KCNQ1 current at the same concentration (212,213).
have many roles, such as ovulation, implantation, and
fertilization), suggesting  that                      Iks  channels  are  involved  in
these cells (208,209).
                                                                                                                                                                                     Conclusions
The relaxant effect produced by the benzodiazepine
R-L3 (Fig.2) on pieces of preconstricted mesenteric                                                                                                                                  The KCNQ voltage-gated potassium channels are
arteries was completely reversed by L-768,673 at 10µM                                                                                                                                involved in many physiology and pathophysiology
concentration. No effect was noticed on endothelium                                                                                                                                  functions. The KCNQ1 protein plays roles in the
removal (158). The less potent relaxant effect of                                                                                                                                    functioning of the heart, inner ear, and intestines.
mefenamic acid was only partially reversed by                                                                                                                                        KCNQ2/3, and to some extent KCNQ5, are involved in
L-768,673, which may be due to the inhibitory effect of                                                                                                                              M-current, and are distributed in neurons. KCNQ4 plays
mefenamic acid on Ca2+-activated Cl- channels (165).                                                                                                                                 key roles in the vestibular and auditory sytems. The
While L-768,673 has no effect on KCNQ5 currents, it has                                                                                                                              KCNQ5 subunit may be involved in roles in skeletal
shown a remarkable inhibitory effect on KCNQ4 currents                                                                                                                               muscles, however, this still needs to be confirmed.
produced at potentials from positive to 0 mV, an action                                                                                                                              Modulating of KCNQ channels may help to manage many
that has not been noticed with other blockers (158).                                                                                                                                 hyperexcitability disorders, for instance epilepsy, pain
These functional studies of L-768,673 may show that                                                                                                                                  related disorders and cardiac arrhythmias (98,214).
the KCNQ4 subunit is involved in many activities (158).
                                                                                                                                                                                     Compounds either enhancing or inhibiting KCNQ chan-
                                                                                                                                                                                     nels have been used clinically to treat various diseases.

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