通过急性拮抗钙通透性AMPA受体降低听觉神经兴奋性
Reducing Auditory Nerve Excitability by Acute Antagonism of Ca-Permeable AMPA Receptors.
作者信息
Walia Amit, Lee Choongheon, Hartsock Jared, Goodman Shawn S, Dolle Roland, Salt Alec N, Lichtenhan Jeffery T, Rutherford Mark A
机构信息
Department of Otolaryngology, Washington University in St. Louis School of Medicine, St. Louis, MO, United States.
Department of Communication Sciences and Disorders, University of Iowa, Iowa City, IA, United States.
出版信息
Front Synaptic Neurosci. 2021 Jul 5;13:680621. doi: 10.3389/fnsyn.2021.680621. eCollection 2021.
Hearing depends on glutamatergic synaptic transmission mediated by α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors (AMPARs). AMPARs are tetramers, where inclusion of the GluA2 subunit reduces overall channel conductance and Ca permeability. Cochlear afferent synapses between inner hair cells (IHCs) and auditory nerve fibers (ANFs) contain the AMPAR subunits GluA2, 3, and 4. However, the tetrameric complement of cochlear AMPAR subunits is not known. It was recently shown in mice that chronic intracochlear delivery of IEM-1460, an antagonist selective for GluA2-lacking AMPARs [also known as Ca-permeable AMPARs (CP-AMPARs)], before, during, and after acoustic overexposure prevented both the trauma to ANF synapses and the ensuing reduction of cochlear nerve activity in response to sound. Surprisingly, baseline measurements of cochlear function before exposure were unaffected by chronic intracochlear delivery of IEM-1460. This suggested that cochlear afferent synapses contain GluA2-lacking CP-AMPARs alongside GluA2-containing Ca-impermeable AMPA receptors (CI-AMPARs), and that the former can be antagonized for protection while the latter remain conductive. Here, we investigated hearing function in the guinea pig during acute local or systemic delivery of CP-AMPAR antagonists. Acute intracochlear delivery of IEM-1460 or systemic delivery of IEM-1460 or IEM-1925 reduced the amplitude of the ANF compound action potential (CAP) significantly, for all tone levels and frequencies, by > 50% without affecting CAP thresholds or distortion product otoacoustic emissions (DPOAE). Following systemic dosing, IEM-1460 levels in cochlear perilymph were ~ 30% of blood levels, on average, consistent with pharmacokinetic properties predicting permeation of the compounds into the brain and ear. Both compounds were metabolically stable with half-lives >5 h , and elimination half-lives of 118 min (IEM-1460) and 68 min (IEM-1925). Heart rate monitoring and off-target binding assays suggest an enhanced safety profile for IEM-1925 over IEM-1460. Compound potency on CAP reduction (IC ~ 73 μM IEM-1460) was consistent with a mixture of GluA2-lacking and GluA2-containing AMPARs. These data strongly imply that cochlear afferent synapses of the guinea pig contain GluA2-lacking CP-AMPARs. We propose these CP-AMPARs may be acutely antagonized with systemic dosing, to protect from glutamate excitotoxicity, while transmission at GluA2-containing AMPARs persists to mediate hearing during the protection.
听觉依赖于由α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体(AMPARs)介导的谷氨酸能突触传递。AMPARs是四聚体,其中包含GluA2亚基会降低整体通道电导和钙通透性。内毛细胞(IHCs)与听神经纤维(ANFs)之间的耳蜗传入突触包含AMPAR亚基GluA2、3和4。然而,耳蜗AMPAR亚基的四聚体组成尚不清楚。最近在小鼠中发现,在声音过度暴露之前、期间和之后,向耳蜗内长期递送IEM-1460(一种对缺乏GluA2的AMPARs具有选择性的拮抗剂,也称为钙通透性AMPARs(CP-AMPARs)),可预防ANF突触的损伤以及随后耳蜗神经活动对声音反应的降低。令人惊讶的是,暴露前耳蜗功能的基线测量不受耳蜗内长期递送IEM-1460的影响。这表明耳蜗传入突触除了含有含GluA2的钙不通透性AMPA受体(CI-AMPARs)外,还含有缺乏GluA2的CP-AMPARs,并且前者可以被拮抗以起到保护作用,而后者仍保持传导性。在此,我们研究了豚鼠在急性局部或全身递送CP-AMPAR拮抗剂期间的听力功能。对于所有音调水平和频率,急性向耳蜗内递送IEM-1460或全身递送IEM-1460或IEM-1925均显著降低了ANF复合动作电位(CAP)的幅度,降低幅度超过50%,且不影响CAP阈值或畸变产物耳声发射(DPOAE)。全身给药后,耳蜗外淋巴中IEM-1460的水平平均约为血药水平的30%,这与预测这些化合物可渗透进入大脑和耳朵的药代动力学特性一致。这两种化合物代谢稳定,半衰期均大于5小时,消除半衰期分别为118分钟(IEM-1460)和68分钟(IEM-1925)。心率监测和脱靶结合试验表明,IEM-1925比IEM-1460具有更高的安全性。化合物对CAP降低的效力(IC约为73μM IEM-1460)与缺乏GluA2和含GluA2的AMPARs的混合物一致。这些数据强烈表明豚鼠的耳蜗传入突触含有缺乏GluA2的CP-AMPARs。我们提出,这些CP-AMPARs可通过全身给药进行急性拮抗,以防止谷氨酸兴奋性毒性,同时在保护期间含GluA2的AMPARs处的传递持续介导听力。