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苯溴马隆在 BK 通道激活和减少气道平滑肌收缩中的新作用。

A Novel Role of Uricosuric Agent Benzbromarone in BK Channel Activation and Reduction of Airway Smooth Muscle Contraction.

机构信息

Department of Pharmacology, School of Pharmaceutical Sciences, Peking University, Beijing, China (J.G., X.W.); Department of Pharmacology, School of Pharmacy, Qingdao University Medical College, Qingdao, China (H.Y., Y.D., Y.L., K.W.); and Institute of Innovative Drugs, Qingdao University, Qingdao, China (Y.L., K.W.).

Department of Pharmacology, School of Pharmaceutical Sciences, Peking University, Beijing, China (J.G., X.W.); Department of Pharmacology, School of Pharmacy, Qingdao University Medical College, Qingdao, China (H.Y., Y.D., Y.L., K.W.); and Institute of Innovative Drugs, Qingdao University, Qingdao, China (Y.L., K.W.)

出版信息

Mol Pharmacol. 2023 Apr;103(4):241-254. doi: 10.1124/molpharm.122.000638. Epub 2023 Jan 20.

Abstract

The uricosuric drug benzbromarone, widely used for treatment of gout, hyperpolarizes the membrane potential of airway smooth muscle cells, but how it works remains unknown. Here we show a novel role of benzbromarone in activation of large conductance calcium-activated K channels. Benzbromarone results in dose-dependent activation of macroscopic big potassium (BK) currents about 1.7- to 14.5-fold with an EC of 111 M and shifts the voltage-dependent channel activation to a more hyperpolarizing direction about 10 to 54 mV in whole-cell patch clamp recordings. In single-channel recordings, benzbromarone decreases single BK channel closed dwell time and increases the channel open probability. Coexpressing 1 subunit also enhances BK activation by benzbromarone with an EC of 67 M and a leftward shift of conductance-voltage (G-V) curve about 44 to 138 mV. Site-directed mutagenesis reveals that a motif of three amino acids RKK in the cytoplasmic linker between S6 and C-terminal regulator of potassium conductance (RCK) gating ring mediates the pharmacological activation of BK channels by benzbromarone. Further ex vivo assay shows that benzbromarone causes reduction of tracheal strip contraction. Taken together, our findings demonstrate that uricosuric benzbromarone activates BK channels through molecular mechanism of action involving the channel RKK motif of S6-RCK linker. Pharmacological activation of BK channel by benzbromarone causes reduction of tracheal strip contraction, holding a repurposing potential for asthma and pulmonary arterial hypertension or BK channelopathies. SIGNIFICANCE STATEMENT: We describe a novel role of uricosuric agent benzbromarone in big potassium (BK) channel activation and relaxation of airway smooth muscle contraction. In this study, we find that benzbromarone is an activator of the large-conductance Ca- and voltage-activated K channel (BK channel), which serves numerous cellular functions, including control of smooth muscle contraction. Pharmacological activation of BK channel by the FDA-approved drug benzbromarone may hold repurposing potential for treatment of asthma and pulmonary arterial hypertension or BK channelopathies.

摘要

苯溴马隆是一种常用于治疗痛风的促尿酸排泄药物,它使气道平滑肌细胞的膜电位超极化,但作用机制尚不清楚。本文研究发现苯溴马隆在大电导钙激活钾通道的激活中发挥了新作用。苯溴马隆导致宏观大钾(BK)电流的剂量依赖性激活,约为 1.7-14.5 倍,EC 为 111M,并使全细胞膜片钳记录中的电压依赖性通道激活向更超极化方向移动约 10-54mV。在单通道记录中,苯溴马隆降低 BK 单通道关闭停留时间并增加通道开放概率。共表达 1 亚基也增强了苯溴马隆对 BK 的激活,EC 为 67M,电导-电压(G-V)曲线向左移动约 44-138mV。定点突变表明,S6 和 C 末端钾电导调节环(RCK)门控环之间细胞质连接区的三个氨基酸 RKK 基序介导了苯溴马隆对 BK 通道的药理学激活。进一步的离体检测表明,苯溴马隆导致气管条收缩减少。总之,我们的研究结果表明,尿酸排泄剂苯溴马隆通过涉及 S6-RCK 连接区通道 RKK 基序的分子作用机制激活 BK 通道。苯溴马隆对 BK 通道的药理学激活导致气管条收缩减少,这为哮喘和肺动脉高压或 BK 通道病的重新利用提供了潜力。

意义

我们描述了尿酸排泄剂苯溴马隆在大钾(BK)通道激活和气道平滑肌收缩松弛中的新作用。在这项研究中,我们发现苯溴马隆是大电导钙激活钾通道(BK 通道)的激活剂,BK 通道具有多种细胞功能,包括控制平滑肌收缩。美国食品和药物管理局批准的药物苯溴马隆对 BK 通道的药理学激活可能为治疗哮喘和肺动脉高压或 BK 通道病提供重新利用的潜力。

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