Significance
Large-conductance Ca2+-activated K+ (BK) calcium-activated potassium channels alter the excitability of a wide variety of cells including nerves and muscle. These channels are potential targets to treat diseases such as overactive bladder, hypertension, and erectile dysfunction. We have shown that a novel compound called GoSlo opens these channels and this effect is blocked when three mutations are introduced. The identification of this potential interaction site may permit the development of more potent, efficacious BK channel modulators to help treat the above diseases.
Keywords: ion channels, modulators, structure function
Abstract
GoSlo-SR-5-6 is a novel large-conductance Ca2+-activated K+ (BK) channel agonist that shifts the activation V1/2 of these channels in excess of −100 mV when applied at a concentration of 10 μM. Although the structure–activity relationship of this family of molecules has been established, little is known about how they open BK channels. To help address this, we used a combination of electrophysiology, mutagenesis, and mathematical modeling to investigate the molecular mechanisms underlying the effect of GoSlo-SR-5-6. Our data demonstrate that the effects of this agonist are practically abolished when three point mutations are made: L227A in the S4/S5 linker in combination with S317R and I326A in the S6C region. Our data suggest that GoSlo-SR-5-6 interacts with the transmembrane domain of the channel to enhance pore opening. The Horrigan–Aldrich model suggests that GoSlo-SR-5-6 works by stabilizing the open conformation of the channel and the activated state of the voltage sensors, yet decouples the voltage sensors from the pore gate.
Large-conductance Ca2+-activated K+ (BK) channels are pore-forming transmembrane proteins and are allosterically modulated by voltage and Ca2+ (1–5). The BKα subunits form tetramers, and both regulatory β- (6) and γ-subunits (7) can associate with the pore-forming α-subunits. Although the accessory subunits are not required for functional BK channels, they alter the sensitivity of the channels to Ca2+, voltage, and various channel agonists. Uniquely for K+ channels, each BKα subunit comprises seven transmembrane (S0–S6) domains, which contain voltage-sensing residues in S1–S4 (8–10) and the pore gate domain is located in S5–S6 (11). The transmembrane domain is attached to a large intracellular domain, which comprises two regulators of conductance for K+ (RCK) domains (12). The RCK1 domain contains a high-affinity Ca2+-binding site and a low-affinity cation-binding site, which senses Mg2+ and high concentrations of Ca2+ (13, 14). Another high-affinity Ca2+-binding site, called the Ca2+ bowl (13–16), is found in the RCK2 domain. Ca2+ binding through these domains is transduced to the transmembrane domain via the S6/RCK1 linker (12, 17). Recent evidence (18) supports the idea that the cytosolic domain of this channel is responsible for sensing Ca2+, because truncated BK channels lacking the C terminus are insensitive to Ca2+.
BK channels play a number of important roles that govern the excitability of neuronal and smooth muscle cells. In bladder smooth muscle, for example, they contribute significantly to the repolarization phase of the action potential and thus modulate the contractile activity of this tissue (19). Interestingly, BKα knockout mice (20) display a functionally incontinent phenotype, presumably due to detrusor overactivity. Furthermore, a number of studies (21, 22) have suggested that the expression of BK channels is reduced in patients suffering from neurogenic detrusor overactivity. These results suggest that BK channel activators could represent a novel therapeutic approach for treating overactive bladder. However, despite the development of a large number of BK channel openers over the last two decades (23–29), they have failed to progress through clinical trials, because they showed poor efficacy, presumably due to their lack of effect at physiological membrane potentials, combined with a reduction in BK channels in patients with overactive bladder (30).
Recently, we synthesized a novel group of BK channel openers called the GoSlo-SR family (31). GoSlo-SR-5-6 (GoSlo) (10 μM) shifted the voltage dependence of activation in excess of −100 mV. Although the structure–activity relationships of these compounds has been established (31, 32), little is known about their mode of action on BK channels, other than GoSlo does not require the β1-subunit to mediate its effects (33).
The purpose of the present study was to examine the molecular mechanisms underlying the excitatory effects of GoSlo on BK channels expressed in HEK cells. Recently, a number of studies have demonstrated that BK channel openers such as Cym04, NS1619, and omega-3 fatty acids mediate their effects, at least partially, through an interaction with the S6/RCK1 linker (34) or the S6 segment (35) of the BK channel. Our results demonstrate that GoSlo mediates its effects by interactions with S6 and the S4/S5 linker (S4S5L), and this was reduced by combined 317, 326, and 227 mutations. The Horrigan–Aldrich (HA) allosteric model of BK channel gating (5) suggests that GoSlo enhanced the equilibrium constants for both pore opening and voltage sensor activation but reduced the voltage sensor/gate coupling.
Effects of GoSlo on Rabbit BKα Subunits Expressed in HEK Cells
We first examined the effects of GoSlo on inside-out patches of membrane from HEK cells expressing rabbit BK α-subunits (rWT). Fig. 1A shows control currents evoked from a holding potential of −60 mV through a range of potentials to +100 mV in 20-mV increments, before repolarizing to −80 mV. GoSlo (Fig. 1B, 10 μM, structure Inset) shifted the activation V1/2 by more than −100 mV, decreased the activation time constant, and increased the deactivation time constant (Fig. S1). To quantify the effects of the drug on V1/2, we plotted GV curves (Fig. 1C) from the IV relationship obtained in 100 nM Ca2+ in the absence and presence of GoSlo and compared its effects to increasing [Ca2+]i to 1 and 10 μM Ca2+. These data were fitted with the Boltzmann equation (solid lines), and in 13 experiments, summarized in Fig. 1C, GoSlo shifted the activation V1/2 from 173 ± 2 to 50 ± 2 mV, which was similar to the effects of 1 μM Ca2+ (V1/2 = 57 ± 3 mV; Fig. S1C). In the presence of 10 μM Ca2+, the response to GoSlo was reduced (ΔV1/2 = −63 ± 6 mV; n = 7). In the absence of divalent cations in the pipette solution the Ca2+ sensitivity of the BK currents was higher than that reported in other studies (Fig. S2).
Functional Ca2+ or Mg2+ Sensors Not Required for GoSlo Effects
We first investigated the involvement of the two high-affinity Ca2+-binding sites (Fig. 2A) on the GoSlo response. The Ca2+ and GoSlo responses of channels expressing mutations shown to reduce calcium binding at the RCK1 site, D367A (13), the RCK2 site, 5D5N (15, 16), or both sites, M513I:D898A (16), were recorded and compared with rWT (Fig. S1) and are summarized in Fig. 1D. Although the Ca2+ sensitivity of all mutants were reduced (Fig. S1C), the response to GoSlo was unaltered (Fig. 1D). Similarly, mutations of the Mg2+ sensors [E374A, E374A:E399N (36)] failed to reduce the response to GoSlo, suggesting that functional Ca2+ or Mg2+ sensors were not essential for its effects. We next deleted the C terminus of the BK channel [distal to residue 342 (18)] to narrow down the site for GoSlo interaction to the cytosolic or transmembrane domains. As recently demonstrated (18), these truncated channels were insensitive to Ca2+ (Fig. 1E), but were activated by GoSlo, which shifted activation V1/2 more than −100 mV (Fig. 1F; n = 5). GoSlo effects were blocked by penitrem A (n = 8; Fig. S3).
Are S6/RCK1 Linkers Involved in the GoSlo Response?
Following the recent demonstration (34) that Cym04 and NS1619 open BK channels through interactions with the S6/RCK1 linker region (shown in orange in Fig. 2A), we examined the effects of GoSlo on the Slo1_9A splice variant. This contains an alternative exon 9, differing in 13 aa in the S6/RCK1 linker regions (37). Fig. 2B shows the amino acid sequence from residue 317 in the C-terminal half of S6 (S6C) to residue 342 at the distal end of the S6/RCK1 linker of BKα. This is designated 999 (34), because it contains the original exon 9, whereas the sequence of the Slo1_9a splice variant is designated AAA, which signifies alternative exon 9. The residues that differ between WT and Slo1_9a are represented in black. We first examined the effects of 10 μM GoSlo on the hWT channel and found that, in 100 nM Ca2+, the ΔV1/2 was not significantly different (−104 ± 6 mV; n = 9) to that recorded in rWT or native rabbit bladder BK channels (31). Fig. 2Di shows typical currents evoked from hWT channels by a step to +100 mV in the presence of 100 nM Ca2+, 10 μM Ca2+, and 100 nM Ca2+ plus 10 μM GoSlo (blue trace), and is summarized in Fig. 2Dii. In contrast, the effects of 10 μM GoSlo were reduced in Slo1_9a (Fig. 2 Ei and Eii) where ΔV1/2 was −43 ± 6 mV (Fig. 2C; P < 0.001, ANOVA).
Given the reduction in the effect of GoSlo on Slo1_9a, we produced a series of chimeras in which S6C, the proximal linker, and the distal linker were independently exchanged between hWT and Slo1_9a (Fig. 2B). The Ca2+ sensitivity and effect of GoSlo on each chimera are shown in Fig. S4 A and B. When we compared the effect of GoSlo on these chimeras, a clear pattern was evident (Fig. 2C), in which the decrease in the effect of GoSlo was only dependent on the presence of the variant sequence (A) in the S6 segment (A99, ΔV1/2 = −53 ± 10 mV, n = 6, P < 0.001), regardless of whether the other regions were also altered (AA9, ΔV1/2 = −38 ± 5 mV, n = 6, P < 0.001; A9A, ΔV1/2 = −54 ± 10 mV, n = 6, P < 0.001). In contrast, the effect of NS1619 (30 μM; Fig. S4C) was unaffected in the A99 chimera but was reduced by ∼50% in the AA9 and 9A9 chimeras (34), consistent with the idea that the site of interaction of GoSlo with BK channels is different to NS1619.
We next examined the effects of mutating the three residues in S6 of the rWT channel that differ in Slo1_9a (S317, I323, and E324; Fig. 2B). Although the response to GoSlo was not significantly reduced in E324 or I323 mutants (Fig. 3 B and C), the S317R mutant was less responsive to GoSlo (Fig. 3Ai). This mutant activated with a V1/2 of 200 ± 2 mV (Fig. 3Aii; n = 10), and in 10 μM GoSlo, the ΔV1/2 was −80 ± 8 mV (Fig. 3C). Interestingly, the response to GoSlo in the S317A mutant (ΔV1/2 = −115 ± 9 mV) was similar to rWT, suggesting that R317 altered either the efficacy or potency of GoSlo. When R317 was mutated back to S317, on the otherwise-unaltered Slo1_9a, the effects of GoSlo were significantly restored, but mutation of either of the other two S6 residues in Slo1_9a had no significant effect (Fig. S5).
What Other Residues Are Involved in the Response to GoSlo?
Having established that the S317R mutation diminished the effect of GoSlo, we were interested in the location of S317 in the BK protein and potential interactions involving its side chain. Because the crystal structure of the transmembrane portion of the BK channel is unresolved, we used the structure of the Kv1.2/2.1 paddle-chimera (ref. 38; Protein Data Bank ID code 2R9R). We selected residues from regions in the 2R9R structure predicted to pack against L400, the equivalent residue to S317 in BK channels. Fig. 4Ai shows the 2R9R structure, with four color-coded α-subunits. The region within the white box is expanded (Fig. 4Aii), to show a portion of the channel in which subunits 2 and 4 are to the foreground. The residue number of 2R9R is shown along with the equivalent residue in the BK channel in parentheses. Marked in gray sticks are the only three residues from adjacent segments (L313, V406, F409) that were identified to be within the 4-Å cutoff of the L400 side chains. The equivalent residues from the BK channel are S317 (in S6C of subunit 2, colored in cyan), residues I323 and I326 in S6C of the adjacent α-subunit (subunit 4, shown in red), and residue L227 on the S4S5L of the adjacent subunit. We individually mutated each of these residues in rWT and examined the effects of GoSlo. The I323A mutant did not significantly affect the response to GoSlo (Fig. 3 B and C); however, the ΔV1/2 induced by GoSlo was reduced significantly in the L227A and I326A mutants (Fig. 4 B–E). It was further reduced in the double mutants S317R:I326A (Fig. 4C) and S317R:L227A, where the mean ΔV1/2 was reduced to −56 ± 4 and −65 ± 3 mV, respectively, in GoSlo (P < 0.01; Fig. 4E).
We also examined the effect of GoSlo on channels with the triple mutation L227A:S317R:I326A and compared these with rWT channels. In rWT, GoSlo produced a concentration-dependent enhancement of the current evoked by a step from −60 to +100 mV (Fig. 5A). Summary activation curves for each concentration of drug (300 nM to 30 μM) are shown in Fig. 5B (n = 7–12). The ΔV1/2 in each concentration of drug was plotted in Fig. 5C to yield an EC50 of ∼3 μM. Even though the Ca2+ sensitivity of the triple mutant was not decreased compared with rWT (Fig. S6A), it was much less responsive to GoSlo (Fig. 5 D–F) because the ΔV1/2 in 10 μM GoSlo was −15 ± 4 mV (n = 11). Due to the limited solubility of GoSlo, we were unable to obtain a full concentration effect curve (Fig. 5F), so it was unclear if potency or efficacy was reduced. Interestingly, the effects of NS1619 (30 μM) were unaltered in this mutant (ΔV1/2 = −40 ± 3 mV; n = 5) compared with rWT (ΔV1/2 = −42 ± 3 mV; n = 6).
Investigating the Molecular Mechanism of Action of GoSlo
We used the HA allosteric model (5) shown in Fig. 6A to help cast light on how GoSlo activated BK channels, as detailed in SI Text. As shown in Fig. 6B, the model can be simplified to subscheme 1 in the absence of Ca2+. A typical record of single-channel currents obtained from a patch in the absence and presence of 10 μM GoSlo and in 1 μM Ca2+ is shown in Fig. 6C. Under control conditions, the open probability (PO) decreased as the patch was hyperpolarized, but GoSlo increased PO markedly, and was more effective than Ca2+ at these voltages. Fig. 6E shows summary PO–V relationships in which GoSlo enhanced PO at all voltages, but its effects were greatest at negative potentials. For example at −140 mV, PO increased ∼1,700-fold, whereas application of 1 μM Ca2+ only enhanced PO 33-fold. These data were fitted with the HA model (Eq. S3) to yield the solid lines in Fig. 6E, and the values obtained by these fits are summarized in Table S1. In GoSlo, there was little change in ZJ, but the charge associated with pore opening (ZL) was reduced to 0.18e, as evidenced by the reduced voltage sensitivity of the C–O transition at positive potentials (Fig. S7C). Both L0 (700-fold) and J0 (eightfold) were significantly increased, whereas the allosteric coupling factor D was reduced by ∼60%, suggesting that GoSlo mediates it effects predominantly by shifting the C–O equilibrium to stabilize the open state (↑L0) and also stabilizes voltage sensor activation (↑J0). If GoSlo activates the voltage sensors and decouples them from channel opening, a very specific series of changes should be observed in mean activation charge displacement vs. voltage (Qa–V) relationship. Thus, the peak Qa amplitude (QaMAX) and its width would be reduced as a consequence of ↓D (10) and the Qa–V relationship should be shifted negatively, due to the shift in the R–A equilibrium. Fig. 6G shows a Qa–V plot calculated from the logarithmic slope of the PO–V data (39), fitted with Eq. S6, and suggests that all three predictions held.
When we repeated these experiments on the triple mutant, GoSlo only modestly increased PO (Fig. 6D). As shown in Fig. 6F, when the summary PO–V data were fitted with the HA equation, the mutant channels appeared similar to the WT, although the allosteric coupling factor (D) was ∼20% smaller compared with WT. In GoSlo, PO only increased ∼15-fold at negative potentials, but D was reduced from 11 ± 0.3 to 7 ± 0.1 and J0 increased from 0.08 to 0.17 in GoSlo. As Fig. 6H suggests, the mutant QaMAX was smaller than WT, consistent with the reduction in D. In the presence of GoSlo, QaMAX was reduced further and the Qa–V relationship was narrower, as expected with a further reduction in D. However, the hyperpolarizing shift in the Qa–V relationship was decreased (Table S2), consistent with a reduced shift in voltage sensor activation.
Discussion
The results presented suggest that the effects of GoSlo (i) do not require functional Ca2+- or Mg2+-binding sites, (ii) remain when the cytosolic domain of the channel is deleted, (iii) are significantly reduced in the Slo1_9a splice variant, (iv) are reduced in the S6C mutants S317R and I326A, (v) are decreased in the S4S5L mutant L227A, (vi) are ablated in the S4S5L/S6 triple mutant, and (vii) are mediated predominantly by shifting the pore-gating equilibrium (L0) toward the open state. These results support the idea that GoSlo mediates its effects through an interaction with residues in the transmembrane domain of the channel.
Over the last few years, a number of studies have examined the molecular mechanisms underlying the excitatory effects of different BK channel modulators (34, 35). A recent study (34) showed that Cym04 and NS1619 were less effective at opening Slo1_9a splice variant BK channels and provided evidence to support a role of residue K330 in the proximal linker in mediating the response to these compounds. The results from the present study suggest that, although the effects of GoSlo are significantly attenuated in the Slo1_9a splice variant, they were only slightly reduced in chimeras containing the sequence for Slo1_9a in either the proximal or distal linkers (9AA, 9A9). In keeping with previous reports (34), the ΔV1/2 induced by NS1619 was reduced ∼50% in chimeras containing the Slo1_9a proximal linker sequence (9A9, AA9). The effect of NS1619 was not altered in the A99 chimera containing the S6C sequence from the splice variant (Fig. S4C). In contrast, the effects of GoSlo were significantly reduced in all chimeras possessing the Slo1_9a S6C segment. Our results suggest that the presence of R317 in the splice variant accounts for a significant proportion of the reduced effect, because the responsiveness of the Slo1_9a channels to GoSlo was partially restored when the arginine was mutated back to serine (Fig. S5). The involvement of S317 is certainly unexpected, because one interpretation of cysteine modification experiments (40) suggests that it may face into the pore in the open channel (and thus is shifted in position relative to Kv channels). If so, the side chain of S317 would only be available to interact with GoSlo in the closed state. The fact that the S317A mutant did not reduce the effect of GoSlo may suggest that the S317R mutation is not involved directly in the binding of GoSlo, but interferes with its binding to other, unidentified residues. Alternatively, GoSlo may interact with backbone of S317, and this may be inaccessible to GoSlo in the S317R mutant.
Having established that the substitution S317R diminished the GoSlo effect, we used the 2R9R crystal structure (38) to identify residues whose side chains may interact with the side chain of residue 317. Although the applicability of the 2R9R model to BK structure has been questioned, we were able to identify three residues, which, when mutated together, ablated the response to GoSlo. As Fig. 4Aii suggests, the corresponding residues in the BK channel predicted to pack against the side chain of 317 are I323 and I326, in S6C, and L227, in the S4S5L, all three of which are in an adjacent subunit. Both I326A and L227A mutants were significantly less sensitive to GoSlo, the effects of GoSlo were further reduced (∼50%) in the double mutants (S317R:L227A; S317R:I326A) and almost abolished in the triple mutant, where the ΔV1/2 was reduced by >80%. Interestingly neither the effects of increasing Ca2+ or NS1619 were reduced in this mutant, suggesting that it selectively ablates the response to GoSlo.
We examined the molecular mechanisms of GoSlo using the HA allosteric gating model (5) and found that the effects of GoSlo could be modeled by enhancing L0 ∼700-fold, J0 ∼8-fold, and reducing the allosteric coupling factor D by ∼60%. Thus, it appears that GoSlo activated the channels primarily by shifting the C–O equilibrium toward the open state. In addition, GoSlo shifted the activation of the voltage sensors (ΔVHC ∼ −70 mV; Eq. S7) but had little effect on the charge associated with voltage sensor movement (ZJ). However, it did appear to reduce the voltage sensitivity of the C–O transition, as evidenced by the reduction in ZP (Fig. S7), perhaps suggesting that, in GoSlo, when the voltage sensors are maximally activated, the C–O transition is less voltage sensitive (Fig. S8). Although GoSlo appeared to activate the voltage sensors, it is interesting to note that it also reduced coupling between them and the pore, as evidenced by (i) the reduced amplitude of QaMAX in drug and (ii) the narrowing of the Qa–V curve relative to control. In the triple mutant, the D factor was reduced compared with WT, and interestingly, the kinetics of activation were both slower (Fig. S7B) and less voltage dependent (Fig. S7D, filled squares) than the WT channel. It appears from our data that the voltage sensor gating charge of this mutant is unaltered (Table S1) and that the voltage sensors can activate, as evidenced by the similarity in shape of the PO–V (Fig. 6) relationship in WT and the triple mutant. A potential explanation for the reduction in the activation kinetics is that voltage sensor activation is significantly slowed in this mutant, but this will require confirmation by recording gating currents.
Our working hypothesis to explain the molecular mechanism of action of GoSlo is that the bulky D ring of GoSlo inserts into a hydrophobic pocket between the S4S5L and S6C and perturbs the interaction between these two regions, resulting in channel opening, voltage sensor activation, and reduced coupling between the voltage sensor and the gate. Reductions in hydrophobic interactions in this region certainly appear to enhance BK channel activity, because the loss of the aliphatic side chain in the L227A mutant significantly left shifted the GV relationship in 100 nM Ca2+ compared with rWT (Fig. 4D), as recently suggested (41). This may also help to explain the observation that increasing D ring diameter enhances the efficacy of GoSlo compounds (32), perhaps as a result of forcing S4S5L and S6C apart.
In conclusion, the results of this study demonstrate that GoSlo is an efficacious BK channel opener that appears to interact with residues in the S4S5L and S6C segments to promote channel opening, primarily by stabilizing both the open state of the channel and the activated state of the voltage sensors.
Materials and Methods
Experiments were performed on BKα subunits expressed in HEK cells and studied with the inside-out configuration of the patch-clamp technique. The concentrations of Ca2+ in each experiment applied to the cytosolic face of the channel are shown in each figure. Standard molecular biology methods were used for mutagenesis (42) and chimera generation. The HA model (5) was used to elucidate the molecular mechanism. See SI Materials and Methods for details. Data are expressed as the mean ± SEM.
Supplementary Material
Acknowledgments
We thank C. Lingle, L. Salkoff, R. Aldrich, and F. Horrigan for useful discussions. This work was funded by a Science Foundation Ireland Research Frontiers Programme Award (11/RFP/BMT/3143). S.R. and T.I.W. were funded through the Enterprise Ireland Applied Research Enhancement Scheme. A.M.A. was funded by Dundalk Institute of Technology Research Office.
Footnotes
Conflict of interest statement: S.R., G.P.S., N.G.M., K.D.T., and M.A.H. have submitted a patent application (IPN WO 2012/035122 A11) on this family of molecules.
*This Direct Submission article had a prearranged editor.
This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1400555112/-/DCSupplemental.
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