The receptor superfamily containing GABA
A, neuronal nicotinic acetylcholine, glycine, and 5HT
3 receptors are plausible targets of anesthetic action because of their role in mediating synaptic transmission and their modulation by clinical concentrations of anesthetics. However, detailed structural information for these receptors has been elusive. GLIC is a prokaryotic member of this superfamily of receptors. Its x-ray diffraction structure has recently been determined (
4,
9). In the present report, we investigated the modulation of GLIC by anesthetics, with the expectation that this ion channel will provide a more relevant model system for examining anesthetic interactions with ion channels than do soluble proteins (
10). We found that GLIC is modulated by many anesthetics, including several at much higher affinity than on other receptors. This increases the probability that an anesthetic binding site will be characterized on GLIC.
Anesthetics could be clustered into three groups, based on their pattern of modulation of GLIC.
One group consisted of halogenated anesthetics and propofol. These compounds modulated currents through GLIC at anesthetic and subanesthetic concentrations (). Hill numbers were significantly less than 1, ranging from 0.25 for desflurane to 0.42 for propofol ().
It is interesting to compare this with other members of the superfamily. Currents through nACh receptors, like those of GLIC, are generally inhibited by anesthetics, but over a smaller concentration range, with Hill numbers of 1 or greater. Unlike GLIC, homomeric nACh receptors are not particularly anesthetic-sensitive, although heteromeric nACh receptors are very anesthetic-sensitive (
11). For example, the concentration response relation for inhibition by isoflurane of α
4 β
2 nACh receptors from chickens had an IC
50 of 85 μM and Hill number of 1.3. Propofol also inhibited these receptors, but above the clinical concentration range, with an IC
50 of 19 μM and Hill number of 2.9 (
11). Investigations in rat α
4 β
2 nicotinic acetylcholine receptors agree with these results (
12). A study of α
4β
2, α
3 β
4, and α
2 β
4 isoforms reported IC
50s of 82, 56, and 25 μM for isoflurane (
13).
Anesthetics modulate 5HT
3 receptors at higher concentrations than GLIC. Isoflurane enhances 5HT
3 receptor function at MAC by less than 50% (
14); more that 100% potentiation is observed as the anesthetic concentration is raised to 10 MAC. In one report, halothane showed potentiation of 5HT
3 receptor function similar to isoflurane (
14), but another study suggested that 5HT
3A receptors were potentiated approximately 200% by 1 MAC of halothane (
15). Sevoflurane is qualitatively different than isoflurane and halothane, inhibiting rather than enhancing currents through 5HT
3 receptors at MAC (
16). 5HT
3 receptors are relatively insensitive to propofol, with an IC
50 more than 50 times propofol’s anesthetizing concentration (
17).
Halogenated anesthetics have positive modulatory actions on GABA
A and glycine receptors (
18,
19). Enhancement of channel currents depends on the agonist concentration and can reach several hundred percent at EC
5–10. Both receptors respond to anesthetics at concentrations that produce anesthesia, but the threshold for modulation is generally above that which modulates GLIC. There are many excellent reviews of inhaled anesthetic pharmacology on GABA
A and glycine receptors (
20). Propofol strongly potentiates GABA
A receptor currents at anesthetizing concentrations (
21). In contrast, propofol enhances glycine currents only at supraanesthetic concentrations, with EC
50 of 16 and 27 μM for glycine α
1 and α
1 β receptors (
22).
The second group of compounds consisted of xenon and etomidate (). These compounds inhibited agonist activated currents through GLIC, but their concentration-response curves had Hill numbers of 1. For comparison, xenon also has moderate effects on α
4β
4 nACh receptors (
23), and small modulatory effects on GABA
A, glycine, and 5HT
3 receptors. Etomidate inhibits currents through GLIC, as well as nACh receptors, at concentrations above those that produce anesthesia (
24). Etomidate’s IC
50 on 5HT
3 receptors is approximately 20 times its anesthetic concentration (
17). Etomidate produces only a 29% potentiation of currents through glycine receptors at 300μM etomidate (
22). GABA
A receptors are strongly and stereoselectively modulated by etomidate at clinically relevant concentrations (
25), with Hill coefficients of 1.9 for the R isomer and 2.9 for the S isomer, in contrast to the supraanesthetic effects of etomidate on GLIC, nACh, glycine, and 5HT
3 receptors.
A third group of compounds consisted of ethanol and nitrous oxide. At anesthetizing concentrations, these agents did not modulate GLIC. This differs from other receptors in the superfamily. 75mM ethanol potentiates currents through α
2β
4, α
4β
4, α
2β
2, and α
4β
2 neuronal nicotinic acetylcholine receptors, although α
3β
2 and α
3β
4 are not sensitive to ethanol. 25–50 mM ethanol inhibits homomeric α
7 receptors, but this response is variable (
26). Subunit composition also determines potentiation of glycine and GABA
A receptor function by ethanol. Homomeric α
1 glycine receptors are potentiated more than homomericα
2 receptors (
27). Extrasynaptic GABA
A receptors containing a δ subunit have been reported to be potentiated by concentrations of ethanol as low as 3 mM (
28). This compares to a threshold between 30 and 100 mM for receptors containing γ subunits (
29). 5HT
3 receptor function is potentiated by ethanol in concentrations from 50 to 200 mM, but the enhancement is less than for other anesthetics, reaching at most a 50% increase in currents (
14). In contrast to GLIC, nitrous oxide modulates mammalian members of this superfamily similarly, but the modulation is small except forα
4β
2 nACh receptors (
23). Nitrous oxide at 0.6 atm potentiated the function of glycine receptors by approximately 30% and GABA receptors by 20%. α
4β
2 nACh receptors were inhibited by 39% butα
4β
4 nACh receptors were inhibited by only 7%. 5HT
3 receptors were inhibited approximately 15% (
23).
The Hill coefficient is often used to describe the cooperativity of binding of two or more ligands to proteins. As noted above, concentration response curves for anesthetics generally have Hill coefficients of 1 (no cooperativity) or greater than 1 (positive cooperativity). This is consistent with either binding (
30) or nonbinding (
31) mechanisms. In this study, Hill numbers were significantly less than 1 for desflurane, halothane, isoflurane, sevoflurane, and propofol, an indication of negative cooperativity. In this regard, GLIC differs from its anesthetic-sensitive mammalian homologs. Negative cooperativity can arise between subunits having identical binding sites if binding of one ligand decreases the binding affinity of a subsequent ligand. This mechanism has been demonstrated for the bacterial homodimeric aspartate receptor, which bind ligands with negative cooperativity, and has identical binding sites for aspartate as revealed by the x-ray structure of the receptor in the absence of ligand. The x-ray structure of the receptor with a bound ligand, however, shows that only half of the binding sites are occupied, with the second site distorted (
32). This contrasts with positive cooperativity, where the doubly liganded state would be populated at the expense of the singly liganded state, which in turn would be relatively depleted (
33). If anesthetics can be cocrystallized with GLIC, it should be possible to determine whether a half-of-the-sites mechanism of negative cooperativity applies to GLIC.
An alternative explanation for negative cooperativity of halogenated volatile anesthetics and propofol with GLIC is that it is due to the presence of two or more protein binding sites of different affinity. Photolabelling of multiple tyrosines in nACh receptors from
Torpedo californica with [
14C]halothane supports the idea that more than one anesthetic binding site can be present on a receptor that is homologous to GLIC (
34). Yet another explanation is that negative cooperativity is the result of two or more different mechanisms by which anesthetics interact with GLIC, such as a binding (
30) and a nonbinding mechanism (
35). Either of these explanations would be consistent with a two-site model.
For desflurane and halothane a two-site model fit the data better than a one-site model. Do desflurane and halothane modulate GLIC by a different mechanism than the other halogenated agents and propofol? It is not known how many anesthetic binding sites are on GLIC, whether they are identical or not, or whether the number of binding sites differs among volatile anesthetics. We note that at approximately the anesthetic IC50, there is a plateau in the inhibitory effect and a small (but in this study, a statistically insignificant) decrease in inhibition for all four halogenated anesthetics and propofol (). This is suggestive of a biphasic response of GLIC to these agents and if it is real, it would also support a two-site mechanism for the volatile anesthetics and propofol.
The modulation of GLIC by volatile anesthetics, at anesthetizing concentrations, suggests that the anesthetic sensitivity of the GABA
A receptor superfamily is prokaryotic in origin. This adds to the growing list of ion channels with anesthetic-sensitive homologs in one-celled organisms. Among these are voltage-gated Na
+ channels from bacteria (
36) and two-pore domain K
+ channels from yeast (
37). The sensitivity of their mammalian homologs is likely the result of common descent from ancestral, anesthetic-sensitive channels in one-celled organisms. This supports the conjecture that the capacity to respond to inhaled anesthetics arose in organisms that lack nervous systems (
38). In this regard, the negative cooperativity of GLIC for anesthetics may make sense. If anesthetics mimic compounds in
Gloeobacter’s environment which are used for growth or metabolism, responding to these compounds over a large concentration range may be more beneficial than responding over a narrow range (
32).
In summary, GLIC is modulated by many anesthetics. Halogenated volatile anesthetics (desflurane, halothane, isoflurane, sevoflurane) and propofol potently inhibited currents through GLIC. This modulation occurred over a broad concentration range, from subanesthetic to anesthetic concentrations, with Hill numbers averaging approximately 0.3, which indicates negative cooperativity. For desflurane and halothane, a two-site model fits the data better than a one-site model, suggesting more than one site or mechanism by which those anesthetics interact with GLIC. Less potent drugs (xenon, etomidate) modulated GLIC at higher concentrations and over a narrower concentration range, with Hill numbers not different than 1. The modulation by xenon occurred at clinically relevant concentrations. The modulation by etomidate occurred above clinical concentrations. Ethanol and nitrous oxide did not modulate currents through GLIC at surgical anesthetic concentrations. We anticipate that the atomic scale structure of GLIC will lead to an understanding of the mechanism underlying these allosteric effects.