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Subtype-specific modulation of human Kv7 channels by the anticonvulsant cannabidiol through a membrane-facing pore-domain site

Authors: Pökl, Michael; Sridhar, Akshay; Linhart, Veronika; Delemotte, Lucie; Liin, Sara;

Subtype-specific modulation of human Kv7 channels by the anticonvulsant cannabidiol through a membrane-facing pore-domain site

Abstract

Cannabidiol (CBD) is used clinically as an anticonvulsant. However, its precise mechanism of action has remained elusive. CBD was recently demonstrated to enhance the activity of the neuronal KV7.2/7.3 channel, which may be one important contributor to how CBD reduces neuronal excitability. Curiously, CBD has also been shown to inhibit the cardiac KV7.1/KCNE1 channel. However, whether and how CBD affects other KV7 subtypes remains unstudied, and the CBD interaction sites mediating these diverse effects remain unknown. Here, we have used electrophysiology combined with molecular dynamics simulations, molecular docking, and site-directed mutagenesis to address these open questions. We found that CBD modulates the activity of all human KV7 subtypes and that the effects are subtype-dependent. CBD enhanced the activity of KV7.2-7.5 subtypes, seen as a V50 shift towards more negative voltages or increased maximum conductance. In contrast, CBD inhibited the KV7.1 and KV7.1/KCNE1 channels, seen as a V50 shift towards more positive voltages and reduced conductance. In KV7.2 and KV7.4, we propose a CBD interaction site at the subunit interface in the pore domain which overlaps with the interaction site of other compounds, notably the anticonvulsant retigabine. However, CBD relies on other residues for its effects than the conserved tryptophan that is critical for retigabine effects. We propose a similar though not identical CBD site in KV7.1, with a non-conserved phenylalanine being important. In conclusion, we identify novel targets of CBD, contributing to a better understanding of CBD’s clinical effects, and provide mechanistic insights into how CBD modulates different KV7 subtypes.

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selected citations
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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