电压门控性钠离子通道与伤害性感受

伤害性感受器激活引起疼痛的概念,现已广泛被人们接受,大量实验表明,伤害性感受器兴奋性的变化与一些离子通道有关,对河豚毒素不敏感的电压依赖性钠离子通道（TTXr)选择性地分布于与伤害性感受有关的初级感受神经元,炎症反应和神经损伤诱发的慢性疼痛可诱发这种TTXr功能及基因表达的变化,TTXr通道蛋白的反义寡核苷酸（antisense ODN)处理可对抗炎症或神经损伤引起的痛觉过敏或超敏,提示TTXr在伤害性感受中起重要作用,有望成为特异性镇痛药物的药理作用靶点。     

电压门控钠通道的变异与机体疾患

通道病理学是当今国际学术发展中一门新兴学科。本文将针对有关电压门控钠通道的变异所导致的机体疾患,如高血钾性周期性麻痹,先天性肌强直等骨骼肌疾患,ＬＱＴ３,原发笥心室纤颤等心脏病及其所涉及的钠通道突变体,通道的突变位点和电生理性质等一些研究资料与进展作一概括介绍。     

缓激肽对背根节神经元钠通道电流的作用

目的：观察缓激肽(bradykinin,BK)对大鼠背根节神经元电压依赖性钠通道电流的作用。方法：采用全细胞膜片钳技术,记录钠通道电流。结果：缓激肽剂量依赖性(0．01～10μmol／L)增高小细胞背根节神经元诱发放电频率;缓激肽剂量依赖性(O．01～10μmol／L)增加小细胞背根节神经元的河豚毒素不敏感(TTX—resistant,TTX—R)钠电流,对TTX敏感(TTX—sensitive,TTX-S)钠电流无明显影响。结论：缓激肽引起炎性痛的机制可能与TTX-R钠通道电流有关。     

电压门控钠离子通道与疼痛症

疼痛是一种常见的疾病和临床症状,有时会严重影响患者的生活质量,因此,疼痛的研究、治疗具有重要的实际意义。电压门控钠离子通道在神经元动作电位的起始和传导中起着关键作用,尤其是亚型Nav1.3、Nav1.7、Nav1.8和Nav1.9,它们广泛存在于背根神经节中,参与了疼痛的形成。其中,Nav1.7的基因突变会导致多种遗传性疾病。因此,这些亚型是潜在的、理想的疼痛治疗靶点。主要对电压门控钠离子通道与疼痛有关的最新研究进展进行了综述。     

电压门控钠通道在神经病理性痛中的作用

电压门控钠通道(VGSC)在神经病理性痛的发生和维持中起重要作用。非特异性的通道阻断剂是神经病理性痛的一种治疗手段,但由于可能产生严重的副作用而限制了其使用。最近研究揭示了几种主要在外周感觉神经系统中表达的VGSC的亚型与神经病理性痛密切相关,发展特异性的通道亚型阻断剂将成为治疗神经病理性痛的重要研究方向。     

电压门控钠通道结构与功能的适应性进化

电压门控钠通道是细胞兴奋性的重要分子基础,在进化演变中远早于神经元。伴随从细菌到脊椎动物的适应性演变,电压门控钠通道逐渐呈现出复杂的结构、功能和亚型多样性,且与诸多人类疾病密切相关。明确电压门控钠通道时空演变的适应性进化,解析电压门控钠通道的功能和结构多样性与人类重大疾病发生机制的相关性,有助于推进电压门控钠通道靶向临床诊疗新策略和新药的发现。     

电压门控钠离子通道疾病的研究进展

细胞膜上的电压门控钠离子通道（Voltage-gated Sodium Channels,VGSCs）是细胞形成动作电位过程中重要的组成构件,由一个大的α亚基和一个或多个不同的β亚基组成,中央是具高度选择性只允许钠离子通过的亲水通道。电压门控钠离子通道在调节细胞膜电位、维持细胞离子稳态、细胞增殖和凋亡等生理过程中发挥着重要作用,因而钠离子通道自身的异变或是相关基因的变异都可能引起一系列身体病变。本文主要介绍了电压门控钠离子通道的结构与功能,阐述了其与癌细胞侵袭转移和神经病理性疼痛的关系,并介绍了几种典型的由钠离子通道基因变异引起的疾病。随着对电压门控钠离子通道及其异常分子机制研究的不断深入,新成果将为生理学、药理学和病理学等领域的研究提供理论基础和新的研究思路,为离子通道疾病的临床预防、诊断与治疗找到新途径。     

电压门控Na^＋通道亚型及其功能——新的研究热点

依靠现代分子生物学技术及电生理的记录,探讨各种Ｎａ＾＋通道亚型在中枢与周边神经系统以及一些非兴奋性组织细胞中的分布,表达,突变及其对信息调控的功能特征,已成为当今神经生物学等学科发展中的一个研究新热点,本文将侧重对有关哺乳动物Ｎａ＾＋通道亚型的分类,在不同组织细胞中的分布及其表达调控的功能机制等一些研究进展做一简要的回眸。     

电压门控钠通道NaV1.7与痛信号的产生

电压门控钠通道NaV1.7选择性高表达在伤害感受性脊髓背根神经节的感觉神经元上,在疼痛电信号的产生、传导和调控中具有重要的生理功能。伤害性感受器上的NaV1.7亦在慢性神经痛和炎症痛的病理生理过程中发挥关键作用。近年来的研究发现,人类遗传性疼痛症(如红斑性肢痛病)与NaV1.7钠离子通道基因SCN9A的某些功能增强型突变相关。最近Cox等首次报道了SCN9A突变将导致人先天痛觉完全丧失,而无痛症患者机体其它功能正常,提示NaV1.7将可能成为有效治疗疼痛而无副作用的一个新靶标。     

过氧亚硝酸阴离子通过鸟苷酸环化酶途径抑制钠电流影响海马神经元兴奋性

过氧亚硝酸阴离子（ONOO-）是一种性质活泼的自由基,可引起强的氧化性损伤,介导了一氧化氮（NO）的大部分毒性作用．应用全细胞膜片钳技术,探讨ONOO-对脑片海马神经元电压门控钠通道电流（INa）和神经元兴奋性的影响．结果表明,ONOO-供体SIN-1（10,500,2000μmol／L）可浓度依赖性抑制INa电流峰值．SIN-1与ONOO-清除剂尿酸共处理,并不影响INa．500μmol／L的SIN-1可使INa的I-V曲线上移,并可抑制其失活后恢复过程,但对INa的激活和失活过程无影响．SIN-1还可抑制动作电位发放频率和幅值．脑片预处理腺苷酸环化酶（adenylate cyclase,AC）抑制剂MDL-12,330A（25μmol／L）和NEM（50μmol／L）对SIN-1的作用无影响．然而,预处理鸟苷酸环化酶（CG）抑制剂ODQ可抑制SIN-1对INa的作用．以上结果提示,ONOO-通过cGMP-INa-AP信号级联系统作用于海马神经元,与PKA和蛋白巯基亚硝化途径无关,这可能是ONOO-神经毒性的机制之一．     

电压依赖性钾通道与人类神经性疾病

电压依赖性钾通道是钾通道超家族中成员最多,最为复杂的亚家族,主要包括Kvα亚单位和辅助亚单位两部分,其中快速失活A型通道和毒蕈碱敏感的M通道已被大量研究,它们广泛分布于神经系统,主要参与各种生理和病理作用,如膜兴奋性的产生,神经递质的释放,神经元细胞的增殖和退化,以及神经网络的信号传递等。目前发现Kv通道亚型或亚单位的突变与学习和记忆的损伤,共济失调,癫痫,神经性耳聋等一些神经性疾病的产生有关。     

钙激活钾通道在黎芦碱致神经细胞损伤中的作用

目的:观察新生SD大鼠原代培养皮层神经元的钙激活钾通道(Kca)在黎芦碱致神经元损伤模型上的激活、抑制效应.方法:采用细胞贴附和内面向外两种膜片钳单通道记录方法记录新生SD大鼠原代培养皮层神经元的Kca电生理活动.结果:黎芦碱在胞外可激活Kca.在有钙浴液内,细胞贴附式,钳制膜电位 30 mV,加入不同浓度黎芦碱(μmol/L:15、25、50、75),通道开放概率由0.005分别增加为0.014±0.003、0.085±0.010、0.132±0.016、0.059±0.006(P＜0.01),在50μmol/L以内表现出浓度依赖性.无钙浴液内,细胞贴附式膜片上,钳制膜电位 50 mV,随药物浓度(μmol/L)增加为15、40、60、100时,通道开放概率由0.005分别增加为0.014±0.010、0.113±0.006、0.141±0.004、0 295±0.009(P＜0.05).6例内面向外式膜片上,钳制膜电位 40 mV,分别加入黎芦碱25 μmol/L、50μmol/L 3 min后,通道开放概率由0.011±0.008分别增加为0.010±0.010、0.012±0.007(P＞0.05).黎芦碱在胞内Kca开放概率,平均开放/关闭时间,电流幅值均无明显变化.结论:黎芦碱通过影响胞内游离钙水平间接调节Kca,在缺血缺氧早期,胞内游离钙增高激活Kca开放.     

Modulation of TRPA1 channel activity by Cdk5 in sensory neurons

Transient receptor potential cation channel, subfamily A, member 1 (TRPA1), is activated by a broad range of noxious stimuli. Cdk5, a member of the Cdk family, has recently been identified as a modulator of pain signaling pathways. In the current study, we investigated the extent to which Cdk5 modulates TRPA1 activity. Cdk5 inhibition was found to attenuate TRPA1 response to agonist in mouse DRG sensory neurons. Additionally, the presence of active Cdk5 was associated with increased TRPA1 phosphorylation in transfected HEK293 cells that was roscovitine-sensitive and absent in the mouse mutant S449A full-length channel. Immunopurified Cdk5 was observed to phosphorylate human TRPA1 peptide substrate at S448A in vitro. Our results point to a role for Cdk5 in modulating TRPA1 activity.     

Specific inhibition of epithelial Na+ channels by antisense oligonucleotides for the treatment of Na+ hyperabsorption in cystic fibrosis

Background

Cystic fibrosis (CF) respiratory epithelia are characterized by a defect Cl^? secretion and an increased Na⁺ absorption through epithelial Na⁺ channels (ENaC). The present study aimed to find an effective inhibitor of human ENaC with respect to replacing amiloride therapy for CF patients. Therefore, we developed specific antisense oligonucleotides (AON) that efficiently suppress Na⁺ hyperabsorption by inhibiting the expression of the α‐ENaC subunit.

Methods

We heterologously expressed ENaC in oocytes of Xenopus laevis for mass screening of AON. Additionally, primary cultures of human nasal epithelia were transfected with AON and were used for Ussing chamber experiments, as well as biochemical and fluorescence optical analyses.

Results

Screening of several AON by co‐injection or sequential microinjection of AON and ENaC mRNA in X. laevis oocytes led to a sustained decrease in amiloride‐sensitive current and conductance. Using primary cultures of human nasal epithelia, we show that AON effectively suppress amiloride‐sensitive Na⁺ absorption mediated by ENaC in CF and non‐CF tissues. In western blot experiments, it could be shown that the amount of ENaC protein is effectively reduced after AON transfection.

Conclusions

Our data comprise an initial step towards a preclinical test with AON to reduce Na⁺ hyperabsorption in CF epithelia. Copyright © 2009 John Wiley & Sons, Ltd.

     

Sodium channel functioning based on an octagonal structure model

The complete amino acid sequence of a sodium channel from squid Loligo bleekeri has been deduced by cloning and sequence analysis of the complementary DNA. A unique feature of the squid sodium channel is the 1,522 residue sequence, approximately three-fourths of those of the rat sodium channels I, II and III. On the basis of the sequence, and in comparison with those of vertebrate sodium channels, we have proposed a tertiary structure model of the sodium channel where the transmembrane segments are octagonally aligned and the four linkers of S5–6 between segments S5 and S6 play a crucial role in the activation gate, voltage sensor and ion selective pore, which can slide, depending on membrane potentials, along inner walls consisting of alternating segments S2 and S4. The proposed octagonal structure model is contrasted with that of Noda et al. (Nature 320; 188–192, 1986). The octagonal structure model can explain the gating of activation and inactivation, and ion selectivity, as well as the action mechanism of both tetrodotoxin (TTX) and -scorpion toxin (ScTX), and can be applied not only to the sodium channel, but also to the calcium channel, potassium channel and cGMP-gated channel.The authors would like to express our cordial acknowledgments to Dr. Hideo Tani (Kowa) and Drs. Masahiko Fujino and Haruo Onda (Takeda Pharmaceutical) for their kind support for us to utilize their experimental facilities for DNA cloning and as well as for their stimulating and helpful discussions. We also thank Drs. Toshio Iijima, Michinori Ichikawa, Kiyonori Hirota, Messrs. Tadashi Kimura and Osamu Shono and all our colleagues (Supermolecular Science Division, Electrotechnical Laboratory) for their kind support to collect and isolate optic lobes from live squid. We greatly thank Professors Takuji Takeuchi (University of Tohoku) and David Landowne (University of Miami) for their illuminating discussions and valuable comments.