Interaction of galantamine with ionic channels in molluscan neurons

Galantamine is widely used for the treatment of Alzheimer’s disease. According to the generally accepted viewpoint, its therapeutic effect is based on inhibition of acetylcholinesterase (AChE) and potentiation of nicotinic receptors. Alternative molecular targets for galanatamine, namely, voltage-gated Ca²⁺ and K⁺ channels of the neuronal membrane, are also widely discussed in the current literature. The present study is devoted to the analysis of effects of galantamine on high-threshold Ca²⁺ currents (I _Ca) and three different kinds of highthreshold K⁺ current, viz.: Ca²⁺-dependent K⁺ current (I _C), delayed rectifier (I _DR), and fast-inactivating K₊ current (I _Adepol). Experiments were conducted on molluscan neurons with the help of two-microelectrode voltageclamp technique. It was found that galantamine caused a fast, reversible and dose-dependent suppression of all types of high-threshold ionic currents. The maximal blocking effect of the alkaloid for I _Ca, I _C, and I _DR, was 100%, while for I Adepol the maximal suppression was only 60%. The mean values of IC ₅₀ for I _C, I _DR, I _Adepol, and I _Ca were 109, 237, 66, and 515 μ M, respectively, i.e., substantially higher than the corresponding values for the alkaloid-induced inhibition of AChE and potentiation of nicotinic receptors. It is concluded that the blockade of Ca₂₊ and K₊ channels has little or no contribution to the therapeutic activity of galantamine.