Acetylcholine receptor

(Redirected fromCholinergic receptors)

Anacetylcholine receptor(abbreviatedAChR) or acholinergic receptoris anintegral membrane proteinthat responds to the binding ofacetylcholine,aneurotransmitter.

Nicotinic acetylcholine receptorstructure
Acetylcholine

Classification

edit

Like othertransmembrane receptors,acetylcholine receptors are classified according to their "pharmacology," or according to their relative affinities and sensitivities to different molecules. Although all acetylcholine receptors, by definition, respond to acetylcholine, they respond to other molecules as well.

Nicotinic and muscarinic are two main kinds of "cholinergic" receptors.

Receptor types

edit

Molecular biologyhas shown that the nicotinic and muscarinic receptors belong to distinctprotein superfamilies.Nicotinic receptors are of two types: Nm and Nn. Nm[1]is located in the neuromuscular junction which causes the contraction of skeletal muscles by way ofend-plate potential(EPPs). Nn causes depolarization in autonomic ganglia resulting in post ganglionic impulse. Nicotinic receptors cause the release of catecholamine from the adrenal medulla, and also site specific excitation or inhibition in brain. Both Nm and Nn receptor types are non-selective cation channels, permeable to sodium and potassium ions, in addition to that, Nn type receptors allow for calcium ion flow.

nAChR

edit

The nAChRs areligand-gatedion channels,and, like other members of the "cys-loop"ligand-gated ion channelsuperfamily, are composed of fiveprotein subunitssymmetrically arranged like staves around a barrel. The subunit composition is highly variable across different tissues. Each subunit contains four regions which span the membrane and consist of approximately 20 amino acids. Region II which sits closest to the pore lumen, forms the pore lining.

Binding of acetylcholine to the N termini of each of the two alpha subunits results in the 15° rotation of all M2 helices.[2]The cytoplasm side of the nAChR receptor has rings of high negative charge that determine the specific cation specificity of the receptor and remove the hydration shell often formed by ions in aqueous solution. In the intermediate region of the receptor, within the pore lumen,valineandleucineresidues (Val 255 and Leu 251) define a hydrophobic region through which the dehydrated ion must pass.[3]

The nAChR is found at the edges of junctional folds at theneuromuscular junctionon the postsynaptic side; it is activated byacetylcholinerelease across the synapse. The diffusion of Na+and K+across the receptor causes depolarization, the end-plate potential, that opensvoltage-gated sodium channels,which allows for firing of theaction potentialand potentially muscular contraction.

mAChR

edit

In contrast, themAChRsare not ion channels, but belong instead to the superfamily ofG-protein-coupled receptorsthat activate other ionic channels via asecond messengercascade. The muscarine cholinergic receptor activates a G-protein when bound to extracellular ACh. The alpha subunit of the G-protein activates guanylate cyclase (inhibiting the effects of intracellular cAMP) while the beta-gamma subunit activates the K-channels and therefore hyperpolarize the cell. This causes a decrease in cardiac activity.

Origin and evolution

edit

ACh receptors are related toGABA,glycine,and5-HT3 receptorsand their similar protein sequence and gene structure strongly suggest that they evolved from a common ancestral receptor.[4]In fact, relatively minor mutations, such as a change in 3 amino acids in many of these receptors can convert a cation-selective channel to an anion-selective channel gated by acetylcholine, showing that even fundamental properties can relatively easily change in evolution.[5]

Pharmacology

edit

Acetylcholine receptor modulators can be classified by which receptor subtypes they act on:

ACh and its receptors
Drug Nm Nn M1 M2 M3
ACh,Carbachol,Methacholine,AChEI(Physostigmine,Galantamine,Neostigmine,Pyridostigmine) + + + + +
Nicotine,Varenicline + +
Succinylcholine +/-
Atracurium,Vecuronium,Tubocurarine,Pancuronium -
Epibatidine,DMPP +
Trimethaphan,Mecamylamine,Bupropion,Dextromethorphan,Hexamethonium -
Muscarine,Oxotremorine,Bethanechol,Pilocarpine + + +
Atropine,Tolterodine,Oxybutynin - - -
Vedaclidine,Talsaclidine,Xanomeline,Ipratropium +
Pirenzepine,Telenzepine -
Methoctramine -
Darifenacin,4-DAMP,Solifenacin -

Role in health and disease

edit

Nicotinic acetylcholine receptors can be blocked bycurare,hexamethoniumand toxins present in the venoms ofsnakesandshellfishes,likeα-bungarotoxin.Drugs such as theneuromuscular blocking agentsbind reversibly to the nicotinic receptors in theneuromuscular junctionand are used routinely in anaesthesia. Nicotinic receptors are the primary mediator of the effects ofnicotine.Inmyasthenia gravis,the receptor at the neuromuscular junction is targeted byantibodies,leading to muscle weakness.

Muscarinic acetylcholine receptors can be blocked by the drugsatropineandscopolamine.

Congenital myasthenic syndrome(CMS) is an inherited neuromuscular disorder caused by defects of several types at theneuromuscular junction.Postsynaptic defects are the most frequent cause of CMS and often result in abnormalities in nicotinic acetylcholine receptors. The majority of mutations causing CMS are found in the AChR subunits genes.[6]

Out of all mutations associated with CMS, more than half are mutations in one of the four genes encoding the adult acetylcholine receptor subunits. Mutations of the AChR often result in endplate deficiency. Most of the mutations of the AChR are mutations of theCHRNEgene with mutations encoding for theAlpha5 Nicotinic Acetylcholine Receptorcause increased susceptibility to addiction. The CHRNE gene codes for the epsilon subunit of the AChR. Most mutations are autosomal recessive loss-of-function mutations and as a result there is endplate AChR deficiency. CHRNE is associated with changing the kinetic properties of the AChR.[7]One type of mutation of the epsilon subunit of the AChR introduces an Arg into the binding site at the α/ε subunit interface of the receptor. The addition of a cationic Arg into the anionic environment of the AChR binding site greatly reduces the kinetic properties of the receptor. The result of the newly introduced ARG is a 30-fold reduction of agonist affinity, 75-fold reduction of gating efficiency, and an extremely weakened channel opening probability. This type of mutation results in an extremely fatal form of CMS.[8]

See also

edit

References

edit
  1. ^"Reference at image.slidesharecdn.com".
  2. ^Doyle DA (2004). "Structural changes during ion channel gating".Trends Neurosci.27(6): 298–302.doi:10.1016/j.tins.2004.04.004.PMID15165732.S2CID36451231.
  3. ^Miyazawa A, Fujiyoshi Y, Unwin N (2003). "Structure and gating mechanism of the acetylcholine receptor pore".Nature.423(6943): 949–55.Bibcode:2003Natur.423..949M.doi:10.1038/nature01748.PMID12827192.S2CID205209809.
  4. ^Ortells, M. O.; Lunt, G. G. (March 1995)."Evolutionary history of the ligand-gated ion-channel superfamily of receptors".Trends in Neurosciences.18(3): 121–127.doi:10.1016/0166-2236(95)93887-4.ISSN0166-2236.PMID7754520.S2CID18062185.
  5. ^Galzi, J. L.; Devillers-Thiéry, A.; Hussy, N.; Bertrand, S.; Changeux, J. P.; Bertrand, D. (1992-10-08)."Mutations in the channel domain of a neuronal nicotinic receptor convert ion selectivity from cationic to anionic".Nature.359(6395): 500–505.Bibcode:1992Natur.359..500G.doi:10.1038/359500a0.ISSN0028-0836.PMID1383829.S2CID4266961.
  6. ^Cossins, J.; Burke, G.; Maxwell, S.; Spearman, H.; Man, S.; Kuks, J.; Vincent, A.; Palace, J.; Fuhrer, C.; Beeson, D. (2006)."Diverse molecular mechanisms involved in AChR deficiency due to rapsyn mutations".Brain.129(10): 2773–2783.doi:10.1093/brain/awl219.PMID16945936.
  7. ^Abicht, A.; Dusl, M.; Gallenmüller, C.; Guergueltcheva, V.; Schara, U.; Della Marina, A.; Wibbeler, E.; Almaras, S.; Mihaylova, V.; Von Der Hagen, M.; Huebner, A.; Chaouch, A.; Müller, J. S.; Lochmüller, H. (2012). "Congenital myasthenic syndromes: Achievements and limitations of phenotype-guided gene-after-gene sequencing in diagnostic practice: A study of 680 patients".Human Mutation.33(10): 1474–1484.doi:10.1002/humu.22130.PMID22678886.S2CID30868022.
  8. ^Shen, X. -M.; Brengman, J. M.; Edvardson, S.; Sine, S. M.; Engel, A. G. (2012)."Highly fatal fast-channel syndrome caused by AChR subunit mutation at the agonist binding site".Neurology.79(5): 449–454.doi:10.1212/WNL.0b013e31825b5bda.PMC3405251.PMID22592360.
edit