@article {6347, title = {Calcium-sensing receptor: a high-affinity presynaptic target for aminoglycoside-induced weakness.}, journal = {Neuropharmacology}, volume = {57}, year = {2009}, month = {2009 Oct-Nov}, pages = {502-5}, abstract = {

Administration of aminoglycoside antibiotics can precipitate sudden, profound bouts of weakness that have been attributed to block of presynaptic voltage-activated calcium channels (VACCs) and failure of neuromuscular transmission. This serious adverse drug reaction is more likely in neuromuscular diseases such as myasthenia gravis. The relatively low affinity of VACC for aminoglycosides prompted us to explore alternative mechanisms. We hypothesized that the presynaptic Ca(2+)-sensing receptor (CaSR) may contribute to aminoglycoside-induced weakness due to its role in modulating synaptic transmission and its sensitivity to aminoglycosides in heterologous expression systems. We have previously shown that presynaptic CaSR controls a non-selective cation channel (NSCC) that regulates nerve terminal excitability and transmitter release. Using direct, electrophysiological recording, we report that neuronal VACCs are inhibited by neomycin (IC(50) 830 +/- 110 microM) at a much lower affinity than CaSR-modulated NSCC currents recorded from acutely isolated presynaptic terminals (synaptosomes; IC(50) 20 +/- 1 microM). Thus, at clinically relevant concentrations, aminoglycoside-induced weakness is likely precipitated by enhanced CaSR activation and subsequent decrease in terminal excitability rather than through direct inhibition of VACCs themselves.

}, keywords = {Aminoglycosides, Animals, Anti-Bacterial Agents, Calcium-Sensing, Ion Channels, Kinetics, Membrane Potentials, Muscle Weakness, Neomycin, Neurons, Patch-Clamp Techniques, Presynaptic Terminals, Rats, Receptors, Sprague-Dawley, Superior Cervical Ganglion, Synaptosomes}, issn = {1873-7064}, doi = {10.1016/j.neuropharm.2009.07.031}, author = {Harnett, Mark T and Chen, Wenyan and Smith, Stephen M} } @article {6349, title = {Calcium-sensing receptor activation depresses synaptic transmission.}, journal = {The Journal of Neuroscience: The Official Journal of the Society for Neuroscience}, volume = {28}, year = {2008}, month = {2008 Nov 12}, pages = {12062-70}, abstract = {

At excitatory synapses, decreases in cleft [Ca] arising from activity-dependent transmembrane Ca flux reduce the probability of subsequent transmitter release. Intense neural activity, induced by physiological and pathological stimuli, disturb the external microenvironment reducing extracellular [Ca] ([Ca](o)) and thus may impair neurotransmission. Increases in [Ca](o) activate the extracellular calcium sensing receptor (CaSR) which in turn inhibits nonselective cation channels at the majority of cortical nerve terminals. This pathway may modulate synaptic transmission by attenuating the impact of decreases in [Ca](o) on synaptic transmission. Using patch-clamp recording from isolated cortical terminals, cortical neuronal pairs and isolated neuronal soma we examined the modulation of synaptic transmission by CaSR. EPSCs were increased on average by 88\% in reduced affinity CaSR-mutant (CaSR(-/-)) neurons compared with wild-type. Variance-mean analysis indicates that the enhanced synaptic transmission was due largely to an increase in average probability of release (0.27 vs 0.46 for wild-type vs CaSR(-/-) pairs) with little change in quantal size (23 +/- 4 pA vs 22 +/- 4 pA) or number of release sites (11 vs 13). In addition, the CaSR agonist spermidine reduced synaptic transmission and increased paired-pulse depression at physiological [Ca](o). Spermidine did not affect quantal size, consistent with a presynaptic mechanism of action, nor did it affect voltage-activated Ca channel currents. In summary, reduced CaSR function enhanced synaptic transmission and CaSR stimulation had the opposite effect. Thus CaSR provides a mechanism that may compensate for the fall in release probability that accompanies decreases in [Ca](o).

}, keywords = {Animals, Calcium, Calcium Signaling, Calcium-Sensing, Cells, Cerebral Cortex, Cultured, Down-Regulation, Excitatory Postsynaptic Potentials, Knockout, Mice, Neural Inhibition, Neuronal Plasticity, Neurons, Organ Culture Techniques, Patch-Clamp Techniques, Presynaptic Terminals, Receptors, Spermidine, Synaptic Transmission, Synaptic Vesicles, Synaptosomes}, issn = {1529-2401}, doi = {10.1523/JNEUROSCI.4134-08.2008}, author = {Phillips, Cecilia G and Harnett, Mark T and Chen, Wenyan and Smith, Stephen M} } @article {6350, title = {Modulation of neuronal voltage-activated calcium and sodium channels by polyamines and pH.}, journal = {Channels }, volume = {1}, year = {2007}, month = {2007 Jul-Aug}, pages = {281-90}, abstract = {

The endogenous polyamines spermine, spermidine and putrescine are present at high concentrations inside neurons and can be released into the extracellular space where they have been shown to modulate ion channels. Here, we have examined polyamine modulation of voltage-activated Ca(2+) channels (VACCs) and voltage-activated Na(+) channels (VANCs) in rat superior cervical ganglion neurons using whole-cell voltage-clamp at physiological divalent concentrations. Polyamines inhibited VACCs in a concentration-dependent manner with IC(50)s for spermine, spermidine, and putrescine of 4.7 +/- 0.7, 11.2 +/- 1.4 and 90 +/- 36 mM, respectively. Polyamines caused inhibition by shifting the VACC half-activation voltage (V(0.5)) to depolarized potentials and by reducing total VACC permeability. The shift was described by Gouy-Chapman-Stern theory with a surface charge density of 0.120 +/- 0.005 e(-) nm(-2) and a surface potential of -19 mV. Attenuation of spermidine and spermine inhibition of VACC at decreased pH was explained by H(+) titration of surface charge. Polyamine-mediated effects also decreased at elevated pH due to the inhibitors having lower valence and being less effective at screening surface charge. Polyamines affected VANC currents indirectly by reducing TTX inhibition of VANCs at high pH. This may reflect surface charge induced decreases in the local TTX concentration or polyamine-TTX interactions. In conclusion, polyamines inhibit neuronal VACCs via complex interactions with extracellular H(+) and Ca. Many of the observed effects can be explained by a model incorporating polyamine binding, H(+) binding and surface charge screening.

}, keywords = {Animals, Calcium, Calcium Channels, Cell Membrane Permeability, Cells, Cultured, Hydrogen-Ion Concentration, Membrane Potentials, Models, Neurological, Neurons, Patch-Clamp Techniques, Polyamines, Putrescine, Rats, Sodium, Sodium Channel Blockers, Sodium Channels, Spermidine, Spermine, Superior Cervical Ganglion, Tetrodotoxin, Time Factors}, issn = {1933-6969}, author = {Chen, Wenyan and Harnett, Mark T and Smith, Stephen M} }