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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Pharmacol
2016 ; 173
(10
): 1639-52
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Aristolochic acid, a plant extract used in the treatment of pain and linked to
Balkan endemic nephropathy, is a regulator of K2P channels
#MMPMID26914156
Veale EL
; Mathie A
Br J Pharmacol
2016[May]; 173
(10
): 1639-52
PMID26914156
show ga
BACKGROUND AND PURPOSE: Aristolochic acid (AristA) is found in plants used in
traditional medicines to treat pain. We investigated the action of AristA on TREK
and TRESK, potassium (K2P) channels, which are potential therapeutic targets in
pain. Balkan endemic nephropathy (BEN) is a renal disease associated with AristA
consumption. A mutation of TASK-2 (K2P 5.1) channels (T108P) is seen in some
patients susceptible to BEN, so we investigated how both this mutation and AristA
affected TASK-2 channels. EXPERIMENTAL APPROACH: Currents through wild-type and
mutated human K2P channels expressed in tsA201 cells were measured using
whole-cell patch-clamp recordings in the presence and absence of AristA. KEY
RESULTS: TREK-1- and TREK-2-mediated currents were enhanced by AristA (100 ?M),
whereas TRESK was inhibited. Inhibition of TRESK did not depend on the
phosphorylation of key intracellular serines but was completely blocked by
mutation of bulky residues in the inner pore (F145A_F352A). The TASK-2_T108P
mutation markedly reduced both current density and ion selectivity. A related
mutation (T108C) had similar but less marked effects. External alkalization and
application of flufenamic acid enhanced TASK-2 and TASK-2_T108C current but did
not affect TASK-2_T108P current. AristA (300 ?M) produced a modest enhancement of
TASK-2 current. CONCLUSIONS AND IMPLICATIONS: Enhancement of TREK-1 and TREK-2
and inhibition of TRESK by AristA may contribute to therapeutically useful
effects of this compound in pain. Whilst AristA is unlikely to interact directly
with TASK-2 channels in BEN, loss of functional TASK-2 channels may indirectly
increase susceptibility to AristA toxicity.