Molecular mechanisms of inhibition of nicotinic acetylcholine receptors by tricyclic antidepressants

Neuropharmacology. 2003 Dec;45(7):964-76. doi: 10.1016/s0028-3908(03)00247-8.

Abstract

In addition to their well known actions on monoamine reuptake, tricyclic antidepressants have been shown to modulate ligand-gated ion channels (LGICs). Since the muscle nicotinic acetylcholine receptor (AChR) has been the model for studying structure-function relationships of LGICs, we analyzed the action of tricyclic antidepressants on this type of AChR at both single-channel and macroscopic current levels. We also determined their effects on ACh equilibrium binding and their interactions with the different conformational states of the AChR. Antidepressants produce a significant concentration-dependent decrease in the duration of clusters of single-channels (eight fold at 20 muM). They also decrease the peak amplitude and increase the decay rate of currents elicited by rapid perfusion of ACh to outside-out patches. In equilibrium binding assays, antidepressants promote the typical high-affinity desensitized state and inhibit binding of [piperidyl-3,4-(3)H (N)]-(N-(1-(2-thienyl)cyclohexyl)-3,4-piperidine ([(3)H]TCP) to its locus in resting and desensitized AChRs. The results indicate that tricyclic antidepressants: (i) interact with resting (closed), open, and desensitized channels; (ii) do not affect significantly channel opening and closing rates; (iii) do not act as fast open-channel blockers; (iv) inhibit activation of resting channels; and (v) may increase the rate of long-lived desensitization from the open state.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetylcholine / metabolism
  • Amitriptyline / pharmacology
  • Animals
  • Antidepressive Agents, Tricyclic / pharmacology*
  • Cell Membrane / drug effects
  • Cell Membrane / metabolism
  • Doxepin / pharmacology
  • Excitatory Amino Acid Antagonists / pharmacology
  • Humans
  • Imipramine / pharmacology
  • In Vitro Techniques
  • Kidney / cytology
  • Kidney / drug effects
  • Kidney / metabolism
  • Kinetics
  • Membrane Potentials / drug effects
  • Mice
  • Nicotinic Antagonists / pharmacology*
  • Patch-Clamp Techniques
  • Phencyclidine / analogs & derivatives*
  • Phencyclidine / pharmacology
  • Receptors, Nicotinic / drug effects*
  • Receptors, Nicotinic / metabolism
  • Torpedo

Substances

  • Antidepressive Agents, Tricyclic
  • Excitatory Amino Acid Antagonists
  • Nicotinic Antagonists
  • Receptors, Nicotinic
  • Doxepin
  • Amitriptyline
  • tenocyclidine
  • Phencyclidine
  • Acetylcholine
  • Imipramine