PMID- 29847805 OWN - NLM STAT- MEDLINE DCOM- 20191105 LR - 20210109 IS - 2211-1247 (Electronic) VI - 23 IP - 9 DP - 2018 May 29 TI - Strong G-Protein-Mediated Inhibition of Sodium Channels. PG - 2770-2781 LID - S2211-1247(18)30709-5 [pii] LID - 10.1016/j.celrep.2018.04.109 [doi] AB - Voltage-gated sodium channels (VGSCs) are strategically positioned to mediate neuronal plasticity because of their influence on action potential waveform. VGSC function may be strongly inhibited by local anesthetic and antiepileptic drugs and modestly modulated via second messenger pathways. Here, we report that the allosteric modulators of the calcium-sensing receptor (CaSR) cinacalcet, calindol, calhex, and NPS 2143 completely inhibit VGSC current in the vast majority of cultured mouse neocortical neurons. This form of VGSC current block persisted in CaSR-deficient neurons, indicating a CaSR-independent mechanism. Cinacalcet-mediated blockade of VGSCs was prevented by the guanosine diphosphate (GDP) analog GDPbetas, indicating that G-proteins mediated this effect. Cinacalcet inhibited VGSCs by increasing channel inactivation, and block was reversed by prolonged hyperpolarization. Strong cinacalcet inhibition of VGSC currents was also present in acutely isolated mouse cortical neurons. These data identify a dynamic signaling pathway by which G-proteins regulate VGSC current to indirectly modulate central neuronal excitability. CI - Published by Elsevier Inc. FAU - Mattheisen, Glynis B AU - Mattheisen GB AD - Department of Medicine, Division of Pulmonary & Critical Care Medicine, Oregon Health & Science University, Portland, OR 97239, USA; Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System, Portland, OR 97239, USA. FAU - Tsintsadze, Timur AU - Tsintsadze T AD - Department of Medicine, Division of Pulmonary & Critical Care Medicine, Oregon Health & Science University, Portland, OR 97239, USA; Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System, Portland, OR 97239, USA. FAU - Smith, Stephen M AU - Smith SM AD - Department of Medicine, Division of Pulmonary & Critical Care Medicine, Oregon Health & Science University, Portland, OR 97239, USA; Section of Pulmonary & Critical Care Medicine, VA Portland Health Care System, Portland, OR 97239, USA. Electronic address: smisteph@ohsu.edu. LA - eng GR - F31 NS095463/NS/NINDS NIH HHS/United States GR - I01 BX002547/BX/BLRD VA/United States GR - R01 GM097433/GM/NIGMS NIH HHS/United States GR - T32 HL083808/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Cell Rep JT - Cell reports JID - 101573691 RN - 0 (Receptors, Calcium-Sensing) RN - 0 (Voltage-Gated Sodium Channel Blockers) RN - 0 (Voltage-Gated Sodium Channels) RN - 86-01-1 (Guanosine Triphosphate) RN - EC 3.6.1.- (GTP-Binding Proteins) RN - UAZ6V7728S (Cinacalcet) SB - IM MH - Allosteric Regulation/drug effects MH - Animals MH - Animals, Newborn MH - Cinacalcet/pharmacology MH - GTP-Binding Proteins/*metabolism MH - Guanosine Triphosphate/metabolism MH - Ion Channel Gating/drug effects MH - Mice MH - Neocortex/cytology MH - Neurons/cytology/drug effects/metabolism MH - Receptors, Calcium-Sensing/agonists/metabolism MH - Voltage-Gated Sodium Channel Blockers/pharmacology MH - Voltage-Gated Sodium Channels/*metabolism PMC - PMC6203318 MID - NIHMS1508930 OTO - NOTNLM OT - CaSR OT - G-protein OT - G-protein-coupled receptor OT - GPCR OT - VGSC OT - calcium-sensing receptor OT - excitability OT - slow inactivation OT - synaptic transmission neuron OT - voltage-gated sodium channel COIS- DECLARATION OF INTERESTS The authors declare no competing interests. EDAT- 2018/05/31 06:00 MHDA- 2019/11/07 06:00 PMCR- 2018/10/26 CRDT- 2018/05/31 06:00 PHST- 2017/10/12 00:00 [received] PHST- 2018/03/26 00:00 [revised] PHST- 2018/04/25 00:00 [accepted] PHST- 2018/05/31 06:00 [entrez] PHST- 2018/05/31 06:00 [pubmed] PHST- 2019/11/07 06:00 [medline] PHST- 2018/10/26 00:00 [pmc-release] AID - S2211-1247(18)30709-5 [pii] AID - 10.1016/j.celrep.2018.04.109 [doi] PST - ppublish SO - Cell Rep. 2018 May 29;23(9):2770-2781. doi: 10.1016/j.celrep.2018.04.109.