Insights into Distinct Modulation of α7 and α7β2 Nicotinic Acetylcholine Receptors by the Volatile Anesthetic Isoflurane*

Background: What determines hypersensitivity or insensitivity of β2-containing or α7 nAChRs to volatile anesthetics remains unclear. Results: Isoflurane binds to the EC end of the TM domain, modulates channel dynamics, and inhibits channel current in β2 not α7. Conclusion: The dynamic and structural differences between β2 and α7 affect isoflurane binding and inhibition. Significance: Both structure and dynamics are critical for drug action. Nicotinic acetylcholine receptors (nAChRs) are targets of general anesthetics, but functional sensitivity to anesthetic inhibition varies dramatically among different subtypes of nAChRs. Potential causes underlying different functional responses to anesthetics remain elusive. Here we show that in contrast to the α7 nAChR, the α7β2 nAChR is highly susceptible to inhibition by the volatile anesthetic isoflurane in electrophysiology measurements. Isoflurane-binding sites in β2 and α7 were found at the extracellular and intracellular end of their respective transmembrane domains using NMR. Functional relevance of the identified β2 site was validated via point mutations and subsequent functional measurements. Consistent with their functional responses to isoflurane, β2 but not α7 showed pronounced dynamics changes, particularly for the channel gate residue Leu-249(9′). These results suggest that anesthetic binding alone is not sufficient to generate functional impact; only those sites that can modulate channel dynamics upon anesthetic binding will produce functional effects.


Nicotinic acetylcholine receptors (nAChRs) are targets of general anesthetics, but functional sensitivity to anesthetic inhibition varies dramatically among different subtypes of nAChRs.
Potential causes underlying different functional responses to anesthetics remain elusive. Here we show that in contrast to the ␣7 nAChR, the ␣7␤2 nAChR is highly susceptible to inhibition by the volatile anesthetic isoflurane in electrophysiology measurements. Isoflurane-binding sites in ␤2 and ␣7 were found at the extracellular and intracellular end of their respective transmembrane domains using NMR. Functional relevance of the identified ␤2 site was validated via point mutations and subsequent functional measurements. Consistent with their functional responses to isoflurane, ␤2 but not ␣7 showed pronounced dynamics changes, particularly for the channel gate residue Leu-249(9). These results suggest that anesthetic binding alone is not sufficient to generate functional impact; only those sites that can modulate channel dynamics upon anesthetic binding will produce functional effects.
Previously, we investigated potential causes for different sensitivities of the ␣4␤2 and ␣7 nAChRs to volatile general anesthetics using molecular dynamics simulations (19 -21). Although multiple anesthetic binding sites were observed in ␣7, ␣4, and ␤2 subunits, anesthetic binding to a site at the interface between EC and TM domains of ␤2 produced a profound change in protein dynamics that was likely to affect channel function. On the basis of the simulation results, we proposed that the susceptibility to anesthetic perturbation in ␤2, but not in ␣7, underlies the functional sensitivity of ␣4␤2 and insensitivity of ␣7 to volatile anesthetics (19). We also predicted that unlike ␣7, ␣7␤2 would be sensitive to volatile anesthetics because of the involvement of ␤2 (19).
In the present study, we revealed different functional responses of the ␣7␤2 and ␣7 nAChRs, expressed in neurons and Xenopus laevis oocytes, to the anesthetic isoflurane. We also determined the binding sites and dynamic effects of isoflurane on both the ␣7 and ␤2 nAChR TM domains using NMR, validated the functional relevance of the identified isoflurane site via point mutations and subsequent functional measurements, and rationalized potential causes underlying the insensitivity of the ␣7 channel and the hypersensitivity of the ␣7␤2 channel to isoflurane. The study provides compelling evidence that isoflurane binds to both ␣7 and ␤2, but at different locations. More importantly, isoflurane binding induced pronounced dynamics changes in ␤2, particularly for the channel gate residue Leu-249(9Ј). In contrast, isoflurane binding to ␣7 did not generate the same dynamics changes. The study conveys a message that only those sites able to modulate protein dynamics upon anesthetic binding will produce functional effects.

EXPERIMENTAL PROCEDURES
Electrophysiology Measurements-Neuron dissociation and patch clamp whole cell current recordings were performed as reported previously (3). Briefly, several 400-m coronal slices from postnatal Wistar rats (2-3 weeks old) containing the ventral diagonal band (VDB) or the ventral tegmental area (VTA) were cut in cold (2-4°C) artificial cerebrospinal fluid. The slices were incubated for at least 1 h in oxygenated artificial cerebrospinal fluid at room temperature (22 Ϯ 1°C). Thereafter, the slices were treated with Pronase (1 mg/6 ml) at 31°C for 30 min. The medial septum/diagonal band or VTA region was micropunched out from the slices using a well polished needle. Each punched piece was then dissociated mechanically using several fire-polished micro-Pasteur pipettes in a 35-mm culture dish filled with well oxygenated, standard external solution (150 mM NaCl, 5 mM KCl, 1 mM MgCl 2 , 2 mM CaCl 2 , 10 mM glucose, and 10 mM HEPES, pH 7.4, with Tris-base). The separated single cells usually adhered to the bottom of the dish within 30 min. Human ␣7-nAChR was expressed heterologously in transfected SH-EP1 human epithelial cells as described in detail previously (22).
Functional measurements were performed using perforated patch whole cell recordings coupled with a two-barrel drug application system (3). After the formation of whole cell configuration, an access resistance less than 30 M⍀ was acceptable for voltage-clamp recordings. The series resistance was not compensated in the experiments using dissociated neurons. The data were filtered at 2 kHz, acquired at 11 kHz, and digitized on-line (Digidata 1322 series A/D board; Axon Instruments, Foster City, CA). All experiments were done at room temperature (22 Ϯ 1°C). Clampex 9.2 (Axon Instruments) was used for data acquisition, and Prism 3.0 (Prismsoft Inc.) was used for graphics and statistical calculation. For statistical analysis of multiple groups of data, one-way or multivariate analysis of variance followed by appropriate test was applied. p Ͻ 0.05 was considered significant, and the data are represented as mean Ϯ S.E.
To ascertain the different sensitivity of ␣7␤2 and ␣7 to isoflurane observed in neurons, we also used Xenopus laevis oocytes for channel expression and functional measurements. The plasmids encoding human ␣7 and ␤2 nAChRs for oocyte expression were gifts from Prof. Lindstrom's lab at the University of Pennsylvania and Prof. Henry Lester's lab at the California Institute of Technology, respectively. To reconcile the structural and functional data, we constructed two mutants (␣7-M22ЈV and ␣7␤2-V22ЈM) for functional measurements in oocytes. The mutations were introduced by QuikChange lightning site-directed mutagenesis kit (Agilent) and confirmed by DNA sequencing. cRNAs were synthesized for ␣7 and ␣7-M261V(M22ЈV) with the mMessage mMachine SP6 kit (Ambion) and for ␤2 and ␤2-V22ЈM with the mMessage mMachine T7 kit (Ambion). The cRNAs were purified with the RNeasy kit (Qiagen).
Channel functions of Xenopus laevis oocytes (stages 5-6) expressing native and mutant nAChRs were measured by twoelectrode voltage clamp experiments. For making ␣7␤2, the RNAs of ␣7 and ␤2 were injected to each oocyte in a 1:1 ratio with a total of 25 ng. The injected oocytes were maintained at 18°C in a modified Barth's solution (17). After being expressed for 24 -36 h, the oocyte in a 20-l recording chamber (Automate Scientific) and the ND96 buffer (23) was clamped with an OC-725C Amplifier (Warner Instruments) to a holding potential of Ϫ60 mV, and currents elicited by acetylcholine and modulated by 50-M isoflurane were recorded. The collected data were processed using Clampex 10 software (Molecular Devices).
NMR Experiments-NMR samples of the TM domains of the ␣7 and ␤2 human nAChRs were prepared using the protocols as reported in detail previously (10). Each NMR sample at pH 4.7 contained 0.25-0.3 mM protein, 40 -60 mM lauryldimethylamine-oxide (LDAO) detergent, 5 mM sodium acetate, 10 mM NaCl, 20 mM 2-mercaptoethanol to prevent disulfide bond formation, and 5% D 2 O for deuterium lock in NMR measurements. The anesthetic isoflurane was titrated into the samples using a gas tight microsyringe. The isoflurane concentration was quantified based on 19 F NMR using the method reported previously (24).
All NMR spectra were acquired on a Bruker Avance 600 MHz spectrometer, which was equipped with a triple-resonance inverse detection TCI cryoprobe (Bruker Instruments, Billerica, MA). 1 H-15 N TROSY-HSQC spectra were acquired with 1-s relaxation delay for each sample before and after adding isoflurane. Spectral windows were typically 13 ppm (1,024 data points) in the 1 H dimension and 22 ppm (128 data points) in the 15 N dimension. The 1 H chemical shifts were referenced to the DSS resonance at 0 ppm, and the 15 N chemical shifts were indirectly referenced (25).
The collected NMR data were processed using NMRPipe 4.1 and NMRDraw 1.8 (26) and analyzed using Sparky 3.10 (27). Each processed spectrum had 4,096 ϫ 512 data points. 1 H and 15 N chemical shift assignments for the ␣7 and ␤2 TM domains in the presence of isoflurane were referenced to the previous assignments for the same proteins without drugs (10). Chemical shifts and peak intensities in the NMR spectra were measured using Sparky 3.10 (27).

Visualization of Isoflurane Binding and Calculation of Cavity
Volumes and Angles between TM2 and TM4-To assist visualizing isoflurane-binding sites identified by NMR experiments, we performed docking of isoflurane to NMR structures of the ␣7 and ␤2 TM domains. The targeted docking kept only those sites consistent with the NMR results. Docking was performed with Autodock4 (28) using a Lamarckian genetic algorithm with a grid spacing of 0.375 Å. For each intrasubunit binding site suggested by the NMR data, 250 independent anesthetic dockings were performed within a cube covering ϳ6,600 Å 3 using an initial population size of 500.
The sizes of intersubunit cavities for isoflurane binding were calculated using the POVME algorithm (29). A grid encompassing the cavity in each of the 20 NMR structures of ␣7 or ␤2 was generated with 0.5 Å grid spacing. The algorithm provided the grid points defining the cavity, which represent a subset of the total cavity points. Using MATLAB, we determined the frequency that each point was observed in the bundle of 20 NMR structures for ␣7 or ␤2. Points shown from at least five structures were used for highlighting the cavity in Fig. 3. Reported cavity volumes are the means Ϯ S.E. of the volumes calculated for the 20 NMR structures. The VMD program (30) was used for visualizing molecular structures and generating figures.
The angles between TM2 and TM4 helices near the EC end of the TM domain were calculated for each of 20 structures for ␤2 or ␣7. Vectors were fit to backbone atoms of TM2 (residues from Lys-260 to Leu-249 in ␤2 and from Glu-259 to Leu-248 in ␣7) and TM4 (residues from Leu-454 to Phe-443 in ␤2 and from Met-466 to Val-455 in ␣7). Angles were calculated using the cross product of the two vectors. The values reported are the mean differences between the ␤2 and ␣7 angles Ϯ the pooled standard error, SE P , and where n 1 and n 2 represent the two sample sizes, and s 1 and s 2 represent the two standard deviations.

RESULTS
The ␣7␤2 nAChR Is Much More Sensitive to Isoflurane Inhibition Than the ␣7 nAChR-Our previous pharmacological, cell biological, and single-cell RT-PCR studies confirmed the expression, localization, and assembly of ␣7␤2 nAChRs in VDB neurons (3). Here, we used the same dissociated VDB neurons to test functional responses of ␣7␤2 nAChRs to the volatile anesthetic isoflurane. As shown in Fig. 1, the inward currents were generated by application of 10 mM choline, an agonist for ␣7-containing nAChRs, in acutely dissociated neurons from mouse VDB at a holding potential of Ϫ60 mV. The peak currents were significantly reduced by 10 M isoflurane after 2 min of isoflurane preincubation. Isoflurane preincubation reduced the maximal choline-induced activation by 37 Ϯ 8%. The EC 50 and Hill coefficient had no significant changes (p ϭ 0.58) in the absence (3.8 Ϯ 0.3 mM; 1.35 Ϯ 0.32) and presence (4.1 Ϯ 0.5 mM; 1.23 Ϯ 0.18) of 10 M isoflurane, suggesting that isoflurane inhibition occurs in a noncompetitive manner (Fig. 1a). Isoflurane inhibition of ␣7␤2-nAChR-mediated whole cell current in acutely dissociated neurons from mouse VDB was concentration-dependent with an IC 50 of 11.7 Ϯ 1.6 M (Fig. 1b), less than 0.1 minimum alveolar concentration in human (31, 32). We  DECEMBER 13, 2013 • VOLUME 288 • NUMBER 50 measured isoflurane inhibition by using a repeated application protocol, in which choline was applied at 2-min intervals in the continuous presence of 10 M isoflurane. Isoflurane progressively inhibited ␣7␤2 currents. Reversibility of isoflurane inhibition was demonstrated by the current recovery after 4 min of isoflurane washout. In contrast to ␣7␤2, the homomeric ␣7 expressed either in neurons dissociated from VTA (33) or in the SH-EP1 cells (22) are not sensitive to 10 M isoflurane (Fig. 1, c  and d). This is consistent with an IC 50 of ϳ600 M (ϳ2 minimum alveolar concentration) for the human ␣7 nAChR reported previously (34). Different sensitivities to isoflurane inhibition were also observed in the recombinant ␣7␤2 and ␣7 nAChRs expressed in Xenopus laevis oocytes. Representative current traces obtained from oocytes (Fig. 1, e and f) echo the message conveyed by the results from the dissociated neurons ( Fig. 1, a-d). In addition, we found that a swap of residue 22Ј between ␣7 and ␤2 had a dramatic impact on isoflurane inhibition (Fig. 1, g and h). Although ␣7 is insensitive to isoflurane inhibition, the mutant ␣7-M261(22Ј)V showed 39 Ϯ 7% (n ϭ 6) isoflurane inhibition, similar to that (46 Ϯ 3%, n ϭ 4) observed on ␣7␤2. Conversely, the mutant ␣7␤2-V262(22Ј)M, similar to ␣7, showed a lower sensitivity to isoflurane inhibition (12 Ϯ 2%, n ϭ 4). Altogether, these data suggest an indispensible role for ␤2 and the importance of its residue Val-262(22Ј) in isoflurane inhibition.

Determinants of Functional Sensitivity to Anesthetics
␤2 and ␣7 Have Different Isoflurane-binding Sites in Their TM Domains-We investigated the binding sites of isoflurane in the TM domains of ␤2 and ␣7 nAChRs using high resolution NMR. As shown in the 1 H-15 N TROSY-HSQC spectra (Fig. 2, a  and b), the presence of 1.3 or 1.6 mM isoflurane perturbed a number of residues in ␤2 or ␣7 nAChRs, respectively. The residues with either more than 40% intensity change or a combined chemical shift change (35) greater than 15 ppb (␤2) and 10 ppb (␣7) were mapped onto NMR structures of the ␤2 or ␣7 TM domains (Fig. 2, c and d). Intrasubunit pockets for isoflurane binding were found in the NMR structures of ␤2 and ␣7, but at different sites: the one in ␣7 is close to the intracellular end of the TM domain, and the one in ␤2 is at the EC end of the TM domain, which is also the site for halothane and ketamine binding (36). Moreover, this anesthetic site in ␤2 is homologous to the previously identified anesthetic site in GLIC (37), ELIC (18), and the Torpedo nAChR (38). The isoflurane site in ␣7 is homologous to a halothane binding site at the IC end of the ␤2 TM domain identified by NMR and coincides with one of the halothane sites in ␣7 predicted by our previous molecular dynamics simulations (19).
Some residues, including the channel gate residue Leu-249(9Ј) in ␤2, showed significant changes upon the addition of isoflurane but are structurally remote from the cluster of residues defining the binding pocket. Their changes likely result from allosteric effects rather than direct contact with isoflurane. It is also worth noting that several pore-lining residues in ␤2, but not ␣7, showed greatly reduced intensity upon the addition of isoflurane, indicative of motional changes for these residues.
A Smaller Intrasubunit Pocket Excludes Isoflurane Binding to the EC end of the ␣7 TM Domain-To determine why isoflurane binds to the EC end of the TM domain in ␤2 but not in ␣7, we examined the pocket in this region based on NMR structures of the ␤2 and ␣7 TM domains. Mostly hydrophobic residues and a few hydrophilic residues from four TM helices line the intrasubunit pocket near the EC end of the TM helices in both ␤2 and ␣7. The average cavity volumes are 179 Ϯ 12 and 122 Ϯ 10 Å 3 for ␤2 and ␣7, respectively (Fig. 3). The differences in cavity volume primarily result from tighter packing of four helices in the region of ␣7 and greater side chain volume of several cavity-lining residues in ␣7, such as ␣7-M261(22Ј) versus ␤2-V262(22Ј), ␣7-I271 versus ␤2-V272, and ␣7-F275 versus ␤2-L276. The differences in isoflurane inhibition made by these residues were evident in functional measurements of the mutants ␣7-M261(22Ј)V and ␣7␤2-V262(22Ј)M (Fig. 1, g and  h). Helical tilting differences (6.7 Ϯ 1.3°), measured by angles between TM2 and TM4 (Fig. 3d), also contribute to different cavity volumes at the EC end of the TM domain between ␤2 and ␣7. Both the inward helical tilting of ␣7 and the more bulky M22Ј side chain in ␣7 contribute to a smaller cavity. Furthermore, orientations of side chains also affect the cavity volumes. For the residues in TM3, both side chains of ␤2-V272 and ␤2-L276 are oriented away from the cavity, whereas the equivalent residues ␣7-I271 and ␣7-F275 are oriented toward the cavity. A smaller cavity in the EC end of the TM domain in ␣7 has reduced the probability of isoflurane binding to the region, considering that isoflurane has a volume of 144 Å 3 (39).
Isoflurane Modulates the Dynamics of ␣7 and ␤2 Differently-One of the most striking differences between ␣7 and ␤2 is that upon isoflurane binding, ␣7 retained a single signal for each residue in the NMR spectra, but ␤2 showed classic examples of two-site chemical exchange (40,41) for several residues, including the channel gate residue Leu-249(9Ј) and Val-262(22Ј) lining the isoflurane-binding pocket in ␤2. As shown in Fig. 4, in the absence of isoflurane (black), each of these ␤2 residues showed a single peak in the NMR spectrum. After adding 1.3 mM isoflurane (red), an additional peak became observable for Leu-248 and Thr-265 (denoted as Leu-248Ј and Thr-265Ј, respectively). When the isoflurane concentration was increased to 3 mM (cyan), Leu-249 and Val-262 also showed additional peaks. The combined chemical shift change between each pair of peaks (A-B or AЈ-B), ⌬ HϩN ϭ [(⌬ H 2 ϩ ⌬ N 2 )] 1 ⁄ 2 is 32, 27, 37, 32 Hz for Leu-248, Leu-249, Val-262, and Thr-265 of ␤2, respectively. Based on the consensus from many previous studies (40 -42), the occurrence of two distinct peaks for a residue indicates a slow exchange with k ex Ͻ Ͻ 2⌬ HϩN ϳ 200 s Ϫ1 .
Conformational exchange among ␤2 residues also shows some differences. For residues Leu-248 and Thr-265, peak A remained at 20-Hz line width and the same resonance frequency in the absence and presence of isoflurane, indicating a possibility that slow conformational exchange with an extremely low population for the second conformation (peak B) already existed in the absence of isoflurane. Isoflurane shifted the equilibria between the two conformations. Indeed, the population of conformation B, p B ϭ 1 Ϫ p A , increased from 0 to ϳ0.3 and more than ϳ0.5 when isoflurane was increased from 0 to 1.3 and 3 mM. Overall, Leu-248 and Thr-265 fit well to the scheme of slow exchange between two conformations (40 -42). In the case of Leu-249 and Val-262, however, a single peak with a broader line width in the 1 H dimension was observed in the presence of 0 mM (Leu-249, 21 Hz; Val-262, 17 Hz) and 1.3 mM isoflurane (Leu-249, 19 Hz; Val-262, 16 Hz), but two narrower peaks (Leu-249, 16 and 12 Hz; Val-262, 14 and 12 Hz) were observed in the presence of 3 mM isoflurane. The results suggest that Leu-249 and Val-262 were likely in an intermediate exchange regime (40,41) before being exposed to 3 mM isoflurane. In addition to slower exchange between AЈ and B conformations, the increased isoflurane concentration also shifted peak AЈ from peak A by 14 and 11 Hz for Leu-249 and Val-262, respectively (Fig. 4). This is not unexpected, considering that multiple conformers with subtle differences can coexist in a functional state (43,44). The sensitivity of ␤2 and insensitivity of ␣7 to the dynamics modulation by isoflurane are in good agreement with their distinctly different functional responses to isoflurane inhibition.

DISCUSSION
Our functional data substantiate the previous prediction (19) that, unlike the ␣7 nAChR, the ␣7␤2 nAChR is sensitive to anesthetic inhibition. The result highlights the role of ␤2 in functional modulation by volatile anesthetics and supports our hypothesis that ␤2 is primarily responsible for the difference of anesthetic susceptibility between ␣4␤2 and ␣7 (19). More importantly, the result conveys the message that two or three subunits susceptible to anesthetics, such as ␤2 in ␣7␤2, are sufficient to produce functional effects. The message is consistent with the notion obtained from molecular dynamics simulations of anesthetic propofol action in GLIC (45).
Why is ␤2 more susceptible to volatile anesthetics than ␣7? This key question has been addressed by our NMR experiments from three aspects. First, ␤2 and ␣7 show some structural differences in their TM domains, even though they share a common scaffold. The most notable difference lies in the size of an intrasubunit cavity near the EC end of the TM domain that is large enough in ␤2, but not in ␣7, to accommodate isoflurane binding. Second, the structural difference leads to different binding locations for isoflurane, which binds to the cavity at the EC end of the TM domain in ␤2 but to a pocket located at the IC end of the TM domain in ␣7. Finally, differences in their structures and isoflurane-binding sites may have contributed to different dynamics responses of ␤2 and ␣7 to isoflurane binding. Only in ␤2 were isoflurane-induced changes in conformational populations and motion on the s-ms time scale observed. The combined effects from structures, anesthetic binding sites, and dynamics modulations may have contributed to the functional differences between ␤2 and ␣7.
The sequence identity between ␤2 and ␣7 is high, ϳ50% for the TM domain and close to 65% for the pore-lining TM2 helix. Their sequence homology is even higher (Fig. 5). Our results demonstrate that variation in a small number of residues is sufficient to make differences in protein structures, drug-binding sites, and functional responses to drug binding. The functional significance of such small changes in structure highlights the necessity of solving individual protein structures, even for highly homologous proteins. In the case of ␤2 and ␣7, the homologous cavity-lining residues ␤2-V22Ј and ␣7-M22Ј make a notable difference for their respective cavities, isoflurane binding, and isoflurane inhibition. Indeed, a single ␣7-M22ЈV mutation markedly increased the channel sensitivity to isoflurane, and the ␣7␤2-V22ЈM mutation had a reverse effect. This result is consistent with the diminished sensitivity to volatile anesthetics observed previously for the I22ЈM mutation in the ␣3 containing nAChR (46). A larger volume and extended side  . Sequence alignments for TM domains of human ␣7 and ␤2 nAChRs. Sequences of the constructs used for NMR samples, ␣7Ј and ␤2Ј, are aligned with their respective native sequences. Note that only a few terminal and loop residues were changed to increase the stability of NMR samples. The labeled sequence numbers are for the ␣7 nAChR. The pore lining residues are labeled using the conventional prime numbering. Residues in the box were mutated in the study. chain conformation of Met-22Ј can effectively reduce the cavity volume and obstruct drug binding. Moreover, methionine may also stabilize the TM2 helix and make it more resilient to structural and dynamic perturbation introduced by anesthetic binding. Previous studies using unnatural amino acid substitutions have shown that residues with unbranched side chains, such as methionine and alanine, have a more stabilizing effect on ␣ helices than branched amino acids, such as valine and isoleucine (47). Similarly, ␤2-S19Ј and ␣7-A19Ј could also make dynamics differences to the TM2 helix. Alanine is a natural helix promoter (48), whereas serine and threonine often disrupt ␣-helices because of backbone to side chain hydrogen bonds (49,50). Our previous NMR study noted heightened conformational dynamics at the EC end of TM2 for the glycine receptor, which is uniquely rich with serines in this region compared with other pLGICs (51). Contributions to the anesthetic binding site from two pairs of residues in TM3, ␤2-L276/␣7-F275 and ␤2-V272/␣7-I271, should also not be underestimated. Mutation on the homologous residue in GLIC was found to significantly affect the susceptibility of the channel to the anesthetics desflurane and propofol (37).
The anesthetic binding site at the EC end of the TM domain, as revealed for isoflurane in ␤2, is probably a common site in pLGICs for anesthetics. Using NMR, we found that the anesthetics halothane and ketamine bound to the same site in ␤2 (36). The site is also consistent with one of the halothane sites identified by photo affinity labeling in the Torpedo nAChR (38) and by fluorescence quenching in GLIC (52). The anesthetics desflurane and propofol were found in the homologous site in the crystal structures of GLIC bound with these anestethics (37). Functional and mutation studies on the ␣7/␣3 nAChR chimeras also underscored the importance of the cavity to inhibition by the volatile anesthetic halothane (46). In contrast, anesthetic binding to the IC end of the TM domain, as observed for isoflurane in ␣7 in this study, is less effective to perturb channel function. Isoflurane inhibits ␣7 only at concentrations higher than those used clinically (34).
Our results provide evidence that functional insensitivity of ␣7 to volatile anesthetics is not due to a lack of anesthetic binding, at least in the case of isoflurane. The hypersensitivity of ␣7␤2 and the insensitivity of ␣7 suggest that the EC end of the TM domain plays a critical role for channel gating in pLGICs. Increasing the rigidity of residues at the EC end of the TM domain can make the channel less responsive to activation signals. Many previous studies support this notion. Increasing helical flexibility at the EC end of TM2 of the nAChR was found to increase the sensitivity of the receptors to agonist more than 10-fold (53). Disulfide bond trapping experiments on the GABA A receptor (54) and EPR experiments on GLIC (55) also support heightened dynamics at the EC end of TM2 during channel gating. Our previous work on the glycine receptor suggested that increasing or decreasing the conformational dynamics at the EC end of TM2 could respectively increase or decrease the susceptibility of the channel to allosteric modulation (51). Thus, it is conceivable that changing dynamics of the EC end of the TM domain, either via drug binding or via point mutations, is a common mechanism to modulate the functions of pLGICs.
Our study not only highlights the importance of the anesthetic binding site but also emphasizes the role of channel dynamics in anesthetic action. Although ␤2 and ␣7 have high sequence homology, the dynamics and subtle structural differences are sufficient to affect anesthetic binding as well as functional consequences. Anesthetic binding is necessary but not sufficient to produce a functional consequence. Only the binding that modulates dynamics of pore-lining residues, such as that at the EC end of the ␤2 TM domain, can impact function.