ABSTRACT
Glycine receptors (GlyRs) are indispensable to maintain excitatory/inhibitory balance in neuronal circuits controlling reflex and rhythmic motor behaviors. Here we have developed Glyght, the first GlyR ligand controlled with light. It is selective over other cys-loop receptors, active in vivo, and displays an allosteric mechanism of action. The photomanipulation of glycinergic neurotransmission opens new avenues to understand inhibitory circuits in intact animals, and to develop drug-based phototherapies.
MAIN
The control of biological activity with light has become a powerful tool to understand complex multicellular1 and intracellular processes2, protein dynamics3, 4, as well as to develop novel therapeutic strategies4. In particular, optogenetics5 and photopharmacology6 have been a boon for neurobiology, empowering it to control neuronal receptor activity with subtype pharmacological selectivity and micrometric resolution7, 8, firing individual neurons9 and mapping their connectivity and strength10. Photoswitchable ligands6 enable directly controlling the activity of endogenous receptors without requiring genetic manipulation8, 11. They can be applied to intact tissue, making drug-based phototherapies possible. Despite the importance of inhibitory receptors, few photoswitches targeting ionotropic gamma amino butyric acid receptors (GABAARs) have been reported12–15, and no specific modulator has been developed for glycine receptors (GlyRs).
GlyRs and GABAARs belong to the pentameric Cys-loop superfamily along with excitatory nicotinic acetylcholine (nAChRs) and serotonin receptors (5-HT3R). GABAARs and GlyRs share not only the pentameric assembly of their subunits and the inhibitory regulation of cell membrane potential through their chloride-selective pore, but also the mechanism of agonist-induced desensitization, which is driven by homologous residues between transmembrane domains of the receptor16. These similarities hamper the development of selective ligands.
Alterations in inhibitory neurotransmission cause an excitation/inhibition disbalance that has been linked to many and etiologically diverse neurological diseases, from epilepsy to anxiety, autism17 and schizophrenia18. Modulating neuronal inhibition with systemically administered drugs can partially restore balance and reduce certain symptoms, but the efficacy of these strategies is very limited in diseases where specific circuits are altered. In these cases, what matters is the precise location and timing of inhibition to restore homeostasis, and cure is unlikely even with the most pharmacologically selective drugs.
In particular, glycinergic transmission regulates the majority of reflex and rhythmic motor behaviors, including locomotion and breathing19. Normal functioning of locomotor circuits relies on a strictly determined equilibrium between excitatory and inhibitory synapses onto interneurons20. Disruptions to this balance trigger locomotor dysfunctions21. Insufficient GlyR function leads to excessive startle response (hyperekplexia) and other pathologies22, 23. Despite the importance of glycinergic neurotransmission, the repertoire of GlyR drugs available is still extremely limited24, 25 and not highly specific26. Strychnine and tropisetron remain the only modulators that show selectivity for GlyR over GABAAR, but the former is also nAChR antagonist27, 28, and the latter antagonizes 5-HT3R29, 30. Selective GlyR drugs are necessary to treat hyperekplexia, autism, chronic inflammatory pain, breathing disorders, temporal lobe epilepsy, alcoholism, and motor neuron disease26. However, given the diversity and ubiquity of glycinergic circuits, traditional pharmacology is unlikely to be enough unless the activity of these ligands can be modulated right at the specific circuits involved in every disease.
Here, we initially aimed at developing photoswitchable ligands of GABAARs based on benzodiazepines. Azo-compounds (3a-d, Figure 1a) were thus designed to display cis-trans photochromism while maintaining the ability of the nitrazepam moiety to bind the GABAAR, as reported for other substitutions at the same position of the ligand31. Unexpectedly, we obtained a GlyR-selective negative allosteric modulator whose inhibitory action at GlyRs was increased under UV light (cis-on), and that we named Glyght (short for ‘GlyR controlled by light’).
The photochromic azo moiety was introduced via a Mills reaction of several nitroso aryl moieties (compounds 1a-d, Figure 1a) with the amino-substituted benzene in the structure of 7-aminonitrazepam (compound 2, Figure 1a, obtained as reported32, 33). All derivatives reversibly photoswitch at 365 nm (trans to cis isomerization) and 455 to 530 nm (cis to transisomerization), as exemplarily shown for the pyridine-based derivative 3d (Glyght) (Figure 1b). Thermal relaxation half-lives in the dark are longer than 1h (Supplementary Table 1 and Supplementary Figures 19-22).
To characterize the photopharmacological effects of compounds 3a-d, we designed a behavioral assay to record and quantify the swimming activity of zebrafish larvae as a function of illumination. Zebrafish express all GABAAR and GlyR subunits, with high sequence similarity to the mammalian receptors34, and larvae display full exploratory capacities at 7 days post fertilization (dpf)35–37. Ligands of inhibitory receptors should alter the well known behavioural activity of the larvae, and be correlated to specific dynamic traits such as speed swimming variations, transition swimming patterns or anxiety-like behaviours38, 39. In order to identify alterations in inhibitory neurotransmission, we focused on fast movements and measured swimming distances and duration of high speed swimming38, 40. Individual larvae were placed in separate wells of a 96-well plate (Figure 1c), each containing different solution conditions including non-photoswitchable control drugs like GABAAR potentiator 7-amino nitrazepam (2, 7AN), the photochromic compounds 3a-d at different concentrations, and vehicle (DMSO 1%). The setup (see online Methods for details) allows maintaining the animals in the dark and subjecting them to cycles of illumination at 365 and 455 nm. The inset of Figure 1c shows exemplarily 1-minute trajectories of individual fish in wells containing vehicle and compound 3d (Glyght, 100μM) during the resting period (RP), under 365 nm (ultraviolet, UV) and under 455 nm (visible, VIS). Green and red trajectories plot slow and fast swimming periods, respectively. Videos of the entire plate during the RP and photoswitching experiment can be viewed in the Supplementary Movie 1. The time course (integrated every minute for 12 animals) is shown in Figure 1d. During the RP, Glyght-treated animals display enhanced locomotion compared to controls. Although control animals are startled by UV light and slowed down by visible light, the increase in locomotion displayed by treated animals is significantly higher. The results of all photoswitches (3a-d), 7AN (2), and vehicle are shown in Figure 1e. In all cases, the time spent in fast swimming (see online Methods for details) is longer under UV than under visible light, but only for Glyght (3d) this difference is higher than for controls. In order to identify photoswitchable hits, we assumed larvae swimming activity as the quantifiable variable, and we defined light periods as intrinsically dependent variables of larvae behavioral outcomes. We calculated the ratio between the activities under UV and under visible light (UV/vis activity ratio, UVAR) and used it as a score to identify compounds producing photoswitchable behaviors. Three compounds displayed UVARs significantly different from the control (UVAR of endogenous photoresponses in vehicle, Supplementary Figure 1). One was excluded due to precipitation over time (3c) and two were retained for further studies: 3b (azo-NZ1, a GABAAR blocker reported in a separate article41), and 3d (Glyght) characterized below. For Glyght, we confirmed the hit in 5 independent experiments from different larvae batches (Supplementary Figures 2 and 3) and verified that photoresponses are dosedependent (Figure 1e) before moving on to in vitro pharmacological characterizations with an activity assay.
We used electrophysiological recordings to measure agonist-induced responses in anion-selective GABAARs and GlyRs, and in cation-selective 5-HT3Rs and AChRs (see online Methods for details), and evaluated the effects of adding Glyght. The results are shown in Figure 2abc and Supplementary Figures 4-8. In contrast to the effect of diazepam in GABAARs42, Glyght displayed a weak action on α1/β2/γ2 GABAARs: in the presence of 50 μM trans-Glyght, 5μM GABA-induced currents were inhibited only by 9 ± 2% (n = 6) and 300μM GABA currents by 14 ± 4% (n = 5) (Supplementary Figure 4). UV light prevented the weak current inhibition of GABAAR by Glyght.
Since the action of Glyght on GABAARs cannot account for the robust behavioral effects observed in fish (Figure 1c-f), we asked whether this compound might interact with other inhibitory ligand-gated receptors responsible for the control of movement26, 43, namely GlyR. Thus, we tested Glyght in zebrafish α1 (α1Z) and α2 (α2Z) homomeric GlyRs during activation by a non-saturating concentration of glycine (see online Methods). In α1ZGlyRs, trans-Glyght (50 μM) reduced the current amplitude by 33 ± 4% (Supplementary Figure 5a) and stronger reduction was observed upon isomerizing it to cis-Glyght under 365 nm light (53 ± 5%, n = 8). Receptor photoswitching was stronger on α2ZGlyRs wherein 50 μM trans-Glyght and cis-Glyght reduced glycine currents by 32 ± 3% and 74 ± 5% respectively (Figure 2c and Supplementary Figure 5def, n = 7). When Glyght was co-applied with saturating concentrations of glycine, its effect become negligible, clearly indicating that the compound is not an open channel blocker (Supplementary Figure 5bc, n = 3; ef, n = 3). Full dose-response curves under UV and dark conditions in these receptors confirmed that α2ZGlyRs are more sensitive to Glyght than α1ZGlyRs (Supplementary Figure 5hi). Importantly, these results were confirmed in mammalian GlyRs where Glyght caused strong cis-on inhibition in all homomeric and heteromeric receptors (α1, α2, α1β, and α2β; Figure 2ab and Supplementary Figure 5abde). No illuminationdependent outcome was observed using other inhibitors like picrotoxin (Supplementary Figure 6cf). Since Glyght displays selectivity for GlyRs compared to GABAARs (Figure 2c), we further characterized its activity in other pentameric receptors. The compound displayed low activity and no photoswitching in 5-HT3AR (Figure 2c and Supplementary Figure 7) and was completely inactive in muscular nAChR (Supplementary Figure 8). The results are summarized in Figure 2c and indicate that Glyght is broadly active in homo- and heteromeric GlyRs from fish and mammals, and remarkably selective versus all other members of the Cys-loop receptor family.
To understand the photopharmacological profile of Glyght we turned to modeling of the compound in the open (agonist-bound) structure of α1ZGlyR49. Molecular dockings showed that neither of the Glyght isomers can bind at the channel pore (in agreement with our patch clamp results), that trans-Glyght displays moderate binding in several regions of the extracellular and transmembrane domains (ECD and TMD), and that cis-Glyght poses to a non-glycine site at the ECD/TMD interface (displayed in blue and violet respectively, Figure 2de and Supplementary Figure 9-10). We focused on the latter binding site, since it is the region showing the largest differences in ligand pose densities for both α1Z and α2HGlyRs. Moreover, this site includes key residues for channel activation and conductance50, 51 and is involved in allosteric coupling between ligand binding to the ECD and ion channel pore opening in the TMD44-48. As shown in Figure 2e, cis-Glyght binds further inside the ECD/TMD interface than trans-Glyght, in line with its stronger effect. Moreover, trans-Glyght can mediate the interaction between M2-M3 and β1-β2 loops that stabilizes the open channel state49 (blue arrow in Figure 2e). On the other hand, cis-Glyght favors the interaction between M2-M3 and β8-β9 loops, which are associated to the closed state (purple arrow in Figure 2e). These results are in full agreement with the stronger inhibition of GlyRs observed for cis-Glyght in Figure 2abc.
The optogenetic control of excitatory and inhibitory circuits is defined genetically based on available cell-specific promoters52. Photoswitchable receptor-selective drugs are powerful complementary tools that enable spatiotemporal control over pharmacologically defined circuits (glutamatergic, cholinergic, gabaergic, glycinergic), and cast new light on classic systems neuroscience research and drug-based therapies. We have used a zebrafish behavioral assay and photoresponse score to identify the first GlyR-selective, light-regulated inhibitor. Glyght loses inhibitory activity at saturating glycine concentrations, which is compatible with orthosteric or allosteric antagonism53 (Supplementary Figure 5bcef). Molecular modeling results indicate that Glyght binds to an allosteric site that regulates GlyR gating and conductance44–48, 50, 51 (Figure 2de). Thus, Glyght also provides a template to design new allosteric non-photoswitchable ligands like amide, ether or methoxy analogs bearing general pharmacological interest. Glyght reversibly elicits excitatory behaviors in zebrafish larvae and is a good candidate to study glycinergic neurotransmission in spatiotemporally defined patterns, and to explore therapeutic approaches based on localized and selective activation of GlyRs. The partial activity of Glyght in 5-HT3ARs is consistent with tropisetron’s effect in both receptors30 and anticipates moderate emetic activity. However, its high selectivity with respect to nicotinic receptors makes Glyght remarkably superior to strychnine27, raising hopes to modulate GlyRs without concomitant toxicity and opening a new avenue to clinical pharmacology at large.
Author contributions
A.M.J.G and X.R. performed in vivo experiments. K.R., D.W. and A.B.B. performed compounds chemical synthesis and characterisation. G.M., E.M., M.M, F.K. and M.B. performed in vitro experiments. A.N.H and M.P. performed molecular modeling simulations and analysis. C.R. supervised molecular modeling. B.K. supervised chemical synthesis. P.B. supervised in vitro experiments. P.G. conceived the project and supervised in vivo experiments. AMJG and PG wrote the manuscript with contributions from all authors.
Competing interests
The authors declare no competing interests.
Acknowledgements
We are grateful to S. Lummis for the 5□HT3A subunit cDNA. This study was supported by ERA SynBIO Grant MODULIGHTOR (PCIN□2015□163□C02□01), the Russian Science Foundation (grant 18□15□00313), AGAUR/Generalitat de Catalunya (CERCA Programme 2017□SGR□1442), FEDER funds, Human Brain Project WAVESCALES (SGA2 Grant Agreement 785907), Fundaluce Foundation, MINECO (Project CTQ2016□80066R), a FPI-MICIU Ph.D. scholarship to A. M. J. G., a FI□AGAUR Ph.D. scholarship to A. N.□H., and an IBEC-BEST postdoctoral scholarship to G. M. We also thankfully acknowledge the computer resources at MareNostrum III and MinoTauro and the technical support provided by the Barcelona Supercomputing Center (BCV-2017-2-0004).