Key result
Doxapram is an equipotent inhibitor of human TASK-1 and TASK-3 channels, with its positive enantiomer GAL-054 acting as a more potent antagonist.
Why the study?
The mode of action by which doxapram acts as a respiratory stimulant in humans is controversial.
Doxapram acts as an equipotent inhibitor of human TASK-1 and TASK-3 channels, differing from its rodent pharmacological profile, which may inform future therapeutic development.
Doxapram's TASK inhibition may explain respiratory stimulation; leaves open enantiomer-specific development for clinical use.
AIMS: The mode of action by which doxapram acts as a respiratory stimulant in humans is controversial. Studies in rodent models, have shown that doxapram is a more potent and selective inhibitor of TASK-1 and TASK-1/TASK-3 heterodimer channels, than TASK-3. Here we investigate the direct effect of doxapram and chirally separated, individual positive and negative enantiomers of the compound, on both human and mouse, homodimeric and heterodimeric variants of TASK-1 and TASK-3. METHODS: Whole-cell patch clamp electrophysiology on tsA201 cells was used to assess the potency of doxapram on cloned human or mouse TASK-1, TASK-3 and TASK-2 channels. Mutations of amino acids in the pore-lining region of TASK-3 channels were introduced using site-directed mutagenesis. RESULTS: Doxapram was an equipotent inhibitor of human TASK-1 and TASK-3 channels, compared with mouse channel variants, where it was more selective for TASK-1 and heterodimers of TASK-1 and TASK-3. The effect of doxapram could be attenuated by either the removal of the C-terminus of human TASK-3 channels or mutations of particular hydrophobic residues in the pore-lining region. These mutations, however, did not alter the effect of a known extracellular inhibitor of TASK-3, zinc. The positive enantiomer of doxapram, GAL-054, was a more potent antagonist of TASK channels, than doxapram, whereas the negative enantiomer, GAL-053, had little inhibitory effect. CONCLUSION: These data show that in contrast to rodent channels, doxapram is a potent inhibitor of both TASK-1 and TASK-3 human channels, providing further understanding of the pharmacological profile of doxapram in humans and informing the development of new therapeutic agents.
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Cunningham et al. (2019) studied this question. Doxapram was evaluated on Inhibition of human TASK-1 and TASK-3 channels. Doxapram is an equipotent inhibitor of human TASK-1 and TASK-3 channels, with its positive enantiomer GAL-054 acting as a more potent antagonist.
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