title: Discovery and characterization of novel allosteric potentiators of M1 muscarinic receptors reveals multiple modes of activity.
abstract: Activators of M(1) muscarinic acetylcholine receptors (mAChRs) may provide novel treatments for schizophrenia and Alzheimer's disease. Unfortunately, the development of M(1)-active compounds has resulted in nonselective activation of the highly related M(2) to M(5) mAChR subtypes, which results in dose-limiting side effects. Using a functional screening approach, we identified several novel ligands that potentiated agonist activation of M(1) with low micromolar potencies and induced 5-fold or greater leftward shifts of the acetylcholine (ACh) concentration-response curve. These ligands did not compete for binding at the ACh binding site, indicating that they modulate receptor activity by binding to allosteric sites. The two most selective compounds, cyclopentyl 1,6-dimethyl-4-(6-nitrobenzo[d][1,3]-dioxol-5-yl)-2-oxo-1,2,3,4-tetrahydropyrimidine-5-carboxylate (VU0090157) and (E)-2-(4-ethoxyphenylamino)-N'-((2-hydroxynaphthalen-1-yl)methylene)acetohydrazide (VU0029767), induced progressive shifts in ACh affinity at M(1) that were consistent with their effects in a functional assay, suggesting that the mechanism for enhancement of M(1) activity by these compounds is by increasing agonist affinity. These compounds were strikingly different, however, in their ability to potentiate responses at a mutant M(1) receptor with decreased affinity for ACh and in their ability to affect responses of the allosteric M(1) agonist, 1-[1'-(2-tolyl)-1,4'-bipiperidin-4-yl]-1,3-dihydro-2H-benzimidazol-2-one. Furthermore, these two compounds were distinct in their abilities to potentiate M(1)-mediated activation of phosphoinositide hydrolysis and phospholipase D. The discovery of multiple structurally distinct positive allosteric modulators of M(1) is an exciting advance in establishing the potential of allosteric modulators for selective activation of this receptor. These data also suggest that structurally diverse M(1) potentiators may act by distinct mechanisms and differentially regulate receptor coupling to downstream signaling pathways.
authors.affiliation: Department of Pharmacology, Vanderbilt University, Nashville, Tennessee 37232, USA.
authors.forename: Joy E
authors.initials: JE
authors.lastname: Marlo
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Niswender
authors.forename: Emily L
authors.initials: EL
authors.lastname: Days
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Bridges
authors.forename: Yun
authors.initials: Y
authors.lastname: Xiang
authors.forename: Alice L
authors.initials: AL
authors.lastname: Rodriguez
authors.forename: Jana K
authors.initials: JK
authors.lastname: Shirey
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Brady
authors.forename: Tasha
authors.initials: T
authors.lastname: Nalywajko
authors.forename: Qingwei
authors.initials: Q
authors.lastname: Luo
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: Austin
authors.forename: Michael Baxter
authors.initials: MB
authors.lastname: Williams
authors.forename: Kwangho
authors.initials: K
authors.lastname: Kim
authors.forename: Richard
authors.initials: R
authors.lastname: Williams
authors.forename: Darren
authors.initials: D
authors.lastname: Orton
authors.forename: H Alex
authors.initials: HA
authors.lastname: Brown
authors.forename: Craig W
authors.initials: CW
authors.lastname: Lindsley
authors.forename: C David
authors.initials: CD
authors.lastname: Weaver
authors.forename: P Jeffrey
authors.initials: PJ
authors.lastname: Conn
mesh_terms: D000494:Allosteric Regulation / Q000187:drug effects / Q000502:physiology; D000818:Animals; D001667:Binding, Competitive / Q000187:drug effects / Q000502:physiology; D016466:CHO Cells; D002478:Cells, Cultured; D006224:Cricetinae; D003412:Cricetulus; D004305:Dose-Response Relationship, Drug; D006801:Humans; D018721:Muscarinic Agonists / Q000737:chemistry* / Q000378:metabolism* / Q000494:pharmacology; D051381:Rats; D043643:Receptor, Muscarinic M1 / Q000819:agonists* / Q000378:metabolism*
chemical_list: D018721:Muscarinic Agonists; D043643:Receptor, Muscarinic M1