Cited by 164Nicotinic Acetylcholine Receptors StudyReceptor Mechanisms and SignalingNeuroscience and Neuropharmacology Research

The DOI matches its Crossref record; 131 of the 131 references it cites were found in a registry or an index; 9 of the 172 sources its claims cite were checked for support.

Nicotine is a Selective Pharmacological Chaperone of Acetylcholine Receptor Number and Stoichiometry. Implications for Drug Discovery

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Abstract

The acronym SePhaChARNS, for "selective pharmacological chaperoning of acetylcholine receptor number and stoichiometry," is introduced. We hypothesize that SePhaChARNS underlies classical observations that chronic exposure to nicotine causes "upregulation" of nicotinic receptors (nAChRs). If the hypothesis is proven, (1) SePhaChARNS is the molecular mechanism of the first step in neuroadaptation to chronic nicotine; and (2) nicotine addiction is partially a disease of excessive chaperoning. The chaperone is a pharmacological one, nicotine; and the chaperoned molecules are alpha4beta2* nAChRs. SePhaChARNS may also underlie two inadvertent therapeutic effects of tobacco use: (1) the inverse correlation between tobacco use and Parkinson's disease; and (2) the suppression of seizures by nicotine in autosomal dominant nocturnal frontal lobe epilepsy. SePhaChARNS arises from the thermodynamics of pharmacological chaperoning: ligand binding, especially at subunit interfaces, stabilizes AChRs during assembly and maturation, and this stabilization is most pronounced for the highest-affinity subunit compositions, stoichiometries, and functional states of receptors. Several chemical and pharmacokinetic characteristics render exogenous nicotine a more potent pharmacological chaperone than endogenous acetylcholine. SePhaChARNS is modified by desensitized states of nAChRs, by acid trapping of nicotine in organelles, and by other aspects of proteostasis. SePhaChARNS is selective at the cellular, and possibly subcellular, levels because of variations in the detailed nAChR subunit composition, as well as in expression of auxiliary proteins such as lynx. One important implication of the SePhaChARNS hypothesis is that therapeutically relevant nicotinic receptor drugs could be discovered by studying events in intracellular compartments rather than exclusively at the surface membrane.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

The paper introduces SePhaChARNS—selective pharmacological chaperoning of acetylcholine receptor number and stoichiometry—as a hypothesis for how chronic nicotine upregulates α4β2* nicotinic receptors. It argues this mechanism may explain nicotine addiction, the inverse smoking–Parkinson’s disease association, and ADNFLE seizure suppression, and implies drug discovery should target intracellular ER events.

Key findings

  • SePhaChARNS proposes that chronic nicotine acts as a pharmacological chaperone in the endoplasmic reticulum, stabilizing high-affinity α4β2* nAChR stoichiometries; upregulation is described as post-translational, cell-autonomous, and receptor-autonomous. The high- and low-sensitivity α4β2 forms differ by 50- to 100-fold in nicotine EC50 (~1 and ~100 μM), and nicotine shows an EC50 of <100 nM for upregulation in clonal cell lines transfected with α4 and β2 subunits.
  • Nicotine differs from ACh in duration and access: nicotine disappears from blood with a half-life of ~120 min, whereas ACh remains near receptors for <1 ms; nicotine permeates membranes and acid-traps in organelles, with pH 6.5 giving a threefold higher organelle concentration and pH 5.5 giving a 30-fold ratio. Nicotine’s EC50 is ~1 μM at (α4)2(β2)3 neuronal receptors versus ~400 μM at (α1)2β1γδ muscle receptors.
  • Chronic nicotine cell-selectively upregulates functional α4* nAChRs in VTA GABAergic neurons and the medial perforant path, effects linked to tolerance, locomotor sensitization, and cognitive sensitization. The paper also links SePhaChARNS to Parkinson’s disease protection and ADNFLE, and notes CHRNA5/A3/B4 variants rs16969968 and rs578776 (r² = 0.18) in nicotine dependence, plus lynx1 making α4β2 nAChRs up to 20-fold less sensitive to ACh.
  • A major drug-discovery implication is that medically relevant manipulations of α4β2* nAChRs may occur in the ER rather than at the surface membrane, so drugs affecting SePhaChARNS might be discovered by studying intracellular compartments and proteostasis.

Methods

  • Design: review/hypothesis paper introducing the acronym SePhaChARNS; it is not a primary experimental study.
  • Data or sample: synthesis of published literature and unpublished data from the authors’ laboratories, including cited unpublished results from C. Xiao and H. Lester, submitted work by C. Son et al., and unpublished haplotype data from A. M. Goate, J. Wang, and L. Bierut.
  • Main analysis: conceptual and thermodynamic argument linking ligand binding, receptor assembly/maturation, stoichiometry, desensitization, acid trapping, proteostasis, and accessory-subunit/genetic data.

Limitations

  • Stated in the paper: the SePhaChARNS hypothesis remains to be proven; several experiments are under way; the complete circuit description is not available; pH values have not been determined for neurons; ADNFLE pathophysiology is not yet understood; and upregulation by nicotine plus a foot-in-the-door blocker remains only a theoretical possibility.
  • Stated in the paper: SePhaChARNS probably does not explain withdrawal and may not explain heavy smoking in schizophrenia.
  • Evident from the text: the review relies on unpublished or submitted data and narrative synthesis, with no systematic review methods or primary experimental methods reported.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1208/s12248-009-9090-7

Cites

131 of 131 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

93 Not checked yet · 53 Own interpretation · 9 No basis given · 4 Supported · 3 Partly supported · 1 Supported so far · accuracy not yet measured

Verify all 163 references — free account
  • It may state two separate claims as one. 41
  • Probably not a substantial claim. 27
62 of 62
  • The authors state this as an assumption.

    All drugs in Table I may be assumed to have pKa values between 7.4 and 8.

    “All drugs in this list may be assumed to have pKa values between 7.4 and 8.”
  • The paper relies on this without support.

    The first steps in assembly and synthesis of nAChRs occur in the endoplasmic reticulum, which is roughly neutral.

    “The first steps in assembly and synthesis of nAChRs occur in the endoplasmic reticulum (ER) itself, which is roughly neutral.”
  • The authors state this as an assumption.

    The assembly and function of receptors within the secretory pathway is approximately normal.

    “if their assembly and function is approximately normal”
  • The authors state this as an assumption.

    Surface receptors recover from desensitization within a matter of minutes after exposure to extracellular nicotine.

    “Presumably, they recover from desensitization within a matter of minutes.”
  • The authors state this as an assumption.

    Subunit composition controls the affinity for nicotine, the extent of interaction with the ERAD machinery, the extent to which desensitization makes additional states available, and the extent and stability of additional stoichiometries.

    “the subunit composition presumably controls the affinity for nicotine, the extent of interaction with the ERAD machinery, the extent to which desensitization makes many additional states available, and the extent and stability of additional stoichiometries”
  • The paper relies on this without support.

    2-[F18]fluoro-A-85380 binds well to α4β2* and α6* nAChRs.

    “The positron emission tomography (PET) ligand, 2-[F18]fluoro-A-85380, binds well to α4β2* and to α6* nAChRs.”
6 of 6

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Citations

Cites

Show all 131 references

Research works printed but not linked: 2

  1. P. Liu, H. G. Vikis, D. Wang, Y. Lu, Y. Wang, A. G. Schwartz, S. M. Pinney, P. Yang, M. De Andrade, G. M. Petersen, J. S. Wiest, P. R. Fain, A. Gazdar, C. Gaba, H. Rothschild, D. Mandal, T. Coons, J. Lee, E. Kupert, D. Seminara, J. Minna, J. E. Bailey-Wilson, X. Wu, M. R. Spitz, T. Eisen, R. S. Houlston, C. I. Amos, M. W. Anderson, and M. You. Familial aggregation of common sequence variants on 15q24–25.1 in lung cancer. J Natl Cancer Inst. 100:1326–1330 (2008). · DOI · Paper page
  2. C. I. Amos, X. Wu, P. Broderick, I. P. Gorlov, J. Gu, T. Eisen, Q. Dong, Q. Zhang, X. Gu, J. Vijayakrishnan, K. Sullivan, A. Matakidou, Y. Wang, G. Mills, K. Doheny, Y. Y. Tsai, W. V. Chen, S. Shete, M. R. Spitz, and R. S. Houlston. Genome-wide association scan of tag SNPs identifies a susceptibility locus for lung cancer at 15q25.1. Nat Genet. 40:616–622 (2008). · DOI · Paper page

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Metadata

Authors
Lester, H. A., Xiao, C., Srinivasan, R., Son, C. D., Miwa, J., Pantoja, R., Banghart, M. R., Dougherty, D. A., Goate, A. M., & Wang, J. C.
Affiliations
  • California Institute of Technology (US)
  • Harvard University (US)
  • Washington University in St. Louis (US)
Corresponding author
Lester, Henry A.
Venue
The AAPS Journal
Published
2009-03
Volume
11
Issue
1
Pages
167-177
ISSN
1550-7416 (ISSN-L)
OpenAlex
W2083434249
Cited by
163
References
131
Citations by year
2025: 6 · 2024: 3 · 2023: 5 · 2022: 1 · 2021: 6 · 2020: 13 · 2019: 10 · 2018: 10 · 2017: 10 · 2016: 12 · 2015: 11 · 2014: 16 · 2013: 16 · 2012: 13
FWCI
1.12
Type
journal article
Language
en
Open access
Locations
  • The AAPS Journal (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • CaltechAUTHORS (California Institute of Technology) (submittedVersion)
  • OpenMETU (Middle East Technical University) (submittedVersion, cc-by-nc-nd)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (AA08401, U10AA008401)
  • National Institute on Aging (R01AG033954, AG033954)
  • National Institute on Drug Abuse (DA-19375, U19DA019375, DA17279, R01DA017279)
  • National Cancer Institute (CA089392, P01CA089392)
  • National Institute of Neurological Disorders and Stroke (NS34407, NS 11756, R01NS034407, R01NS011756, R37NS034407)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Receptor Mechanisms and Signaling
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords
nicotine, pharmacological chaperones, nicotinic acetylcholine receptors, receptor stoichiometry, receptor density, receptor up-regulation, chronic nicotine exposure, nicotine dependence, neural adaptation, Parkinson's disease, nocturnal frontal lobe epilepsy, receptor desensitization, receptor maturation, subunit interface, proteostasis, lynx, drug discovery
MeSH terms
Acetylcholine, Animals, Endoplasmic Reticulum, Hippocampus, Models, Biological, Muscle Proteins, Nerve Tissue Proteins, Nicotine, Parkinson Disease, Receptors, Nicotinic, Smoking, Tobacco Use Disorder, Up-Regulation, Epilepsy, Frontal Lobe, Ventral Tegmental Area, Neurotransmitter Agents, Mutation, Missense, Mice, Drug Discovery

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