Mg2+Imparts NMDA Receptor Subtype Selectivity to the Alzheimer's Drug Memantine
Open accessAbstract
N-Methyl-d-aspartate receptors (NMDARs) mediate interneuronal communication and are broadly involved in nervous system physiology and pathology (Dingledine et al., 1999). Memantine, a drug that blocks the ion channel formed by NMDARs, is a widely prescribed treatment of Alzheimer's disease (Schmitt, 2005; Lipton, 2006; Parsons et al., 2007). Research on memantine's mechanism of action has focused on the NMDAR subtypes most highly expressed in adult cerebral cortex, NR1/2A and NR1/2B receptors (Cull-Candy and Leszkiewicz, 2004), and has largely ignored interactions with extracellular Mg 2+(Mg 2+o). Mg 2+o is an endogenous NMDAR channel blocker that binds near memantine's binding site (Kashiwagi et al., 2002; Chen and Lipton, 2005). We report that a physiological concentration (1 m m) of Mg 2+o decreased memantine inhibition of NR1/2A and NR1/2B receptors nearly 20-fold at a membrane voltage near rest. In contrast, memantine inhibition of the other principal NMDAR subtypes, NR1/2C and NR1/2D receptors, was decreased only ∼3-fold. As a result, therapeutic memantine concentrations should have negligible effects on NR1/2A or NR1/2B receptor activity but pronounced effects on NR1/2C and NR1/2D receptors. Quantitative modeling showed that the voltage dependence of memantine inhibition also is altered by 1 m m Mg 2+o. We report similar results with the NMDAR channel blocker ketamine, a drug used to model schizophrenia (Krystal et al., 2003). These results suggest that currently hypothesized mechanisms of memantine and ketamine action should be reconsidered and that NR1/2C and/or NR1/2D receptors play a more important role in cortical physiology and pathology than previously appreciated.
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Without Mg2+, ketamine IC50 values are lower for GluN2A/B/C/D receptors (0.33, 0.31, 0.51, and 0.83 μM).
“Importantly, in the absence of Mg2+, the IC50 values of ketamine are lower for GluN2A/B/C/D (0.33, 0.31, 0.51, and 0.83 μM respectively).”
From Mechanisms of ketamine and its metabolites as antidepressants (2022) · cites this paper as Kotermanski & Johnson, 2009
The Results report that adding 1 mM Mg²⁺ right-shifted ketamine concentration–inhibition curves for all four NR1/2 subtypes, supporting lower IC₅₀ values without Mg²⁺. The passages available from our copy do not give the four claimed values (0.33, 0.31, 0.51, and 0.83 μM), so those numbers cannot be verified. (LLM, conf=0.84)
Experimental — accuracy not yet measuredUnder physiological Mg2+, glutamate, glycine, and pH 7.2, GluN2C/D-containing NMDARs in HEK293T cells are more sensitive to ketamine block (IC50 1.18 and 2.95 μM) than GluN2A/B-containing receptors (5.35 and 5.08 μM).
“For instance, GluN2C/D-containing NMDARs expressed in HEK293T cells appear to be more susceptible to ketamine block (IC50 of 1.18 and 2.95 μM, respectively) in the presence of physiological 1 mM Mg2+, 1 mM glutamate, 100 μM glycine, and pH 7.2 relative to GluN2A/B (5.35 and 5.08 μM, respectively) containing NMDARs”
From Mechanisms of ketamine and its metabolites as antidepressants (2022) · cites this paper as Kotermanski & Johnson, 2009
The Results and Discussion report that, in 1 mM Mg2+, ketamine preferentially inhibits NR1/2C and NR1/2D receptors over NR1/2A and NR1/2B. The Methods confirm HEK293T cells, 1 mM glutamate, 100 μM glycine, and pH 7.2. The passages available from our copy do not give the four quoted ketamine IC50 values, so those numbers cannot be verified. (LLM, conf=0.84)
Experimental — accuracy not yet measuredKotermanski and Johnson proposed that ketamine may be somewhat selective for GluN2C/D-containing NMDARs when physiological Mg2+ is present.
“These authors suggest that ketamine may have some selectivity for GluN2C/D-containing NMDARs in the presence of physiological Mg2+”
From Mechanisms of ketamine and its metabolites as antidepressants (2022) · cites this paper as Kotermanski & Johnson, 2009
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- Authors
- Kotermanski, S. E., & Johnson, J. W.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Johnson, Jon W.
- ORCID
- Johnson, Jon W.
- Venue
- The Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 2009-03-04
- Volume
- 29
- Issue
- 9
- Pages
- 2774-2779
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC2679254
- OpenAlex
- W1997962734
- Cited by
- 271
- References
- 3
- Citations by year
- 2026: 16 · 2025: 17 · 2024: 15 · 2023: 11 · 2022: 18 · 2021: 12 · 2020: 15 · 2019: 14 · 2018: 12 · 2017: 16 · 2016: 18 · 2015: 23 · 2014: 13 · 2013: 23 · 2012: 13
- FWCI
- 6.65
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- University of Pittsburgh
- National Institutes of Health
- National Institute of Mental Health (R01MH045817)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- memantine, magnesium, NMDA receptor subtypes, Alzheimer's disease, ketamine, receptor subtype selectivity, ion channel blockade, cortical physiology
- MeSH terms
- Alzheimer Disease, Cells, Cultured, Data Interpretation, Statistical, Electrophysiology, Humans, Ketamine, Magnesium, Memantine, Transfection, Receptors, N-Methyl-D-Aspartate, Patch-Clamp Techniques, Excitatory Amino Acid Antagonists
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