Cited by 271Neuroscience and Neuropharmacology ResearchNicotinic Acetylcholine Receptors StudyTreatment of Major Depression

Mg2+Imparts NMDA Receptor Subtype Selectivity to the Alzheimer's Drug Memantine

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Kotermanski, Shawn E., Johnson, Jon W.·2009·The Journal of Neuroscience

Abstract

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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Crossref · 10.1523/jneurosci.3703-08.2009

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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 measured
  • Under 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 measured
  • Kotermanski 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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Research works printed but not linked: 31

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Authors
Kotermanski, S. E., & Johnson, J. W.
Affiliations
University of Pittsburgh (US)
Corresponding author
Johnson, Jon W.
Venue
The Journal of Neuroscience
Published
2009-03-04
Volume
29
Issue
9
Pages
2774-2779
ISSN
  • 0270-6474 (ISSN-L)
  • 1529-2401
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
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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