Piezo channels and GsMTx4: Two milestones in our understanding of excitatory mechanosensitive channels and their role in pathology
Section snippets
The historical conundrum of mechanosensitive channels
Mechanosensitive currents were first recorded over 35 years ago in vertebrate outer hair cells, the primary auditory mechanoreceptors (Corey and Hudspeth, 1979). This was followed soon after by recordings of single mechanosensitive ion channels (MSCs) when negative pressure was applied to cell-attached patches from skeletal muscle (Guharay and Sachs, 1984). Because the patch produces a targeted stress stimulus and high resolution channel recordings, it became the primary assay used in the early
MSC gating mechanisms and molecular identity
MSCs fall into two general physiological roles depending on their ion selectivity; inhibitory hyperpolarizing (K+ selective) and the excitatory depolarizing (non-selective cationic). They can be further categorized by their mechanosensory mechanisms. The force to open MSCs can be transmitted via ECM/cytoskeletal tethers to the channel or directly through bilayer tension and curvature changes near the channel. Channels gated through their association with the ECM/cytoskeleton are difficult to
Piezo – the missing link
In 2010 a ubiquitously expressed family of channels was identified called Piezo, that was cation selective and displayed rapid voltage dependent inactivation in patches and whole-cell mechanical assays (Coste et al., 2010). Like K2P channels, Piezo has recently been reconstituted in different lipid based assays devoid of cytoskeletal intervention and shown to be directly gated by lipid tension (Syeda et al., 2016, Cox et al., 2016). However channel gating is definitely modulated by cytoskeleton
GsMTx4 mechanism of inhibition and modulation of piezo vs K+ selective MSCs
In 2000 a peptide inhibitor of the inactivating non-selective cation MSCs was discovered (Suchyna et al., 2000), called Grammostola Mechanotoxin #4 (GsMTx4), and became an important identifier and tool for investigating the physiological role of these channels (Bowman et al., 2007). The peptide was isolated by screening spider venoms against an endogenously expressed cation selective MSCs from rat astrocytes. GsMTx4 appeared to inhibit multiple types of endogenous cation selective MSCs in
Does piezo contribute to endogenous cationic MS currents in normal muscle physiology and pathology?
While Piezo 1 and 2 were shown to have low expression levels in adult mouse skeletal and cardiac muscle (Coste et al., 2010), we have observed the Piezo1 sequence is present in a cDNA library constructed from C2C12 mouse myoblast mRNA (Dr. Philip Gottlieb, person communication). In differentiated myofibers, Piezo channels may have low expression levels on the sarcolemma unless triggered to translocate from cytoplasmic pools during pathogenesis. Precedence for the translocation of channels to
Therapeutic potential of GsMTx4
Impaired cation/Ca2+ homeostasis due to elevated sarcolemma cation flux, observed in disease states such as Duchene muscular dystrophy and cardiac ischemia (Miyamae et al., 1996) and hypertrophy (Clemo et al., 1998), is a hallmark of muscle pathology. Significant contributors to the cation imbalance are the non-selective cationic MSCs among which TRP channel dysregulation has frequently been invoked (Iwata et al., 2013, Gailly, 2012). GsMTx4 has been used to implicate multiple TRP channels in
MSCs in normal physiology versus pathology
As GsMTx4 has become an important tool for elucidating the role of cationic MSCs in normal physiology and pathologenesis, an interesting dichotomy has arisen. GsMTx4 has revealed that MSCs “apparently” contribute significantly to normal short-term and developmental physiology (examples: arterial pressure regulation (Spassova et al., 2006, Fanchaouy et al., 2007, Gilbert et al., 2014, Gonzales et al., 2014), skeletal muscle pressor reflex (Copp et al., 2016), cardiac stretch induced slow force
Conclusions
Piezo channels have filled a significant gap in our knowledge of the molecular identities of MSCs. The lability of its distinctive voltage dependent inactivation property is a critical area of study as its disruption has been tied to multiple disease states. While it has not been shown to be highly expressed in muscle cells, we presented evidence that channels with the hallmark properties of Piezo may contribute a significant component of the MSC current in differentiating myotubes. As aberrant
Competing interests
GsMTx4 is licensed to Tonus Therapeutics. Thomas Suchyna has part ownership in this company.
Disclaimer
GsMTx4, in both the L and D forms, have been tested on multiple normal and disease models as discussed in section labeled MSCs in Normal Physiology versus Pathology, and has been shown to affect multiple normal physiological processes in vitro. GsMTx4 is a membrane tension modifier and therefore may target multiple sarcolemma mechanoenzymes. These efficacy tests were short-term treatments and do not address the issues of long-term toxicity. Long term toxicity tests are currently being planned
Acknowledgements
This work was funded by a DoD grant project No. DM102091 and a NIH grant HL054887 awarded to Dr. Frederick Sachs.
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