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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on March 20, 2003; DOI: 10.1124/jpet.102.045773


0022-3565/03/3053-1024-1036$20.00
JPET 305:1024-1036, 2003
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NEUROPHARMACOLOGY

Galantamine Is an Allosterically Potentiating Ligand of Neuronal Nicotinic but Not of Muscarinic Acetylcholine Receptors

Marek Samochocki, Anja Höffle, Andreas Fehrenbacher, Ruth Jostock, Jürgen Ludwig, Claudia Christner, Martin Radina, Marion Zerlin, Christoph Ullmer, Edna F. R. Pereira, Hermann Lübbert, Edson X. Albuquerque, and Alfred Maelicke

Laboratory of Molecular Neurobiology, Institute of Physiological Chemistry and Pathobiochemistry, Johannes-Gutenberg University Medical School, Mainz, Germany (M.S., A.H., A.F., R.J., J.L., C.C., M.R., M.Z., A.M.); Biofrontera Pharmaceuticals AG, Leverkusen, Germany (C.U., H.L., A.M.); Department of Pharmacology and Experimental Therapeutics, University of Maryland Medical School, Baltimore, Maryland (E.F.R.P., E.X.A.); and Departamento de Farmacologia Básica e Clínica, Instituto de Ciências Biomédicas, Centro de Ciências da Saúde, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil (E.X.A.)

Galantamine (Reminyl), an approved treatment for Alzheimer's disease (AD), is a potent allosteric potentiating ligand (APL) of human {alpha}3{beta}4, {alpha}4{beta}2, and {alpha}6{beta}4 nicotinic receptors (nAChRs), and of the chicken/mouse chimeric {alpha}7/5-hydroxytryptamine3 receptor, as was shown by whole-cell patch-clamp studies of human embryonic kidney-293 cells stably expressing a single nAChR subtype. Galantamine potentiates agonist responses of the four nAChR subtypes studied in the same window of concentrations (i.e., 0.1–1 µM), which correlates with the cerebrospinal fluid concentration of the drug at the recommended daily dosage of 16 to 24 mg. At concentrations >10 µM, galantamine acts as an nAChR inhibitor. The other presently approved AD drugs, donepezil and rivastigmine, are devoid of the nicotinic APL action; at micromolar concentrations they also block nAChR activity. Using five CHO-SRE-Luci cell lines, each of them expressing a different human muscarinic receptor, and a reporter gene assay, we show that galantamine does not alter the activity of M1–M5 receptors, thereby confirming that galantamine modulates selectively the activity of nAChRs. These studies support our previous proposal that the therapeutic action of galantamine is mainly produced by its sensitizing action on nAChRs rather than by general cholinergic enhancement due to cholinesterase inhibition. Galantamine's APL action directly addresses the nicotinic deficit in AD.


Received November 7, 2002; accepted February 6, 2003.

Address correspondence to: Prof. Dr. Alfred Maelicke, Laboratory of Molecular Neurobiology, Institute of Physiological Chemistry and Pathobiochemistry, Johannes-Gutenberg University Medical School, Duesbergweg 6, D-55099 Mainz, Germany. E-mail: alfred.maelicke{at}uni-mainz.de




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