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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on May 10, 2007; DOI: 10.1124/jpet.107.123224


0022-3565/07/3222-701-708$20.00
JPET 322:701-708, 2007
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ENDOCRINE AND DIABETES

Testing the Bipartite Model of the Sulfonylurea Receptor Binding Site: Binding of A-, B-, and A + B-Site Ligands

Marcus Winkler, Damian Stephan, Susanne Bieger, Petra Kühner, Felix Wolff, and Ulrich Quast

Department of Pharmacology and Toxicology, Medical Faculty, University of Tübingen, Tübingen, Germany

Received March 22, 2007; accepted May 9, 2007.


    Abstract
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
ATP-sensitive K+ (KATP) channels are composed of pore-forming subunits (Kir6.x) and of regulatory subunits, the sulfonylurea receptors (SURx). Subtypes of KATP channels are expressed in different organs. The sulfonylureas and glinides (insulinotropes) close the KATP channel in pancreatic beta-cells and stimulate insulin secretion. The insulinotrope binding site of the pancreatic channel (Kir6.2/SUR1) consists of two overlapping (sub)-sites, site A, located on SUR1 and containing Ser1237 (which in SUR2 is replaced by Tyr1206), and site B, formed by SUR1 and Kir6.2. Insulinotropes bind to the A-, B-, or A + B-site(s) and are grouped accordingly. A-ligands are highly selective in closing the pancreatic channel, whereas B-ligands are nonselective and insensitive to the mutation S1237Y. We have examined the binding of insulinotropes representative of the three groups in [3H]glibenclamide competition experiments to determine the contribution of Kir6.x to binding affinity, the effect of the mutation Y1206S in site A of SUR2, and the subtype selectivity of the compounds. The results show that the bipartite nature of the SUR1 binding site applies also to SUR2. Kir6.2 as part of the B-site may interact directly or allosterically with structural elements common to all insulinotropes, i.e., the negative charge and/or the adjacent phenyl ring. The B-site confers a moderate subtype selectivity on B-ligands. The affinity of B-ligands is altered by the mutation SUR2(Y1206S), suggesting that the mutation affects the binding chamber of SUR2 as a whole or subsite A, including the region where the subsites overlap.


Sulfonylureas and glinides (termed here insulinotropes) are used in the therapy of type 2 diabetes. They act by closing the ATP-sensitive K+ (KATP) channel in pancreatic beta-cells, thereby inducing depolarization, Ca2+ entry, and insulin secretion (Sturgess et al., 1985Go; for review, see Proks et al., 2002Go). KATP channels are closed by intracellular ATP and opened by MgADP. They are composed of two types of subunits, inwardly rectifying K+ channels (Kir6.x), which form the pore of the channel, and sulfonylurea receptors (SURx), which serve as regulatory subunits (Fig. 1). SURs are members of the ATP-binding cassette protein superfamily and carry binding sites for nucleotides, sulfonylureas, and the KATP channel openers. Both Kir6.x and SURx are encoded by two genes, giving rise to two subtypes each; in addition, alternative splicing of SUR2 results in two major isoforms, SUR2A and SUR2B, which differ in the last 42 amino acids. The KATP channels in pancreatic beta-cells have the composition Kir6.2/SUR1, in cardiomyocytes Kir6.2/SUR2A, and in vascular myocytes Kir6.1/SUR2B (Aguilar-Bryan and Bryan, 1999Go; Gribble and Reimann, 2003Go; Seino and Miki, 2003Go). KATP channels subserve important functions not only in the pancreatic beta-cells (in which they link the secretion of insulin to the plasma glucose level) but also in other tissues (Seino and Miki, 2003Go). Hence, the selectivity of the insulinotropes for the pancreatic KATP channel is an important clinical issue (for review, see Quast et al., 2004Go).


Figure 1
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Fig. 1. The bipartite structure of the insulinotrope binding site of Kir6.2/SUR1. The two (sub)sites are highlighted in black. To the A-site, located on the second transmembrane domain (TMD 2) of SUR1, contribute transmembrane segments 14, 15, and parts of the attached cytosolic loops. The strategic residue Ser1237 located in the loop connecting segments 15 and 16 is presented by the dot (Ashfield et al., 1999Go; Babenko et al., 1999Go; Uhde et al., 1999Go) The B-(sub)site involves (parts of) the cytosolic loop 3 (CL3), which connects TMD 0 and 1 (Mikhailov et al., 2001Go; Vila-Carriles et al., 2007Go) and the amino terminus of Kir6.2 (Vila-Carriles et al., 2007Go). NBF, nucleotide binding fold.

 
With the advent of the long-chain sulfonylureas such as glibenclamide, structure-activity relationships suggested that the binding site of the pancreatic channel for sulfonylureas had two attachment points, the "A-site" for the sulfonylurea part and the "B-site" for the new carboxamido part (Fig. 2) (Rufer and Losert, 1979Go; Brown and Foubister, 1984Go), and a major task has been to identify the parts of the pancreatic KATP channel that represent the hypothetical (sub)-sites A and B (for review, see Bryan et al., 2005Go). The actual state of knowledge is summarized in Fig. 1.


Figure 2
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Fig. 2. Structure and classification of the sulfonylureas and glinides used in this study. Compounds are aligned according to the negative charge and the adjacent phenyl ring both common to all insulinotropes and are grouped as binding to subsite(s) A and/or B. The subsites, represented by the black bars, overlap to accommodate the common elements; the amino acid residues interacting with them are not known. Regarding the B-site, also unknown are the residues interacting with the coupling unit (-NH-CO- or -CO-NH-) and with the distal phenyl ring of the B-ligand; the piperidino substituent present in repaglinide and AZ-DF may interact with the N terminus of Kir6.2 (Stephan et al., 2006Go; Vila-Carriles et al., 2007Go).

 
The short sulfonylureas bind to the A-site. A single amino acid in SUR1, Ser1237, which corresponds to Tyr1206 in SUR2 (mouse numbering), affords to these compounds an up to 1000-fold selectivity for the pancreatic over the cardiovascular KATP channels (Ashfield et al., 1999Go; Proks et al., 2002Go). Nateglinide also belongs to the A-ligands (Hansen et al., 2002Go; Chachin et al., 2003Go). Glibenclamide and the other long sulfonylureas occupy subcompartments A + B; these compounds exhibit a more limited selectivity (for review, see Proks et al., 2002Go). The B-ligands are those glinides that are developed from the carboxamido-part of glibenclamide (Fig. 2). They show little if any selectivity for the pancreatic channel (Ashfield et al., 1999Go; Dabrowski et al., 2001Go; but see Stephan et al., 2006Go), suggesting that the B-site is very similar in all SURs. In addition, their potency in closing the pancreatic channel was not affected by the mutation S1237Y in SUR1 (Ashfield et al., 1999Go; Hansen et al., 2002Go). Regarding the subdivision in A- and B-ligands, Fig. 2 shows that all insulinotropes have in common a negative charge (which is provided by either the sulfonylurea group or an isosteric carboxylic acid function), and the central phenyl ring, suggesting that the A- and the B-sites overlap to accommodate these parts (Brown and Foubister, 1984Go).

The selectivity and the classification of the insulinotropes were established for the pancreatic channel, Kir6.2/SUR1, and mostly by studying channel inhibition (Ashfield et al., 1999Go; Proks et al., 2002Go). Here, we sought to investigate the binding process and to evaluate to which degree the bipartite model of the insulinotrope binding site of the pancreatic channel extends to the cardiovascular channels. Therefore, the binding properties of 10 insulinotropes were characterized in [3H]glibenclamide competition assays. The compounds comprised three A-ligands (including nateglinide), three A + B-ligands, and four B-ligands [meglitinide and UL-DF 9 (i.e., the "B-parts" derived from glibenclamide and gliquidone), and two piperidino-glinides, repaglinide and AZ-DF 265, with a piperidino substituent attached to the carboxamido part; Fig. 2]. We evaluated the effect of coexpression with Kir6.x on the affinity of SURx for the insulinotropes, the effect of the mutation SUR2(Y1206S), i.e., the reverse of the mutation SUR1(S1237Y), and the selectivity in binding to the recombinant pancreatic, myocardial, and vascular KATP channels. The results show that the bipartite organization of the insulinotrope binding site can be extended to Kir6.x/SUR2 with minor modifications.


    Materials and Methods
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Materials. [3H]Glibenclamide (specific activity, 1.85 TBq/mmol) was purchased from PerkinElmer Life Sciences (Bad Homburg, Germany). The reagents and media used for cell culture and transfection were from Invitrogen (Karlsruhe, Germany). Glibenclamide was purchased from Sigma (Deisenhofen, Germany). Repaglinide was a gift from Novo Nordisk (Bagsvaerd, Denmark) or purchased from Toronto Research Chemicals (Toronto, ON, Canada). The following compounds were gifts from the respective companies: (–)AZ-DF 265 and UL-DF 9 (Boehringer Ingelheim GmbH, Ingelheim, Germany), glibornuride (Roche, Basel, Switzerland), gliclazide (Servier, Paris, France), glimepiride and meglitinide (Sanofi-Aventis, Frankfurt, Germany), gliquidone (Yamanouchi Pharmaceuticals, Heidelberg, Germany), and nateglinide (Novartis Pharma, Basel, Switzerland). The opener, P1075, was from Leo Pharmaceuticals (Ballerup, Denmark) or Tocris/Biozol (Eching, Germany). The KATP channel modulators were dissolved in dimethyl sulfoxide/ethanol (50/50, v/v) and further diluted with the same solvent or with incubation buffer (final solvent concentration < 1%).

Cell Culture and Transfection. HEK 293 cells were cultured in minimum essential medium containing glutamine and supplemented with 10% fetal bovine serum and 20 µg/ml gentamicin as described previously (Hambrock et al., 1998Go, 2001Go). Cells were transfected with rat SUR1 (GenBank accession no. X97279 [GenBank] ) or the murine clones of SUR2A (D86037 [GenBank] ), SUR2B (D86038 [GenBank] ), Kir6.1 (D88159), or Kir6.2 (D50581 [GenBank] ) using the pcDNA 3.1 (+) vector, Lipofectamine 2000, and Opti-MEM (Invitrogen) according to the manufacturer's instructions (Hambrock et al., 1998Go, 2001Go). The mutants SUR2A(Y1206S) and SUR2B(Y1206S) were prepared as described previously (Hambrock et al., 2001Go; Stephan et al., 2005Go). For transient coexpression, cells were transfected with Kir and SUR at a molar plasmid ratio of 1:1. To improve the signal/noise ratio in the [3H]glibenclamide binding assays to Kir6.1/SUR2B channels, an HEK cell line permanently expressing the channel was generated as described by Giblin et al. (1999Go).

[3H]Glibenclamide Competition Experiments. Binding experiments were performed in intact cells at 37°C as described previously (Hambrock et al., 2001Go), using an incubation buffer containing 129 mM NaCl, 5 mM KCl, 1.2 mM MgCl2, 1.25 mM CaCl2, 11 mM D-(+)-glucose, 5 mM NaHCO3, and 10 mM HEPES at pH 7.4 and supplemented with [3H]glibenclamide [~2 nM (SUR1) or ~4–5 nM (SUR2)] and the unlabeled inhibitor. Experiments were started by addition of cells (0.1–0.6 mg protein/ml) to give a volume of 1 ml. After an incubation time of 30 min, the reaction was stopped by diluting 0.3-ml aliquots (in triplicate) in 10 ml of ice-cold quench solution [50 mM Tris-(hydroxymethyl)-aminomethane, 154 mM NaCl, pH 7.4]. Bound and free ligands were separated by rapid filtration over Whatman GF/C filters (Whatman International, Maidstone, UK). Filters were washed twice with quench solution and counted for [3H] in the presence of 4.5 ml of scintillant (Ultima Gold; Packard, Meriden, CT). At higher concentrations (e.g., glibenclamide > 100 nM), the inhibitors interfered with [3H]glibenclamide binding to intrinsic binding sites in HEK cells, and this was particularly evident in experiments with SUR2. Complete binding curves were either dissected by two component analysis with the high-affinity component representing binding to SUR2 or by defining specific [3H]glibenclamide binding as the binding displaced by P1075 (100 µM). Both methods gave identical results (see e.g., Russ et al., 1999Go; Hambrock et al., 2001Go; Löffler-Walz et al., 2002Go). Nonspecific binding ranged from 40 to 60% of total binding (SUR2); in the case of SUR1, nonspecific binding was determined in the presence of 100 nM glibenclamide and was approximately 10%. The maximal number of [3H]glibenclamide sites (Bmax values) were between 0.4 and 1.5 pmol/mg protein according to the transfectant and the method used (permanent versus transient transfection).

Data Analysis. Binding inhibition curves were analyzed according to the equation:

Formula(1)
with y denoting specific binding, n as the Hill coefficient, and x as the inhibitor concentration with px =–log x and pIC50 =–log IC50. Curve analysis gave Hill coefficients ~1 and the respective IC50 values with their 95% confidence intervals. IC50 values were corrected for the presence of the radioligand according to the Cheng-Prusoff equation (Cheng and Prusoff, 1973Go) giving the inhibition constants, Ki:

Formula(2)

Here, L denotes the concentration and Kd denotes the equilibrium dissociation constant of the radioligand; in the case of homogeneous displacement, this reduces to Ki = Kd = IC50 – L.

Data are shown as means ± S.E.M. Fits of eq. 1 to the data were performed according to the method of least-squares using the program SigmaPlot 9.0 (SPSS Science, Chicago, IL). Individual experiments were analyzed, and the parameters were averaged assuming that amplitudes and pIC50 values were normally distributed (Christopoulos, 1998Go). In the text, Kd/Ki values are given followed by the 95% confidence interval in parentheses. Linear correlation analysis was performed using the pKi values. In calculations involving two mean values with S.E.s, propagation of errors was taken into account according to Bevington (1969Go). Significance of differences between two normally distributed parameters with equal variance was assessed using the two-tailed unpaired Student's t test.


    Results
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Binding to SURx and Effect of Coexpression. Figure 3 illustrates the inhibition of [3H]glibenclamide binding to SUR and KATP channel subtypes by glibenclamide, repaglinide, and nateglinide, i.e., by A + B-, B-, and A-ligands, respectively. Experiments were performed at 37°C in intact cells to have an intact cell interior present; in particular, the cytoskeleton (Löffler-Walz and Quast, 1998Go) and physiological nucleotide concentrations (Hambrock et al., 2002Go). Inhibition curves were regular with a Hill coefficient of 1 and gave the pKi values listed in Tables 1 and 2. pKi values are directly related to binding affinity, with an increase by 1 log unit corresponding to a binding energy of 1.4 kcal/mol (Berg et al., 2002Go).


Figure 3
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Fig. 3. Inhibition of (specific) [3H]glibenclamide binding by glibenclamide (GBC), repaglinide (REP), and nateglinide (NAT) in HEK cells expressing SURs (left) and KATP channels (right) as indicated. Data are pooled from three to five experiments each and are shown as mean S.E.M. pIC50 values were derived by fitting eq. 1 in Materials and Methods to the data and were corrected for the presence of the radioligand (Cheng-Prusoff correction, eq. 2). In case of SUR2, some data points at high insulinotrope concentrations were below the inhibition curve due to interference with [3H]glibenclamide binding to low-affinity sites intrinsic to HEK cells (see Materials and Methods). These points were omitted from curve analysis. [3H]glibenclamide concentration ranged from ~2 (Kir6.2/SUR1) to 5 (Kir6.1/SUR2B) nM, and total binding was typically 250 to 500 fmol/mg protein. Nonspecific binding was determined in the presence of 100 nM glibenclamide (SUR1) or 100 µM P1075 (SUR2; see Materials and Methods) and ranged from 10% (SUR1) to 60% [SUR2B(YS)].

 

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TABLE 1 Inhibition of [3H]glibenclamide binding to SUR subtypes by sulfonylureas and glinides (insulinotropes)

Inhibition curves were measured as shown in Fig. 3. pKi values are means ± S.E.M. of three to five individual experiments evaluated independently.

 

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TABLE 2 Inhibition of [3H]glibenclamide binding to recombinant KATP channel subtypes by insulinotropes

pKi values are means ± S.E.M. of three to five individual binding inhibition curves evaluated independently (see Materials and Methods).

 

Figure 3 (top panels) presents the curves of the three ligands binding to SUR1 and Kir6.2/SUR1. The large leftward shift of the repaglinide curve upon coexpression is striking, and Tables 1 and 2 show that, in the presence of Kir6.2, the Ki for binding of repaglinide to SUR1 was decreased (i.e., affinity increased) by a factor of 102.1 ~ 130 (see also Hansen et al., 2005Go; Stephan et al., 2006Go). An even larger shift was determined for the other piperidino-glinide, AZ-DF 265 (370x; Tables 1 and 2). The pKi values of all insulinotropes are compared in Fig. 4a. With the exception of the two piperidino-glinides, all values fell on a straight line with slope 1 and at a distance of 0.52 from the line of identity (Table 3). This means that coexpression with Kir6.2 decreased Ki for binding of insulinotropes to SUR1 by the factor of 100.52 = 3.3, the exception being the piperidino-glinides.


Figure 4
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Fig. 4. Correlation analysis illustrating the effect of coexpression with Kir6.2 on the affinity of insulinotropes for SUR1 (a) and SUR2A(YS) (b). pKi values are listed in Tables 1 and 2, numbering of compounds in Table 1, and results of correlation analysis (r2, slope, and d = distance from the line of identity) in Table 3. The broken and the solid lines represent the line of identity and the best fit with slope 1, respectively.

 

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TABLE 3 Correlation analysis comparing the binding affinities of insulinotropes for KATP channel and sulfonylurea receptor subtypes

Parameters obtained from correlation analysis as exemplified in Figs. 4 and 5.

 


Figure 5
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Fig. 5. Correlation analyses. a, comparison of insulinotrope binding to the wild-type and the mutant myocardial channel to show the effect of the mutation SUR2(Y1206S). b and c, comparison of the binding affinities of insulinotropes for KATP channel subtypes. b, Kir6.2/SUR2A on Kir6.2/SUR1; c, Kir6.1/SUR2B on Kir6.2/SUR1. pKi values are given in Table 2, numbering of compounds in Table 1; the results of correlation analysis are listed in Table 3.

 
The extension of these observations to the SUR2 subtypes is hampered by their low affinity for glibenclamide, which leads to high (~80%) levels of nonspecific binding in the binding experiments. Therefore, we used the mutation Y1206S, which increases the affinity of SUR2 for glibenclamide sufficiently to allow quantitative work (Hambrock et al., 2001Go; Stephan et al., 2005Go). Figure 4b compares the pKi values for insulinotrope binding to SUR2A(YS) and Kir6.2/SUR2A(YS). The pKi values of all compounds but the piperidino-glinides and UL-DF fitted on a line with a mean distance of 0.79 giving an about 7-fold decrease in Ki (Table 3). For repaglinide and AZ-DF, the decrease was 56- and 30-fold (Fig. 3, middle; Tables 1 and 2), respectively, i.e., 2 and 12x less than in the case of SUR1. The affinity of UL-DF was little affected by coexpression. For SUR2B(YS), coexpression with Kir6.1 decreased the Ki values of all compounds 2.6x, and the special effect of coexpression on the piperidino-glinides was no longer observed (Fig. 3, bottom; Table 3).

In addition, the selectivity of the insulinotropes in binding to the SUR subtypes expressed alone was examined. Comparing SUR1 and SUR2A(YS), it was found that the A- and A + B-ligands were, in the mean, 3.5-fold selective for SUR1 (Table 3). In contrast, UL-DF showed a 3-fold selectivity for SUR2A(YS), whereas meglitinide and the piperidino-glinides showed no preference (Table 1). Very similar results were obtained for the comparison of SUR1 with SUR2B(YS). Table 3 also shows that there was no selectivity in binding of the insulinotropes to mutants SUR2A and 2B.

The Mutation Y1206S in SUR2. Figure 5a compares binding to the wild type and the mutant myocardial channel. The pKi values of A- and A + B-ligands were on a line with slope 1 shifted leftwards from the line of identity by 1.12 U. This showed that the mutation decreased the Ki values of the A- and A + B-ligands ~13-fold (Table 3). Of the B-ligands, the Ki values of the piperidino-glinides remained essentially unchanged; in contrast, the Ki values of meglitinide and UL-DF were increased (i.e., affinity decreased) 3.5- and 7.1-fold, respectively (Fig. 5a; Table 2). Similar results were found for the mutation of the vascular channel. In the mean, Ki values of the A- and A + B-ligands were decreased ~19x (Table 3), whereas those of the B-ligands (with the exception of repaglinide) were slightly increased by the mutation (<4x; Table 2).

It was also examined whether the insulinotropes discriminated between the mutant cardiovascular channels, Kir6.2/SUR2A(YS) and Kir6.1/SUR2B(YS). Correlation analysis showed that the two piperidino-glinides were ~20-fold, and the other compounds 2.6-fold selective for the myocardial channel (Table 3; P < 0.05).

Subtype-Selective Binding to Wild-Type Channels. Figure 5b compares binding to the pancreatic and myocardial channels. The pKi values of the A- and A + B-ligands were on a line shifted rightwards from the line of identity by 1.29 ± 0.08 U (Table 3), showing that these compounds were ~19-fold selective for the pancreatic channel. Again, the B-ligands did not form a homogenous group; meglitinide and repaglinide were essentially nonselective, whereas AZ-DF was ~7x pancreas- and UL-DF ~14x cardioselective.

Similar results were obtained when binding to the pancreatic and the vascular channels was compared. Figure 5c and Table 3 show that the pKi values of the A- and A + B-ligands exhibited a 101.88 = 76-fold preference for the beta-cell channel. This selectivity was shared by AZ-DF; repaglinide was less selective for the beta-cell channel (21x), whereas meglitinide was nonselective, and UL-DF was ~5-fold selective for the vascular channel (Table 2; Fig. 5c). When the selectivity of the compounds for the myocardial versus the vascular KATP channel was analyzed, the pKi values of all compounds with the exception of the A-ligands, glibornuride and nateglinide, fell on a line with slope ~1 and gave a selectivity of ~6 for the myocardial over the vascular channel (Table 3). In contrast, glibornuride and nateglinide were entirely nonselective.

Finally, long sulfonylureas were compared with their corresponding B-ligands, i.e., glibenclamide with meglitinide and gliquidone with UL-DF (Fig. 2). The Ki ratios, defined as Ki(B)/Ki(A + B) for the pancreatic, myocardial, and vascular channel, were 7100, 135, and 66 for the first pair and 13,500, 26, and 10 for the second pair, respectively (Table 2).


    Discussion
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Coexpression with Kir6.x. A major result of this study is that coexpression with Kir6.x increased the affinity of SURx for all insulinotropes and that, at a given subtype, the A- and the A + B-ligands were affected to exactly the same degree (Table 3). The latter result is surprising because the Kir6.2 N terminus is part of the B-site (Vila-Carriles et al., 2007Go; see Fig. 1), and one would expect that A-ligands should not be affected by the presence of Kir. An attractive explanation is that the A- and B-sites overlap to accommodate the negative charge and the adjacent phenyl ring common to all insulinotropes (Fig. 2) and that the Kir6.2 N terminus may either be part of the acceptor site for these elements or interact with this site allosterically.

Another point concerns the small contribution of coexpression to the binding affinity of the A- and A + B-ligands to SUR (2.6–6.8x according to SUR and Kir subtype). This corresponds to the contribution of a single hydrogen bond at most (1–3 kcal/mol). Hence, if favorable contacts are made between the amino terminus of Kir and the ligand, this enthalpic contribution to the energy of binding must be essentially canceled out by a negative entropic balance due to fixation of the ligand and/or parts of the protein.

The B-ligands were differentially affected by coexpression; meglitinide and UL-DF resembled the A- and A + B-ligands, whereas for the piperidino-glinides, the effect was large for Kir6.2/SUR1 (also see Hansen et al., 2005Go) and smaller for the other combinations. This peculiar behavior depends on the piperidino-substituent, and it makes a major contribution to the selectivity of repaglinide (and AZ-DF) for the pancreatic over the cardiovascular KATP channels (Stephan et al., 2006Go). With the amino terminus of Kir6.2 being part of the B-site, one might speculate that it either interacts directly with the piperidino group or that it induces a conformation in a subcompartment of the B-site that is able to interact with this group.

It is also of interest to consider the differences between coexpression of SURx with Kir6.1 versus Kir6.2. There was no difference in insulinotrope binding to SUR2A(YS) and SUR2B(YS); however, with the respective mutant channels, Kir6.2/SUR2A(YS) versus Kir6.1/SUR2B(YS), the insulinotropes were 2.6-fold selective for the cardiac channel with the exception of the piperidino-glinides, which were ~20-fold selective (see above). This shows that with respect to insulinotrope binding, Kir6.2 couples more efficiently to SUR2 than Kir6.1 and that the piperidino-glinides are exquisitely sensitive to this difference.

The Mutation SUR2(Y1206S). The mutation of Ser1237 in the A-site of SUR1 to Tyr (the corresponding amino acid in SUR2) abolishes both high-affinity binding of glibenclamide to SUR1 and high-affinity channel closure by the A-ligands, tolbutamide and nateglinide (Ashfield et al., 1999Go; Chachin et al., 2003Go); however, channel closure by the B-ligands, meglitinide and repaglinide, remained unaffected (Ashfield et al., 1999Go; Hansen et al., 2002Go). The dramatic effect of this mutation in SUR1 contrasts with the moderate effects of the inverse mutation Y1206S in SUR2, which increases the binding affinity of the myocardial and vascular channels for A- and A + B-ligands 13 and 19x, respectively, and the sensitivity of the cardiovascular channels to block by glibenclamide ~30x (Stephan et al., 2005Go). Obviously, in SUR1, Ser1237 is essential for the ability of the A-site to interact with A-ligands, whereas these ligands bind to the SUR2 containing channels at still reasonable concentrations (Table 2). Regarding the A-site of SUR2, amino acids other than Tyr1206 (which weakens the interaction with the A-ligands) contribute to the site to allow binding, and, for all SURs, binding to the A-site is enhanced by the presence of the amino terminus of Kir6.2 (see above).

Surprisingly, the mutation Y1206S produced also (moderate) effects on the binding of B-ligands. The most striking case was UL-DF, whose affinity for the myocardial channel was decreased seven times. As another example, the mutation reduced the preference of most insulinotropes (including UL-DF and meglitinide) for the myocardial over the vascular channel from ~6 to 2.6x but increased that of the piperidinoglinides to 20x. Two conclusions may be drawn. First, the mutation in the A-site of SUR2 seemingly affects the conformation of the binding pocket as a whole (i.e., A + B) or the A-site including the region where the two sites overlap. Second, and as noted above for the effect of coexpression, the heterogeneous response of the B-ligands to the mutation shows that the B-site has two subcompartments, one occupied by all B-ligands and an additional subcompartment for the piperidino moiety of repaglinide and AZ-DF. This is in contrast to the A- and A + B-ligands, which were homogeneous in all aspects. Collectively, the results show that the bipartite nature of the insulinotrope binding site, established for SUR1, extends also to SUR2.

Subtype Selectivity. Previous electrophysiological, radioligand binding, and photoaffinity labeling studies suggest that the interaction of an insulinotrope with the A-site of SURx determines the subtype specificity, whereas the B-site is similar in all Kir6.2/SURx subtypes and is, therefore, permissive (Ashfield et al., 1999Go; Proks et al., 2002Go; Vila-Carriles et al., 2007Go). In this study, the dominant role of the A-site for selectivity is highlighted by the comparison of A + B-ligands with their cognate B-ligands, i.e., the pairs glibenclamide-meglitinide and gliquidone-UL-DF. The Ki ratios of the two pairs were ~10,000 at the pancreatic but <100 at the cardiovascular channels. Table 2 shows that this decrease is caused mainly by high selectivity of the A + B-ligand for pancreatic channel, i.e., by the differential interaction of the long sulfonylureas with the A-site of SURx, which, in turn, hinges mostly on the change from Ser1237 in SUR1 to Tyr1206 in SUR2 (Ashfield et al., 1999Go). Regarding the permissive nature of the B-site, the results of this study show that the B-site can afford (moderate) subtype selectivity as shown by the following examples: comparing binding to the pancreatic and myocardial channels, selectivity ranged from ~14x cardio- (UL-DF) to ~7x pancreas-selective (AZ-DF), and AZ-DF bound with 70x higher affinity to the pancreatic than to the vascular channel (Table 2).

Binding and Effect. The A- (and A + B-ligands) were ~19-fold selective for binding to the pancreatic as compared with the myocardial and ~76-fold with the vascular KATP channel. These values are much lower than those determined in electrophysiological studies, in particular for the A-ligands. The concentrations of e.g., tolbutamide (Gribble et al., 1998Go), gliclazide (Gribble and Ashcroft, 1999Go), and nateglinide (Chachin et al., 2003Go) required to inhibit the recombinant cardiac and/or smooth muscle channels are very similar to those that block the channel by binding to the pore (which is formed by Kir6.2). Hence, it is impossible to decide whether it is the binding of these A-ligands to SUR2 or to Kir6.2 that closes the channel, and it may well be that binding to SUR2 is not transduced into channel closure, i.e., that it is "nonproductive." A major difference in signal transduction between SUR1- and SUR2-containing channels lies in the differential effect of Mg2+ salts of nucleotides, in particular MgADP, on the inhibitory action of insulinotropes; inhibition of Kir6.2/SUR1 channels is enhanced by nucleotides but that of Kir6.2/SUR2 channels unchanged or reduced (Gribble et al., 1998Go; Reimann et al., 2003Go). Conspicuously, this difference is paralleled by a 2x higher ATPase activity of the second nucleotide-binding domain of SUR1 as compared with that of SUR2A (Masia et al., 2005Go).

In conclusion, the results of this binding study show that the bipartite model of the insulinotrope binding site established for Kir6.2/SUR1 extends also to Kir6.x/SUR2. The A-site of SUR dominates the subtype selectivity of insulinotrope binding, but the B-site can confer moderate selectivity to B-ligands. The B-site in SUR2 senses the mutation Y1206S in the A-site and the amino terminus of Kir6.2 (which is part of the B-site) may accept in part the functional groups present in all active insulinotropes, i.e., the central phenyl ring and the negative charge.


    Acknowledgements
 
We thank Y. Kurachi and Y. Horio (Osaka, Japan) for the generous gift of the murine clones of SUR2A, SUR2B, and Kir6.x, C. Derst (Jena) for rat SUR1, A. Hambrock (Tübingen, Germany) for preparing the Y1206S mutants of SUR2A and 2B, and U. Russ (Tübingen) for help with the preparation of the manuscript.


    Footnotes
 
This study was supported by the Deutsche Forschungsgemeinschaft (Qu 100/3-2).

Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.

doi:10.1124/jpet.107.123224.

ABBREVIATIONS: KATP, ATP-sensitive K+; Kir, inwardly rectifying K+ channel; SUR, sulfonylurea receptor; UL-DF 9, 4-[2-(3,4-dihydro-7-methoxy-4,4-dimethyl-1,3-dioxo-2(1H)-isoquinolyl)-ethyl]benzoic acid; AZ-DF 265, 4-[[N-({alpha}-phenyl-2-piperidino-benzyl)carbamoyl]methyl]-benzoic acid; P1075, N-cyano-N'-(1,1-dimethylpropyl)-N''-3-pyridylguanidine; HEK, human embryonic kidney.

Address correspondence to: Dr. Ulrich Quast, Department of Pharmacology and Toxicology, Medical Faculty, University of Tübingen, Wilhelmstrasse 56, D-72074 Tübingen, Germany. E-mail: ulrich.quast{at}uni-tuebingen.de


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