Publications by authors named "Esam E El-Fakahany"

Endogenous neurosteroids and their synthetic analogues-neuroactive steroids-have been found to bind to muscarinic acetylcholine receptors and allosterically modulate acetylcholine binding and function. Using radioligand binding experiments we investigated their binding mode. We show that neuroactive steroids bind to two binding sites on muscarinic receptors.

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G-protein coupled receptors (GPCRs) are membrane proteins that convey extracellular signals to the cellular milieu. They represent a target for more than 30% of currently marketed drugs. Here we review the effects of membrane cholesterol on the function of GPCRs of Class A.

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Proper determination of agonist efficacy is indispensable in the evaluation of agonist selectivity and bias to activation of specific signalling pathways. The operational model (OM) of pharmacological agonism is a useful means for achieving this goal. Allosteric ligands bind to receptors at sites that are distinct from those of endogenous agonists that interact with the orthosteric domain on the receptor.

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Article Synopsis
  • The study modeled how muscarinic ligands, both antagonists and agonists, affect the structure of the M acetylcholine receptor by using molecular dynamics simulations.
  • Conventional molecular dynamics (MD) showed that antagonists keep the receptor inactive, while different agonists led to varied receptor conformations, linked to their efficacy.
  • Findings highlight that the shape of the receptor's activation site varies with different agonists, suggesting that accelerated MD can effectively help identify how ligands bind and activate receptors, crucial for further drug design and understanding receptor behavior.
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Allosteric modulators are ligands that bind to a site on the receptor that is spatially separated from the orthosteric binding site for the endogenous neurotransmitter. Allosteric modulators modulate the binding affinity, potency, and efficacy of orthosteric ligands. Muscarinic acetylcholine receptors are prototypical allosterically-modulated G-protein-coupled receptors.

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Background And Purpose: More than 30% of currently marketed medications act via GPCRs. Thus, GPCRs represent one of the most important pharmacotherapeutic targets. In contrast to traditional agonists activating multiple signalling pathways, agonists activating a single signalling pathway represent a new generation of drugs with increased specificity and fewer adverse effects.

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Introduction: Research mentor training is a valuable professional development activity. Options for training customization (by delivery mode, dosage, content) are needed to address the many critical attributes of effective mentoring relationships and to support mentors in different institutional settings.

Methods: We conducted a pilot randomized controlled trial to evaluate a hybrid mentor training approach consisting of an innovative, 90-minute, self-paced, online module () followed by workshops based on the curriculum.

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Allosteric ligands bind to receptors at sites that are distinct from those endogenous agonists and orthosteric pharmacological agents interact with. Both an allosteric and orthosteric ligand bind simultaneously to the receptor to form a ternary complex, where each ligand influences binding affinity of the other to the receptor, either positively or negatively. Allosteric modulators are an intensively studied group of receptor ligands because of their potentially greater selectivity over orthosteric ligands, with the possibility of fine tuning of the effects of endogenous neurotransmitters and hormones.

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Proper determination of agonist efficacy is essential in the assessment of agonist selectivity and signalling bias. Agonist efficacy is a relative term that is dependent on the system in which it is measured, especially being dependent on receptor expression level. The operational model (OM) of functional receptor agonism is a useful means for the determination of agonist functional efficacy using the maximal response to agonist and ratio of agonist functional potency to its equilibrium dissociation constant (K) at the active state of the receptor.

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Article Synopsis
  • Xanomeline is a selective muscarinic agonist, primarily activating M/M receptor subtypes while showing wash-resistant binding that activates these receptors persistently, except for the M subtype.
  • Mutations at position 6.46 of the M and M receptors affect xanomeline's persistent activation abilities, indicating a key role for this position in receptor response.
  • The study suggests that cholesterol interactions with specific receptor sites can influence drug selectivity, proposing a new strategy for achieving targeted pharmacological effects across various G protein-coupled receptors.
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Interaction of orthosteric ligands with extracellular domain was described at several aminergic G protein-coupled receptors, including muscarinic acetylcholine receptors. The orthosteric antagonists quinuclidinyl benzilate (QNB) and N-methylscopolamine (NMS) bind to the binding pocket of the muscarinic acetylcholine receptor formed by transmembrane α-helices. We show that high concentrations of either QNB or NMS slow down dissociation of their radiolabeled species from all five subtypes of muscarinic acetylcholine receptors, suggesting allosteric binding.

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Transgenic APPswe/PS1dE9 mice modeling Alzheimer's disease demonstrate ongoing accumulation of β-amyloid fragments resulting in formation of amyloid plaques that starts at the age of 4-5 months. Buildup of β-amyloid fragments is accompanied by impairment of muscarinic transmission that becomes detectable at this age, well before the appearance of cognitive deficits that manifest around the age of 12 months. We have recently demonstrated that long-term feeding of trangenic mice with specific isocaloric fish oil-based diets improves specific behavioral parameters.

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G protein-coupled receptors (GPCRs) are hard to crystallize. However, attempts to predict their structure have boomed as a result of advancements in crystallographic techniques. This trend has allowed computer-aided molecular modeling of GPCRs.

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Article Synopsis
  • Researchers mutated important amino acids in the human M1 muscarinic receptor to study how these changes affected ligand binding, receptor activation, and interaction with G-proteins.
  • They tested two atypical agonists (N-desmethylclozapine and xanomeline) and two classical agonists (carbachol and oxotremorine), finding that mutations, especially at D105, reduced their effectiveness in activating the receptor.
  • The study concluded that both types of agonists use the same molecular mechanism to activate the receptor, with significant differences in how they interact with D105, which plays a crucial role in the persistent action of xanomeline.
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Methoctramine (N,N'-bis[6-[[(2-methoxyphenyl)-methyl]hexyl]-1,8-octane] diamine) is an M(2)-selective competitive antagonist of muscarinic acetylcholine receptors and exhibits allosteric properties at high concentrations. To reveal the molecular mechanisms of methoctramine binding and selectivity we took advantage of reciprocal mutations of the M(2) and M(3) receptors in the second and third extracellular loops that are involved in the binding of allosteric ligands. To this end we performed measurements of kinetics of the radiolabeled antagonists N-methylscopolamine (NMS) in the presence of methoctramine and its precursors, fluorescence energy transfer between green fluorescent protein-fused receptors and an Alexa-555-conjugated precursor of methoctramine, and simulation of molecular dynamics of methoctramine association with the receptor.

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We have found earlier that changes in membrane cholesterol content have distinct impact on signaling via the M1, M2, or M3 receptors expressed in CHO cells (CHO-M1 through CHO-M3). Now we investigated whether gradual changes in membrane cholesterol exerts differential effects on coupling of the M1 and M3 muscarinic receptors to preferential signaling pathways through Gq/11 and non-preferential Gs G-proteins signaling. Changes in membrane cholesterol resulted in only marginal alterations of antagonist and agonist affinity of the M1 and M3 receptors, and did not influence precoupling of either subtype.

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Article Synopsis
  • Xanomeline preferentially activates M1 and M4 muscarinic receptors, showing unique reversible and wash-resistant binding properties, with selectivity mechanisms still unclear.
  • Short-term exposure to xanomeline increases intracellular calcium for M1 and M4 receptors, while not causing internalization like other agonists, indicating a different activation pathway.
  • The study reveals that xanomeline acts as a long-term antagonist at M5 receptors and demonstrates that its effectiveness is higher for M1 and M4, suggesting specialized activation mechanisms for these receptors.
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The overproduction of β-amyloid (Aβ) fragments in transgenic APPswe/PS1dE9 mice results in formation of amyloid deposits in the cerebral cortex and hippocampus starting around four months of age and leading to cognitive impairment much later. We have previously found an age and transgene-dependent weakening of muscarinic receptor-mediated transmission that was not present in young (6-10-week-old) animals but preceded both amyloid deposits and cognitive deficits. Now we investigated immediate and prolonged in vitro effects of non-aggregated Aβ(1-42) on coupling of individual muscarinic receptor subtypes expressed in CHO (Chinese hamster ovary) cells and their underlying mechanisms.

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Based on the kinetics of interaction between a receptor and G-protein, a myriad of possibilities may result. Two extreme cases are represented by: 1/Collision coupling, where an agonist binds to the free receptor and then the agonist-receptor complex "collides" with the free G-protein. 2/Pre-coupling, where stable receptor/G-protein complexes exist in the absence of agonist.

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Article Synopsis
  • Xanomeline is a distinctive agonist targeting muscarinic receptors, specifically M(1) and M(4) subtypes, with unique binding properties that allow it to activate these receptors for an extended period after washout.
  • Research showed that when CHO cells with the M(1) receptor were pretreated with xanomeline, the inhibition of radiolabeled NMS binding shifted from a simple pattern to a more complex one, indicating strong and durable binding effects.
  • The prolonged presence of xanomeline reduced both receptor activity and binding capacities, suggesting that its long-term impacts stem from receptor down-regulation rather than just receptor internalization.
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An allosteric modulator is a ligand that binds to an allosteric site on the receptor and changes receptor conformation to produce increase (positive cooperativity) or decrease (negative cooperativity) in the binding or action of an orthosteric agonist (e.g., acetylcholine).

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Background: Many neuromuscular blockers act as negative allosteric modulators of muscarinic acetylcholine receptors by decreasing affinity and potency of acetylcholine. The neuromuscular blocker rapacuronium has been shown to have facilitatory effects at muscarinic receptors leading to bronchospasm. We examined the influence of rapacuronium on acetylcholine (ACh) binding to and activation of individual subtypes of muscarinic receptors expressed in Chinese hamster ovary cells to determine its receptor selectivity.

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Aim: The identity of muscarinic acetylcholine receptors (mAchR) involved in cholinergic-mediated contraction of the guinea pig gallbladder has been a matter of debate. Different groups have suggested the involvement of M(1), M(2), M(3), or M(4) receptor subtypes in the contraction of this tissue. The objective of this study was to identify the mAchR subtypes expressed in the guinea pig gallbladder by RT-PCR.

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Article Synopsis
  • Xanomeline uniquely binds to M1 and M3 muscarinic receptors at both orthosteric and allosteric sites, leading to a decrease in receptor response after the agonist is removed.
  • In experiments, Chinese hamster ovary cells were exposed to xanomeline and other agonists, with results showing that xanomeline alters radioligand binding and receptor function over time.
  • The findings suggest that xanomeline's lasting effects on receptor activity are linked to its binding at the allosteric site and require receptor activation to occur.
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We investigated the influence of membrane cholesterol content on preferential and non-preferential signaling through the M(2) muscarinic acetylcholine receptor expressed in CHO cells. Cholesterol depletion by 39% significantly decreased the affinity of M(2) receptors for [(3)H]-N-methylscopolamine ([(3)H]-NMS) binding and increased B(max) in intact cells and membranes. Membranes displayed two-affinity agonist binding sites for carbachol and cholesterol depletion doubled the fraction of high-affinity binding sites.

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