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The Journal of Neuroscience, November 15, 1999, 19(22):9831-9840
Block of an ether-a-go-go-Like K+ Channel by
Imipramine Rescues egl-2 Excitation Defects in
Caenorhabditis elegans
David
Weinshenker1, 2,
Aguan
Wei3,
Lawrence
Salkoff3, 4, and
James H.
Thomas1
1 Department of Genetics, and 2 Howard
Hughes Medical Institute and Department of Biochemistry, University of
Washington, Seattle, Washington 98195, and 3 Departments of
Anatomy and Neurobiology and 4 Genetics, Washington
University School of Medicine, St. Louis, Missouri 63110
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ABSTRACT |
K+ channels are key regulators of cellular
excitability. Mutations that activate K+ channels
can lower cellular excitability, whereas those that inhibit
K+ channels may increase excitability. We show that
the Caenorhabditis elegans egl-2 gene
encodes an eag K+ channel and that a
gain-of-function mutation in egl-2 blocks excitation in
neurons and muscles by causing the channel to open at inappropriately
negative voltages. Tricyclic antidepressants reverse
egl-2(gf) mutant phenotypes, suggesting that EGL-2 is a
tricyclic target. We verified this by showing that EGL-2 currents are
inhibited by imipramine. Similar inhibition is observed with the mouse
homolog MEAG, suggesting that inhibition of EAG-like channels may
mediate some clinical side effects of this class of antidepressants.
Key words:
eag; K+ channel; tricyclic; antidepressant; imipramine; Caenorhabditis elegans; egl-2
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INTRODUCTION |
K+
channels are key regulators of membrane excitability and are
responsible for a number of identified channelopathies underlying neurological and cardiac disorders (Adelman et al., 1995 ; Curran et
al., 1995 ; Vetter et al., 1996 ; Wang et al., 1996 ). In addition, some
clinically used drugs may act via K+
channel blockade (Sanguinetti and Jurkiewicz, 1990 ).
Caenorhabditis elegans contains a full complement of
K+ channel gene families (Wei et al.,
1996 ), and a number of K+ channel mutants
have been identified (Elkes et al., 1997 ; Johnstone et al., 1997 ; our
unpublished data). Behavioral and pharmacological studies of these
mutants may provide insight into the genetic and mechanistic basis of
K+ channel dysfunction in
vivo.
Here we report that the behavioral defects in the C. elegans
egl-2 mutant are caused by a gain-of-function
(gf) mutation in an eag-like
K+ channel. eag
K+ channels are encoded by one of three
distinct subfamilies of genes (eag, erg, and elk), which comprise the
ether-a-go-go (EAG) extended gene family (Warmke and
Ganetzky, 1994 ; Ganetzky et al., 1999 ). Members of the EAG family of
K+ channels generally produce
noninactivating, voltage-dependent potassium currents, characterized by
accentuated modulation by internal (Bruggemann et al., 1993 ; Stansfeld
et al., 1996 ) and external (Terlau et al., 1996 ; Schonherr et al.,
1999 ) divalent cations. Amino acid residues critical for controlling
channel activity are largely undefined, and in vivo
mutant phenotypes have previously been described only for
Drosophila (Kaplan and Trout, 1969 ; Warmke et al.,
1991 ).
Imipramine and other structurally related tricyclic antidepressants
reverse egl-2(gf) mutant phenotypes, but not those caused by
gf mutations in other C. elegans potassium
channel genes (Trent et al., 1983 ; Reiner et al., 1995 ; Weinshenker et
al., 1995 ; our unpublished data), suggesting a specific interaction
between tricyclics and EGL-2 channels. Tricyclic drugs are used to
treat depression and other affective disorders, however their potential
use is limited by many clinical side effects such as cardiac
arrhythmia, weight fluctuation, constipation, and sexual dysfunction
(Baldessarini, 1989 ; Kaplan et al., 1994 ). Tricyclics are thought to
exert their therapeutic effect through chronic blockade of presynaptic
serotonin and/or norepinephrine transporters (Frazer, 1997 ), but the
molecular mechanisms mediating many of the deleterious side effects
have not been identified. Previous studies have reported that some native K+ currents can be blocked by
tricyclics (Wooltorton and Mathie, 1993 ; Valenzuela et al., 1994 ; Kuo,
1998 ), but the molecular identities of these channels are unknown.
To investigate the mechanism of the egl-2(gf) phenotype and
rescue by imipramine, we analyzed EGL-2 currents in Xenopus
oocytes. Mutant EGL-2(gf) channels exhibited a
negative shift in voltage dependence of activation, and both wild-type
(WT) and mutant currents were blocked by imipramine. We
hypothesize that EGL-2(gf) channels cause
behavioral defects through suppression of excitability in critical
cells. Consistent with this possibility, EGL-2:: green fluorescent protein (GFP) fusions revealed egl-2
expression in a subset of neurons and muscles that could explain the
mutant behavioral defects. Suppression of egl-2(gf)
phenotypes by imipramine likely results from the block of
EGL-2(gf) channels. We suggest that a similar
block of vertebrate EAG-like potassium channels may mediate some of the
clinical side effects of tricyclic antidepressants.
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MATERIALS AND METHODS |
Behavioral assays. Chemotaxis assays were performed
as described, with slight modifications (Bargmann et al., 1993 ).
Eighteen- to 22-hr-old chemotaxis plates were allowed to dry coverless
for 60 min before the assay, and 1 µl of 200 mM sodium
azide was placed at the attractant and control spots to anesthetize the
animals when they reached these spots. A minimum of three trials (at
least 50 animals each) were performed for each genotype and attractant concentration. For the imipramine experiments, animals were grown on
plates containing 0.7 ml of 2.4 mM imipramine (Sigma, St.
Louis, MO) and assayed on chemotaxis plates (Bargmann et al., 1993 )
containing 315 µM imipramine. Statistical analysis was
done using the unpaired Student's t test (Instat 2.01 for Macintosh).
Defecation assays were performed as described (Weinshenker et al.,
1995 ). For each genotype, a minimum of 40 defecation cycles from at
least three animals were assayed. Drug experiments were performed on
plates containing 0.7 ml of 2.4 mM imipramine.
Anterior Mec assays were performed essentially as described (Chalfie
and Sulston, 1981 ). Adult animals were picked individually to plates
and assayed 45 min later. Each animal was tested for responsiveness to
a light touch just posterior to the pharynx with an eyelash five times.
For each genotype, at least 10 animals were touched five times each
(one touch every 10 min). Imipramine experiments were performed on
plates containing 0.7 ml of 2.4 mM imipramine.
Mutagenesis and mapping of egl-2(gf) revertants.
Revertants of egl-2(gf) were
isolated by mutagenizing egl-2(n693sd) and
egl-2(n2656sd) with ethylmethanesulfonate (EMS)
as described (Brenner, 1974 ) and screening for non-egg laying-defective
(Egl) non-expulsion-defective (Exp) animals in the F2 generation.
Transposon alleles of egl-2(n693sd) were
similarly isolated by screening for revertants of
egl-2(n693sd) in a mut-6 mutator
background. We isolated 30 EMS-induced alleles from 110,000 mutagenized
genomes and three transposon insertion alleles from 90,000 mutagenized
genomes. Four EMS-induced revertants of
egl-2(n693sd), n904, n905,
n906, and n907, were kindly provided by C. Trent
and H. R. Horvitz.
lon-2(e678) males were mated to revertant hermaphrodites,
and F1 progeny were picked individually to plates and allowed to self-fertilize. F1 cross progeny were non-Egl non-Exp, indicating that
the revertant alleles are cis-dominant. Broods containing lon-2 mutants were screened for
egl-2(gf) animals to assess linkage between egl-2 and the suppressor. Approximately 1000 F2
progeny were screened for each revertant, and no
egl-2(gf) animals were seen,
indicating that all of the suppressors are tightly linked to
egl-2.
egl-2 cloning. egl-2(n693sd) was
mapped between unc-34 and unc-60 on the left arm
of chromosome V (Trent et al., 1983 ; data not shown). Cosmids from the
region (5 ng/µl) were coinjected with rol-6(d) marker DNA
(200 ng/µl) into egl-2(n905) animals, and
transgenic lines were established as described (Mello et
al., 1991 ).
egl-2(n693sd)/egl-2(n905)
heterozygotes carrying the cosmid transgene were constructed, and
partial suppression of the egl-2(n693sd) expulsion-defective (Exp) phenotype was obtained with cosmids ZK1005
and ZK1012. Overlapping regions from these cosmids were used to probe
Southern blots of DNA from multiple egl-2 alleles, and
polymorphisms were identified in a 1.6 kb XbaI fragment in the egl-2 alleles sa373, sa400, and
sa408. This fragment was subcloned and sequenced, and the
sequence was used to design primers for RT-PCR. Stratagene (La Jolla,
CA) 5' and 3' rapid amplification of cDNA ends kits were used to obtain
overlapping partial cDNAs, which were sequenced. egl-2
genomic sequence was subsequently confirmed by the C. elegans Genome Sequencing Consortium (Coulson, 1996 ).
Oligonucleotides for PCR and sequencing were from Life Technologies
(Gaithersburg, MD). PCR was performed on a PTC-200 DNA engine
from MJ Research. Sequencing was performed on an ABI PRISM dye
terminator cycle sequencer by the Biochemistry Sequencing facility and
the Pharmacology Sequencing facility at the University of Washington.
For mutant egl-2 alleles, PCR products from the egl-2 gene using mutant and wild-type genomic DNA as
template were gel-purified and sequenced. The egl-2 cDNA
GenBank accession number is AF130443.
Xenopus oocyte expression and electrophysiology. Three
overlapping partial cDNAs were constructed by RT-PCR and cloned
together into the pMXT oocyte expression vector (Wei et al., 1994 ). A
silent mutation was introduced at base 2412 to create a SpeI
site used in cloning. A full-length mouse ether-a-go-go
(meag) clone (kindly provided by Barry
Ganetzky) was cloned into the pMXT oocyte expression vector. The
A478V mutation was introduced into the egl-2 cDNA by overlap
PCR mutagenesis (Horton et al., 1989 ). The cDNA was cloned into pMXT
and sequenced to confirm the change and rule out extraneous mutations.
The A492V mutation in meag was similarly generated.
Capped cRNAs were generated by in vitro transcription using
a commercial T3 RNA polymerase kit (mMessagemMachine; Ambion, Austin,
TX) and linearized plasmid DNA templates. Oocyte isolation, injection,
and handling followed standard procedures (Soreq and Seidman, 1992 ; Wei
et al., 1994 ). Oocytes were injected with ~50 ng (wild-type and
mutant egl-2) or 10 ng (wild-type and mutant meag) cRNA. Wild-type and mutant EGL-2 currents were
obtained in choline 96 (in mM: 96 choline Cl, 2 KCl, 1.8 CaCl2, 1.0 MgCl2, and 5 HEPES, pH 7.5) supplemented with 1.0 mM
4,4'-diisothiocyanato-stilbene-2,2'-disulfonic acid (Sigma) to
block endogenous calcium-activated chloride currents (Barish, 1983 )
after 5-7 d of incubation at 19°C. Wild-type and mutant
meag currents were obtained in ND96 (in
mM: 96 NaCl, 2 KCl, 1.8 CaCl2, 1.0 MgCl2, and 5 HEPES, pH 7.5) after 1-3 d incubation at 19°C. Current recordings
were digitally acquired by two-electrode voltage clamp with a Dagan
TEV-200 amplifier and pClamp 7 (Axon Instruments, Foster City, CA).
Current injection and voltage electrodes had resistances between 0.5 and 1.0 M filled with 3 M KCl. Imipramine (Sigma) solutions were made in either choline 96 (wild-type and mutant
EGL-2) or ND96 (wild-type and mutant MEAG) and exchanged with the bath
solution by gravity flow. Data analysis was performed with Sigmaplot
4.0 (Jandel Scientific, Corte Madera, CA) and Origin 4.0 (Microcal).
GFP expression. For the short fusion, a PCR product
containing 4.1 kb of upstream sequence, the first exon and intron, and part of the second intron of egl-2 was inserted in frame
into the pPD95.75 GFP expression vector (kindly provided by A. Fire, J. Ahnn, G. Seydoux, and S. Xu). For the full-length fusion, an NheI fragment from cosmid ZK1005 containing 5 kb upstream of
egl-2, the entire egl-2 coding region (10 kb),
and 4.2 kb downstream of egl-2 was cloned into the
XbaI site of Bluescript (Stratagene). The GFP coding region
was generated by PCR from pPD95.75 and cloned in frame into the AgeI
site in exon 13 of egl-2 in the plasmid described above. The
stop codon in GFP was mutated to a leucine codon so that the
egl-2 gene would be translated in its entirety. The short
fusion (200 ng/µl) was coinjected with lin-15(+)
DNA (60 ng/µl) into lin-15(n765ts) mutants, which have the
multivulva (Muv) phenotype. Non-Muv transgenic lines were established,
GFP was visualized, and cell identities were determined using
epifluorescence microscopy and Nomarski optics. The long fusion (100 ng/µl) was linearized with SphI and coinjected with
rol-6(d) DNA (100 ng/µl) into wild-type animals. Rol
transgenic lines were established, and serial images of L2 larvae were
taken every 0.4 µm with a deconvoluting microscope using
epifluorescence. Figure 5e is a compressed image of the sum
of 38 sections.
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RESULTS |
An egl-2 gain-of-function mutation causes multiple
behavioral phenotypes
Two independently isolated dominant gain-of-function
(gf) mutations in the C. elegans
egl-2 gene (n693 and n2656) inhibit egg-laying and enteric muscle contraction, leading to Egl and Exp
phenotypes. These mutant phenotypes are rapidly rescued by exposure to
tricyclic antidepressants such as imipramine, suggesting that the
egl -2 gene product is a tricyclic target.
Pharmacological and cell ablation manipulations combined with
behavioral assays suggest that the Egl and Exp defects are likely in
the egg-laying and enteric muscles and not in the motor neurons that
innervate them (Reiner et al., 1995 ; Weinshenker et al., 1995 ).
We tested egl-2 mutants for chemotaxis to volatile odorants,
a behavior that is mediated by amphid sensory neurons.
egl-2(gf) mutants were defective in
chemotaxis to both isoamyl alcohol and benzaldehyde, which are sensed
by the AWC amphid neuron (Bargmann et al., 1993 ). Similar to the
muscle defects, the isoamyl alcohol defect was rescued by imipramine
(Fig. 1). Although
egl-2(gf) has a weak locomotory
defect, they were outperformed in this assay by the more severely
locomotion-defective unc-25 mutant (Fig. 1), suggesting that
the egl-2(gf) chemotaxis defect is
caused by sensory and not motor defects.

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Figure 1.
Volatile chemotaxis response of
egl-2 mutants to isoamyl alcohol. Chemotaxis indexes
(CI) were calculated in the following way: CI = (number at
attractant number at control)/(total number) (Bargmann et al.,
1993 ). Error bars indicate SD among individual trials. The
egl-2(gf) allele was egl-2(n693sd), the
egl-2(lf) allele was egl-2(n693sd sa236),
and the unc-25 allele was unc-25(e156).
Considering p < 0.05 as significant,
egl-2(lf) is not significantly different from wild type
at any dilution, egl-2(gf) is significantly different
from wild type at every dilution, unc-25(e156) is
significantly different from egl-2(gf) at all isoamyl
alcohol dilutions except 10 4, and
egl-2(gf) + imipramine is significantly different from
egl-2(gf).
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egl-2(gf) mutants also had an
imipramine-sensitive anterior mechanosensory-defective (Mec) phenotype,
which is mediated by the ALM mechanosensory neurons (Chalfie and
Sulston, 1981 ) (Table 1). Previously
characterized male mating and locomotion defects in
egl-2(gf) mutant are likely
neuronally mediated, and these are also rescued by imipramine (Trent et
al., 1983 ; Weinshenker et al., 1995 ; data not shown). These results
demonstrate that an egl-2(gf)
mutation can compromise neuronal and muscle function, and that its
interaction with tricyclics is similar in the two tissues.
egl-2(gf) revertants define three classes of
eag mutations
To determine the loss-of-function (lf) phenotype
for egl-2, we mutagenized
egl-2(gf) animals and isolated
revertants that were no longer Egl or Exp. All revertants were tightly
linked to egl-2 (Materials and Methods), suggesting that
they contain second site suppressors within the egl-2 gene.
To investigate the genetic properties of the revertants, we used the
semidominance of the egl-2(gf)
alleles in gene dosage tests. The enteric muscle contraction (EMC)
defect of egl-2(gf) in
trans to a deficiency of egl-2 is more severe
than the gf in trans to a wild-type copy of
egl-2 (Table 2). A null
mutation of egl-2 in trans to the gf
would be expected to behave like a deficiency, whereas non-null
mutations might give different results. We put each revertant in
trans to egl-2(gf) and
measured EMC defects (Table 2). The revertants fell into three classes.
Class I alleles (20 alleles), such as sa236, behaved like an
egl-2 deficiency and probably are strong lf or
null mutations. As homozygotes, egl-2(sa236) and other members of this
class of revertants appear wild-type, having no gross defects in
movement, feeding, fertility, defecation, egg laying, or chemotaxis to
volatile odorants (Tables 1, 2, Fig. 1; data not shown). Class II
alleles (four alleles) behaved like a wild-type copy of
egl-2. Class III alleles (eight alleles) suppressed the
gf to a greater degree than a wild-type allele, and thus are
probably dominant-negative alleles.
egl-2 encodes a voltage-gated
K+ channel
To determine the role of egl-2 in cell excitation and
the nature of the tricyclic antidepressant interaction, we cloned
egl-2 (Materials and Methods). egl-2 encodes an
eag-like voltage-gated K+ channel (VGK)
(Fig. 2a) (GenBank accession
number AF130443). The EGL-2 and Drosophila eag proteins are
54% identical in the N terminus, 75% identical in the transmembrane
and pore domain, and 81% identical in the domain with homology to
cyclic nucleotide-binding proteins (cNTP), but are divergent at the C
terminus. The molecular lesion in the two independently isolated
egl-2(gf) alleles is an A478V
change in the S6 domain. This alanine is conserved among nearly all
VGKs described to date, suggesting that this residue is critical for
normal channel function (Fig. 2b). The Class I sa236 mutation results in a stop codon at amino acid 84 (Fig. 2a), and thus is probably a null allele. We identified
molecular lesions for four Class III dominant negative alleles. These
lesions all cause single missense mutations affecting residues near S1 and S2: S213F (sa395), T230M (sa377), and
T285I (sa378 and sa391) (Fig. 2a).

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Figure 2.
Alignment of EGL-2 with other
K+ channels. a, Predicted amino acid
sequence of the egl-2 gene product and the molecular
lesions found in mutant alleles aligned with Drosophila
eag (EAG) and mouse eag (MEAG). The predicted transmembrane and pore
domains are underlined, as is the region with homology to cyclic
nucleotide-binding proteins (cNTP BINDING DOMAIN). Amino acid
identities are boxed in black. Amino
acids changed in mutant egl-2 alleles are
outlined in black and annotated on the
line above. GFP fusion junctions are shown by vertical gray
lines. b, Alignment of the sixth transmembrane
domain (S6) of EGL-2 and other
K+ channels. dEAG and dSHAKER are
Drosophila channels, UNC-103 is a C. elegans
erg homolog, HERG (human erg; mutated in long QT
syndrome), KVLQT1 (mutated in long QT syndrome), and hSK1 (small
conductance Ca2+-activated K+
channel) are human channels, mSLO is a mouse large conductance
Ca2+-activated K+ channel, and
AKT1 is an Arabidopsis inward-rectifying
K+ channel. The alanine that is mutated in
egl-2(gf) alleles and the corresponding residues in
other channels are boxed. GenBank accession numbers for
sequences used: EGL-2 (AF130443), MEAG (UO4294),
Drosophila EAG (M61157), Drosophila
Shaker (M17211), UNC-103 (Z35596), HERG (UO4270), KVLQT1 (U89364), hSK1
(AF131938), mSLO (L16912), and AKT1 (X62907).
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S6 mutation shifts voltage dependence of activation for
EGL-2 and murine MEAG channels
To investigate the mechanism underlying the in vivo
phenotype of the egl-2(gf)
mutations, we studied the properties of WT and gf mutant
(A478V) EGL-2 channels expressed in Xenopus oocytes. Oocytes
injected with wild-type egl-2 cRNA expressed
voltage-dependent, noninactivating potassium currents characterized by
unusually slow activation kinetics, requiring voltage steps of 5 sec to approach steady-state (Fig.
3a). A conductance-voltage
(G-V) plot of WT EGL-2 currents revealed a voltage
of half-maximal activation (V50) of 7 mV,
centered within a voltage-operating range of ~80 mV (Fig.
3b). Oocytes injected with mutant egl-2(A478V)
cRNA expressed similar nonactivating potassium currents, but with
altered voltage dependence of activation (Fig. 3a).
G-V plots for A478V EGL-2 channels revealed a
V50 of 40 mV, a shift of 33 mV relative to WT
EGL-2 channels (Fig. 3b). This hyperpolarized shift in the V50 of A478V EGL-2 channels allows a significant
fraction of available mutant channels to be activated at hyperpolarized
potentials. This is consistent with the observed mutant behavioral
phenotypes of egl-2(gf) mutants,
because a muscle or neuron expressing these mutant channels may be
hyperpolarized and unable to respond appropriately to excitatory
stimuli.

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Figure 3.
Functional properties of wild-type and
gain-of-function EGL-2 and MEAG K+ channels in
Xenopus oocytes assayed by two-electrode voltage-clamp.
a, Current records from oocytes injected with wild-type
egl-2, gain-of-function egl-2(A478V), and
corresponding meag and meag(A492V) cRNAs.
Currents evoked by families of voltage steps from a holding potential
of 100 mV, in 10 mV increments [ 90 to +40 mV for
egl-2 and egl-2(A478V)); 90 to +50 mV
for MEAG and MEAG(A492V)]. Outward tail currents observed from
wild-type EGL-2 channels resulted from a repolarization step to 50
mV. A 100 mV repolarization step was used for all other channels.
b, Normalized conductance-voltage relationships.
Conductances were calculated from current amplitudes at the end of 5 sec [EGL-2 and EGL-2(A478V)] and 2 sec [MEAG and MEAG(A492V)]
voltage steps, based on a reversal potential of 90 mV in ND96.
Individual data sets were fitted by a single Boltzmann function,
G/Gmax = (1 + exp( n(V V50)/kT)) 1, where n is
the slope factor reflecting intrinsic voltage sensitivity,
V50 is the voltage at half-maximal conductance, and
T is absolute temperature. Mean values were plotted with
SEM.
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A478 is positioned near residues thought to undergo gating-dependent
conformational changes in the Shaker potassium channel (Liu et al.,
1997 ; Holmgren et al., 1998 ). We therefore tested the ability of the
A478V substitution to confer a gf phenotype in the murine
eag homolog meag (Warmke and Ganetzky, 1994 ), by engineering an analogous missense mutation in MEAG (A492V). A492V MEAG
channels exhibited a G-V shifted toward hyperpolarized
potentials (V50 = 13.7 mV) relative to WT MEAG
(V50 = 3.4 mV) (Fig. 3a,b), demonstrating a modest, but functionally similar effect of this substitution in a mouse eag-like channel
Imipramine blocks EGL-2 and MEAG channels
To determine the mechanism of imipramine rescue of the
egl-2(gf) phenotypes, we assessed
its ability to block EGL-2 channels in oocytes. Imipramine was able to
block both WT and A478V EGL-2 channels (Fig.
4). The derived Hill coefficients (s = 0.84, WT; s = 0.80, A478V) suggest a binding stoichiometry of
one imipramine molecule to one channel. Similar results were obtained
with WT MEAG channels (Fig. 4), except that imipramine inhibits WT MEAG currents with an ~10-fold lower potency (Kd = 55 µM) than EGL-2 currents.

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Figure 4.
Imipramine inhibits EGL-2 and MEAG channels.
Dose-response plots for wild-type EGL-2, EGL-2(A478V), and MEAG
currents, measured at 40 mV, at the end of 5 sec [EGL-2 and
EGL-2(A478V)] and 2 sec (MEAG) voltage steps from a holding potential
of 100 mV. Individual data sets normalized to maximal current evoked
in ND96 and fitted by the Hill function, I = 1 (max/(1 + (Kd/[imipramine])s)),
where max is the maximal fractional inhibition,
Kd is the imipramine concentration at half-maximal
inhibition, and s is the slope factor. Mean values were
plotted with SEM.
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Block by imipramine at each test concentration was rapid and
essentially complete within the ~2 min allowed for equilibration between exchanges of bath solutions, at the holding potential of 100
mV. A variable secondary component of block was observed with much
slower kinetics, perhaps reflecting state dependence of block (Kuo,
1998 ). This secondary component of block may account for the residual
10% of channels not blocked with our assay conditions (Fig. 4). Block
was not observed to be reversible by washes of up to 30 min, consistent
with a slow off-rate of imipramine. The rapid and dose-dependent
inhibition of EGL-2 and MEAG channels provides evidence that imipramine
directly blocks these channels and suggests that imipramine may block
other EAG-like channels with similar efficacy.
EGL-2:: GFP fusions are expressed in muscle
and neurons
To determine the cellular expression pattern of egl-2,
we constructed two EGL-2:: GFP fusions (Materials and Methods;
Fig. 2a). Consistent with the Exp defect of
egl-2(gf) mutants, the short fusion
(4.1 kb of upstream egl-2 sequence) was expressed in the
intestinal muscles, which are two of the four enteric muscles (Fig.
5a). We hypothesize that
inappropriately activated EGL-2 K+
channels in these muscles compromise their ability to depolarize and
contract. In addition to the muscle expression, the short fusion was
expressed in the AFD, ALN, AQR, ASE, AWC, BAG, IL2, PLN, PQR, and
URX neurons in hermaphrodites and males, and in a subset of ray
sensory neurons in males (Fig. 5b; data not shown). The
expression in AWC is consistent with the chemotaxis defect in
egl-2(gf) mutants (Fig. 1). Because
ray neurons are involved in mating (Liu and Sternberg, 1995 ),
egl-2 expression in rays may underlie the previously
characterized male mating defect of egl-2(gf) mutants (Trent
et al., 1983 ).

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Figure 5.
egl-2 expression. Anterior is left,
dorsal is up. Merged Nomarski and GFP fluorescence images.
a, Short EGL-2:: GFP expression in the
intestinal muscles (posterior end of an adult animal). GFP-expressing
cells posterior to the intestinal muscle are the tail neurons ALN and
PLN in a slightly lower focal plane. b, Short
EGL-2:: GFP expression in neurons in the lateral ganglion
(anterior end of the animal). Posterior to the IL2 neurons, BAGL and
AWCL are also visible, but faint. Other GFP-expressing cells in this
region are either faint or out of focus. c, Long
EGL-2:: GFP expression in the ALM mechanosensory neurons.
d, Long EGL-2:: GFP expression in the vulval
muscles used for egg laying. e, Deconvoluted image of
full-length EGL-2:: GFP fusion expression in sensory neuron
endings.
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The long fusion (5 kb of upstream egl-2 sequence, the entire
10 kb egl-2 coding region, and 4.2 kb of downstream
egl-2 sequence) was highly localized at dendritic endings of
neurons in the nose, but only faintly in the processes (Fig.
5e). This localization is probably in the ciliated endings
of head sensory neurons. Neuronal cell bodies in the lateral ganglion
also label with this fusion (Fig. 5e). This fusion was also
expressed in the ALM mechanosensory neurons (Fig. 5c), which
can explain the egl-2(gf) anterior
Mec phenotype (Table 1). Consistent with the Egl defect of
egl-2(gf) mutants, we saw
occasional expression of this fusion in the vulval muscles used for egg
laying (Fig. 5d).
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DISCUSSION |
egl-2 encodes a voltage-gated
K+ channel that is blocked by the
tricyclic antidepressant imipramine. The
egl-2(gf) mutation produces a
negative shift in the voltage dependence of activation of EGL-2
channels, thus increasing the likelihood of open channels at
hyperpolarized potentials. We propose that the
egl-2(gf) phenotypes result
from an inappropriate suppression of excitability in cells that express
the mutant channel. Imipramine blocks the mutant channel and restores
function by inhibiting the suppression of excitability. This model is
supported by the close parallel between behavioral defects in
egl-2(gf) mutants and
EGL-2:: GFP expression in cells that mediate these behaviors
(Fig. 6).

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Figure 6.
Summary of egl-2(gf) phenotypes,
EGL-2 expression, and rescue by imipramine. Mutant EGL-2 channels are
expressed in muscle and neurons and cause excitation defects by
allowing an inappropriate efflux of K+ in these
cells. Imipramine rescues egl-2(gf) phenotypes by
blocking the mutant channels and restoring excitability.
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egl-2(lf) phenotypes
We did not detect any gross behavioral defects in
egl-2(lf) mutants. We speculate that there
are many K+ channels with overlapping
functions in the excitable cells of C. elegans, and that
loss of any one of them does not greatly affect cellular excitability.
Conversely, activation of some of these channels causes an excitability
phenotype out of proportion to their wild-type contribution. This
generalization is supported by the severe phenotypes caused by
gf mutations, in contrast to mild or absent phenotypes
caused by lf mutations, in other C. elegans
K+ channels (Reiner et al., 1995 ; Elkes et
al., 1997 ; Johnstone et al., 1997 ).
EGL-2 expression
The expression of the short EGL-2:: GFP fusion in two of
the four enteric muscles is consistent with the enteric muscle
contraction defect of egl-2(gf)
mutants. Vulval muscle labeling was observed in occasional animals
expressing the long fusion, which can explain the Egl defect in
egl-2(gf) mutants. This is
consistent with the pharmacology of the
egl-2(gf) Egl phenotype, as
agonists that act directly on the egg-laying muscles to promote egg
laying in the wild type fail to do so in
egl-2(gf) mutants (Trent et al., 1983 ; Weinshenker et al., 1995 ). Interestingly, nearly all neurons that
express the fusions are sensory neurons, suggesting that egl-2 serves a common function in C. elegans
sensory neurons of different modalities.
Like the long EGL-2:: GFP fusion, components of the
odorant-sensing machinery are localized to the ciliated endings of
amphid sensory neurons (Coburn and Bargmann, 1996 ; Sengupta et al.,
1996 ; Colbert et al., 1997 ; Roayaie et al., 1998 ). It is possible that EGL-2 functions in sensory endings and is modulated by components of
sensory transduction. Drosophila eag mutants are defective in odorant response (Dubin et al., 1998 ), and rat eag is
expressed in the olfactory bulb (Ludwig et al., 1994 ), suggesting
conservation of an eag function in olfaction. In addition, bovine
eag is expressed in retinal photoreceptors and may encode
the native IKx current, suggesting a
general role for eag in sensory transduction processes (Frings et al.,
1998 ).
K+ channel structure and function
Voltage-gated K+ channels display a
remarkable heterogeneity of intrinsic properties, reflected in the
molecular diversity of K+ channel genes
(Wei et al., 1996 ). The fact that the EGL-2 S6 alanine 478 is
highly conserved among all families of VGKs suggests that it is
critical for some aspect of normal channel function. This is supported
by the gf shifts in G-V conferred by a modest change to a valine in EGL-2 and MEAG. Changing the analogous alanine in
KVLQT1 channels to valine or glutamate results in the cardiac arrhythmia long QT syndrome, a probable dominant-negative phenotype (Wang et al., 1996 ; Shalaby et al., 1997 ). These mutations focus attention on S6 as an important structure mediating channel function.
Examples of S6 amino acid substitution that either stabilize channel
open states or accelerate transitions from closed to open states have
been observed in a wide variety of other
K+ channels. These include Shaw
K+ channels (Elkes et al., 1997 ; Johnstone
et al., 1997 ), Slo-type calcium-activated
K+ channels (Lagrutta et al., 1994 ), the
yeast YKC1 K+ channel (Loukin et al.,
1997 ), and the Shaker K+
channel (Liu et al., 1997 ; Holmgren et al., 1998 ). Our data suggest that elements of the gating mechanism mediated by S6 may be conserved between K+ channels from diverse gene
families. This suggestion is supported by the conserved "inverted
teepee" structural motif revealed by the crystal structures of the
Kcsa K+ channel from Streptomyces
lividans (Doyle et al., 1998 ) and the MscL cation channel from
Mycobacterium tuberculosis (Chang et al., 1998 ). In both
structures, the ion conduction pathway is lined by a single tilted
transmembrane -helix contributed by each subunit. This critical
-helix is TM2 for Kcsa, TM1 for MscL and, by analogy, S6 for
voltage-gated K+ channel subunits.
Rotation and translational movements of TM1 and TM2 underlie
pH-dependent gating of the Kcsa channel (Perozo et al., 1999 ) and may
provide a conserved structural mechanism used for gating in other
potassium channels. Mutations of critical S6 residues could affect
gating properties by influence the energetics of these conformational
changes. Our data with egl-2 and meag are
consistent this possibility.
The egl-2(gf) revertants may
provide information about K+ channel
structure and function. The Class II revertants restore relatively normal function to the gf mutant channels. These are
probably second site mutations that compensate for the gf
mutation, and they potentially provide mechanistic information about
channel gating. The Class III alleles behave as dominant negatives.
These mutations may suppress the gf mutation by directly or
allosterically countering the action of A478V in S6. Alternatively, the
suppressors could inhibit proper channel folding or processing
independent of A478V. These alleles may provide a useful in
vivo model for studying dominant-negative
K+ channel subunit interactions.
Imipramine block of eag channels
We show that EGL-2 and MEAG channels are rapidly blocked by
externally applied imipramine in a saturable fashion, with a high affinity in the range of 10-100 µM. These properties are
in agreement with previous studies describing imipramine block of
native K+ channels from cardiac myocytes
(Isenberg and Tamargo, 1985 ), peripheral sensory neurons (Ogata and
Tatebayashi, 1993 ; Wooltorton and Mathie, 1993 , 1995 ), and hippocampal
neurons (Kuo, 1998 ). Both noninactivating and transient native
potassium currents are blocked by imipramine, depending on the tissue
source. All reported native imipramine-sensitive currents tested have
binding constants in the range of 10-100 µM and a
putative external binding site. Our results suggest that these
imipramine-sensitive currents may be encoded by
K+ channel genes of the EAG gene family.
Consistent with this possibility, heterologous expression studies
reveal that the EAG gene family is capable of producing homomeric
K+ channels with a diversity of kinetic
properties, encompassing both noninactivating (eag, erg, elk
subfamilies) and transient (erg, elk subfamilies) channel types (Shi et
al., 1997 , 1998 ; Engeland et al., 1998 ). Among gf mutations
in C. elegans that have been shown or hypothesized to
activate K+ channels,
egl-2(gf) is the only one that is
rescued by imipramine (Reiner et al., 1995 ; Elkes et al., 1997 ;
Johnstone et al., 1997 ), suggesting a specific tricyclic-EAG
interaction. The higher concentrations of imipramine required to rescue
egl-2(gf) behavioral defects in vivo (~25 µM; E. Round,
personal communication) than to block EGL-2 in vitro (~10
µM) is likely due to the general impermeability of the C. elegans cuticle (Lewis et al., 1980 ). Should
imipramine show specificity for K+
channels encoded by the EAG gene family, it may provide an attractive molecular substrate for the rational design of blocking agents that
target members of this family (Mathie et al., 1998 ).
EAG channels, tricyclic antidepressants, and
human disease
The interaction between tricyclic antidepressants and EGL-2
provides a link that may explain one of the most common side effects of
these psychotropic drugs. Long QT syndrome is a cardiac arrhythmia that
can either be inherited or caused by drugs that block
K+ channels (Tan et al., 1995 ). One
inherited form is associated with dominant-negative mutations in
HERG, a VGK in the EAG gene family that encodes the cardiac
IKr K+
current (Sanguinetti et al., 1995 ; Trudeau et al., 1995 ). Tricyclics can cause long QT syndrome, and we speculate that they may do so in
part by blocking HERG channels. In support of this model, imipramine
can significantly block IKr currents
in ventricular myocytes at concentrations found in the serum of
patients taking clinical doses of the drug (~1
µM; Baldessarini, 1989 ; Valenzuela et al.,
1994 ). In addition, a human eag channel (h-eag) has recently been cloned, and both h-eag and rat eag channels
are expressed in brain (Ludwig et al., 1994 ; Occhiodoro et al., 1998 ).
h-eag and meag are 100% conserved in the
transmembrane and pore regions, indicating that imipramine probably
blocks h-eag channels. Our results suggest that acute
cardiac and neurological side effects of imipramine use may result from
the block of HERG, h-eag, or other K+
channels encoded by the EAG gene family.
Putative targets of psychotropic drugs have been determined
traditionally by assaying binding to known receptors in
vitro. The combination of genetics and pharmacology in C. elegans offers an alternative means to identify and study these
targets in vivo.
 |
FOOTNOTES |
Received July 6, 1999; revised Sept. 13, 1999; accepted Sept. 22, 1999.
This work was supported by Public Health Service Grants R01NS30187
(J.T.) and RO1NS24785 (L.S.). Many nematode strains were provided by
the Caenorhabditis Genetics Center. We thank Andy Fire
for green fluorescent protein vectors, Bob Horvitz for strains, Cori Bargmann for chemotaxis advice, Marty Chalfie for Mec advice, Stan
Fields for use of his deconvoluting microscope, Elaine Round for
sharing unpublished data, and Michael Nonet for comments on this
manuscript. The following people contributed valuable technical assistance and intellect: Dave Reiner, Betsy Malone, Liz Newton, Duncan
Johnstone, Kouichi Iwasaki, Helen Chamberlin, Peter Swoboda, Mark
Hamblin, Robert Choy, and Hong Tian. We thank L. Devarayalu at the
University of Washington Biochemistry Sequencing Facility.
D.W. and A.W. contributed equally to this work
Correspondence should be addressed to James H. Thomas, Box 357360, Department of Genetics, University of Washington, Seattle, WA 98195. E-mail: jht{at}genetics.washington.edu.
 |
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