Abstract
Cys-loop receptors are ligand-gated ion channels that are activated by a structurally diverse array of neurotransmitters, including acetylcholine, serotonin, glycine, and GABA. After the term “chemoreceptor” emerged over 100 years ago, there was some wait until affinity labeling, molecular cloning, functional studies, and X-ray crystallography experiments identified the extracellular interface of adjacent subunits as the principal site of agonist binding. The question of how subtle differences at and around agonist-binding sites of different Cys-loop receptors can accommodate transmitters as chemically diverse as glycine and serotonin has been subject to intense research over the last three decades. This review outlines the functional diversity and current structural understanding of agonist-binding sites, including those of invertebrate Cys-loop receptors. Together, this provides a framework to understand the atomic determinants involved in how these valuable therapeutic targets recognize and bind their ligands.
Diversity, physiological importance, and fundamental architecture
Numerous physiological processes rely on the rapid conversion of extracellular chemical signals into electrical signals at the cell membrane. This is predominantly mediated by ligand-gated ion channels (LGICs), membrane-embedded ion channels that are allosterically activated upon binding of an agonist, usually a neurotransmitter. A large family of LGICs is that of the pentameric Cys-loop receptors, sometimes referred to as pentameric ligand-gated ion channels, as not all members of this protein family contain the eponymous Cys-loop. These receptors are broadly divided into excitatory and inhibitory receptors, based on the permeability of the integral ion channel to cations or anions, respectively. As regards the human nervous system, passage of sodium and calcium through excitatory nicotinic acetylcholine, and serotonin type 3 receptors (nAChRs and 5-HT3Rs) depolarizes the membrane, whereas chloride permeability through inhibitory GABA type A and glycine receptors (GABAARs and GlyRs) generally serves to hyperpolarize the membrane potential and thereby decrease cellular excitability. Activation of nAChRs by acetylcholine mediates vital neuromuscular and autonomic signals (Langley, 1901; Bennett, ) and the importance of nAChRs in the brain is highlighted by the well-documented effects of nicotine on cognition (Levin, 2002). 5-HT3Rs mediate several effects of serotonin on maturation of glutamatergic and GABAergic networks (Engel et al., ) and are targets for widely used anti-emetic drugs (Lummis, 2012). Humans also express transcripts of a unique Cys-loop receptor isoform that, when expressed recombinantly, forms zinc-activated cation channels, although little is known about its function (Davies et al., ). Regarding the inhibitory receptors, some overlap occurs in the expression patterns of GABAARs and GlyRs. GABAARs are the primary mediator of inhibitory signals in the brain (Sigel and Steinmann, 2012), and pharmacological enhancement of GABAARs by benzodiazepines and anesthetics underlies widely used anxiolytic therapies (Korpi and Sinkkonen, 2006) and general anesthesia (Zeller et al., 2008), respectively. Inhibitory GlyR function, on the other hand, appears to dominate in the spinal cord and brain stem, regulating different motor and sensory functions, including pain, and GlyRs are also involved in processing auditory and visual signals (Lynch, 2009).
Each of the above receptors is further divided into subtyes, composed of varying combinations of different subunit isoforms. In humans, there are five known GlyR isoforms (α1 through α4 and β; Harvey et al., 2000) and five 5-HT3R isoforms (named A to E; Lummis, 2012). By contrast, nAChR and GABAAR isoforms show a far greater degree of diversity: 17 different isoforms are known for nAChRs [nine α (termed α1, α2, α3, and so on), four β, one γ, one δ, and one ε isoforms] and 19 different isoforms for GABAARs (six α, three β, three γ, one each of δ, ε, π, θ, and three ρ isoforms; Collingridge et al., ). Although some subtypes are homomeric pentamers, the majority of native Cys-loop receptors are heteromers. Together with the significant isoform diversity, this results in a large number of possible permutations (although the most prominent stoichiometry in the brain is 2xα1, 2xβ2, and 1xγ2; Olsen and Sieghart, 2008).
However, the true diversity of the Cys-loop receptor family is only realized when invertebrate and bacterial members are considered. These include, in addition to nAChR-like and GABAAR-like receptors, cation channels gated by betaine (Peden et al., 2013), GABA (Ranganathan et al., 2000) primary amines (Zimmermann and Dutzler, 2011), and pH (Bocquet et al., ); anion channels gated by glutamate (Cully et al., ), histamine (Zheng et al., 2002), dopamine, serotonin, tyromine (Ringstad et al., 2009), and pH (Schnizler et al., 2005); and acetylcholine-binding proteins (AChBPs) that resemble the extracellular half of nAChRs and serve to buffer excessive transmitter at the molluscan synapse (Smit et al., 2001). Incidentally, it is lower organisms that have contributed the Cys-loop receptors most amenable to structural methods, and the resolution with which we now view receptor structure is based on X-ray crystallographic structures of two bacterial cation channels referred to as ELIC and GLIC (gated by primary amines and protons, respectively; Hilf and Dutzler, 2008, 2009; Bocquet et al., ; Zimmermann and Dutzler, 2011; Spurny et al., 2012), the α glutamate-gated chloride channel from Caenorhabditis elegans (Hibbs and Gouaux, 2011; α GluCl, or GLC-1; Beech et al., ) and AChBPs from Lymnaea stagnalis (Brejc et al., ) and Aplysia californica (Hansen et al., ). These have superceded electron micrographic data on nAChRs from the ray Torpedo marmorata (e.g., Unwin, 2005) that consolidated early notions of receptor structure.
Collectively, the crystal structures confirm early biochemical studies, in that Cys-loop receptors are pentamers in which each subunit contains an extracellular domain (ECD), consisting of 10 consecutive strands arranged in two β-sheet cores, followed by four membrane-spanning helices (M1–M4), ending in a small extracellular C-terminal tail (Figure 1A). The agonist-binding site is situated at the interface of adjacent ECDs (Figure 1B). The principal face of the agonist-binding site comprises three loops (“A–C”) from the outer β-sheet of one subunit, and the complementary face comprises three β-strands and one loop (“Loops D–G”) from the inner β-sheet of the adjacent subunit (Figure 1C). The five subunits are arranged in five-fold symmetry, such that a central ion channel is formed by the apposition of all M2 helices. Opening of the ion channel occurs as a result of agonist-induced conformational changes in the ECD, which in turn trigger conformational changes within the ion channel, in an allosteric process often termed ligand-gating or agonist-induced activation (Twyman and Macdonald, 1991; Miller and Smart, 2010). It is important to note that, depending on which isoforms are present, not all subunits contribute equally to agonist binding or subsequent channel gating, so the number of binding sites can vary among different receptors. Some nAChRs have been reported to open in response to a single bound agonist (Andersen et al., ) or even in the absence of any ligands (Jackson, 1986; Purohit and Auerbach, 2009). However, most Cys-loop receptors are thought to require binding of 2–3 agonist molecules for most efficient activation (Sine et al., 1990; Beato et al., ; Rayes et al., 2009; Harpsoe et al., 2011).
Figure 1
Ligands that induce channel opening are termed agonists, although some agonists induce channel opening with poor efficiency and are therefore termed partial agonists. The five classical neurotransmitter agonists considered in this review are shown in Figure 2, illustrating their vaguely linear structure, with polar N- or O-containing termini. Other ligands, termed competitive antagonists, bind in the agonist-binding site and can elicit conformational changes but prevent binding of agonists and thus channel activation. As this review focuses on the primary determinants of ligand-receptor interactions at the agonist-binding site, we will continuously refer to “recognition” of “agonists” for consistency.
Figure 2
Tracing the recognition of diverse agonists to subtle molecular differences
Below, the molecular determinants of agonist recognition by Cys-loop receptors will be reviewed in detail, but given the diversity of the family, generalizing detailed findings to the whole family can be confusing. Therefore, we will first point out a few noteworthy trends that we hope illustrate the relation between the various Cys-loop receptors and also distinguish Cys-loop receptors from other proteins. Given that certain Cys-loop receptors are gated by glycine, while others are activated by the chemically and structurally very different serotonin, there must naturally be a substantial degree of divergence at critical agonist-binding side chains in the agonist-binding site. Not surprisingly then, most of the ECD side chains that are absolutely conserved lie outside of the agonist-binding loops (Hibbs and Gouaux, 2011), e.g., in the eponymous Cys-loop that is situated between the ECD and the membrane-spanning domain, where it transduces conformational changes from the agonist-binding site to the channel (Kash et al., 2003; Grutter et al., ). Only two side chains/motives within agonist-binding loops are conserved across all Cys-loop receptors: a tryptophan in Loop D, and a Trp-X-Pro (“W-X-P”) motif in Loop A (Figure 3), which at least in 5-HT3Rs is known to contribute to structural integrity (Deane and Lummis, ). Although not absolutely conserved, a handful of ECD positions are occupied by structurally similar side chains in the vast majority of Cys-loop receptor isoforms, including aromatic side chains in Loop A, Loop B, and Loop C (Figure 3). These aromatic side chains are widely acknowledged as an “aromatic box” that surrounds the amine or ammonium nitrogen atom of most Cys-loop receptor agonists (Galzi et al., ; Zhong et al., 1998; Beene et al., ; Pless et al., 2011; Lummis et al., 2012). To avoid confusion when comparing numerous receptors, we will refer to these aromatic side chains with the three-letter amino acid abbreviation followed by the letter of the possessing loop. For example, Trp149 of the mouse α nAChR, Trp143 of the L. stagnalis AChBP and Phe159 of the human α1 GlyR isoforms will be referred to as TrpB, TrpB, and PheB, respectively.
Figure 3
When compared to a representative number of other proteins, perhaps the most striking pattern to emerge from the amino acid composition of Cys-loop receptor ECDs is the overrepresentation of aromatic side chains (Figure 4). Especially the relative abundance of Tyr and Trp is strongly increased, which is likely due to the manifold suitability of these side chains for molecular recognition: these large amphipathic side chains can form non-polar, H-bonding, and cation-π interactions (Koide and Sidhu, 2009). This is borne out in several experimental observations that will be discussed below. Furthermore, it is noteworthy that Arg is more prevalent than Lys, which is by far the most underrepresented of all 20 side chains in Cys-loop receptor binding sites (Figure 4). A likely explanation for this observation is the fact that Arg side chains retain their positive charge even in very hydrophobic environments (Harms et al.,
Figure 4

Relative abundance of amino acids in Cys-loop receptor agonist-binding loops. (A) Relative frequency (y-axis) at which each amino acid (x-axis) appears in a set of 520 proteins (dark columns; Brooks et al.,
Chemical and structural insights into agonist recognition: excitatory receptors
After the labeling of nAChRs with photo-reactive ligands identified the aromatic box (Dennis et al.,
Figure 5

X-ray crystallographic structures of agonist-bound receptors. (A)L. stagnalis AChBP in complex with carbamylcholine (PDB entry 1UV6). (B)C. elegans α GluCl (GLC-1) in complex with glutamate (and ivermectin in the transmembrane domain; PDB entry 3RIF). In each illustration, numerous segments have been removed for clarity, including Loop C, of which only selected side chains are visible.
These functional and structural data collectively suggest, but do not provide direct chemical evidence, for the types of interactions that mediate agonist recognition. Such a “chemical-scale” view of agonist recognition requires the insertion of artificial amino acids (Dougherty,
The binding of serotonin in the 5-HT3R ECD is similar to that of acetylcholine in the nAChR, in that the amine nitrogen of serotonin forms a cation-π interaction with TrpB (Beene et al.,
Chemical and structural insights into agonist recognition: inhibitory receptors
GABAARs and GlyRs, along with their inhibitory receptor cousins that are gated by various other agonists, possess TyrB or PheB side chains in place of the TrpB characteristic of excitatory receptors (Figure 3), potentially reducing the overall size of the agonist-binding site so as to optimize it for binding smaller and sterically less constrained agonists such as glycine and GABA. Nonetheless, cation-π interactions between the amino groups of glycine or GABA have been demonstrated for PheB in the α1 GlyR (Pless et al., 2008), TyrB in the ρ GABAAR (Lummis et al., 2005) and PheB in the insect RDL GABA receptor (Lummis et al., 2011). In MOD-1 (serotonin-gated) and RDL inhibitory receptors, cation-π interactions involving TrpC2 or TyrC2 (also) occur (Mu et al., 2003; Lummis et al., 2011). This perhaps reiterates that the structure of the agonist-binding site and the binding mode of various agonists are determined not only by ECD amino acid identity but also by length of loops and the orientation of side chains outside of the agonist-binding site (Liu et al., 2005; Kehoe et al., 2009; Xiu et al., 2009). Indeed, Loop A has been proposed as the main determinant of the different agonist recognition by α and β GlyR isoforms (Shan et al., 2012), yet their loop A sequences are 100% identical.
The glutamate-bound C. elegans α GluCl crystal structure provides the first high-resolution data on an inhibitory, and indeed on a full-length eukaryotic, Cys-loop receptor (Hibbs and Gouaux, 2011). It shows that the amine nitrogen of glutamate interacts with two backbone carbonyls from Loop B (TyrB and the preceding serine) from its position between three aromatic side chains, PheA (Phe91), TyrB (Tyr151), and TyrC2 (Tyr200; there is no C1 aromatic in the GluCl). The functional importance of the C2 aromatic is evident in reduced responses to agonists upon the mutation of TyrC2 in the C. elegans β GluCl (Li et al., 2002; also called GLC-2; Beech et al.,
The above illustrates that the amine of most inhibitory receptor agonists is accommodated by the aromatic box on the principal face of the ECD, much like excitatory receptor agonists. However, at the complementary face of the agonist-binding site, the charged carboxyl group of glycine and GABA diverges considerably from the acetyl, carbamyl, or hydroxyl groups of acetylcholine, carbamylcholine, and serotonin, respectively. The α GluCl crystal structure provides a logical explanation for this difference. The positively charged guanidine side chain of Arg56 in Loop D is within 3 Å of the γ carboxyl of glutamate (Hibbs and Gouaux, 2011; Figure 4B), suggesting a charge/charge interaction. This Loop D arginine is present in numerous GlyR, GABAAR and GluCl isoforms (some shown in Figure 3), each of which contributes the complementary face to the agonist-binding site of functional receptors (Ffrench-Constant et al.,
In addition to the γ carboxyl, glutamate also contains an α carboxyl, constituting a second negative charge on the agonist. According to the GluCl crystal structure, the latter interacts with the positively charged side chain of a Loop G arginine (Hibbs and Gouaux, 2011), whose substitution for alanine in the β GluCl reduces glutamate sensitivity (Li et al., 2002). (α GluCl isoforms form homomers that bind glutamate Cheeseman et al.,
Other notable agonists
The description of agonist binding has so far focused on a handful of endogenous transmitters, but the binding of numerous other relevant agonists has been studied, some of which are isoform-selective (and used in dissecting isoform composition), and some of which are potent neurotoxins or widely used pharmaceuticals. Nicotine activates nAChRs more potently than acetylcholine itself (Chavez-Noriega et al.,
Figure 6

X-ray crystallographic structures of other notable agonists. (A)L. stagnalis AChBP in complex with nicotine (PDB entry 1UW6). (B)L. stagnalis AChBP in complex with imidacloprid (PDB entry 2ZJU). A red sphere illustrates the oxygen atom of a water molecule that bridges agonist pyridines to backbone Leu102 carbonyl and Met114 amide groups. In each illustration, numerous segments have been removed for clarity, including Loop C, of which only selected side chains are visible.
Several nAChR agonists are also lethal to roundworms, exemplified by the well-established anthelmintics levamisole and pyrantel (Austin et al.,
Given the region-specific and behavior-specific expression of GABAARs in the brain (Rudolph et al., 1999; Low et al., 2000) and the potency with which GABAAR agonists depress neuronal function (Krogsgaard-Larsen and Falch, 1981), much effort has been dedicated to the development of subtype-selective GABAAR agonists. The structural analogy these compounds share with GABA, together with mutagenesis data, suggest that the molecular determinants of recognition are similar to those outlined above for GABA (Abdel-Halim et al.,
Recurring themes of agonist recognition in cys-loop receptors and future challenges
The preceding sections have highlighted a few principles that are common to the family: many—if not all—receptors form a strong cation-π interaction between an aromatic side chain in the binding site and the agonist protonated amine (or ammonium); for agonists with one or more carboxyl groups, the negative charge is likely accommodated by charge/charge interactions with one or more arginine side chains; and in the case of receptors for biogenic amines, which lack a negative charge, the latter interaction appears to be compensated by H-bonds. The striking reliance of Cys-loop receptors on cation-π interactions with agonists raises the question of why this interaction is preferred over charge/charge interactions (such as those predicted for the carboxyl groups). We propose the following reasons for this observation. First, the cation-π interaction is energetically less dependent on the surrounding dielectric environment (Gallivan and Dougherty,
Despite the intense research that has focused on these receptors for decades, crucial questions remain as to the precise role of some of the loop structures in agonist-recognition. For example, Loop F plays a direct role in agonist recognition according to studies on nAChRs and 5HT3Rs, and heteromeric GABAARs (Corringer et al.,
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Statements
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
ion channels, Cys-loop receptors, nicotinic acetylcholine receptors, GABA-A receptors, glycine receptors, serotonin receptors, ligand recognition, GluCl
Citation
Lynagh T and Pless SA (2014) Principles of agonist recognition in Cys-loop receptors. Front. Physiol. 5:160. doi: 10.3389/fphys.2014.00160
Received
11 March 2014
Accepted
04 April 2014
Published
24 April 2014
Volume
5 - 2014
Edited by
Nazzareno D'Avanzo, Université de Montréal, Canada
Reviewed by
Martin Diener, University Giessen, Germany; Chris Ulens, KULeuven, Belgium
Copyright
© 2014 Lynagh and Pless.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Stephan A. Pless, Department of Drug Design and Pharmacology, Center for Biopharmaceuticals, University of Copenhagen, Jagtvej 160, Building 22, DK-2100 Copenhagen, Denmark e-mail: stephan.pless@sund.ku.dk
This article was submitted to Membrane Physiology and Membrane Biophysics, a section of the journal Frontiers in Physiology.
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