Abstract
The development of treatment for neurodegenerative diseases (NDs) such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, and amyotrophic lateral sclerosis is facing medical challenges due to the increasingly aging population. However, some pharmaceutical companies have ceased the development of therapeutics for NDs, and no new treatments for NDs have been established during the last decade. The relationship between ND pathogenesis and risk factors has not been completely elucidated. Herein, we review the potential involvement of transient receptor potential (TRP) channels in NDs, where oxidative stress and disrupted Ca2+ homeostasis consequently lead to neuronal apoptosis. Reactive oxygen species (ROS) -sensitive TRP channels can be key risk factors as polymodal sensors, since progressive late onset with secondary pathological damage after initial toxic insult is one of the typical characteristics of NDs. Recent evidence indicates that the dysregulation of TRP channels is a missing link between disruption of Ca2+ homeostasis and neuronal loss in NDs. In this review, we discuss the latest findings regarding TRP channels to provide insights into the research and quests for alternative therapeutic candidates for NDs. As the structures of TRP channels have recently been revealed by cryo-electron microscopy, it is necessary to develop new TRP channel antagonists and reevaluate existing drugs.
Introduction
Neurodegenerative disorders (NDs) are one of the most devastating types of chronic diseases and lead to a significant social and medical burden on society. With the growing elderly population, the number of patients with NDs is also increasing. Although many pharmaceutical companies are struggling to develop novel therapeutics for neurological diseases, some of the world’s leading pharmaceutical companies have declared their abandonment of the development of therapeutics for NDs. Alzheimer’s disease (AD) is the most common ND, which accounts for 60–70% of all dementia (). Nevertheless, no new treatments for AD have been developed in over a decade. Some of the reasons for the difficulty in treating NDs are the combination of complex causative factors and irreversible structural and functional damage of neurons.
Neurodegenerative disorders are typically progressive, late-onset disorders, and aging is the greatest risk factor (Wakabayashi et al., 2014). In addition, genetic and environmental factors not only contribute to their pathogenesis independently but also interact with each other to increase their effects. The pathogenesis of NDs involves an initial toxic insult and consequences of the secondary pathological damage. The most primary causative hypothesis of AD is the intraneuronal accumulation of amyloid-beta (Aβ) and hyperphosphorylated tau protein (; Murphy and LeVine, 2010). Parkinson’s disease (PD) is caused by the degeneration of dopaminergic neurons in the substantia nigra par compacta (SNpc), with subsequent dopamine deficiency (Michel et al., 2013; ). A type of hereditary ND, Huntington’s disease (HD) is an autosomal dominant disorder caused by CAG repeat expansion within the Huntington (HTT) gene (Kremer et al., 1994). The third common ND after AD and PD is amyotrophic lateral sclerosis (ALS) that is characterized by the deterioration of motor neurons.
Neurodegenerative disorders such as AD, PD, HD, and ALS are distinguished by clinical symptoms and specific neuronal sites with distinct pathology. However, apparent clinical symptoms are manifested only after extensive pathological damage, with significant neuronal and synaptic loss. Eventually, the contribution of individual insults reaches a common end state, which causes severe impairments in the function and plasticity of neuronal and glial cells (Rasband, 2016). Over the past few decades, there has been considerable effort to understand the pathogenesis of NDs. To date, a number of studies have reported that oxidative stress, ER (endoplasmic reticulum) stress, abnormal Ca2+ homeostasis, protein misfolding, aggregation, neuroinflammation, and mitochondrial dysfunction are highly related to neuronal damage. The relationship between them, however, has not been completely elucidated. Besides, even though Aβ is still a compelling candidate in the pathogenesis of AD, the latest experiments raise doubts about the Aβ hypothesis and Aβ -based drug development for AD (). Therefore, it is necessary to find the missing links amongst the risk factors of NDs and to discover new therapeutic targets based on novel mechanisms.
Ion channels are key determinants of brain function, since the physiological function of neurons is to carry information or impulses via electrical signals (action potentials) to communicate with each other at synapses. Thus, neurological channelopathies have been identified mainly in voltage-gated and ligand-gated channels or receptors that result from genetically determined defects in their function. However, based on patients with progressive NDs with adulthood manifestations, we have focused on the age-related susceptibility to environmental toxins and chemicals. Recently, emerging evidence has indicated that transient receptor potential (TRP) channels, ubiquitously expressed throughout the brain (Sawamura et al., 2017), play a significant role in the regulation of physiological functions, as well as in reactive oxygen species (RO)-related human diseases. Based on the polymodal activation of TRP channels acting as cellular sensors, many researchers are investigating their activation mechanisms (Takada et al., 2013). Here, we review the potential involvement of TRP channels in NDs, where oxidative stress and disrupted Ca2+ homeostasis have been characterized with respect to pathological consequences in neuronal apoptosis. Second, we discuss the latest findings in the field of TRP to provide insight into the research and quest for alternative therapeutic candidates for the treatment of NDs.
The Critical Role of Ca2+ in the Pathogenesis of Neurodegenerative Diseases
Ca2+ homeostasis is crucial to the normal physiological functions of neurons, such as neuronal survival, growth, and differentiation. Hence, long-lasting Ca2+ dyshomeostasis can eventually lead to neuronal loss. Accumulated evidence strongly implicates that abnormal Ca2+ levels stimulate dysregulation of intracellular signaling, which consequently induces neuronal cell death (). Therefore, disruption of Ca2+ homeostasis in neuronal cells leads to ROS generation and ATP depletion, following the mitochondrial dysfunction in NDs such as AD, PD, HD, and ALS. Interestingly, a close correlation between the increase in [Ca2+]i and other pathogenic mechanisms has been reported, such as Aβ deposition (), imbalance between ROS and antioxidant function (), and mitochondrial dysfunction (; Pivovarova and Andrews, 2010).
Some reports have shown bidirectional crosstalk between amyloid pathology and the Ca2+ pathway. Most studies reported that Aβ increases intracellular Ca2+ levels by inducing ER Ca2+ depletion (Suen et al., 2003; ; ). identified that Aβ causes Ca2+-dependent oxidative stress by the activation of NADPH oxidase in astrocytes and that the reduced antioxidant activity induces neuronal death. Recently, suggested that Aβ oligomers exacerbate Ca2+ remodeling from ER to mitochondria in aged neurons but not in young neurons. Conversely, argued that Ca2+ stimulates the formation of Aβ oligomers, leading to neuronal toxicity in AD.
The imbalance between ROS production and antioxidant defenses results in the excessive accumulation of ROS and oxidative stress. Since aged neurons with low antioxidant capacity are more vulnerable to oxidative insults (), ROS overproduction can chronically lead to irreversible oxidation (). Oxidative stress also causes mitochondrial dysfunction, which itself aggravates ROS generation. Moreover, the opening of the mitochondrial permeability transition pore (mPTP) and the release of cytochrome c into cytoplasm activate pro-apoptotic caspases (). Oxidative stress and mitochondrial dysfunction are well known to be related to an increase in cytosolic Ca2+ levels that underlies the pathogenesis of AD (), PD (), HD (Zheng et al., 2018), and ALS (). Interestingly, the mitochondrial metabolic state can affect the Mg2+ concentration of both the matrix and the cytoplasm, where Mg2+ interferes with mitochondrial Ca2+ transport and mitochondrial ATP generation (Llorente-Folch et al., 2015). Since the efficient removal of [Ca2+]i requires ATP, impairment of mitochondrial ATP generation prevents Ca2 + pumps from operating both in the plasma membrane and in the ER (Ott et al., 2007). Thus, dysregulation of Ca2+ signaling is one of the key processes in early stage neuronal loss. In spite of its significance, the mediator of such aberrant Ca2+ increase and its source are not fully understood. To test the effectiveness of preventing Ca2+ overload for ND therapy, a variety of appropriate channel candidates should be further examined by developing channel-specific drugs for new channel targets. Last but not least, experimental data on existing drugs also need to be reevaluated.
Oxidative stress can directly modulate the gating properties of ion channel proteins. Pathological mechanisms underlying the dysregulation of ion channels by oxidation have been previously proposed in a variety of diseases, especially cancer (Reczek and Chandel, 2018) and NDs (). Under normal conditions, defensive antioxidants can protect or repair the damage caused by oxidation. However, the target proteins are retained in their oxidized forms and are activated as long as the antioxidant activity is reduced. To date, several studies have shown that oxidative stress is involved in the modulation of activities of voltage-gated Ca2+ (; Ramirez et al., 2016), Na+, and K+ (Sesti et al., 2010) channels and ligand-gated receptors such as NMDA (), AMPA (), GABA (), and RyR (Zima and Mazurek, 2016). However, there is limited evidence that directly identifies the oxidative modification of a channel protein based on molecular mechanisms.
Since TRP channels are non-selective, Ca2+-permeable channels that can be opened at resting membrane potential in response to various stimuli, we focused on TRP channels. The activation of TRP channels consequently changes membrane depolarization toward the action potential threshold. When TRP channels open, they allow sodium and calcium into the cytoplasm, which subsequently triggers the opening of voltage-dependent Ca2+ channels. This is why TRP channels are upstream risk factors, ahead of voltage-dependent channels (Numata et al., 2011). Therefore, the hyperactivation of TRP channels is responsible for neuronal excitotoxicity, which is closely associated with NDs. In the following section, we will address the physiological and pathological roles of TRP channels in neurons through the recent studies related to TRP channels and our study of the TRPC5 channel.
The Physiological and Pathological Role of TRP Channels in Neurons
As mentioned above, TRP channels are widely expressed in almost every mammalian cell, predominantly in the brain. TRP channels can be activated by diverse stimuli ranging from temperature, mechanical or osmotic stress, chemical compounds, and redox modification (Sawamura et al., 2017; Samanta et al., 2018). Based on sequence homology, the TRP superfamily is divided into six subfamilies in mammals: TRPC (classical or canonical; seven sub-members), TRPM (melastatin; eight sub-members), TRPV (vanilloid; six sub-members), TRPA (ankyrin; one sub-member), TRPP (polycystin; three sub-members), and TRPML (mucolipin; three sub-members) (Figure 1). Notably, most TRP channels (except TRPM4 and TRPM5) are non-selective channels with consistent Ca2+ permeability (). TRP channels are tetrameric protein complexes that can be assembled into homomeric or heteromeric channels, either with the same subfamily members or with the other subfamily members. Thus, when TRP channels assemble with different subunits, further heterogeneity diversifies their functions. In addition to the physiological roles of TRP channels in neurons, a number of studies regarding the pathological functions have been reported. Intracellular Ca2+ influx through TRP channels is involved either in neuronal survival or death and is discussed with respect to the different TRP channel families in the following sections ().
FIGURE 1
TRPC (Classical or Canonical)
TRPC was the first group of TRPs to be discovered in a mammal (Wes et al., 1995), and it shows the highest amino acid similarity to the Drosophila TRP channel. The TRPC subfamily is divided into seven subtypes, namely, TRPC1–7. Depending on amino acid similarities, the subtypes are divided into four groups: TRPC1, 2, 3/6/7, 4/5 (Venkatachalam and Montell, 2007). There is still disagreement over the mechanism of action of TRPC; TRPC has been reported to be involved in ion permeation as receptor operated channel (ROC) or to influence intracellular mechanisms of store-operated calcium entry (SOCE) (Vazquez et al., 2004). Recently, as the TRPC channel has been found to have regulation, structure, and novel small molecular probes, research is being actively conducted on it as a therapeutic target for various diseases (Wang et al., 2020).
TRPC1
In particular, there has been debate about the role or opening mechanisms of TRPC1. Initially, TRPC1 was claimed to take the role of a SOCE in regulating Orai1-mediated Ca2+ entry (). Consistent with this claim, the role of TRPC1 in AD has been reported by Linde et al. (2011). Knock-down (KD) of the amyloid precursor protein (APP) gene decreased store-operated Ca2+ channel-mediated Ca2+ entry and expression of TRPC1 and Orai1 in cultured astrocytes. However, overexpression of APP in TG5469 did not alter TRPC1/4/5 and stored Ca2+ level in astrocytes. In SH-SY5Y human neuroblastoma cells, TRPC1 has been reported to reduce expression levels by MPP+ (). Activation of TRPC1 by TRPC1 overexpression or by ER depletion using thapsigargin (TG) ameliorates neurotoxicity. Selvaraj et al. (2009, 2012) showed that Ca2+ entry through the activation of store-operated channels (SOC) is important for the survival of dopaminergic neurons (Figure 2C). In the MPTP-induced PD model, TRPC1 expression was suppressed and induced the death of dopaminergic neurons in the substantia nigra. The authors suggested that the cause was reduced interaction with the SOCE modulator stromal interaction molecule 1 (STIM1) and decreased Ca2+ entry into the cell. However, our recent study showed that TRPC1 functions as a negative regulator of TRPC4 and TRPC5 (Figure 2C; ). Heterodimers of TRPC1/4 and TRPC1/5 suppressed inward current, which may reduce Ca2+ influx and Ca2+-dependent apoptosis in neurons. We identified that the expression level of endogenous TRPC1 in striatal cells of the HD model was decreased compared to wild-type cells, indicating that HD cells could be more susceptible to oxidative stress due to the activity of the dominant homomeric TRPC5 (Figure 2D; ).
FIGURE 2
TRPC3
The important roles of TRPC3 in the hippocampus have been implicated in ND more than in other TRP channels with higher expression levels (Neuner et al., 2015). TRPC3 notably contributes to the maintenance of Ca2+ homeostasis and cell growth, such as differentiation and proliferation. In a study conducted by Wu et al. (2004) it was reported that switching proliferation to differentiation is related to TRPC3-induced Ca2+ influx and TRPC3-mediated SOCE in the H19-7 hippocampal cell line. Under cell differentiation conditions, TRPC3 expression and TRPC3-induced SOCE levels were increased. The differentiation was blocked by siRNA KD of TRPC3. In addition, TRPC3 is indirectly activated by BDNF. In a study conducted by Li et al. (1999) TRPC3 was activated by neurotrophin receptor TrkB, which is affected by BDNF. A non-selective cationic current was observed in CA1 pyramidal neurons treated with BDNF, although the current was inhibited by siRNA-mediated TRPC3 KD and TrkB-lgG (
In a recent study by Mizoguchi et al. (2014) TRPC3 was found to be involved in the function of microglia, such as the release of cytokines and nitric oxide (NO). Treatment with BDNF rapidly increased the surface expression levels of TRPC3 in rodent microglial cells. In addition, pre-treatment with BDNF inhibited the release NO-induced tumor necrosis factor α (TNFα), which was rescued by treatment with TRPC3 inhibitor. This report suggests that Ca2+ influx and concentration maintenance by TRPC3 plays an important role in the improvement of NDs (Figure 2G).
Another characteristic of TRPC3 related to neurodegeneration is directly activated by oxidative stress. The change in Ca2+ influx by TRPC3 is associated with neuronal cell death (Selvaraj et al., 2010). Treatment with tertiary butyl hydroperoxide (tBHP) increased the Na+ current in HEK293T cells overexpressing TRPC3. Further, Rosker et al. (2004) reported the increase of Na+ influx by TRPC3-regulated Ca2+ influx in overexpressed HE293T cells. When the Na+ concentration of extracellular solution decreased to 5 mM, Ca2+ influx was increased by TRPC3 agonist. In addition, treatment of the inhibitor of the Na+/Ca2+ exchanger strongly inhibited Ca2+ influx but Na+ did not. This suggests that Ca2+ influx by TRPC3 is accompanied by Na+/Ca2+ exchange. Pesticides, such as rotenone and paraquat, are neurotoxins that induce PD by increasing intracellular oxidative stress. Moreover, both of these pesticides induce the loss of dopaminergic neurons in the SNpc. In a recent study by Roedding et al., chronic treatment of rotenone and paraquat dose-dependently reduced expression levels of TRPC3 and TRPC3-mediated Ca2+ influx in primary rat cortical neurons and astrocytes. In another report, OAG-induced Ca2+ transients were inhibited in MPP+-treated murine striatal astrocytes, and the same was observed in HEK293 cells overexpressing TRPC3 (Streifel et al., 2014). These studies suggest that an increased Na+ influx of TRPC3 due to oxidative stress may reduce Ca2+ influx and contribute to the treatment of PD. Inhibition of TRPC3 was shown to depolarize GABA neurons in the substantia nigra pars reticulate (SNpr), which are associated with parkinsonism (Zhou et al., 2008). In summary, AD symptoms are recovered by TRPC3 activation. In a previous study, BDNF protected neurons from the neurotoxicity of Aβ and tau (
TRPC4 and TRPC5
TRPC4 and TRPC5, which share similar amino acid sequence identity, have important roles in the neuron (Tables 1, 2), in particular with respect to memory in the hippocampus. TRPC5 regulates synaptic plasticity by changing the presynaptic Ca2+ homeostasis of hippocampal neurons (Schwarz et al., 2019). TRPC1/4/5 knockout (KO) mice show reduced action potential-triggered excitatory postsynaptic currents (EPSCs) in hippocampal neurons and deficits in spatial working memory (
TABLE 1
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Expression levels of TRP channels in human brain, as reported by the Human Protein Atlas.
TABLE 2
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Expression levels of TRP channels in the human brain, as reported by the GTEx project.
TRPC6
It is known that early onset dominant AD is caused by mutations in the APP (
TRPM (Melastatin)
The TRPM subfamily has the highest expression level in the brain amongst the TRP channels, and there are many reports in relation to ND. One of the most distinctive features of TRPM ion channels is the high permeability to Ca2+ and Mg2+ (
TRPM2
TRPM2 is an ion channel that is abundantly expressed in the brain (Tables 1, 2). TRPM2 has been reported to be activated by a wide range of factors, such as oxidative stress, NAD+-related metabolites, and ADP-ribose (
TRPM7
TRPM7 has the Mg2+ permeability to maintain the homeostasis of Mg2+. In HEK293 cells overexpressing TRPM7, H2O2 increased Ca2+ concentration and TRPM7 current (Nadler et al., 2001). In mouse cortical neurons, TRPM7-siRNA KD and treatment with TRPM7 inhibitors protected against neuronal cell damage (
TRPV (Vanilloid)
The TRPV subfamily has been reported to have the highest number of sensory functions, such as nociception, mechano-sensing, osmolarity-sensing, and thermo-sensing. Usually, TRPV is expressed in peripheral sensory nerves, although pathological studies have also reported expression in the brain. The various antagonists of TRPV4 could protect damaged neurons and inhibit the production of ROS (Suresh et al., 2018; Wu et al., 2019).
TRPV1
TRPV1 is expressed not only in the plasma membrane but also in the ER and calcium storage vesicles (Marshall et al., 2003). TRPV1 is phosphorylated to enable translocation from the ER to the plasma membrane. TrkA activity due to NGF increases the surface expression level of TRPV1 located in the ER through PKC phosphorylation (Zhang et al., 2005). An increase in intracellular calcium levels due to TRPV1 activity may aggravate neuronal cell death. In microglia cells, TRPV1 activity by agonists such as capsaicin (CAP) and resiniferatoxin (RTX) induce apoptosis (
TRPV4
The activity of TRPV4 causes neuronal injury in pathological conditions. In many types of cells, TRPV4 activity increases the production of ROS and NO (
TRPA
The TRP ankyrin 1 (TRPA1) channel is a non-selective transmembrane cation channel with multiple ankyrin repeats at its N-terminal. TRPA1 is mainly expressed in primary sensory neurons and non-neuronal cells (
TRPA1
Until now, the role of TRPA1 in neurons has only been reported on with respect to pain and inflammation, although recent studies have revealed a potential involvement in AD pathogenesis. Deposition of Aβ is an important factor in the exacerbation of AD, and soluble Aβ oligomers mediate fast and widespread Ca2+ influx in astrocytes (
TRP Channels: Novel Therapeutic Candidate for Neurodegenerative Disease
Various causes of NDs have been reported recently. However, most of the brain lesions in ND present alongside several pathological environments, such as the presence of ROS, impaired antioxidant systems, and disrupted Ca2+ homeostasis (
TRPC3 is required for slow excitatory postsynaptic potential in cerebellar Purkinje cell synapses, and consequently, severe ataxic phenotypes have been shown in TRPC3 KO mice. In contrast to TRPC1/4 double-KO or TRPC1/4/6 triple-KO mice, TRPC3 KO mice show movement deficits of the hind-paws (
TRPC KO mice combined with ND models have also been generated. In models of AD, TRPC6 modulates cleavage of APP by gamma secretase and APP (C99) interaction with PS1 (Wang et al., 2015). TRPC6 overexpression in APP/PS1 mice results in a reduction of Aβ accumulation in the hippocampus (Table 3). Therefore, TRPPC6 overexpression improves spatial learning and memory in APP/PS1 mice. In addition, the expression of the inflammatory factors TNF-α, IL-1β, COX-2, and IL-6 is regulated by levels of TRPC6 via Aβ, and levels of TRPC6 are increased by Aβ via NF-κB in BV-2 microglia cells (Lu et al., 2018). TRPM2 expression is involved in synapse loss, microglial activation, and spatial memory deficits in APP/PS1 mice (Ostapchenko et al., 2015). Activation of TRPV1 channels is required to trigger long-term depression at interneuronal synapses (
TABLE 3
| Disease | Region | Channel | Mechanism of related disease | References | |
| NDs | Microglia | TRPC | C3 | Inhibit to release cytokines and NO | Mizoguchi et al., 2014 |
| Neuronal progenitor | C5 | Reduce elevation of SOCE Regulate the switching between proliferation and differentiation | Shin et al., 2010 | ||
| Hippocampus | TRPM | M2 | Activate due to ROS and increase Ca2+-mediated cell death | Ovey and Naziroglu, 2015 | |
| Cortical | M7 | Aggravate cell damage by increase Ca2+ induced oxidative stress | |||
| Microglia | TRPV | V1 | Increase neuronal cell death by agonist, such as cannabinoid, Capsaicin | Kim et al., 2005 | |
| Microglia Astrocyte | V4 | Enhance neuronal inflammatory responses Inhibit pro-inflammatory cytokine release | Wang et al., 2019 | ||
| Hippocampus | TRPC | C3 | Regulate to switch between proliferation and differentiation Change influx ratio of Na+/Ca2+ when activate by oxidative stress | Wu et al., 2004; Rosker et al., 2004 | |
| C5 | Regulate neuronal growth cone morphology and nervous system development | Kumar et al., 2014; | |||
| C6 | Inhibit function of y-secretase and reduced Aβ level by PS1 PS2 regulate TRPC6-mediated Ca2+ entry Interaction between TRPC6 and APP inhibit PS1 process | Lu et al., 2017; Lessard et al., 2005; Wang et al., 2015 | |||
| AD | Hippocampus Striatum | TRPM | M2 | Increase Aβ-mediated and Ca2+-mediated cell death Damage to neuronal cell in APP/PS mice | |
| Hippocampus | TRPV | V1 | Decrease Aβ-induced cytotoxicity and apoptosis | ||
| V4 | Aggravate neuronal cell death from oxidative stress | ||||
| TRPA | A1 | Exacerbate spatial learning, memory and cognition Increase Aβ deposition and release inflammatory factors | Lee et al., 2016 | ||
| PD | Substantia nigra | TRPC | C1 | Decrease neurotoxicity and unfolded protein response Regulate SOCE and increase survival of dopaminergic neuron | |
| Dopaminergic neuron | TRPM | M7 | Reduce neurons death and activate growth the length of DA neurites | ||
| HD | Striatum | TRPC | C1 | Inhibit neuronal cell death by reducing TRPC5 activity | |
| C5 | Increase neuronal apoptosis by activation induced oxidative stress | ||||
| Basal ganglia | TRPV | V1 | Improve the movement of HD patient models | Lastres-Becker et al., 2003 | |
| ALS | DRG | TRPC | C4 | Activate growth of neurite length and regulation of differentiation | Wu et al., 2008 |
Disease-related functions of TRP channels.
ND, neurodegenerative diseases; AD, Alzheimer’s disease; PD, Parkinson’s disease; HD, Huntington’s disease; ALS, amyotrophic lateral sclerosis; SOCE, store-operated calcium entry; PS, presenilin1; ROS, reactive oxygen species; Aβ, amyloid-beta; DA, dopamine; DRG, dorsal root ganglia.
TRPC1, TRPC3, TRPM2, TRPM7, and TRPV1 have been shown to be involved in PD. TRPC1 activation reduces dopaminergic neuronal death (Selvaraj et al., 2009). TRPC3-mediated Ca2+ influx contributes to the survival of neurons in the SN (Zhou et al., 2008). Additionally, MPP+-induced oxidative stress increases intracellular Ca2+ via TRPM2 activation (Sun et al., 2018). TRPM7 channels regulate magnesium homeostasis in cells, and the presence of Mg ameliorates MPP+ toxicity (
As previously reported, TRP channels can be assembled as homo- or heteromeric complexes in nature. However, individual TRP channel KO models that lack phenotypes are limited in their ability to determine the cause of the functional compensation of each TRP channel. Moreover, in vivo studies regarding chronological changes in TRP channel expression patterns in the brain are needed for NDs. The regulation of TRP channels can be a novel therapeutic target for NDs. Nevertheless, a limitation to the development of TRP channel-specific antagonists is that their structures remain unknown. Therefore, structural analyses must precede pathological and clinical studies.
Conclusion
Transient receptor potential channels may not be the only, or main, pathogenic factors contributing to the pathogenesis of ND. Research in the field of ND is challenging; it is necessary to either conclusively prove a relationship between pathogenic factors or identify new therapeutic targets. In achieving one of these two possibilities, it is important not to underestimate the potential of TRP channels, based on the physiological and pathological functions of TRP channels discovered so far. Through the interrelationship between disruption of Ca2+ homeostasis and the development of NDs, lowering the activity of TRP channels is sufficient to enable expectations for new therapeutic strategies. As we have discussed, increased TRP channel activity has been widely observed in NDs, and model studies have shown that abnormal function due to upregulation of TRP channels can be controlled by drug treatments. Since many drugs have been reported to be TRP channel inhibitors, understanding binding modes will provide deep insight for pharmacological application in NDs. However, direct evidence for drug binding to TRP channels is unavailable. To address this issue, the most effective approach for understanding drug binding would be a structural study.
Possibilities of Drug-Bound Structure
For several decades, the detailed structures and topologies of TRP channels were not understood, although the first high-resolution structure of TRPV1 was recently resolved by a single particle cryo-EM (Liao et al., 2013). Since TRPV1 was the first membrane protein to be characterized from single particle cryo-EM and the biochemical methods were relatively similar for other family members, most follow-up studies concentrated on TRP channel structure. However, though high-resolution structures have been resolved for most ND-related TRP channels, the structures of the drug-bound forms are mostly unknown. Here we discuss the technical possibilities for determining the drug-bound structure of the TRP channel family.
For analysis of drug-channel binding, which would improve our understanding of the inhibition mechanisms and would provide clues for developing drug design, the determination of the high-resolution structure is absolutely necessary. In the TRP family, the resolutions of most ND-related TRP structures are above 3.5 Å, with a few exceptions such as TRPC6, TRPA1, and TRPV4 (3.8, 4.24, and 3.8 Å, respectively) (Paulsen et al., 2015;
Statements
Author contributions
CH, BJ, HP, and IS wrote and discussed the review at almost all stages. JL professionally edited the manuscript for English language. JC, JK, and Y-CS analyzed representative tables presenting TRP channel expression data and also provided technical support. IS and CH supervised the entire writing process.
Funding
This study was supported by the National Research Foundation (NRF) of Korea, which is funded by the Ministry of Science, ICT (Information and Communication Technology), and Future Planning (MSIP) (2018R1A4A1023822), and by the Ministry of Education (2015R1A6A3A04058395) of the Korean Government. JL was supported by Brain Korea 21 plus and the MSIP.
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.
Footnotes
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Summary
Keywords
TRP, Ca2+, ROS, cell death, neurodegeneration, AD, PD, HD
Citation
Hong C, Jeong B, Park HJ, Chung JY, Lee JE, Kim J, Shin Y-C and So I (2020) TRP Channels as Emerging Therapeutic Targets for Neurodegenerative Diseases. Front. Physiol. 11:238. doi: 10.3389/fphys.2020.00238
Received
20 December 2019
Accepted
02 March 2020
Published
15 April 2020
Volume
11 - 2020
Edited by
Mustafa Naziroglu, Süleyman Demirel University, Turkey
Reviewed by
Patricia Hidalgo, Forschungszentrum Jülich, Germany; Marco Segatto, University of Molise, Italy
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Copyright
© 2020 Hong, Jeong, Park, Chung, Lee, Kim, Shin and So.
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) and the copyright owner(s) 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: Insuk So, insuk@snu.ac.kr
†These authors have contributed equally to this work and share first authorship
This article was submitted to Membrane Physiology and Membrane Biophysics, a section of the journal Frontiers in Physiology
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

