ePoster

In silico identification, synthesis, and in vitro pharmacological characterization of potent and selective blockers of the epilepsy-associated KCNT1 potassium channel

Lidia Carotenuto, Nunzio Iraci, Tania Ciaglia, Giorgio Belperio, Francesca Di Matteo, Ilaria Mosca, Giusy Carleo, Manuela Giovanna Basilicata, Paolo Ambrosino, Rita Turcio, Ilenio Servettini, Giacomo Pepe, Isabel Maria Gomez-Monterrey, Maria Virginia Soldovieri, Veronica Di Sarno, Pietro Campiglia, Francesco Miceli, Alessia Bertamino, Carmine Ostacolo, Maurizio Taglialatela
FENS Forum 2024(2024)
Messe Wien Exhibition & Congress Center, Vienna, Austria

Conference

FENS Forum 2024

Messe Wien Exhibition & Congress Center, Vienna, Austria

Resources

Authors & Affiliations

Lidia Carotenuto, Nunzio Iraci, Tania Ciaglia, Giorgio Belperio, Francesca Di Matteo, Ilaria Mosca, Giusy Carleo, Manuela Giovanna Basilicata, Paolo Ambrosino, Rita Turcio, Ilenio Servettini, Giacomo Pepe, Isabel Maria Gomez-Monterrey, Maria Virginia Soldovieri, Veronica Di Sarno, Pietro Campiglia, Francesco Miceli, Alessia Bertamino, Carmine Ostacolo, Maurizio Taglialatela

Abstract

Gain-of-function variants in the Na+-regulated K+ channel KCNT1 are associated to severe, drug-resistant forms of epilepsy. Quinidine has been used as a KCNT1 blocker, both in vitro and in vivo, though with conflicting clinical outcomes.To identify novel KCNT1 blockers, in the present work an in-house library of >800 compounds underwent a virtual screening based on docking energy scores and similarity to the quinidine bound conformation in a homology model of hKCNT1. Twenty molecules were selected and further screened in vitro using a Tl+-based fluorescent assay in KCNT1-expressing CHO cells; in this assay, Tl+ flux was activated by the KCNT1 opener loxapine and inhibited by quinidine. Five molecules (CPK4, 13, 16, 18 and 20) showed IC50s for KCNT1 blockade 20-35 times lower than quinidine. Patch-clamp electrophysiology experiments confirmed their higher potency for KCNT1 block and revealed that three of them (CPK16, 18 and 20) failed to affect hERG channel, whose block is linked to arrhythmogenic liability. In silico simulation and mutagenesis experiments identified F346 as a critical binding determinant, along with additional interactions. CPK20 showed the highest in vitro metabolic stability. Moreover, this compound was able to counteract gain-of-function effects prompted by 2 recurrent epilepsy-causing KCNT1 variants (G288S and A934T).Altogether, these data identified CPK20 as a novel, selective and potent KCNT1 blocker deserving further investigation in relevant models of KCNT1-associated epilepsy.

Unique ID: fens-24/silico-identification-synthesis-vitro-c7d6938e