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Fig. 1. In silico engineering predicted KCNQ-opening properties into glycine. a Retigabine structure, electrostatic surface potentials (red, electron-dense; blue, electron-poor; green, neutral) and an overlay of the two, all calculated and plotted using Jmol. Arrow carbonyl oxygen. b GABA, parameters as in (a). c Glycine, parameters as in (a). d Mean traces showing effects of GABA, glycine and retigabine on KCNQ2/3 channels expressed in Xenopus oocytes (n = 4–6). Voltage protocol (inset) was used for all TEVC recordings in this study unless otherwise indicated. e KCNQ2/3 dose response to glycine, GABA and retigabine, quantified from recordings as in (d) as the shift in voltage dependence of activation (ΔV0.5act) measured from the tail current. Error bars indicate SEM; n = 4–6. f Structures and surface potential plots (as in (a)) for the simple glycine derivatives indicated; arrows, carbonyl oxygen. g Structures and surface potential plots (as in a) for the double-carbonyl or branched glycine derivatives indicated; arrows, carbonyl oxygen. h Structures and surface potential plots (as in (a)) for the glycine derivatives bearing a phenyl ring; arrows indicate carbonyl group
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Fig. 2. In silico prediction and in vitro validation of a KCNQ-activating glycine derivative. All error bars indicate SEM. a Chimeric KCNQ1/KCNQ3 structural model (red, KCNQ3-W265). b Topological representation of KCNQ channel showing two of the four subunits, without domain swapping for clarity. Pentagon, approximate position of KCNQ3-W265; VSD, voltage sensing domain. c Close-up extracellular view of KCNQ1/KCNQ3 structural model (red, KCNQ3-W265). d Docking result showing predicted lack of binding of glycine to the KCNQ1/KCNQ3 structural model. Red, KCNQ3-W265; black oval highlights lack of glycine binding in the typical binding zone for GABA and its metabolites and analogs. e Docking results for various glycine derivatives illustrated in Fig. 1 showing predicted binding of 4FPG within the GABA binding pocket (highlighted by red oval) but not of the other molecules (black ovals). All predicted binding configurations shown overlaid for each molecule. f Close-up of predicted binding poses of 4FPG within the GABA binding pocket. g
Surface electrostatic potential plot of 4FPG. h Comparison of two different predicted orientations of 4FPG within the KCNQ binding pocket, as predicted by SwissDock. i 4FPG dose responses for homomeric KCNQ1, 2, 3*, 4, and 5 channels expressed in oocytes, quantified as shift in the voltage dependence of channel activation (ΔV0.5act); n = 4–6. j Mean traces showing effects of 4FPG (30 µM) on KCNQ1, KCNQ2 and KCNQ4; n = 4–6. k Effects of 4FPG (30 µM) on KCNQ1, KCNQ and KCN raw and normalized (G/Gmax) tail current, calculated from traces as in panel j; n = 4–6. l Effects of 4FPG (30 µM) on KCNQ1, KCNQ2, and KCNQ4 activation (act) and deactivation (Deact) rates, fitted as a single exponential function (τ); n = 4–6. m 4FPG dose responses for KCNQ2 and KCNQ4 compared to those of glycine and GABA, quantified as shift in voltage dependence of activation (ΔV0.5act); n = 5–6
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Fig. 3. In silico prediction of 4FPG-related KCNQ-activating glycine derivatives. a Chemical properties of 4FPG versus 2FPG: structure, electrostatic surface potentials (red, electron-dense; blue, electron-poor; green, neutral) and an overlay of the two, all calculated and plotted using Jmol. Arrows, native glycine carbonyl. b, c Chemical properties of 4FPG-related glycine derivatives, parameters as in (a). Arrows, non-native glycine carbonyls for N-(fluoroacetyl)glycine and N-(Chloroacetyl)glycine; native glycine carbonyl for 3FMSG. d Docking results showing predicted binding (red ovals) or lack thereof (black ovals) of the compounds in (a–c) to the GABA binding pocket in the KCNQ1/KCNQ3 structural model. Red side-chain, KCNQ3-W265. e Docking results showing predicted binding (red ovals) of three different conformational forms of 2FPG to the GABA binding pocket in the KCNQ1/KCNQ3 structural model. Red side-chain, KCNQ3-W265. f Docking results showing predicted binding (red oval) or lack thereof (black ovals) of three different conformational forms of 4FPG to the GABA binding pocket in the KCNQ1/KCNQ3 structural model. Red side-chain, KCNQ3-W265
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Fig. 4. KCNQ isoform-specific activation by fluorinated glycine derivatives. All error bars indicate SEM. a Mean traces showing effects of 2FPG (100 µM) on KCNQ2 (n = 5). b 2FPG dose responses for homomeric KCNQ1, 2, 3*, 4, and 5, quantified as shift in the voltage dependence of channel activation (ΔV0.5act) calculated from the tail current using recordings as in panel (a); n = 5. c 2FPG dose response for KCNQ2 compared to those of glycine and GABA, quantified as current fold-change at −60 mV; n = 5–6. d Comparison of 4FPG and 2FPG structures showing the change in fluorine position (arrow). e Effects of 2FPG (100 µM) on KCNQ2 raw tail currents and normalized tail current (G/Gmax); n = 5. f Effects of 2FPG (100 µM) on KCNQ2 activation and deactivation rates, fitted as a single exponential function (τ); n = 5. # P < 0.01. g Mean traces showing effects of 3FMSG (100 µM) on KCNQ3* (n = 7). h 3FMSG (glycine carbonyl highlighted with arrow) dose responses for homomeric KCNQ1, 2, 3*, 4, and 5 channels quantified as ΔV0.5act measured from the tail currents from traces as in (g); n = 4–7. i 3FMSG dose response for KCNQ3* compared to those of glycine and GABA, quantified as ΔV0.5act; n = 5–7. j 3FMSG dose response for KCNQ5 compared to that of glycine, quantified as current fold-change at −60 mV; n = 4–5. k Effects of 3FMSG (100 µM) on KCNQ3* raw tail current and normalized tail current (G/Gmax); n = 7. l Effects of 3FMSG (100 µM) on KCNQ3* activation and deactivation rates, fitted as a single exponential function (τ); n = 7. m Mean traces showing effects of 3FMSG (100 µM) on KCNQ5 (n = 5). n Effects of 3FMSG (100 µM) on KCNQ5 raw tail currents and normalized tail current (G/Gmax) measured from traces as in panel m; n = 5. o Effects of 3FMSG (100 µM) on KCNQ5 activation rate, fitted as a single exponential function (τ); n = 5. # P < 0.05
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Fig. 5. Differential effects on GLRA1 activity of 2FPG and 3FMSG. All error bars indicate SEM. a Exemplar trace showing lack of effects of 3FMSG or 2FPG alone on GLRA1 activty, compared to robust activation by glycine alone (all compounds applied at 1 mM), application indicated by colored bars at top. Gray, application of bath solution alone. b Exemplar trace showing inhibition of glycine-activated GLRA1 by 3FMSG (100 µM) but not 2FPG (100 µM) (glycine applied at 1 mM in each case), application indicated by colored bars at top. Gray, application of bath solution alone. c Exemplar trace showing inhibition of glycine-activated GLRA1 by 3FMSG (100 µM) with versus without 3FMSG (100 µM) pre-wash in (glycine applied at 1 mM in each case), application indicated by colored bars at top. Gray, application of bath solution alone. d Mean inhibition of 1 mM glycine-activated GLRA1 current by 2FPG or 3FMSG (100 µM) with/without 3FMSG (100 µM) pre-wash, n = 5–6, from traces as in panels (b) and (c). Currents were compared to an initial current activated by glycine alone; as a control, glycine-activated current in a subsequent wash-in was compared to the initial glycine wash-in current (orange), showing negligible inhibition as expected
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Fig. 6. Differential effects on KCNQ2/3 activity of fluorinated glycine derivatives.All error bars indicate SEM. a Jmol surface plot of compounds indicated, showing electrostatic surface potential (red, negative; blue, positive) and corresponding mean TEVC traces for KCNQ2/3 expressed in Xenopus oocytes in the absence (control) or presence of compounds as glycine derivatives as indicated (n = 4–6). Dashed lines indicated zero current level. b Mean tail current and normalized tail currents (G/Gmax) versus prepulse voltage relationships recorded by TEVC in Xenopus oocytes expressing KCNQ2/3 channels in the absence (black) or presence (red, blue, green) of glycine derivatives indicated (100 µM) (n = 4–6). c Effects of glycine derivatives (100 µM) on resting membrane potential (EM) of unclamped oocytes expressing KCNQ2/3 (n = 4–6). d 2FPG, 4FPG and 3FMSG dose responses for KCNQ2/3 compared to those of glycine, GABA and retigabine, quantified as shift in voltage dependence of activation (ΔV0.5act); n = 4–6. e Comparison of 2FPG, 4FPG and 3FMSG (100 µM) effects quantified as KCNQ2/3 current fold-increase versus membrane potential; n = 4–6. f Effects of 2FPG (100 µM) on KCNQ2/3 activation and deactivation rates, fitted as a single exponential function (τ); n = 15. # P < 0.05 between values at equivalent membrane potential. g Effects of 3FMSG (100 µM) on KCNQ2/3 activation and deactivation rates, fitted as a single exponential function (τ); n = 10. # P < 0.05 between values at equivalent membrane potential
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Fig. 7. 2FPG activation of KCNQ2/3 requires KCNQ2 R213 and W236. All error bars indicate SEM. a 2FPG structure and electrostatic surface potential map. b SwissDock result showing predicted binding of 2FPG to a chimeric KCNQ1-KCNQ3 model, with close-up of boxed region. c Representative trace showing effects at −60 mV on KCNQ2/3 current expressed in oocytes during wash-in and/or washout of 1 mM glycine or 100 µM 2FPG. d Mean time course of current increase and decrease during wash-in and washout respectively of 2FPG (100 µM) expressed as the tau of a single exponential function, quantified from traces as in panel (c), n = 3 oocytes (two wash-in/out cycles per oocyte, values averaged for each oocyte). e, f Mean traces (e) and tail current-voltage relationships (f) for wild-type and arginine-mutant KCNQ2/3 channels traces as indicated in the absence (Control) or presence of 100 µM 2FPG. RA/RA, KCNQ2-R213A/KCNQ3-R242A; n = 5. g, h Mean traces (g) and tail current-voltage relationships (h) for wild-type and tryptophan-mutant KCNQ2/3 channels traces as indicated in the absence (Control) or presence of 100 µM 2FPG. WL/WL, KCNQ2-W236L/KCNQ3-W265L; n = 5. i 2FPG dose responses of wild-type and arginine-mutant KCNQ2/3 channels as in e, f, quantified as shift in voltage dependence of activation (ΔV0.5act); n = 5. j 2FPG dose responses of wild-type and tryptophan-mutant KCNQ2/3 channels as in (g, h), quantified as shift in voltage dependence of activation (ΔV0.5act); n = 5
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Fig. 8. 3FMSG activation of KCNQ2/3 requires KCNQ3 R242 and W265. All error bars indicate SEM. a 3FMSG structure and electrostatic surface potential map. b SwissDock result showing predicted binding of 3FMSG to a chimeric KCNQ1-KCNQ3 model, with close-up of boxed region. c Representative trace showing effects at −60 mV on KCNQ2/3 current expressed in oocytes during wash-in and washout of 100 µM 3FMSG. d Mean time course of current increase and decrease during wash-in and washout respectively of 3FMSG (100 µM) expressed as the tau of a single exponential function, quantified from traces as in panel (c), n = 3 oocytes (two wash-in/out cycles per oocyte, values averaged for each oocyte). e, f Mean traces (e) and tail current-voltage relationships (f) for wild-type and arginine-mutant KCNQ2/3 channels traces as indicated in the absence (Ctrl) or presence of 100 µM 3FMSG. RA/RA, KCNQ2-R213A/KCNQ3-R242A; n = 5–6. g, h Mean traces (g) and tail current-voltage relationships (h) for wild-type and tryptophan-mutant KCNQ2/3 channels traces as indicated in the absence (Control) or presence of 100 µM 3FMSG. WL/WL, KCNQ2-W236L/KCNQ3-W265L; n = 5–6. i 3FMSG dose responses of wild-type and arginine-mutant KCNQ2/3 channels as in (e, f), quantified as shift in voltage dependence of activation (ΔV0.5act); n = 5-6. j 3FMSG dose responses of wild-type and tryptophan -mutant KCNQ2/3 channels as in (g, h), quantified as shift in voltage dependence of activation (ΔV0.5act); n = 5-6
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Fig. 9. 2FPG and 3FMSG KCNQ isoform selectivity arises primarily from functional selectivity. All error bars indicate SEM. a Mean KCNQ2 and KCNQ3* traces in the absence (Control) versus presence of 2FPG + 3FMSG, concentrations as indicated (n = 5–6). b Mean KCNQ2 and KCNQ3* raw and normalized (G/Gmax) tail current versus prepulse voltages for traces as in panel (a) (n = 5–6). “Combo” indicates drug combinations shown with matching colors in panel (a). c Comparison of effects (expressed as fold-change in tail current versus prepulse voltage) of: 10 µM 2FPG alone (blue, from data as in Fig. 4) or in combination with 100 µM 3FMSG (green) on KCNQ2 current; 10 µM 3FMSG alone (red, from data as in Fig. 4) or in combination with 100 µM 2FPG (purple) on KCNQ3* current (n = 5–6). d Effects of the drug combinations as in panel (a) on the EM of unclamped oocytes expressing KCNQ2 or KCNQ3* (n = 5–6). e [3H]GABA binding quantified in counts per minute (CPM, measured over 30 min) to oocytes expressing KCNQ2 (or injected with water instead of KCNQ2 cRNA, as a control) in the absence or presence of 2FPG or 3FMSG (100 µM) as indicated; n = 18–25. Each point = 1 oocyte. f [3H]GABA binding quantified in counts per minute (CPM, measured over 30 min) to oocytes expressing KCNQ3* (or injected with water instead of KCNQ3* cRNA, as a control) in the absence or presence of 2FPG or 3FMSG (100 µM) as indicated; n = 15–30. Each point = 1 oocyte. g Exemplar traces showing KCNQ2 or KCNQ3* currents in response to the voltage protocol (inset) to quantify relative ion permeabilities; reversal potentials measured at arrow; K+ traces shown. h Effects of 2FPG (10 µM) on relative ion permeabilities of KCNQ2 and KCNQ3*, n = 5. i Effects of 3FMSG (10 µM) on relative ion permeabilities of KCNQ2 and KCNQ3*, n = 5
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Fig. 10. Leveraging the differential isoform preferences of 2FPG and 3FMSG for synergistic activation of KCNQ2/3. All error bars indicate SEM. a, b Mean KCNQ2/3 traces at −80 to + 40 mV (a) or solely at −60 mV (b) in the absence (Control) versus presence of 2FPG + 3FMSG (n = 5). c, d Mean KCNQ2/3 tail current (c) and normalized tail currents (G/Gmax) (d) versus prepulse voltage in the absence (black) or presence (orange) of 2FPG + 3FMSG (each 10 µM) (n = 5). e Mean effect of 2FPG and 3FMSG (10 µM) alone or together on KCNQ2/3 current; n = 5. f Effect of 2FPG + 3FMSG (each 10 µM) on EM of unclamped oocytes expressing KCNQ2/3 (n = 5). g Effects of 2FPG + 3FMSG (each 10 µM) on KCNQ2/3 activation and deactivation rates; n = 5. # P < 0.05. h Mean wild-type (n = 5) or mutant (n = 8) KCNQ2/3 traces in the absence (Control) versus presence of 2FPG and 3FMSG (each 1 µM), separately or in combination. i Mean raw tail current, normalized tail current (G/Gmax), and current fold-increase versus prepulse voltage for channels indicated in the absence (black) or presence of 2FPG and 3FMSG (each 1 µM), separately or in combination; n = 5–8. Single-compound fold-effects for wild-type KCNQ2/3 from Fig. 4. j, k Mean KCNQ2/3 traces at −80 to + 40 mV (j) or solely at −60 mV (k) in the absence (Control) versus presence of 2FPG + gabapentin (GABAP) (n = 5). l, m Mean KCNQ2/3 tail current (l) and normalized tail currents (G/Gmax) (m) versus prepulse voltage in the absence or presence of GABAP alone or in combination with 2FPG (each 10 µM) (n = 5). n Mean effect of 2FPG and GABAP (10 µM) alone or in combination on KCNQ2/3 current versus membrane potential; n = 5. o Effect of GABAP alone or with 2FPG (each 10 µM) on EM of unclamped oocytes expressing KCNQ2/3 (n = 5). p Effects of 2FPG + GABAP (each 10 µM) on KCNQ2/3 activation and deactivation rates; n = 5. # P < 0.05
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