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TitleMemantine inhibits calcium-permeable AMPA receptors.
Journal, issue, pagesNat Commun, Vol. 16, Issue 1, Page 5576, Year 2025
Publish dateJul 1, 2025
AuthorsElisa Carrillo / Alejandra Montaño Romero / Cuauhtemoc U Gonzalez / Andreea L Turcu / Santiago Vázquez / Edward C Twomey / Vasanthi Jayaraman /
PubMed AbstractMemantine is an US Food and Drug Administration (FDA) approved drug that is thought to selectively inhibit NMDA-subtype of ionotropic glutamate receptors (NMDARs). NMDARs enable calcium influx into ...Memantine is an US Food and Drug Administration (FDA) approved drug that is thought to selectively inhibit NMDA-subtype of ionotropic glutamate receptors (NMDARs). NMDARs enable calcium influx into neurons and are critical for normal brain function. However, increasing evidence shows that calcium influx in neurological diseases is augmented by calcium-permeable AMPA-subtype ionotropic glutamate receptors (AMPARs). Here, we demonstrate that these calcium-permeable AMPARs (CP-AMPARs) are inhibited by memantine. Electrophysiology unveils that memantine inhibition of CP-AMPARs is dependent on their calcium permeability and the presence of their neuronal auxiliary subunit transmembrane AMPAR regulatory proteins (TARPs). Through cryo-electron microscopy we elucidate that memantine blocks CP-AMPAR ion channels in a unique mechanism of action from NMDARs. Furthermore, we demonstrate that memantine inhibits a gain of function AMPAR mutation found in a patient with a neurodevelopmental disorder. Our findings unlock potential exploitation of this site to design more specific drugs targeting CP-AMPARs.
External linksNat Commun / PubMed:40593487 / PubMed Central
MethodsEM (single particle)
Resolution3.7 - 4.3 Å
Structure data

EMDB-47520, PDB-9e4y:
GluA2-gamma2 complex bound to memantine, glutamate, and cyclothiazide
Method: EM (single particle) / Resolution: 4.3 Å

EMDB-47521, PDB-9e4z:
GluA2-gamma2 complex bound glutamate and cyclothiazide
Method: EM (single particle) / Resolution: 3.7 Å

Chemicals

ChemComp-377:
Memantine / medication*YM

ChemComp-GLU:
GLUTAMIC ACID

ChemComp-CYZ:
CYCLOTHIAZIDE

Source
  • rattus norvegicus (Norway rat)
  • mus musculus (house mouse)
KeywordsTRANSPORT PROTEIN / ligand-gated ion channel / ionotropic glutamate receptor / ampa receptor / ion channel

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