National Institutes of Health/National Institute of General Medical Sciences (NIH/NIGMS)
R35GM154904
United States
National Institutes of Health/National Institute of General Medical Sciences (NIH/NIGMS)
R35GM122528
United States
Other private
Kinship Foundation 22098168
United States
Other private
Diana Helis Henry Medical Research Foundation 142548
United States
Citation
Journal: Nat Commun / Year: 2025 Title: Memantine inhibits calcium-permeable AMPA receptors. Authors: Elisa Carrillo / Alejandra Montaño Romero / Cuauhtemoc U Gonzalez / Andreea L Turcu / Santiago Vázquez / Edward C Twomey / Vasanthi Jayaraman / Abstract: 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 ...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.
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