Evidence map›Paper›PMID 34032848›Full record

ArticleThe Journal of general physiology2021

Norfluoxetine inhibits TREK-2 K2P channels by multiple mechanisms including state-independent effects on the selectivity filter gate.

Peter Proks, Marcus Schewe, Linus J Conrad, Shanlin Rao, Kristin Rathje, Karin E J Rödström, Elisabeth P Carpenter, Thomas Baukrowitz, Stephen J Tucker

Open access · hybridAbstract read
In one paragraph

Article in The Journal of general physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Cryo-EM structure of the human THIK-1 K2P KNature structural & molecular biology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Structural Basis for pH-gating of the KNature communications · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Peter ProksClarendon Laboratory, Department of Physics, University of Oxford, Oxford, UK.
Marcus ScheweDepartment of Physiology, University of Kiel, Kiel, Germany.ORCID 0000-0002-6192-5651
Linus J ConradClarendon Laboratory, Department of Physics, University of Oxford, Oxford, UK.ORCID 0000-0001-5175-1988
Shanlin RaoDepartment of Biochemistry, University of Oxford, Oxford, UK.ORCID 0000-0003-4892-5523
Kristin RathjeDepartment of Physiology, University of Kiel, Kiel, Germany.
Karin E J RödströmCentre for Medicines Discovery, University of Oxford, UK.
Elisabeth P CarpenterOXION Initiative in Ion Channels and Disease, University of Oxford, Oxford, UK.
Thomas BaukrowitzDepartment of Physiology, University of Kiel, Kiel, Germany.
Stephen J TuckerClarendon Laboratory, Department of Physics, University of Oxford, Oxford, UK.ORCID 0000-0001-8996-2000
University of Oxford · GBChristian-Albrechts-Universität zu Kiel · DE

Funding

Biotechnology and Biological Sciences Research Council BB/N000145/1Biotechnology and Biological Sciences Research Council BB/S008608/1Biotechnology and Biological Sciences Research Council BB/T002018/1Wellcome TrustWellcome Trust 109114/Z/15/AWellcome Trust WT084655MA
6 · The paper itself

Abstract

The TREK subfamily of two-pore domain K+ (K2P) channels are inhibited by fluoxetine and its metabolite, norfluoxetine (NFx). Although not the principal targets of this antidepressant, TREK channel inhibition by NFx has provided important insights into the conformational changes associated with channel gating and highlighted the role of the selectivity filter in this process. However, despite the availability of TREK-2 crystal structures with NFx bound, the precise mechanisms underlying NFx inhibition remain elusive. NFx has previously been proposed to be a state-dependent inhibitor, but its binding site suggests many possible ways in which this positively charged drug might inhibit channel activity. Here we show that NFx exerts multiple effects on single-channel behavior that influence both the open and closed states of the channel and that the channel can become highly activated by 2-APB while remaining in the down conformation. We also show that the inhibitory effects of NFx are unrelated to its positive charge but can be influenced by agonists which alter filter stability, such as ML335, as well as by an intrinsic voltage-dependent gating process within the filter. NFx therefore not only inhibits channel activity by altering the equilibrium between up and down conformations but also can directly influence filter gating. These results provide further insight into the complex allosteric mechanisms that modulate filter gating in TREK K2P channels and highlight the different ways in which filter gating can be regulated to permit polymodal regulation.

Indexed as

Potassium Channels, Tandem Pore DomainBinding SitesFluoxetineIon Channel GatingFluoxetinenorfluoxetinePotassium Channels, Tandem Pore Domain

Identifiers

PMID34032848
PMCPMC8155809
OpenAlexW3164055486

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.