Mechanisms of Action Underlying Pore-Modifying Allosteric Modulators of the N-methyl-D-aspartate Receptor Restricted; Files & ToC

Ullman, Elijah (Fall 2024)

Permanent URL: https://etd.library.emory.edu/concern/etds/c821gm283?locale=en
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Abstract

N-methyl-d-aspartate receptors (NMDARs) are glutamate-gated, calcium and sodium-permeant ion channels found ubiquitously throughout the central nervous system. They are important mediators of synaptic plasticity and neuronal excitability. Aberrant function is implicated in numerous neurological disorders such as Alzheimer's Disease, epilepsy, intellectual disability, stroke, and schizophrenia. As a result, there has been significant therapeutical development since the receptor was first identified in the early 1980s. The overarching goal of this project was to determine the mechanisms of action of allosteric modulators that alter single-channel conductance and ionic permeation through the NMDAR. Chapter 1 discusses the receptor’s role in neuronal function, disease, and prior therapeutic development. In Chapter 2, through a medicinal chemistry campaign, a potent and efficacious positive allosteric modulator (PAM) was identified, and Chapter 3 identifies its mechanisms of action. Chapter 4 then compares the single-channel properties of three previously described PAMs with overlapping structural determinants of activity to explain their mechanisms of action. This analysis revealed that one of these PAMs from Chapter 4 alters single-channel amplitude (unitary conductance), and two do not, and reconciles their macroscopic properties by those measured at the single-channel level. Overall, the work presented within identified novel mechanisms of action for NMDARs and began to reveal a structure-function-relationship underlying these activities.

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