1. Introduction
The
Gelsemium genus of flowering plants belongs to the Loganiaceae family and comprises five North American, East Asian, and Chinese native species. Extracts of these plants have traditionally been employed in Asian folk medicine to treat various illnesses, such as neuralgia, sciatica, rheumatoid arthritis, and pain [
1,
2]. The earliest records of this kind of plant’s usage date back to the
The Shennong Emperor’s Classic of Materia Medica (up to the early third century A.D.), which detail their therapeutic properties and toxicity [
1,
2]. Diverse
Gelsemium species have been used to treat pathological conditions. For example,
Gelsemium elegans has traditionally been used to treat eczema,traumatic injuries, pretibial ulcers and myiasis, and has also been used as an analgesic to relieve sciatica and rheumatoid arthritis, while
Gelsemium sempervirens has been employed to treat cancer, spinal inflammation, and back pain, and as an antispasmodic [
1,
2].
Several studies have characterized the phytochemical profile of
Gelsemium plants [
2,
3,
4]. These reports describe the species as a rich source of natural compounds, including iridoids, coumarins, steroids, and alkaloids. Indole alkaloids have been characterized as the main active molecules of the
Gelsemium species. The four principal compounds are gelsemine, koumine, gelsevirine, and humantenmine (also known as gelsenicine).
Studies using purified indole alkaloids have shown many biological effects in both in vitro and in vivo assays [
2,
3,
4]. These actions range from antitumor activity to antioxidant and anti-inflammatory effects [
2,
4,
5]. Additional reports have shown the positive actions of several of these alkaloids in pathological state models of the central nervous system (CNS), including anxiety [
6,
7], persistent pain [
8,
9,
10,
11,
12], and Alzheimer’s disease [
13]. Nevertheless,
Gelsemium indole alkaloids are intrinsically toxic to animals and humans. The toxicity symptomatology profile, which frequently includes asphyxia, dyspnea, convulsions, and respiratory arrest, is consistent with unfavorable effects at the CNS [
1,
2,
3,
4]. These findings suggest that a part of both the beneficial and toxic actions of indole
Gelsemium alkaloids is associated with the modulation of molecular targets involved in the control of neuronal activity.
To date, molecular targets underlying the Gelsemium indole alkaloids’ biological actions at the mammalian CNS remain unclear. Although several membrane receptors and enzymes are involved in the mechanisms underlying Gelsemium alkaloids’ beneficial actions, evidence of the direct modulatory actions of these compounds on specific biological targets or the characterization of the molecular determinants involved in protein–alkaloid interactions is mainly lacking.
Electrophysiological studies have determined that gelsemine is a functional modulator of glycine receptors (GlyRs) and type A GABA receptors (GABA
ARs) [
14,
15], which are the main ligand-gated ion channels controlling CNS synaptic inhibition [
16]. Gelsemine exerts subunit-specific actions on GlyRs composed of α subunits. Previous studies reported that gelsemine displayed a bell-shape modulation on currents through homomeric α1GlyRs and a concentration-dependent inhibition on α2 and α3GlyRs [
14]. Spinal GlyRs were also inhibited by the alkaloid and showed an IC
50 of about 42 μM [
14]. On the other hand, gelsemine inhibited recombinant and native GABA
ARs and showed IC
50 values of about 55–75 μM [
15]. Experimental evidence from radioligand assays and electrophysiological analyses suggest that gelsemine actions on these ion channels occurs in a competitive manner. For instance, using GlyRs from spinal cord tissue, Zhang and coworkers found that gelsemine displaces
3H-strychnine-binding curves to the right, calculating an IC
50 gelsemine value on native GlyRs of about 40 μM [
10,
12]. Electrophysiological studies performed on recombinant GlyRs found that gelsemine displaces glycine concentration response curves of homopentameric α1 to the left, and α2 and α3 GlyRs curves to the right [
14]. Similarly, Marileo and colleagues observed that gelsemine displaces the GABA concentration response curve to the right [
15], which is consistent with competitive inhibition. These findings have provided support to other lines of research suggesting the GlyRs’ or GABA
ARs’ participation in the mechanisms related with gelsemine analgesic and anxiolytic actions [
6,
10,
11,
12]. However, the molecular sites involved in the interaction between
Gelsemium alkaloids, and these ion channels are still undefined. Furthermore, it is currently unknown whether indole alkaloids other than gelsemine exert functional actions on these receptors. Thus, a compelling assessment of
Gelsemium alkaloids’ pharmacological potential and toxicological relevance is limited by our poor understanding of the molecular mechanisms underlying their therapeutic and toxic actions. Therefore, we aimed to provide a comprehensive view of the molecular interactions between the four major indole alkaloids (i.e., koumine, gelsemine, gelsevirine, and humantenmine) with these ion channels.
2. Results
We first examined the sensitivity of the most abundant GlyR α subunit of the CNS, the α1 subunit [
16], to koumine, gelsevirine, and humantenmine (
Figure 1A–D). The application of koumine and gelsevirine inhibited the glycinergic currents of α1GlyRs from a concentration of 10 μM and showed no potentiation (
Figure 1A,B). The alkaloid-mediated inhibition followed a sigmoidal fit with IC
50 values of 31.5 ± 1.7 μM (n = 6) for koumine and 40.6 ± 8.2 μM (n = 9) for gelsevirine (
Table 1). Koumine sensitivity significantly differed for α1 and α2GlyRs (
Table 1). In addition, the gelsevirine modulation showed significant differences in n
H values (
Table 1). Similar experiments showed that humantenmine did not significantly modulate α1GlyRs in a concentration range of 10 μM to 300 μM (
Figure 1A,B). No inhibition was obtained with 300 μM of the alkaloid (−19.2 ± 7.8%, n = 6) (
Figure 1A,B). These data suggest that indole alkaloids have different modulatory profiles on homomeric α1GlyRs.
We examined the heteromeric α1βGlyRs modulation to assess the β subunits’ influence on the alkaloid-mediated modulation. This GlyR configuration is expressed at glycinergic synapses and is vital for inhibition in the spinal cord [
16]. Koumine and gelsevirine displayed comparable inhibitory actions on these receptors, showing similar percentages of maximal modulation (
Figure 1C,D and
Table 1). Koumine and gelsevirine also inhibited the heteromeric α2β and α3β GlyRs function (
Figure 1B–D and
Table 1). Koumine and gelsevirine (
Figure 1B–D and
Table 1) also inhibited the heteromeric α2β and α3β GlyRs function. Contrary to homomeric GlyRs, koumine sensitivity and nH values for gelsevirine inhibition did not significantly differ in heteromeric GlyRs, suggesting that α subunits’ integration to the pentamer may regulate the alkaloid actions. Humantenmine could not modify the heteromeric GlyRs function examined (
Figure 1D).
Then, we examined whether these alkaloids’ modulatory profile on GlyRs was preserved on GABA
ARs. As previously shown, gelsemine can also inhibit GABA
ARs’ function but with a significantly lower potency and efficacy than GlyRs [
14,
15]. Koumine sensitivity of recombinant α1β2γ2 GABA
ARs, the most widely expressed GABA
AR subtype in the mammalian brain [
16], revealed -34.0 ± 5.3% of inhibition (n = 4), which was significantly lower than the koumine-induced inhibition of GlyRs (
Figure 1E,F). Further recordings showed that humantenmine did not elicit any detectable alterations on the GABA-evoked currents (
Figure 1E,F). Along with previous reports [
14,
15], these results show that koumine, gelsevirine, and gelsemine exert inhibitory actions on the GlyR and GABA
AR function, whereas the alkaloid humantenmine was inactive. Moreover, these data indicate that GlyRs are more sensitive to
Gelsemium alkaloid actions than GABA
ARs.
The functional results previously described suggest that gelsemine, koumine, and gelsevirine have common physicochemical features that match with acceptor sites on inhibitory channels, while the chemical structure of humantenmine possibly lacks critical requirements to stably bind and modulate these membrane proteins. We performed molecular docking assays using the structures available for GlyRs and GABA
ARs to start the molecular examination of the alkaloid’s interaction with these ion channels [
17,
18,
19,
20,
21,
22,
23]. Due to their relevance as the structural domains responsible for binding agonists, antagonists, and allosteric modulators [
24], the docking procedures focused on the extracellular domain (ECD) and transmembrane domains (TMD). Our bioinformatic assays revealed that a major percentage of the alkaloid–GlyR (≈81–95%) and alkaloid–GABA
AR (≈74%) complexes were located on the receptor ECD, while few interactions were positioned on the TMDs (
Figure S1). At the ECD, the alkaloids displayed favorable interactions with the orthosteric site, which correspond to the glycine or GABA-binding site. Next, we executed in silico extra precision docking score measurements on the orthosteric site of homomeric α1, α2, and α3 subunits to obtain putative interaction insights between the alkaloids with different GlyR subunits (
Figure 2A,B). In these analyses, we included the classical GlyR inhibitor, strychnine, as a reference compound binding to the orthosteric site [
17,
18]. Docking score values are predicted binding affinities (in kcal/mol) for the molecule’s capacity to interact with a defined binding site. These in silico assays were used to calculate the feasible ligand–protein interactions of a given site within a protein structure. A docking score was computed for each ligand–receptor interaction, referred to as a binding pose. The most negative value indicates a more favorable binding energy, thus suggesting a more stable ligand–receptor complex. To provide a broader view of potential ligand–receptor interactions, we used box plots (percentiles 25 and 75 and median) alongside maximum and minimum docking score values (indicated by whiskers) to comprehensively describe the full docking score dataset. Gelsemine, koumine, and gelsevirine interaction with the α GlyR subunits’ orthosteric site showed similar docking scores, comparable to the values displayed by strychnine (
Figure 2B). On the other hand, putative interactions between humantenmine and the orthosteric site exhibited docking scores that were shifted to less negative values (
Figure 2B). This molecular interactions profile was replicated on GABA
ARs composed of α1β2γ2 (
Figure 2C,D). Gelsemine, koumine, and bicuculline (a classical GABA
ARs antagonist) interacted with the orthosteric site located in the interface between the α and β subunits. At the same time, humantenmine showed a docking score distribution that was shifted to less negative values (
Figure 2D). Further interaction analyses between the alkaloids and the α-β binding interface of heteromeric GlyRs displayed favorable interactions (
Figure S2). Conversely, the interface composed of GABA
AR α1 and γ2 subunits could not bind any of the alkaloids studied. Altogether, these results correlate well with previous reports [
10,
12,
14,
15] and suggest a leading role of the orthosteric site as being responsible for binding the alkaloid to GlyRs and GABA
ARs. However, additional binding sites are still possible (see
Figure S1), especially considering the presence of the subunit-specific effects displayed by gelsemine on α1 GlyRs versus other GlyR conformations [
14].
To functionally examine the ECD relevance as a main determinant of the GlyR alkaloid modulation and the subunit-specific actions of gelsemine on α1GlyRs, we studied chimeric receptors where the ECD was exchanged between the α1 and α2 subunits (
Figure 3A) [
25]. Previous studies showed that α1GlyRs were potentiated by 10–50 μM gelsemine, while α2GlyRs were inhibited by these alkaloid concentrations [
14]. The functional relevance of the ECD was assessed by testing the subunit-specific potentiation elicited by gelsemine on these receptors (
Figure 3B,C). Our control experiments on wild-type receptors demonstrated that 10 μM of gelsemine potentiated α1GlyRs, while 50 μM of the alkaloid inhibited α2GlyRs. The exchange of the α2 ECD with its α1 counterpart generated a receptor potentiated by gelsemine, similar to α1GlyRs (i.e., chimeric receptor α1α2,
Figure 3B,C). Likewise, the exchange of the α1 ECD with its α2 counterpart (i.e., chimeric receptor α2α1) displayed an inhibitory effect with gelsemine, like α2GlyRs (
Figure 3B,C). These results suggest that both the binding of gelsemine and its subunit-specific effects are exclusively related to the ECD of GlyRs, ruling out the involvement of other alkaloid binding sites in other ion channel domains.
Considering our functional data and evidence coming from diverse groups [
10,
12,
14,
15], GlyR orthosteric site appears to be the critical molecular site for the alkaloid–receptor interaction. To confirm this idea, we examined the gelsemine, koumine, gelsevirine, and humantenmine molecular interactions with residues within the GlyR orthosteric site. Due to subunit-specific effects, we centered these analyses on α1GlyRs. Molecular docking showed that residues of two adjacent subunits collectively participate in the alkaloid binding. Diverse residues from the complementary subunit (i.e., chain A) (F44, F63, L64, R65, S129, L127) and the main subunit (i.e., chain B) (S158, F159, G160, Y202, F207) contribute to stabilizing the interaction among gelsemine, koumine, and gelsevirine with α1GlyRs, tested at pH = 7.0 (
Figure 4A). Interestingly, the interaction of charged nitrogen groups on these alkaloids with residues on GlyRs contributes to their stability. In both koumine and gelseverine, a cation–pi interaction was observed between the charged nitrogen and phenylalanine residues (F44, F63, and F159) (
Figure 4A). Gelsemine exhibited a hydrogen bond between the charged nitrogen group and a serine residue (S129) (
Figure 4A). On the other hand, humantenmine could anchor into the orthosteric site but did not display detectable interactions with any residues (
Figure 4A). Further sequence analyses showed that these residues were fully conserved in α2 and α3GlyRs, suggesting a similar contribution to the binding of alkaloids (
Figure S4). We performed electrophysiological recordings on α1GlyRs containing mutations on several of the amino acids identified to experimentally corroborate these in silico findings. Mutations on the orthosteric site may create nonfunctional receptors, complicating alkaloid modulation analyses. The mutagenesis plan was designed by first assessing in silico how substitutions may affect glycine binding. Our simulations revealed that F63A and G160E mutations could significantly reduce alkaloid binding while preserving a proportion of glycine binding. Consequently, these mutated α1GlyRs were synthesized and studied by electrophysiology (
Figure 4B–D). Our electrophysiological studies indicated that F63A and G160E mutated α1GlyRs are receptors with altered glycine sensitivity, in agreement with previous reports [
26,
27]. Nevertheless, after 2–3 days post transfection, the cells displayed stable currents at glycine concentrations of 1–2 mM, allowing for the examination of the
Gelsemium alkaloid sensitivity. The glycine-evoked currents through F63A and G160E mutated α1GlyRs were insensitive to gelsemine concentrations triggering potentiation (i.e., 10 μM) or inhibition (200 μM) (
Figure 4B–D). Further recordings showed that koumine and gelsevirine could also not exert detectable effects on these mutated GlyRs (
Figure 4D). The F63A showed a complete loss of functional strychnine modulation, which correlates with previous electrophysiological findings [
26]. In contrast, the G160E mutation still retained a proportion of the strychnine inhibition of the glycine-evoked currents (wild-type = −98.5 ± 5.1% (n = 5); F63A = −1.7 ± 3.1% (n = 4); G160E, −48.5 ± 13.9% (n = 6), 2 μM strychnine. ANOVA followed by Tukey post hoc test. Differences were significant. F(2, 11) = 5.81: *,
p < 0.05, wild-type versus G160E; ***,
p < 0.001, wild-type versus F63A; *,
p < 0.05, F63A versus G160E). We explored the physicochemical requirements the alkaloids may fulfill to exert a functional modulation on these receptors through pharmacophore modeling to have a complete vision of the alkaloid–receptor interaction (
Figure 4E). These analyses showed that the main requirements for a functional action of these alkaloids are three hydrophobic groups, an aromatic ring, and a positively charged nitrogen group outside the indole group. These requirements are fully satisfied by gelsemine, koumine, gelsevirine, and strychnine. Humantenmine only fulfilled two out of three requirements and did not show a positively charged nitrogen group. Collectively, these data provide an integral view to explain the presence or absence of the GlyR functional modulation by the main
Gelsemium alkaloids.
3. Discussion
A growing pool of evidence has demonstrated biological actions mediated by
Gelsemium alkaloids. Most of the research has focused on the most abundant
Gelsemium indole alkaloids: gelsemine, gelsevirine, koumine, and humantenmine. These alkaloids displayed biological activities against diverse pathological states and robust toxic actions in mammals [
1,
2,
3,
4]. Despite phytochemical and pharmacological relevance, the biological protein targets underlying the effects of
Gelsemium alkaloids remain unclear. In particular, functional and biochemical information describing the interactions of these alkaloids with protein targets is virtually lacking. Using electrophysiological recordings combined with molecular modeling and site-directed mutagenesis, we described the molecular determinants involved in the functional modulation of inhibitory receptors by the most prominent
Gelsemium alkaloids.
Based on their chemical structures, the indole-type alkaloids are classified in six groups: gelsemine, koumine, humantenine, gelsedine, sarpagine, and yohimbine [
1,
2,
3,
4]. Our functional data indicated that the most prominent alkaloids of the gelsemine and koumine groups were active on inhibitory channels, whereas humantenmine, a representative compound of the gelsedine type, was largely inactive. In general terms, the indole
Gelsemium alkaloid subtypes possess either oxindole or indole cores in combination with diverse chemical entities. Our pharmacophore analyses suggest that the indole groups contribute to providing an aromatic ring and a hydrophobic core, which are requirements for functional activity. The chemical groups accompanying the indole groups should contribute two additional hydrophobic groups and a positively charged nitrogen acting as a hydrogen bond donor. These requirements matched well with our functional activity profile and were also consistent with the physicochemical features of strychnine, a GlyR reference competitive alkaloid. These data support the idea that introducing or subtracting discrete chemical substituents within the accompanying groups of the indole cores may switch the properties of a given alkaloid in terms of its functional actions on these channels. Therefore, it will be interesting to describe the structure–activity relationships of different
Gelsemium alkaloids’ groups to identify novel inhibitory channel modulators of natural origin. This concept is highlighted by the biphasic modulation exerted by gelsemine on α1GlyRs. Future studies combining functional assays with in silico screenings may contribute to generating a compelling profile of the
Gelsemium indole alkaloids’ actions on inhibitory ion channels and in other types of receptors.
Despite our study being restricted to the cellular and molecular level, we believe our findings contribute, at least in part, to better interpreting
Gelsemium alkaloids’ actions in vivo. Gelsemine and koumine are the most studied
Gelsemium alkaloids regarding their beneficial effects in pathological models. The literature suggests that both alkaloids share key features, such as analgesic actions [
8,
9,
10,
11,
12] and anxiolytic effects [
6,
7]. Some of these properties have also been investigated for gelsevirine, showing comparable actions with gelsemine and koumine [
6,
28]. Although the proposed mechanisms underlying these effects have been diverse, the direct binding and activation of GlyRs by these alkaloids have been postulated as a key event [
10]. The participation of GlyRs has been supported by results showing that the application of strychnine diminished the actions of
Gelsemium alkaloids [
6,
10,
11,
12]. In addition, gelsemine and koumine binding to GlyRs was demonstrated using competitive displacement assays [
10,
12]. Nevertheless, previous reports and our results consistently show that
Gelsemium alkaloids are mostly of GlyRs and GABA
ARs’ antagonists [
14,
15]. Thus, a direct GlyR or GABA
AR activation on the mechanisms underlying, for instance, the analgesic or anxiolytic effects of
Gelsemium alkaloids, should be taken with care. On the other hand, our results with humantenmine correlate well with the observations reported by Liu and coworkers [
6], as they showed that this alkaloid did not display actions on anxiety models. However, it should be noted that the alkaloid doses and concentrations used to investigate beneficial effects were, generally, lower than those required to obtain a robust GlyRs or GABA
ARs modulation [
7,
10,
11,
12]. Overall, we think that additional studies are needed to formulate a more definitive relationship between the GlyR or GABA
AR modulation by
Gelsemium alkaloids and their beneficial actions in paradigms of pathological states.
On the other hand, we believe that the data presented here, and previous reports [
14,
15], help provide a rational neurophysiological framework to explain the toxicity elicited by gelsemine, koumine, and gelsevirine. Experimental evidence indicates that these three alkaloids are competitive antagonists of GlyRs and GABA
ARs. These results establish a common mechanism of action for the
Gelsemium alkaloids and traditional antagonists of these types of receptors: strychnine, picrotoxin, and bicuculline [
16]. Those similarities imply that gelsemine, koumine, and gelsevirine will decrease the glycinergic and GABAergic function, generating a loss of inhibitory control in the CNS which matches with a major part of the symptomatology of the
Gelsemium intoxication [
1,
2,
3,
4]. In contrast, our functional results with humantenmine suggest that its toxicity is unrelated to the modulation of inhibitory channels. In vivo studies have shown that humantenmine is the most potent
Gelsemium indole alkaloid in terms of its toxicology, with LD
50 values lower than 0.2 mg/kg [
4]. In similar assays, gelsemine and koumine displayed LD
50 values higher than 50 mg/kg, consistent with a different mechanism of action [
4]. Our electrophysiological results and previous reports [
14,
15] show that alkaloids’ concentrations that decrease around 25–50% of the currents through GlyRs and GABA
ARs are generally higher than 50 µM, a value nearly equivalent to 16 μg/mL. The maximal modulation concentrations, which in most cases generate an 80–95% decrease in the currents, are reached with 100–300 µM, nearly the equivalent of 30–95 µg/mL. Interestingly, these concentration ranges correlate well with lethal plasma concentrations of
Gelsemium alkaloids reported in humans, which are in the range of 25–50 µg/mL for koumine and 13–30 µg/mL for gelsemine [
29]. It should also be noted that pharmacokinetic studies performed with 11
Gelsemium alkaloids described gelsemine as the only compound detectable in brain tissue after 3 days of systemic application, while koumine was fully depleted after 1 day [
30]. Based on these reports, it is possible to suggest that at least a part of the toxicity exerted by the gelsemine-type and koumine-type indole compounds relates to the GlyRs or GABA
ARs inhibition, while other targets mediate the gelsedine-type alkaloids’ toxic actions. Thus, it will be relevant continuing the study on additional CNS targets for the toxic actions of these alkaloids, especially considering that
Gelsemium preparations are still used in humans and recent cases of intoxication and food contamination have been reported [
4,
31,
32]. We believe that these studies will help to develop safe and more targeted antidotes against
Gelsemium poisoning.
Altogether, our results outline the molecular features involved in the modulation of the inhibitory receptor by the main Gelsemium indole alkaloids. Since our studies indicate that subtle differences in the alkaloid structures determine the functional modulation of inhibitory receptors, we suggest that future research focused on the functional and structural mapping of diverse Gelsemium indole alkaloids interactions with multiple membrane ion channels and receptors may provide a compelling view to understand their biological actions on the mammalian CNS.