Cholestane-3β,5α,6β-Triol Inhibits Acid-Sensing Ion Channels and Reduces Acidosis-Mediated Ischemic Brain Injury

Stroke. 2024 Jun;55(6):1660-1671. doi: 10.1161/STROKEAHA.124.046963. Epub 2024 Apr 25.

Abstract

Background: Activation of the acid-sensing ion channels (ASICs) by tissue acidosis, a common feature of brain ischemia, contributes to ischemic brain injury, while blockade of ASICs results in protection. Cholestane-3β,5α,6β-triol (Triol), a major cholesterol metabolite, has been demonstrated as an endogenous neuroprotectant; however, the mechanism underlying its neuroprotective activity remains elusive. In this study, we tested the hypothesis that inhibition of ASICs is a potential mechanism.

Methods: The whole-cell patch-clamp technique was used to examine the effect of Triol on ASICs heterogeneously expressed in Chinese hamster ovary cells and ASICs endogenously expressed in primary cultured mouse cortical neurons. Acid-induced injury of cultured mouse cortical neurons and middle cerebral artery occlusion-induced ischemic brain injury in wild-type and ASIC1 and ASIC2 knockout mice were studied to examine the protective effect of Triol.

Results: Triol inhibits ASICs in a subunit-dependent manner. In Chinese hamster ovary cells, it inhibits homomeric ASIC1a and ASIC3 without affecting ASIC1β and ASIC2a. In cultured mouse cortical neurons, it inhibits homomeric ASIC1a and heteromeric ASIC1a-containing channels. The inhibition is use-dependent but voltage- and pH-independent. Structure-activity relationship analysis suggests that hydroxyls at the 5 and 6 positions of the A/B ring are critical functional groups. Triol alleviates acidosis-mediated injury of cultured mouse cortical neurons and protects against middle cerebral artery occlusion-induced brain injury in an ASIC1a-dependent manner.

Conclusions: Our study identifies Triol as a novel ASIC inhibitor, which may serve as a new pharmacological tool for studying ASICs and may also be developed as a potential drug for treating stroke.

Keywords: acid-sensing ion channels; epithelial sodium channels; ischemia; neuroprotective agents; stroke.

MeSH terms

  • Acid Sensing Ion Channel Blockers / pharmacology
  • Acid Sensing Ion Channels* / genetics
  • Acid Sensing Ion Channels* / metabolism
  • Acidosis* / drug therapy
  • Acidosis* / metabolism
  • Animals
  • Brain Ischemia / drug therapy
  • Brain Ischemia / metabolism
  • CHO Cells
  • Cells, Cultured
  • Cholestanols / pharmacology
  • Cricetinae
  • Cricetulus*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout*
  • Neurons / drug effects
  • Neurons / metabolism
  • Neuroprotective Agents / pharmacology

Substances

  • Acid Sensing Ion Channels
  • cholestane-3,5,6-triol
  • Neuroprotective Agents
  • Cholestanols
  • Acid Sensing Ion Channel Blockers