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Max Planck Institute of Psychiatry 80804 Munich, Germany
Steroid hormone action involves binding to cognate
intracellular receptors that, in turn, bind to respective response
elements and thus modulate gene expression. The present study shows
that the gonadal steroids, 17ß-estradiol and progesterone, may also
act as functional antagonists at the 5-hydroxytryptamine
type 3 (5-HT3) receptor in whole-cell
voltage-clamp recordings of HEK 293 cells stably expressing the
5-HT3 receptor. Functional antagonistic
properties at this ligand-gated ion channel could also be shown for
17
-estradiol, 17
-ethinyl-17ß-estradiol, mestranol, R 5020,
testosterone, and allopregnanolone but not for pregnenolone sulfate and
cholesterol. An antagonism at the 5-HT3
receptor could further be observed with the aromatic alcohol
4-dodecylphenol but not with phenol or ethanol. Thus, the modulation of
5-HT3 receptor function by steroids or alcohols
is dependent on their respective molecule structure. The antagonistic
action of steroids at the 5-HT3 receptor is not
mediated via the serotonin binding site because the steroids did not
alter the binding affinity of [3H]GR65630 to
the 5-HT3 receptor, and kinetic experiments
revealed a quite different response pattern to 17ß-estradiol when
compared with the competitive antagonist metoclopramide. BSA-conjugated
gonadal steroids labeled with fluorescein isothiocyanate bound to
membranes of HEK 293 cells expressing the 5-HT3
receptor in contrast to native HEK 293 cells. However, there was no
dose-dependent displacement of the binding of gonadal steroids to
membranes of cells expressing the 5-HT3
receptor in binding experiments or fluorescence studies. Thus, gonadal
steroids probably interact allosterically with the
5-HT3 receptor at the receptor-membrane
interface. The functional antagonism of gonadal steroids at the
5-HT3 receptor may play a role for the
development and course of nausea during pregnancy and of psychiatric
disorders.
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