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Polymodal potassium channel modulation contributes to dual analgesic and anti-inflammatory actions of ancient botanical medicines

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Jul 30, 2024 version files 1.21 MB
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Aug 19, 2024 version files 48.87 MB

Abstract

Pain and inflammation contribute immeasurably to reduced quality of life, yet modern analgesic and anti-inflammatory therapeutics can cause dependence and side effects. Here, we screened 1444 plant extracts, prepared primarily from native species in California and the United States Virgin Islands, against two voltage-gated K+ channels - T38 cell expressed Kv1.3 and nociceptive-neuron expressed Kv7.2/7.3. A subset of extracts both inhibited Kv1.3, and activated Kv7.2/7.3 at hyperpolarized potentials, effects predicted to be anti-inflammatory and analgesic, respectively. Among the top dual hits were witch hazel and fireweed; polymodal modulation of multiple K+ channel types by hydrolysable tannins contributed to their dual anti-inflammatory, analgesic actions. In silico docking and mutagenesis data suggested pore-proximal extracellular linker sequence divergence underlies opposite effects of hydrolysable tannins on different Kv1 isoforms. The findings provide molecular insights into the enduring, widespread medicinal use of witch hazel and fireweed and demonstrate a screening strategy for discovering dual anti-inflammatory, analgesic small molecules.