Like other GPCRs, mAChRs are characterized by having seven transmembrane helices[2]. The five MR isoforms share 82–92% homology in the transmembrane region and 64–82% sequence similarity overall[14]. mAChRs drugs cause significant patient distress due to side effects caused by low selectivity[15]. Therefore, the design of studies to investigate ligands selective for a particular isoform of mAChRs is of great clinical importance.
We believe that there are two possible reasons for not obtaining specific drugs: one is that there are no more M3 receptor-specific drugs to be developed or to be modified in the screening library. Today, however, combinatorial antibody libraries are very large, often containing more than 1011 members[16]. So, we think this is highly unlikely. Secondly, there is not a suitable screening method. Methods commonly used nowadays to detect Ca2+ concentration such as calcium ion indicator method, fluorescent probe method, membrane clamp technique[7, 17–19], and new methods for screening based on the affinity of the drug to the receptor such as cell membrane chromatography (CMC) method[20]. These methods are undoubtedly non-negligible in the detection of intracellular Ca2+ concentrations, and each has its advantages. However, for high-throughput screening of drugs, their advantages do not work well. For example, the reagents or equipment used in these methods are more expensive and technically demanding for the experimenter. More importantly, the extremely low intracellular content of Ca2+ determines the difficulty of its direct detection[21, 22]. Therefore, it is difficult to meet the needs of large-scale high-throughput drug screening by the above methods.
We propose a high-throughput screening model based on ANO1 GPCRs. It has the following advantages. First, only a trace amount of Ca2+ is required to activate ANO1 and it can transport approximately 106 I− per second into the cell[8, 10]. YFP-H148Q/I152L fluorescent protein has a strong optical signal, is easily captured, and can be rapidly quenched upon encountering I−[11]. The combination of the two components allows for the detection of linear changes in fluorescence signal intensity. Secondly, our designed method only requires 13.8 s to complete the single-well assay, and it takes less than 25 min to screen nearly 100 drugs, and the model can be repeatedly passed for more than 20 generations, which is economical, convenient, and technically simple. In conclusion, this model is advantageous for the high-throughput screening of GPCRs drugs that can cause intracellular Ca2+ elevation.
Because the assay is indirect, false positive results will occur when small molecules acting on upstream and downstream targets of M3 receptors are encountered during the screening, which may screen for agonists of ANO1 channels or other endogenous Ca2+ channels on FRT cells. However, this does not affect our initial screening experiments for a large number of drugs, which we can subsequently validate by other methods for detecting Ca2+ concentration as mentioned previously.
In summary, this experiment successfully constructed a cellular screening model for drugs based on CaCC targeting the M3 receptor. This method is a milestone breakthrough for the high-throughput screening of M3 receptor drugs, and is also applicable to the screening of other GPCRs and other drugs with Ca2+ signaling-related targets. It lays a solid foundation for the development of drugs targeting GPCRs and opens up new ideas in many fields such as basic research and drug development, which has a rather broad application prospect.