SLEEP MODULATION AGENT
20220057384 · 2022-02-24
Inventors
- Gero MIESENBOECK (Oxford (Oxfordshire), GB)
- Anissa KEMPF (Oxford (Oxfordshire), GB)
- Seoho SONG (Oxford (Oxfordshire), GB)
Cpc classification
A61K31/047
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
A61K49/0008
HUMAN NECESSITIES
A61K31/045
HUMAN NECESSITIES
A61K31/192
HUMAN NECESSITIES
A61K31/568
HUMAN NECESSITIES
A61K31/122
HUMAN NECESSITIES
A61P43/00
HUMAN NECESSITIES
A61K31/202
HUMAN NECESSITIES
A61K31/573
HUMAN NECESSITIES
International classification
Abstract
The present invention relates to one or more ligands of a potassium channel β subunit for use in therapy, and in particular for use in treating or preventing a sleep disorder in a subject. The invention also provides a method of screening a test compound to determine if it is a substrate of a potassium channel β subunit.
Claims
1. A ligand of a potassium channel β subunit for use in therapy.
2. A ligand of a potassium channel β subunit for use in treating or preventing a sleep disorder in a subject.
3. The ligand for use according to claim 1 or claim 2, wherein the ligand is a ligand of an aldo-keto-reductase domain of the β subunit of a potassium channel.
4. The ligand for use according to any preceding claim, wherein the ligand is a ligand of a (3 subunit of a potassium channel comprising a Kv1, Kv2, Kv3, Kv4, Kv5, Kv6, Kv7, Kv8, Kv9, Kv10, Kv11 or Kv12 α subunit.
5. The ligand for use according to any preceding claim, wherein the ligand is a ligand of a β subunit of a potassium channel comprising a Kv1.1, Kv1.2, Kv1.3, Kv1.4, Kv1.5, Kv1.6, Kv1.7 or Kv1.8 α subunit.
6. The ligand for use according to any preceding claim, wherein the ligand is a ligand of a Kvβ1, Kvβ2 or Kvβ3 subunit.
7. The ligand for use according to any preceding claim, wherein the ligand does not bind to the aldo-keto-reductase domain.
8. The ligand for use according to any preceding claim, wherein the ligand binds to the active site of the aldo-keto-reductase domain.
9. The ligand for use according to any preceding claim, wherein the ligand is an allosteric ligand.
10. The ligand for use according to claim 3, wherein the ligand is a substrate of the aldo-keto-reductase.
11. The ligand for use according to claim 10, wherein the substrate is an electron acceptor.
12. The ligand for use according to claim 10 or 11, wherein the substrate contains a carbonyl functional group (e.g. an aldehyde or a ketone).
13. The ligand for use according to any one of claims 10 to 12, wherein the substrate is 4-oxo-2-nonenal (4-ONE), 4-hydroxy-2-nonenal (4-HNE) phenylglyoxal, methylglyoxal, 3-deoxyglucosone, 2-carboxybenzaldehyde, 4-carboxybenzaldehyde, 4-cyanobenzaldehyde, acrolein, succinic semialdehyde, (5Z,8Z,10E,14Z)-12-oxoicosa-5,8,10,14-tetraenoic acid (12-oxoETE), prostaglandin J.sub.2, prostaglandin D.sub.2, prostaglandin F.sub.2—, 9,10-phenanthrenequinone, 1-palmitoyl-2-(5-oxovaleroyl)-sn-glycero-3-phosphorylcholine (POVPC), 5α-androstan-17β-ol-3-one, or cortisone.
14. The ligand for use according to any preceding claim, wherein the sleep disorder is insomnia, sleep apnea, restless leg syndrome, drug intake or a medical, neurological or psychiatric condition.
15. The ligand for use according to claim 10, wherein the substrate is an electron donor.
16. The ligand for use according to claim 10 or claim 15, wherein the substrate comprises a hydroxyl functional group (e.g. an alcohol).
17. The ligand for use according to claim 10, claim 15 or claim 16, wherein the substrate is 4-oxo-2-nonenol, 1,4-dihydroxy-2-nonene or a reduced (alcohol) form of a selection from the group comprising/consisting of: phenylglyoxal, methylglyoxal, 3-deoxyglucosone, 2-carboxybenzaldehyde, 4-carboxybenzaldehyde, 4-cyanobenzaldehyde, acrolein, succinic semialdehyde, (5Z,8Z,10E,14Z)-12-oxoicosa-5,8,10,14-tetraenoic acid (12-oxoETE), prostaglandin J.sub.2, prostaglandin D.sub.2, prostaglandin F.sub.2α, 9,10-phenanthrenequinone, 1-palmitoyl-2-(5-oxovaleroyl)-sn-glycero-3-phosphorylcholine (POVPC), 5α-androstan-17β-ol-3-one, or cortisone.
18. The ligand for use according to any one of claims 1 to 10 or claims 15 to 17, wherein the sleep disorder is narcolepsy or a medical, neurological or psychiatric condition.
19. A method of treating a subject with a sleep disorder, the method comprising administering a ligand of a potassium channel β subunit to the subject.
20. A pharmaceutical composition comprising a ligand of a potassium channel β subunit and a pharmaceutically acceptable carrier.
21. A method of modulating the action potential firing rate of a neuron, the method comprising contacting a neuron with a ligand of a potassium channel β subunit of the neuron.
22. A method of modulating the A-type current of a neuron, the method comprising contacting a neuron with a ligand of a potassium channel β subunit of the neuron.
23. The method according to claim 21 or claim 22, wherein the neuron is a sleep promoting-neuron, such as a dFB neuron or a neuron present in the VLPO nuclei.
24. The method of claim 19, 21, 22 or 23 or the pharmaceutical composition of claim 20 wherein the ligand is as defined in any of claims 3 to 13 or 15 to 17.
25. A method of screening a test compound to determine if it is a substrate of a potassium channel β subunit, the method comprising applying the test compound to a potassium channel β subunit, and measuring NADPH oxidation and/or NADP+ reduction, wherein if NADPH is oxidised or NADP.sup.+ is reduced after applying of the test compound, the test compound is a substrate.
26. The method of claim 15, wherein if NADPH is oxidised after applying the test compound, the test compound is a forward substrate, and wherein if NADP.sup.+ is reduced after applying the test compound, the test compound is a reverse substrate.
27. A method of screening a test compound to determine if it is a substrate of a potassium channel β subunit, the method comprising applying the test compound to a cell comprising a potassium channel having a β subunit, inducing at least two action potentials within the cell, and measuring the firing rate of the action potentials within the cell, wherein if the firing rate of the action potentials increases or decreases after applying the test compound, the test compound is a substrate,
28. The method of claim 27, wherein if the firing rate of the action potentials increases after applying the test compound, the test compound is a forward substrate, and if the firing rate of the action potentials decreases after applying of the test compound, the test compound is a reverse substrate.
29. A method of screening a test compound to determine if it is a substrate of a potassium channel β subunit, the method comprising applying the test compound to a cell comprising a potassium channel having a β subunit, and measuring the A-type potassium current, wherein if inactivation of the A-type potassium current is slowed or accelerated after applying the test compound, the compound is a substrate.
30. The method of claim 29, wherein if inactivation of the A-type potassium current is slowed after applying the test compound, the test compound is a forward substrate, and wherein if inactivation of the A-type potassium current is accelerated after applying the test compound, the test compound is a reverse substrate.
31. A method of screening a test compound to determine if it is a substrate of a potassium channel β subunit, the method comprising administering the test compound to an organism, and measuring sleep, wherein if sleep increases or decreases after administering the test compound, the compound is a substrate.
32. The method of claim 31, wherein if sleep increases after administering the test compound, the test compound is a forward substrate, and wherein if sleep decreases after administering the test compound, the test compound is a reverse substrate.
33. The method of claim 31 or claim 32, wherein an increase in sleep is an increase in the duration of sleep, the average length of each sleep episode, or the number of sleep episodes.
34. The method of any one of claims 31 to 33, wherein a decrease in sleep is a decrease in the duration of sleep, the average length of each sleep episode, or the number of sleep episodes.
Description
[0097] For a better understanding of the invention, and to show how embodiments of the same may be carried into effect, reference will now be made, by way of example, to the accompanying Figures, in which:—
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EXAMPLES
Methods
[0105] Drosophila strains and culture. Fly stocks were grown on media of sucrose, yeast, molasses, and agar under a 12 h light: 12 h dark cycle at 25° C. All studies were performed on females aged 2-6 days post eclosion. Experimental flies were heterozygous for all transgenes and homozygous for either a wild-type or mutant (Hk.sup.1) Hyperkinetic allele, as indicated. Driver lines R23E10-GAL4, cry-GAL4, pdf-GAL4, OK107-GAL4, and GH146-GAL4 were used to target dFB neurons, cryptochrome- or PDF-expressing clock neurons, Kenyon cells, or olfactory projection neurons, respectively. Effector transgenes encoded a fluorescent marker for visually guided patch-clamp recordings (UAS-CD8::GFP); wild-type or mutant (Hk.sup.K289M) Hyperkinetic rescue transgenes; an optical integrator of ROS exposure in the mitochondrial matrix (UAS-MitoTimer); the mitochondrial alternative oxidase AOX; wild-type and mutant (SOD1.sup.A4V) versions of human superoxide dismutase 1; catalase; an N-myristoylated covalent hexamer (myr-MS6T2) of the singlet oxygen generator miniSOG; and RNAi constructs for interference with the expression of Hyperkinetic, Shaker, Shal, or cryptochrome (101402KK, 104474KK, 103363KK, and 7238GD or 105172KK, respectively; Vienna Drosophila Resource Center).
[0106] Sleep measurements. In standard sleep assays, females aged 3-5 d were individually inserted into 65-mm glass tubes, loaded into the Trikinetics Drosophila Activity Monitor system, and housed under 12 h light: 12 h dark conditions. Periods of inactivity lasting at least 5 minutes were classified as sleep. Immobile flies (<2 beam breaks per 24 h) were excluded from the analysis. In sleep deprivation experiments, a spring-loaded platform stacked with Trikinetics monitors was slowly tilted by an electric motor, released, and allowed to snap back to its original position.sup.2. The mechanical cycles lasted 12 s and were repeated continuously.
[0107] Arousal thresholds in standard sleep assays were determined with the help of mechanical stimuli generated by vibration motors (Precision Microdrives, model 310-113). Stimuli were delivered for 15 s, once every hour, and the percentages of sleeping flies awakened during each stimulation episode were quantified.
[0108] Sleep after light-induced ROS generation was measured at zeitgeber time 9.5 h. Female flies aged 3-5 d and expressing miniSOG in dFB neurons were individually inserted into 35-mm glass tubes and loaded into a custom-built array of light-tight chambers. Each chamber was equipped with a high-power LED (Osram Opto Semiconductors LB W5SM-FZHX-35-0, 467 nm) running at an 80% duty cycle at 10 Hz and delivering 8 mW cm.sup.−2 at the distal and 80 mW cm.sup.−2 at the proximal end of the tube. In this intensity range, each miniSOG molecule in the central brain underwent an estimated 2-40 excitation cycles s.sup.−1, based on the measured optical transmission of 7 fly heads at 467 nm (4.8±0.3% (mean+s.e.m.), assumed to be isotropic) and a miniSOG absorption cross-section.sup.46 of 5.0×10.sup.−17 cm.sup.−2.
[0109] The apparatus was operated in a temperature-controlled incubator (Sanyo MIR-154) at 25° C. Excess heat from the high-power LEDs was removed by a water-cooling device incorporating liquid heat exchangers (Thermo Electric Devices LI102), a centrifugal pump (RS 702-6891), Peltier module (Adaptive ETC-128-10-05-E), and CPU cooler (Corsair CW-9060007-WW). For movement tracking, the chambers were continuously illuminated by low-power infrared (850 nm) LEDs from below and imaged from above at 25 frames with a high-resolution CMOS camera (Thorlabs DCC1545M), using an 8 mm lens (Thorlabs MVL8M23) and a long-pass filter (Thorlabs, FEL800 nm) to reject photostimulation light. A virtual instrument written in LabVIEW (National Instruments) extracted real-time position data from video images by subtracting the most recently acquired image from a temporally low-pass-filtered background. Non-zero pixels in the difference image indicated that a movement had occurred, with the centroid of the largest cluster of non-zero pixels taken to represent the fly's new position. To eliminate noise, intensity and size thresholds were applied to pixel clusters in the difference image, and movements<2.5 mm (approximately one body length) were discarded. Periods of inactivity lasting at least 5 minutes were classified as sleep. The flies were monitored for 10 min before the photooxidation of miniSOG, and subjects found asleep during that period were excluded from the analysis. Only individuals with a confirmed waking time>30 s were used to quantify waking movements, which were counted as distinct events if they were separated by >5 s of immobility.
[0110] Functional imaging. Single-housed females were analysed 2-6 days post eclosion after 12 or 24 h of mechanical sleep deprivation, begun at zeitgeber times 0 h (daytime deprivation) or 12 h (night-time deprivation), and compared to age-matched controls at the end of sleep deprivation. After head-fixing the flies to a custom mount with eicosane (Sigma), cuticle, adipose tissue, and trachea were removed to create a small surgical window, and the brain was continuously superfused with extracellular solution equilibrated with 95% O.sub.2-5% CO.sub.2 and containing 103 mM NaCl, 3 mM KCl, 5 mM TES, 8 mM trehalose, 10 mM glucose, 7 mM sucrose, 26 mM NaHCO.sub.3, 1 mM NaH.sub.2PO.sub.4, 1.5 mM CaCl.sub.2, 4 mM MgCl.sub.2, pH 7.3.
[0111] MitoTimer fluorescence was imaged in vivo by two-photon laser-scanning microscopy. Excitation light pulses with 140 fs duration and a centre wavelength of 910 nm (Chameleon Ultra II, Coherent) were intensity-modulated with the help of a Pockels cell (302RM, Conoptics) and focused by a 20><, 1.0 NA water immersion objective (W-Plan-Apochromat, Zeiss) on a Movable Objective Microscope (Sutter Instruments). Emitted photons were separated from excitation light by a series of dichromatic mirrors and dielectric and coloured glass filters, split into red and green channels (Semrock BrightLine FF01-571/72 and FF01-525/45, respectively), and detected by GaAsP photomultiplier tubes (H10770PA-40 SEL, Hamamatsu Photonics). Photocurrents were passed through high-speed amplifiers (HCA-4M-500K-C, Laser Components) and custom-designed integrator circuits to maximize the signal-to-noise ratio. The microscope was controlled through ScanImage (Vidrio Technologies) via a PCI-6110 DAQ board (National Instruments). Images were acquired as z-stacks with an axial resolution of 1 μm.
[0112] Maximum-intensity projections of image stacks were analysed blind to sleep history, using a semi-automated script in MATLAB (The MathWorks). The algorithm rejected saturated or MitoTimer-negative pixels (fluorescence<1.5-fold above the mean of a manually defined background area) and calculated the average red-to-green ratio for the remaining image area.
[0113] Electrophysiology. For whole-cell patch-clamp recordings in vivo, female flies aged 3-5 days post eclosion were prepared as for functional imaging, but the perineural sheath was also removed for electrode access. The somata of GFP-labeled dFB neurons were visually targeted with borosilicate glass electrodes (12-14 mil). The internal solution contained 140 mM potassium aspartate, 10 mM HEPES, 1 mM KCl, 4 mM MgATP, 0.5 mM Na.sub.3GTP, 1 mM EGTA, pH 7.3. Signals were acquired with a Multiclamp 700B amplifier (Molecular Devices), filtered at 6-10 kHz, and digitised at 10-20 kHz using an ITC-18 data acquisition board (InstruTECH) controlled by the Nclamp/Neuromatic package. Data were analysed using Neuromatic software (www.neuromatic.thinkrandom.com) and custom procedures in Igor Pro (Wavemetrics).
[0114] For photostimulation of miniSOG during whole-cell recordings, a 455-nm LED
[0115] (Thorlabs M455L3) was focused onto the head of the fly with a mounted f=20.1 mm aspheric condenser lens (Thorlabs ACP2520-A) and controlled by a TTL-triggered dimmable constant-current LED driver (Thorlabs LEDD1B). The optical power at the sample was ˜3.5 mW cm.sup.−2.
[0116] Membrane resistances were calculated from linear fits of the steady-state voltage changes elicited by 1-s steps of hyperpolarizing currents (5-pA increments) from a pre-pulse potential of −60±5 mV. Membrane time constants were estimated by fitting a single exponential to the voltage deflection caused by a hyperpolarizing 10-pA current step lasting 200 ms. Interspike intervals were determined from voltage responses to a standard series of depolarizing current steps (5 pA increments from 0 to 100 pA, 1 s duration). Spikes were detected by finding minima in the time derivative of the membrane potential trace. Interspike intervals at all levels of injected current were pooled for the calculation of frequency distributions.
[0117] Voltage-clamp experiments were performed in the presence of 1 μM tetrodotoxin (Tocris) and 200 μM cadmium to block sodium and calcium channels, respectively. Neurons were stepped from holding potentials of −110 or −30 mV to a test potential of +40 mV. When the cells were held at −110 mV, depolarization steps (1 s duration) elicited the full complement of potassium currents; when the cells were held at −30 mV, voltage-gated channels inactivated and the evoked potassium currents lacked the I.sub.A (A-type or fast outward) component. Digital subtraction of the non-A-type component from the full complement of potassium currents gave an estimate of I.sub.A. To determine the fast and slow inactivation time constants, double exponential functions were fit to the decaying phase of currents elicited by 1-s depolarizing voltage pulses after digitally subtracting non-inactivating outward currents (Table 1). In cases where the fits of slow inactivation time constants were poorly constrained, only the fast inactivation time constants were included in the analysis.
[0118] Statistics. Data were analysed in Prism 7 (GraphPad). Group means were compared by one-way or two-way ANOVA, using repeated measures designs where appropriate, followed by planned pairwise post hoc analyses using Holm-Šídák's multiple comparisons test. Where the assumptions of normality or sphericity were violated (as indicated by Shapiro-Wilk and Brown-Forsythe tests, respectively), group means were compared by two-sided Mann-Whitney, Wilcoxon, or Kruskal-Wallis tests; the latter was followed by Dunn's multiple comparisons test. χ.sup.2 tests were performed on contingency tables of categorical data. Interspike interval distributions were evaluated by Kolmogorov-Smirnov test. The investigators were blind to group allocation in MitoTimer imaging experiments but not otherwise. No statistical methods were used to predetermine sample sizes.
Example 1—Redox Regulation of Sleep Via K.SUB.V.β
[0119] Mutations in Shaker or Hyperkinetic both cause insomnia. Unsurprisingly, given the importance of A-type currents for sustaining the sleep-promoting activity of these cells, dFB neurons are a major sleep-relevant site of action for both potassium channel subunits: the depletion of either gene product from these cells alone, using R23E10-GAL4-restricted RNA interference (RNAi), reproduces the sleep disruptions of the genomic mutations. To complement these demonstrations of necessity with a test of sufficiency, Hyperkinetic expression was exclusively restored in the dFB of otherwise homozygous mutant flies. Sleep returned to wild-type levels, but only if Hyperkinetic's active site was intact (
Example 2—Metabolic Origin of Sleep Pressure
[0120] To examine the first implication of Hyperkinetic's obligatory catalytic competence, the redox histories of flies that had been mechanically sleep-deprived was compared with those of rested controls (
[0121] To obtain a cumulative estimate of mitochondrial ROS production, the mitochondria of dFB neurons was labelled with a matrix-targeted fluorescent protein (MitoTimer) whose green-emitting chromophore converts irreversibly to red when oxidized. Age-matched flies were then deprived of variable amounts of sleep and the ratio of red to green emissions was determined by two-photon microscopy. Mitochondrial ROS production rose roughly in proportion to the size of the imposed sleep deficits: a night of sleep deprivation red-shifted MitoTimer's fluorescence relative to rested controls, but applying the same sleep deprivation protocol during the day, when flies are naturally awake, or adding a day to a night of sleep disruption produced only insignificant effects (
[0122] Curiously, flies expressing MitoTimer in dFB neurons lost ˜2 h of baseline sleep per day compared to parental controls (
[0123] An electron overflow pathway was first installed in the inner mitochondrial membrane of dFB neurons by expressing the alternative oxidase AOX of Ciona intestinalis. Like Complex III, AOX taps into the ubiquinone pool, but instead of transferring an electron each to two cytochrome c carriers (and in the process pumping two protons across the inner membrane), it reduces molecular oxygen to water in a single four-electron transfer reaction (
[0124] In animals without bifurcated electron transport chains, superoxide dismutases (SODs) and catalase, which acts as a sink for SOD-generated H.sub.2O.sub.2 and thereby also pulls the dismutation reaction forward, form the first line of anti-oxidant defense (
[0125] Analogous SOD1 manipulations in cryptochrome- or PDF-positive clock neurons or Kenyon cells (which all have demonstrated roles in sleep control) or in olfactory projection neurons (for which no such role has been reported) failed to influence sleep (
[0126] As a third test of the redox control of sleep, miniSOG, an engineered flavoprotein that photogenerates .sup.1O.sub.2, was anchored via a myristoyl group at the cytoplasmic face of the plasma membrane (
[0127] Example 3—Transduction of sleep pressure into sleep Whole-cell recordings from dFB neurons in vivo, before and after miniSOG-mediated photooxidation under similar sleep-inducing conditions, revealed some of the well-documented biophysical changes underpinning the wake-sleep switch: the neurons' action potential responses to depolarizing current became more vigorous (
[0128] Like the induction of sleep (
TABLE-US-00001 TABLE 1 Parameters of I.sub.A inactivation. Time constants were obtained by fitting double exponential functions to the decaying phase of I.sub.A in dFB neurons, evoked by voltage steps to +40 mV. A.sub.fast/(A.sub.fast + A.sub.slow) represents the fraction of the fast component of the total A-current. Data are means ± s.e.m.; n indicates the number of cells. All neurons express CD8::GFP in addition to the indicated transgene. τ.sub.fast (ms) τ.sub.slow (MS) A.sub.fast/(A.sub.fast + A.sub.slow) R23E10 > miniSOG before illumination 4.01 ± 0.72 27.18 ± 6.39 0.58 ± 0.07 after illumination 5.64 ± 0.67 38.91 ± 6.57 0.63 ± 0.06 n 14 12 12 R23E10 > CD8::GFP before illumination 3.31 ± 0.47 27.85 ± 6.65 0.65 ± 0.05 after illumination 3.32 ± 0.50 28.22 ± 6.13 0.56 ± 0.05 n 15 14 14 R23E10 > Hk.sup.K289M n 2.40 ± 0.36 19.87 ± 3.98 0.50 ± 0.04 15 15 15 R23E10 > Hk n 4.50 ± 0.65 33.94 ± 7.52 0.67 ± 0.04 12 12 12 R23E10 > AOX n 2.35 ± 0.38 18.58 ± 1.99 0.54 ± 0.04 9 9 9 R23E10 > SOD1.sup.A4V n 6.30 ± 0.94 33.89 ± 9.32 0.73 ± 0.07 9 9 9
[0129] The coherent picture emerging from these within-cell analyses was mirrored in between-cell comparisons of neurons with chronically altered redox-sensing or redox-buffering capacity: the homozygous Hyperkinetic mutants carrying catalytically active or dead rescue transgenes that were our point of departure (
Example 4—Accumulation and Discharge of Sleep Pressure
[0130] Because K.sub.Vβ subunits have very low cofactor exchange rates that limit their enzymatic turnover, perhaps to a single hydride transfer, even a fleeting exposure of the permanently bound cofactor to an oxidant will form a lasting biochemical memory. The Shaker-Hyperkinetic complex therefore unites three discrete functions in a single device: Its redox sensitivity allows it to monitor a key process relevant to sleep—the generation of oxidative by-products of mitochondrial electron transport. Its catalytic inefficiency allows the protein to compute and store the time integral of the resulting oxidative burden, as would be required if sleep's purpose were to protect against oxidative stress. And its ability to set the spike frequency via conformational coupling to the channel's inactivation gate allows it to titrate the commensurate corrective action.
[0131] The molecular interpretation of sleep pressure as a progressive conversion of Hyperkinetic to the NADP.sup.+-bound form immediately suggests how this process could be influenced pharmacologically. Depending on their redox potential relative to the bound cofactor species, small-molecule K.sub.Vβ substrates will collect electrons from NADPH or lose them to NADP.sup.+ and in this manner alter the NADP.sup.+:NADPH ratio. Electron acceptors, like the aldehydes produced endogenously during the breakdown of lipid peroxides, are predicted to exert hypnotic effects through the coupled oxidation of NADPH, while the corresponding alcohols should act as stimulants by reducing NADP.sup.+.
[0132] In order to dissipate the accumulated sleep pressure, the NADP.sup.+:NADPH ratio must return to baseline during sleep. An elegant way to accomplish this reset would be to gate Hyperkinetic's enzymatic activity by voltage. Cofactor release from the active site would be impeded in fill mode because the membrane potential of dFB neurons remains below the activation threshold of Shaker, but in discharge mode, when the neurons fire action potentials, the voltage-driven rearrangements of the channel would open an escape route for NADP.sup.+. Bidirectional coupling of a redox-modulated ion channel and a voltage-modulated oxidoreductase may thus be the accounting principle at the heart of the somnostat.