Journal of Neuroche,nist~’ Lippincott—Raven Publishers, Philadelphia © 1997 International Society for Neurochemistry Cloning and Expression of a Human Serotonin 5-HT4 Receptor cDNA use Van den Wyngaert, l~WalterGommeren, *peter Verhasselt, lMirek Jurzak, tJosée Leysen, Walter Luyten, and Eckhard Bender Departments of Experimental Molecular Biology, *Applied Molecular Biology, and tBiochemical Pharmacology, Janssen Research Foundation, Beerse, Belgium Abstract: Using a combination of library screening and nested PCR based on a partial human serotonin 5-HT4 receptor sequence, we have cloned the complete coding region for a human 5-HT4 receptor. The sequence shows extensive similarity to the published porcine 5-HT4A and rat 5-HT4L receptor cDNA; however, in comparison with the latter, we find an open reading frame corresponding to only 388 amino acids instead of 406 amino acids. This difference is due to a frame shift caused by an additional cytosine found in the human sequence after position 1,154. Moreover, we also found the same additional cytosine in the rat 5-HT4 sequence. We confirmed the occurrence of the sequence by examining this part of the sequence in genomic DNA of 10 human volunteers and in rat genomic DNA. Based on a part of the genomic 5HT4 receptor sequence that was identified in the cloning process, there seem to be at least two possible splice sites in the coding region of the gene. The human 5-HT4 receptor, transiently expressed in COS-7 cells, showed radioligand binding properties3H]GR113808 similar to 5-HT4 revealed receptors KD values of 0.15 ±0.01 tissue. nMforthe human receptor and 0.3 in guinea pig striatal [ ±0.1 nM in the guinea pig tissue. Binding constants were determined for four investigated 5-HT 4 antagonists and three agonists, and appropriate binding inhibition constants were found in each case. Stimulation of transfected COS-7 cells with 5-HT4-specific agonists caused an increase in cyclic AMP levels. Key Words: Serotonin—5-HT4 receptor—Cloning-—Human—Rat. J. Neurochem. 69, 181 0—1819 (1997). Serotonin 5-HT4 receptors were first defined in primary cultures of mouse embryonic colliculi, based on observed 5-HT-induced cyclic AMP formation (Dumuis et al., 1988a,b). A series of benzamides known for their gastrokinetic properties mimicked the 5-HTinduced cyclic AMP formation in the colliculi neurons, whereby the potencies correlated with effects on intestinal tissue (Dumuis et al., 1989). Hence, it was suggested that the therapeutically interesting gastrokinetic properties of drugs like cisapride (Schuurkes et al., 1985) could be mediated by agonistic action on gut 51810 HT4 receptors (Briejer et al., 1995). The advent of selective 5-HT4 antagonists (Gaster and Sanger, 1994; Sanger and Gaster, and(Ford of a radiolabeled 3H]GR 1994) 113808 and Clarke, 5-HT4 1993) antagonist the facilitated [ further exploration of the 5-HT 4 receptors in the brain and in peripheral tissues (Ford and Clarke, 1993; Eglen et al., 1995). The occurrence of 5-HT4 receptors, demonstrated in mammalian brain (including human) using radioligand binding in regions of the extrapyramidal motor system of the basal ganglia and the mesolimbic system, has suggested a possible role of 5-HT4 receptors in affectiveand cognitive processes (Waeber et al., 1993; Eglen et al., 1995). By using functional studies in isolated peripheral tissues, 5-HT4 receptor-mediated responses were detected in the gastrointestinal tract (Ford and Clarke, 1993), the atrium (Kaumann et al., 1996), the bladder (Candura et al., 1996), and the pulmonary vein (Cocks and Arnold, 1992). Ullmer et al. (1995) and Schmuck et al. (1996) showed expression of the rat, porcine, and human 5-HT4 receptor in blood vessels without including functional studies. The best characterized property of 5-HT4 ligands probably concerns gastrokinetic effects. However, studies in various species suggest that there may be species differences with respect to agonistic and antagonistic properties of ligands. To allow appropriate investigation of the properties of ligands for therapeutic applications, cloning and expression of human 5-HT4 receptors are of prime importance. Presently, six complete or partial cDNA sequences Received April 24, 1997; revised manuscript received June 30, 1997; accepted June 30, 1997. Address correspondence and reprint requests to Dr. E. Bender at Department of Experimental Molecular Biology, Janssen Research Foundation, Tumhoutseweg 30, B-2340 Beerse, Belgium. Abbreviations used: AC, adenylyl cyclase; DMEM, Duibecco’s modified Eagle medium; DMSO, dimethyl sulfoxide; 5-HT, 5-hydroxytryptamine, serotonin; K,, inhibition constant; 5-MeOT, 5methoxytryptamine; ON1 —14, oligonucleotides 1—14; ORF, open reading frame; plC50, negative logarithm of the concentration that inhibits 50% of specific binding by the radioligand. CLONING OF A HUMAN 5-HT 4 RECEPTOR cDNA 1811 tories (Sulzfeld, Germany). The Bradford protein assay was encoding 5-HT4 receptors are known: two splice variants from the rat (Gerald et al., 1995), one murine sequence (Claeysen et al., 1996), two partial porcine splice variants (Ullmer et al., 1995), and a partial human sequence (Ullmer et al., 1995). The predicted protein structures reveal seven transmembrane domains for the complete open reading frames (ORFs). According to their structure and 5-HT4 receptor-coupled signal transduction events (increase in cyclic AMP formation, opening of K + channels), 5-HT4 receptors have been classified as G protein-coupled receptors. To obtain a 5-HT4 receptor eDNA from a human brain eDNA library, we used a combination of library screening and nested PCR. The derived human sequence was highly similar to the published rat 5HT4L sequence (Gerald et al., 1995); however, due to a frame-shift in the 3’ region, a different stop codon is used to terminate translation. Therefore, the human and rat sequences were confirmed by sequencing corresponding PCR samples from genomic DNA from blood of normal human volunteers and rats. In both species, the found frame shift was confirmed. The human cDNA was subcloned into the expression vector pcDNA3 and transfected transiently into COS-7 cells for the investigation of the pharmacological profile and second messenger coupling of the receptor. Radioligand binding properties of the cloned human receptor were compared with those of 5-HT4 receptors in guinea pig striatal tissue. The pharmacological profile of the receptor was evaluated further in light of the functional properties of ligands. MATERIALS AND METHODS Materials dNTPs, MgC12, and PCR buffer II were obtained from Perkin—Elmer Cetus (Foster City, CA, U.S.A.). Pfu polymerase and the Robocycler PCR block were products of Stratagene (La Jolla, CA, U.S.A.). TaKaRa Ex Taq polymerase was obtained from TaKaRa (Shigu, Japan). TaqStart antibody and human brain 5 ‘-STRETCH PLUS eDNA library (XgtlO) were from Clontech (Palo Alto, CA, U.S.A.). T4 DNA ligase and restriction endonucleases were products of Boehringer (Mannheim, Germany). The Multiprime 3H]GR DNA 113808labeling with a specific system,activity Hybond-N of 3.07filters, Tbq/mmol and were [ ob- tained from Amersham (Little Chalfont, U.K.). [32PIdCTP was purchased from NEN Du Pont (Wilmington, DE, U.S.A.). The Qiagen Lambda Maxi kit, plasmid preparation kits, and the Qiaquick PCR purification kit were from Qiagen (Hilden, Germany). The PRISM Ready Reaction Dye Terminator Cycle Sequencing Kit and the ABI 377 or 373A sequencing machines were from Applied Biosystems (Foster City, CA, U.S.A.). The GeneAmp PCR System 9600 was from Perkin—Elmer (Norwalk, CT, U.S.A.). The MicroSpin G-50 columns were obtained from Pharmacia Biotech (Uppsala, Sweden), and the mammalian expression vector pcDNA3 was obtained from Invitrogen (Carlsbad, CA, U.S.A.). Dulbecco’s modified Eagle medium (DMEM) and fetal calf serum were from Life Technologies (Gaithersburg, MD, U.S.A.). Wistar rats were from Charles River Labora- performed with the reagent supplied from Bio-Rad (Nazareth Eke, Belgium). The NEN flash plate assay was supplied by Du Pont de Nemours (Brussels, Belgium). The liquid scintillation spectrometer and the scintillation fluid Ultima Gold MV were from Packard (Meriden, CT, U.S.A.). Cisapride was synthesized by Janssen Pharmaceutica NV (Beerse, Belgium). Tropisetron was a gift from Sandoz (Basel, Switzerland), and GR 125487 was a gift from Glaxo (Ware, U.K.). SB 204070 and GR 113808 were synthesized by Janssen Pharmaceutica for its own purposes. All compounds were dissolved and diluted in dimethyl sulfoxide (DMSO; except the indoleamines, which were dissolved in water and protected from light throughout the experiment). The final DMSO concentration in the tests did not exceed 0.5% (vol/vol). The GraphPad Prism program was from GraphPad Software, Inc. (San Diego, CA, U.S.A.). General molecular biological methods Unless otherwise indicated, all PCR reactions were performed in a total volume of 50 ~.tl,containing 1 p~lof eDNA and 2.5 U of Pfu polymerase in 1 x PCR buffer II, 200 ,uM dNTPs, 200 nM primers, and 2.0 mM MgCl 2. PCR conditions were 5 mm of denaturation at 95°C, 1 mm at 54°C, and 2 mm at 75°C, followed by a 10-mm incubation at 75°C.DNA manipulations were done according to standard protocols (Maniatis et al., 1982). DNA sequencing was carried out with reagents from the PRISM Ready Reaction Dye Terminator Kit and run on a GeneAmp PCR System 9600 according to the specifications of the supplier. Preparation of human 5-HT4 receptor probe and eDNA library screening Two primers [oligonucleotide 1 (ON1): 5’-CTG CTG CCA GCC TTT GGT CTA T-3’; 0N2: 5 ‘-TCT CTG TCC TCA TGC GAT GAG TG-3 ‘] were designed based on the published partial human 5-HT4 receptor eDNA sequence (Ullmer et al., 1995). PCR reactions were performed using the human brain XgtlO 5 ‘-STRETCH PLUS eDNA library. After the 398-bp PCR product was subcloned into pUCl8, a 370-bp human 5-HT4 eDNA insert was removed from the using pUC18 construct by restriction digest using 32P]dCTP StuI and KpnI. TheMultiprime the eDNA was DNA then randomly labeling system. labeled with A human [ brain kgtl0 5 ‘-STRETCH PLUS eDNA library was screened as described in the Lambda Library Protocol Handbook (Clontech). One positive plaque was observed, and after two rounds of plaque purification a single positive plaque (clone 17) was cored out. Sequencing by primer walking of the X clone 17 insert revealed that it contained part of the human 5-HT 4 receptor eDNA, from nucleotide position 507 to position 1,077 of the ORF. Nested PCR amplification and cloning of the 5’ and 3’ ends of the human 5-HT4 ORE Based on the sequence of the X clone 17 insert, four oligonucleotides were designed (0N5: 5 ‘-AAG GCC ACC ACA GAG CAG-3’; 0N6: 5 ‘-TGC CCG TTG TAA CAT CTG AA-3’; 0N7: 5’-TGT TCA ACC ACA ACC ATT AAT GG-3’; 0N8: 5’-ATA GAC CAA AGG CTG GCA GC3’). PCR reactions combining these oligonucleotides with one universal )~gtl0primer (0N3: 5 ‘-AGC AAG TTC AGC CTG GTT AAG T-3’; 0N4: 5 ‘-TTA TGA GTA TTT CTT CCA GGG-3’) were performed on the ~gtl0 human brain J. Neurochem., Vol. 69, No. 5, 1997 1812 I. VAN DEN WYNGAERT ET AL. 5 ‘-STRETCH PLUS eDNA library to amplify the missing 5’ and 3’ parts of the human 5-HT 4 ORF by nested PCR. To obtain the 5’ region, primers 0N3 and 0N6 were used in a first round of PCR, followed by a secondary PCR using 1 p~lof the resulting product in combination with primers 0N3 and ONS. In an analogous fashion, the missing 3’ region was amplified by combining first 0N4 and 0N8 and using the resulting product as substrate for the primer combi- nation 0N4 and ON7. The PCR was performed under standard conditions, except that TaKaRa Ex Taq polymerase, (1.25 U) was used. The reactions were cycled 35 times for 30 s at 95°C,30 s at 54, 55, 56, 57, 58, or 59°C,and 2 mm at 72°Cin the Robocycler PCR block, followed by a 10-mm incubation at 72°C.PCR products were ligated into pUC18. Assembly of the full-length human 5-HT4 receptor coding region The full-length eDNA was assembled by a two-step ligation. In the first step, the EcoRI/PfIMI restriction enzyme fragment of nested PCR product 0N3/0N5 was ligated with the XbaI/PflMI restriction enzyme fragment ONl /0N2 into the EcoRIIXbaI large fragment of the mammalian expression vector pcDNA3, yielding pcDNA3/ON1ION2/0N31 0N5. In parallel, the EcoRIIAf1111 restriction enzyme fragment of the X clone 17 insert was ligated together with the BstUIIAf1111 restriction enzyme fragment of the nested PCR product 0N4/0N7 into the EcoRIIEcoRV large fragment ofpcDNA3, yielding pcDNA3I l7/0N4/0N7. In the second step, the EcoRIISphI small fragment of pcDNA3 /ON 1 / 0N2/0N3 IONS was ligated together with the SphI/NotI small fragment of pcDNA3 /1 7/0N4/0N7 into the EcoRII NotI large fragment of pcDNA3. Sequence verification of the human and rat 5-HT4 ORF 3’ end To verify the nucleotide sequence at the 3’ end of the human and rat 5-HT4 coding region, control PCRs were set up on genomic DNA to amplify the 3’ end as follows: two oligonucleotides (0N9: 5’-AGA GTC AGT GTC ACC CGC CAG-3’; ON1O: 5 ‘-AAG CAG CAG CTT AGG ACC TG-3’) were designed downstream of the putative splice site (assigned on the basis of the reported rat 5-HT4 receptor sequence). PCR was carried out on genomic DNA samples prepared from the blood of 10 human volunteers in a volume of 100 ftl using standard conditions. Similarly, PCR was carried out on genomic DNA prepared from rat blood to amplify the short and long rat 5-HT4 splice variants. This was performed using oligonucleotides ONll (5’-TTT GCA TAG TGG TCA ACA CCA GG-3’), 0N12 (5’-CGT CTT CAA TCA AAA GCA TGA TTC C-3’), 0N13 (5’-AGA GTC GGT GTC ACC TCA CAG-3’), and 0N14 (5’-CAG CTT AGG ACT GGC TTC TTT TC-3’). Expression of the human 5-HT4 receptor in mammalian cells COS-7 cells were grown in DMEM supplemented with 10% fetal calf serum. A large-scale plasmid preparation of 5-HT4/pcDNA3 was made using the Qiagen large-scale plasmid prep kit. Plasmid DNA was transfected COSday beforeinto transfec2 the 7tion) cellsusing (seeded the DEAE-dextran at 30,000 cells/cm method (Huylebroeck et al., 1988) in serum-free DMEM for 30 mm. The transfection medium was removed and replaced by COS-7 medium supplemented with 100 ~iM chloroquine. After 4 h, the chloroquine medium was replaced by COS-7 medium containing J. Neurochem., Vol. 69, No. 5, 1997 4 mM sodium butyrate. Sixteen hours later, this medium was replaced by COS-medium containing only 2% fetal calf serum. Incubation was continued for another 48 h before the cells were harvested for binding and signal transduction assays. Membrane preparation The transfected COS-7 cells were cultured on 150-mm Petri dishes and washed twice with ice-cold phosphate-buffered saline. The cells were then scraped from the plates with a cell scraper, suspended in 50 mM Tris-HC1 buffer, pH 7.4, and harvested by centrifugation for 10 mm at 16,000 g. The pellet was resuspended in 5 mM Tris-HC1, pH 7.4, and homogenized with an UltraTurrax homogenizer; the resulting membranes were collected by centrifugation for 20 mm at 25,000 g. Membranes were stored at —70°C in 50 mM Tris-HC1 buffer, pH 7.4, at a protein concentration of 1 mg/ml. For the preparation of membranes from guinea pig striatum, the tissue was pooled in cold 50 mM Tris-HC1 buffer, pH 7.4, homogenized, centrifuged, and collected as described for the cell membranes. The Bradford protein assay was used for protein determination with bovine serum albumin as a standard. Radioligand binding Assay mixtures (0.5 ml) contained [3H]GR 113808, an aliquot of membrane preparation (25—75 ,ug of protein for transfected COS-7 cells, 200—300 ,ug of protein for guinea pig striatal tissue), and solvent for total binding or 10 pM 5-HT to determine nonspecific binding. The assay buffer consisted of 50 mM HEPES/NaOH, pH 7.5, 1 ,aM pargyline (monoamine oxidase inhibitor), and paroxetine (5-HT transporter inhibitor), and the mixture was incubated at 37°Cfor 30 mm. Competition binding experiments were performed with a 0.2 nM concentration of the radioligand. Ligand concentration binding isotherms were obtained using 10 concentrations of [3H]GR 113808 in a concentration range of 16 pM to 1.6 nM. The incubation was terminated by rapid filtration over Whatman GF/B filters presoaked in 0.1% polyethylenimine, and three washing steps with 3 ml of icecold Tris-HC1 buffer, pH 7.4. Filter-bound radioactivity was counted in a liquid scintillation spectrometer using 2 ml of scintillation fluid. Ligand concentration binding isotherms (rectangular hyperbola) and sigmoidal inhibition curves were calculated by nonlinear regression analysis according to algorithms described by Oestreicher and Pinto (1987). The maximal number of binding sites (Bmax) and equilibrium dissociation constant (KD) of the radioligand and the plC 50 (negative logarithm of the concentration that inhibits 50% of specific binding by the radioligand) values of competitors were derived from the curve fitting. Apparent inhibition constant (K~)values were calculated according to the equation of Cheng and Prusoff (1973). Graphs were prepared using the GraphPad Prism program. Measurement of cyclic AMP formation For the stimulation of adenylyl cyclase (AC), COS-7 cells were transfected and cultured in 24-multiwell plates (seeding density of 30,000/well). The DMEM contained 1% dialyzed calf serum (<0.1 nM 5-HT). On the third day following transfection, the cells were washed with buffer consisting of 2S mM Tris-HC1, pH 7.4, 120 mM NaCl, 5 mM KCI, 0.8 mM MgC12, 1.8 mM CaC12, 15 mM glucose, and 0.04 mM phenol red. Isobutylmethylxanthine at 1 mM, I 1iM pargy- CLONING OF A HUMAN 5-HT 4 RECEPTOR cDNA line, and 1 ~.sMparoxetine were then added to the buffer. To estimate the maximal AC stimulation, 100 jiM forskolin was used. The incubation with compounds was performed for 20 mm at 37°C.The final concentration of DMSO (whenever needed to dissolve the compounds) did not exceed 0.5% (vol/vol) and was also included in the corresponding control samples. All points were from triplicate assays. The incubation was stopped by acidification with 0.1 ml of ice-cold 1 M HC1O4, followed by neutralization with K2HPO4. After the formation of a KC1O4 precipitate, the plates were centrifuged for S mm at 2,000 g and the supernatant was assayed for cyclic AMP content using the NEN flash plate assay according to the protocol of the supplier. RESULTS Based on the partial eDNA sequence of the human 5-HT4 receptor (Ullmer et al., 1995), two PCR primers were designed to amplify this 397-bp-long fragment of human 5-HT4 eDNA, stretching from position 366 to position 762 of the ORF [following the alignment of the published rat eDNA sequence (Gerald et al., 1995)1. This PCR product was cloned, radiolabeled, and then used to screen a commercial human brain eDNA library, resulting in one positive clone (clone 17). Sequence analysis of the 1,650-bp-long insert showed extensive similarity to the published rat and pig sequences from position 507 to position 1,077 of the rat 5-HT4 ORF (Fig. 1). However, downstream of position 1,077 and upstream of position 507, no significant similarity was detectable (Fig. 1). As the known rat (Gerald et al., 1995) and porcine (Ullmer et al., 1995) splice variants diverge at these points and the sequences at these positions are in good agreement with the consensus 5’ and 3’ splice sites (Fig. 1; Shapiro and Senapathy, 1987), the insert of clone 17 is most likely a genomie DNA fragment, contaminating the eDNA library. To obtain the remaining parts of the human 5-HT4 eDNA sequence, primers were designed based on the 5’ and 3’ ends of the sequence of clone 17 that still showed sequence similarity to the rat 5-HT4 eDNA. These primers were used in combination with primers complementary to the XgtlO vector sequence 5’ and 3’to the cloning site in a nested PCR reaction. The sequence of the 0N3/0N5 PCR product cone- 1813 sponds to the 5’ region of the human 5-HT4 receptor eDNA from position —289 to position +386, with the A of the start eodon being position + 1. The 0N4/0N7 PCR product corresponds to the 3’ region of the human 5-HT4 receptor eDNA from position + 1,057 up to the stop eodon and continuing for 301 nueleotides into the 3’ untranslated region. Therefore, the resulting prod- ucts were shown to contain the missing parts of the human 5-HT4 coding region, as well as part of the 5’ and 3’ untranslated regions. The full-length nueleotide sequence of the coding region and derived amino acid sequence are shown in Fig. 2. The human sequence showed overall similarity to the published rat 5-HT4 receptor long splice variant sequence (Fig. 3), but it differed by one additional cytosine after position 1,154 of the rat coding sequence (Fig. 2). This reading frame shift resulted in a completely different amino acid sequence downstream and usage of a different stop eodon, terminating the protein after amino acid position 388 instead of amino acid 406. To verify the human sequence, the 3’ region of the ORF was amplified from genomic DNA of 10 different human volunteers. All samples showed the additional cytosine after position 1,154. To determine whether this was a species difference, the long splice variant 3’ part of the rat 5-HT4 receptor was amplified from two different rat genomie DNA samples. In contrast to the published sequence (Gerald et al., 1995), we also found a cytosine triplet instead of a doublet present in the rat sequence. When the additional eytosine is inserted into the rat nueleotide sequence, the derived rat long splice variant is only one amino acid longer than the short splice variant. This shortened rat 5-HT4L splice variant displays an ORF that corresponds closely to the cloned human 5HT4 receptor (see Fig. 3). The pharmacological characteristics of the human 5HT4 receptor protein were investigated by radioligand binding assays on membranes from COS-7 cells transiently transfeeted with the human 5-HT4/peDNA3 expression plasmid. Preliminary functional data were obtained by measuring 5-HT-induced cyclic AMP formation in the same cell population. 3H]Ligand concentration binding isotherms with [ FIG. 1. Nucleotide sequence comparison ofthe insert from clone 17 with the porcine 5-HT4A (UlImer et al., 1995) and rat 5-HT4L (Gerald et al., 1995) sequences. The positions where the sequences diverge are indicated (A). Sequences that correspond to the 3’ or 5’ splice consensus site are boxed. Numbering of the nucleotides is according to their position in the ORF; for the porcine partial sequence, it is based on the human 5-HT4 ORE. J. Neurochem., Vol. 69, No. 5, 1997 1814 I. VAN DEN WYNGAERT ET AL. GR 113808 on membranes from three independent transfeetions in COS-7 cells revealed Bmax values ranging from 1,114 to 3,225 fmol/mg of protein and a mean K value of 0.15 ±0.1 nM. The corresponding 0 values on preparations from the guinea pig striatum were 182 ±30 fmol/mg of protein and 0.3 ±0.1 nM for the Bmax and K0 values, respectively (n = 3). A straight line in a Seatehard analysis suggested the presence of a single high-affinity binding site in both tissues. Representative curves are shown in Fig. 4. Membranes from COS-7 cells transfected with the pcDNA3 3HIGR vector show by any5-HT). specific [ 113808 control binding did (i.e.,not inhibited Several selective ligands for the 5-HT 4 receptor were used in competition binding experiments as reference compounds to define the pharmacological profile of the cloned human 5-HT4 receptor (Briejer et al., 1995). High-affinity antagonists with high selectivity for the 5-HT4 receptors were used: SB 204070 (Wardle et al., 1994), GR 125487 (Gale et al., 1994), and GR 113808 (Grossman et al., 1993), as well as the firstdescribed, but weaker and nonseleetive 5-HT4 antagonist tropisetron [ICS 205-930 (Dumuis et al., l988b)]. In addition, we investigated 5-HT, its natural derivative 5-methoxytryptamine (5-MeOT), and the benzamide gastroprokinetie agent cisapride, known to be a partial agonist of the receptor. Inhibition curves of radioligand binding in membranes from transfeeted COS-7 cells and from guinea pig striatum are depicted in Fig. 5, and the mean plC50 and K values are presented in Table 1. The functional coupling of the cloned human receptor in COS-7 cells to the cyclic AMP pathway was investigated in preliminary experiments. These experiments have clearly shown a stimulation of the AC system by receptor-specific agonists (Fig. 6). Basal cyclic AMP levels were 3—4 nM in the presence of <0.1 nM 5-HT. Incubation with 5-HT, 5-MeOT, or cisapride increased the levels of cyclic AMP up to sevenfold. In veetor-transfected cells, cyclic AMP levels were not elevated following incubation with the 5HT4 agonists (data not shown). The forskolin-induced cyclic AMP level in 5-HT4 receptor transfeeted cells remained unchanged after 5-HT addition. Hence, we found no indication for an inhibitory action of 5-HT on the cyclic AMP system. DISCUSSION On the basis of the published partial human 5-HT4 eDNA sequence, we attempted to clone a full-length FIG. 2. Nucleotide and deduced amino acid sequence of the cloned human 5-HT4 receptor. Potential N-linked glycosylation (•), protein kinase C phosphorylation (V), and palmitoylation (~)sites are indicated. Positions of amino acids and nucleotides are given at the end ofeach line. The additional C that was found compared with the published rat 5-HT4L cDNA (Gerald et al., 1995) is underlined. J. Neurochem., Vol. 69, No. 5, 1997 CLONING OF A HUMAN 5-HT 4 RECEPTOR cDNA 1815 FIG. 3. Alignment of the six known partial [pig 5-HI45 (UlImer et al., 1995), and rat study)) and complete [rat 5-HT45 (Gerald et al., 1995), mouse 5-HT4L (Claeysen et al., 1996), rat 5-HT4L (Gerald et al., 1995), and a human 5-HT4 (this study)] 5-HT4 receptor amino acid sequences. The putative transmembrane domains (TM) are boxed. 5-HT4A, pig 5-HT4L (this eDNA by screening a commercially available human brain eDNA library. However, the only clone that was found contained a fragment of genomie DNA as an insert. To some extent, this parallels the difficulties described in finding a full-length rat eDNA clone in four different rat eDNA libraries (Gerald et al., 1995), most likely reflecting the low abundance of the 5-HT4 receptor mRNA. The central sequence of the insert from our genomie clone shows a high degree of sequence similarity to the published rat 5-HT4 eDNA; however, at the 5’ and 3’ ends of this central segment, the sequence similarity .1. Neurochem., Vol. 69, No. 5, 1997 1816 I. VAN DEN WYNGAERT ET AL. amino acid level and confirming also the eytosmne doublet after position 1,152. To confirm that our sequence is correct at the 3’ end, we examined this part of the sequence in genomic DNA from 10 different human volunteers. In all eases, we obtained our original sequence, suggesting that this is the correct sequence. To investigate whether this finding pointed toward a species difference, we ampli- fied the same region from rat genomie DNA. In two independent experiments, we found a sequence with an additional eytosine after nueleotide position 1,154, corresponding to our findings on the human receptor. The amino acid sequence of the long splice variant of the rat receptor derived from the nucleotide sequence including the cytosine triplet is highly similar to our human sequence (Fig. 2). However, this indicates that our long rat splice variant is only 388 amino acids long instead of 406. Further studies are needed to determine whether the observed difference is based on a variant DNA sequence or due to a sequencing error. Two partial 5-HT4 receptor eDNA splice variants are known in the pig, where the alternative splicing occurs at a different position from that in the rat sequence. Regard3HJGR113808 concentration binding isotherm for FIG. 4. [ preparations from COS-7 cells transfected with the membrane human 5-HT 4 receptor (A) and from guinea pig striatum (B). Total binding (•), nonspecific binding (•), and specific binding (D) are presented as means of duplicate determinations. The data represent a typical experiment out of three independent experiments. Nonspecific binding was determined in the presence of 10 jiM 5-HT. KD and ~ values were derived from curve fitting using nonlinear regression analysis. The mean values for the 5-HT4 transfected COS-7 cells were a KD of 0.15 ±0.01 nM and a ~ of 2,221 fmol/mg of membrane protein; for the guinea pig striatum, a K0 of 0.3 ±0.1 nM and a Brna~of 182 ± 30 fmol/ mg of membrane protein were determined. ing this variation, our clone is similar to the 5-HT4A sequence (Fig. 3). Taken together, the few known 5-HT4 receptor eDNA sequences from different species show a re- stops (Fig. 1). The 5’ site of sequence divergence corresponds to the position in the porcine 5-HT4B where an insertion is found, suggesting that an intron/ exon boundary is present at this point in the human gene as well. At the 3’ end, the similarity stops where the rat long and short splice variants diverge in sequence; therefore, this point also corresponds to an exon/intron boundary. This interpretation is strengthened by the occurrence of sequences closely resembling splice consensus motifs at the site of sequence divergence (Fig. 1; Shapiro and Senapathy, 1987). The missing parts of the ORF at the 5’ and 3’ ends were cloned by nested PCR performed on a human brain eDNA library. The nucleic acid and derived amino acid sequences showed a high degree of similar- ity to the published rat 5-HT4 long splice variant; however, we also observed an additional cytosine after position 1,154. The recently cloned murine 5-HT4 receptor eDNA (Claeysen et al., 1996) is to a large extent similar to the published long splice variant of the rat (Fig. 3), showing only 16 differences at the J. Neurochem., Vol. 69, No. 5, 1997 3H]GR 113808 nM) binding membrane preparations FIG. 5. (0.2 inhibition by 5-HT4to antagonists and agonistsfrom of [ COS7 cells transfected with the human 5-HT 4 receptor (A) and from guinea pig striatum (B). Depicted points are means of two to values five independent experiments, and the calculated plC~~ are given in Table 1. CLONING OF A HUMAN 5-HT 4 RECEPTOR cDNA 1817 3H]GR 113808 binding in membranes from COS-7 cells TABLE I. Potency transiently of compounds transfected to compete with the with human 0.2 5-HT nM [ 4 receptor and from guinea pig ,ctriatum Human 5-HT4 receptor in Guinea pig 5-HT4 receptor in Rat 5-HT4L COS-7 cells the striatum receptor in COS-7 cells” plC 50 Compound Antagonists SB 204070 GR 125487 GR 113808 Tropisetron Agonists Cisapride 5-HT 5-MeOT ±SD (n) 9.7 ±0.2 (4) 9.5 ±0.1 (3) 9.4 ±0.03 (3) 6.4 ±0.1 (3) 6.9 ± 0.2 (4) 6.6 ±0.3 (5) 5.7 ± 0.2 (3) pK1 plC50 10 10 ±0.3 9.6 ±0.2 9.3 ±0.3 6.6 ±0.3 9.8 9.6 6.7 7.2 6.9 6 al., 1993. Literature data obtained for 0from the rat Waeber 5-HT4L et receptor or on From Gerald et al., 1995; ±SD (n) 0 Human brain pK, membranes pK pK, (4) (3) (2) (2) 10.1 9.7 9.4 6.7 ND ND ND 6.7 ND ND 9.8 6.7 7.1 ± 0.1 (3) 7.2 ±0.2 (3) 6.5 ±0.2 (2) 7.2 6.9 6.8 7.4 6.8 6.5 6.6 6.4 6.3 homogenates from human brain are included for comparison. ND, not determined. markable sequence variation and various possibilities to generate splice variants. Detailed analysis of the species and tissue-dependent presence of these differ- ent variants will be important for the elucidation of the 5-HT 4 receptor physiology and pharmacology. For the rat long and short 5-HT4 receptor splice variant, different poteneies for AC stimulation have been described previously (Gerald et al., 1995). As we found the long splice variant to be actually only 388 amino acids long, however, this cannot be attributed to a fourth, additional phosphorylation site. Further support for the existence of 5-HT4 receptor variant sequences can be drawn from reports on tissue-dependent desensitization rates of 5-HT4 receptor preparations (Ansanay et a]., 1992), which are attributed to differences of the intercellular C-termini of the involved 5-HT4 receptors (Gerald et al., 1995). The coupling effi- In addition to the discussed interspecies sequence similarity, our pharmacological data strongly support the classification of the cloned human receptor into the 3H]GR 5-HT4 high affinity of [ et al., 113808 receptor is a firstfamily. line ofThe evidence (Grossman 1993). This radioligand has already proven its usefulness in the mapping of 5-HT 4 receptors in the rat, guinea pig, and human brain (Grossman et al., 1993; Waeber et al., 1993). The K0 values measured in this study on the human receptor expressed in COS-7 cells and on the guinea pig striatal receptor (0.15 and 0.3 nM, respectively) are in excellent accordance with a reported K0 of 0.2 nM for the guinea pig striatum and human brain membranes (Grossman et al., 1993; Waeber et al., 1993). GR 113808 has also been reported to be a potent 5-HT4 receptor antagonist in the guinea pig ascending colon and rat esophagus with ciency of 5-HT4 receptors was also reported to be tissue-specific (Eglen et al., 1995), which is consistent pA2 values of 9.3 and 9.5, respectively, and to have a with a different GTP sensitivity of radioligand binding in even closely related membrane preparations (Grossman et al., 1993). man et a]., 1993; Sanger and Gaster, 1994). The pK, >3,000-fold selectivity over other receptors (Grossvalue of cold GR 113808 in our binding tests on both preparations (9.4 and 9.6) is in good agreement with these functional data. The rank order of potency of the compounds 113808 bindingused on 3H]GR for the cell competition of transfeeted [ COS-7 membranes with the 5-HT 4 receptor clone (and on the guinea pig tissue as well) matches the expected pharmacological profile. The ligand found to have the highest pK, values on the human and guinea pig receptor was SB 204070 (10 and 10.1, respectively). This benzodioxane derivative is the most potent and selective 5-HT4 antagonist described so far (Gaster and Sanger, 1994) with an apparent pA2 of 10.8 on the guinea pig distal colon. It has a 5,000FIG. 6. Stimulation of AC in COS-7 cells transfected with the human 5-HT4 receptor by specific agonists. Basal levels and levels after stimulation with a 1 jiM concentration of the indicated compounds from a triplicate determination are presented. cAMP, fold selectivity over all other receptor preparations tested (Wardle et al., 1994). GR 125487 is a metabolically stable derivative of GR 113808, with a prolonged in vivo biological halflife and slightly higher affinity (pK, = 10.4) on guinea cyclic AMP. pig striatum (Gale et a]., 1994). J. Neurochen,., Vol. 69. No. 5, 1997 1818 I. VAN DEN WYNGAERT ET AL Another competitor tested, the potent 5-HT3 receptor antagonist tropisetron (ICS 205-930) was the first described 5-HT4 antagonist (Dumuis eta]., 1988b). Its moderate potency in binding tests on both membrane preparations (pK1 of 6.7 for the human and guinea pig reeepior) is in good agreement with the first reports about the inhibition of 5-HT-stimulated AC on mouse eollieular neurons [pK, = 6.15 (Ansanay et al., 1992)] and binding data (pK1 of 6.7) on human brain membranes (Waeber et a]., 1993). The tested agonists, including the full agonists 5-HT and 5-MeOT and the partial agonist eisapride, exhibited lower affinities on both membrane preparations in competition with a radiolabeled antagonist than reported in functional tests on the guinea pig colon, where the pEC50 values were 8.0, 7.8, and 7.5, respectively (Schuurkes et al., 1985; Leung et al., 1996). Agonists bind with high affinity to the G protein-coupled state of the receptor and have lower affinity for the uncoupled receptor. As radiolabeled antagonists detect both states of the receptor, agonist competition often shows an overall lower plC5o value, reflecting the affinity for the uncoupled receptor (Adham eta]., 1996). Consistent with this assumption and our data, pK~values of 7.5 and 6.8 for 5-HT and 5-MeOT, respectively, were observed in the guinea pig striatum (Leung et al., 1996). In summary, the pharmacological profile of the cloned human receptor matches the profiles .found in the guinea pig striatum and human brain membranes (see Table 1; Waeber et a]., 1993), as well as that of the cloned rat 5-HT4L receptor expressed in COS-7 cells (see Table 1; Gerald et al., 1995). The stimulatory effect of 5-HT on cyclic AMP formation observed in 5-HT4/peDNA3 transfeeted COS-7 cells is an important criterion of the definition of the 5-HT4 receptor family and is in agreement with many reports (Clarke and Boekaert, 1993). The ability of the indole structure 5-MeOT and the benzamide eisapride to stimulate cyclic AMP production is a particular feature of the 5HT4 receptor and has also been shown for the cloned rat 5-HT4L receptor (Gerald et al., 1995). The characterization of a particular receptor is based upon its structure, its second messenger coupling, and its pharmacological profile. The human receptor described in this report meets all the criteria to classify it as a 5-HT4 receptor. Acknowledgment: The authors thank Dr. Michel Briejer for critical reading of the manuscript. REFERENCES 3H] 5-Hydroxytryptamine labels the Adham N., Gerald C., Schechter L., Vaysse P., Weinshank R., agoand nist high affinity state[ of the cloned rat 5-HT Branchek T. (1996) 4 receptor. Eur. J. Pharmacol. 304, 2331—2335. Ansanay H., Sebben M., Bockaert J., and Dumuis A. (1992) Characterization of homologous 5-hydroxytryptamine4 receptor desensitisation in colliculi neurons. Mol. Pharmacol. 42, 808—816. Briejer M., Akkermans L. M. A., and Schuurkes J. A. J. (1995) Gas- J. Neurochem., Vol. 69, No. 5, 1997 trointestinal prokinetic benzamides: the pharmacology underlying stimulation of motility. Pharmacol. Rev. 47, 631—651. Candura S. M., Messori E., Franceschetti 0. P., D’Agostino G., Vicmi D., Tagliani M., and Tonini M. (1996) Neural 5-HT4 receptors in the human isolated detrusor muscle: effects of indole, benzimidazolone and substituted benzamide agonists and antagonists. Br. J. Pharmacol. 118, 1965—1970. Cheng Y.-C. and Prusoff W. H. (1973) Relationship between the inhibition constant (K,) and the concentration of inhibitor which causes 50 per cent inhibition (I~~) of an enzymatic reaction. Biochem. Pharmacol. 22, 3099—3108. Claeysen S., Sebben M., Journot L., Bockaert J., and Dumuis A. (1996) Cloning, expression and pharmacology of the mouse 5HT4L receptor. FEBS Lett. 398, 19—25. Clarke D. E. and Bockaert J. (1993) 5-HT4 receptor: current status, in Serotonin (Vanhoutte P. M., Saxena P. R., Paoletti R., Brunello N., and Jackson A. S., eds), pp. 107—117. Kluwer Academic Publishers, Cambridge, Massachusetts. Cocks T. M. and Arnold P. J. (1992) 5-Hydroxytryptamine (5-HT) mediates potent relaxation in the sheep isolated pulmonary vein via activation of 5-HT4 receptors. Br. J. Pharmacol. 107, 591— 596. Dumuis A., Bouhelal R., Sebben M., Cary R., and Bockaert J. (l988a) A nonclassical 5-hydroxytryptamine receptor positively coupled with adenylate cyclase in the central nervous system. Mol. Pharmacol. 34, 880—887. Dumuis A., Bouhelal R., Sebben M., and Bockaert J. (1988b) A 5HT receptor in the central nervous system, positively coupled with adenylate cyclase, is antagonized by ICS 205 930. Eur. 1. Pharmacol. 146, 187—188. Dumuis A., Sebben M., and Bockaert J. (1989) The gastrointestinal prokinetic benzamide derivatives are agonists at the non-classical 5-HT receptor (5-HT4) positively coupled to adenylate cyclase in neurons. Naunyn Schmiedebergs Arch. Pharmacol. 340, 403—410. Eglen R. M., Wong E. H. F., Dumuis A., and Bockaert J. (1995) Central 5-HT4 receptors. Trends Pharmacol. Sci. 16, 391—398. Ford A. P. and Clarke D. E. (1994) The 5-HT4 receptor. Med. Res. Rev. 13, 633—662. Gale J. D., Grossmann C. J., Darton J., Bunce K. T., Whitehead J. W. T., Knight J., Parkhouse T. J., Oxford A. W., and Humphrey P. P. A. (1994) GR125487: a selective and high affinity 5-HT4 receptor antagonist. (Abstr.) Br. J. Pharmacol. 113, 120. Gaster L. M. and Sanger G. J. (1994) SB 204070: 5-HT receptor antagonists and their potential therapeutic utility. Drugs Future 19, 1109—1121. Gerald C., Adham N., Kao H.-T., Olsen M. A., Laz T. M., Schechter L. E., Bard 1. A., Vaysse P. J.-J., Hartig P. R., Branchek T. A., and Weinshank R.L. (1995) The 5-HT4 receptor: molecular cloning andpharmacological characterization of two splice variants. EMBO J. 14, 2806—2815. Grossman C. J., Kilpatrick G. J., and Bunce K. T. (1993) Development of a radioligand binding assay for 5-HT4 receptors in guinea-pig and rat brain. Br. J. Pharmacol. 109, 618—624. Huylebroeck D., Maertens G., Verhoeyen M., Lopez C., Raeymakers A., Mm Jou W., and Piers W. (1988) High-level transient expression of influenza virus proteins from a series of SV4O late and early replacement vectors. Gene 66, 163—181. Kaumann A. J., Lynham J. A., and Brown A. M. (1996) Comparison of the densities of 5-HT4 receptors, beta 1- and beta 2-adrenoceptors in human atrium: functional implications. Naunyn Schmiedebergs Arch. Pharmacol. 353, 592—595. Leung E., Palido-Rios M. T., Bonhaus D. W., Perkins L. A., Zeitung K. D., Hsu S. A. V., Clark R. D., Wong E. H. F., and Eglen R. M. (1996) Comparison of 5-HT4 receptors in guinea pig colon and rat oesophagus: effects of novel agonists and antagonists. Naunyn Schmiedebergs Arch. Pharmacol. 354, 145—156. Maniatis T., Fritsch E. F., and Sambrook J. (1982) Molecular Cloning: A Laboratory Manual. Cold Spring Harbor, New York. Oestreicher E. G. and Pinto G. F. (1987) A microcomputer program for fitting enzyme inhibition equations. Comput. Biol. Med. 17, 53—68. CLONING OF A HUMAN 5-HT 4 RECEPTOR eDNA Sanger 0. J. and Gaster L. M. (1994) 5-HT4 receptor antagonists. Exp. Opin. Ther. Patents 4, 323—334. Schmuck K., UlImer C., Kalkman H. 0., Probst A., and LObbert H. (1996) Activation of meningeal 5-HT2B receptors: an early step in the generation of migraine headache? Fur. J. Neurosci. 8, 959—967. Schoemaker R. G., Du X. Y., Willem A. B., Bos E., and Saxena P. R. (1993) 5-Hydroxytryptamine stimulates human isolated atrium but not ventricle. Eur. J. Pharmacol. 230, 103—105. Schuurkes J. A. J., Van Nueten J. M., van Dade P. J. H., Reyntjens A. J., and Janssen P. A. J. (1985) Motor stimulating properties of cisapride on isolated gastrointestinal preparations of the guinea pig. J. Pharmacol. Exp. Ther. 234, 775—784. Shapiro M. B. and Senapathy P. (1987) RNA splice junctions of 1819 different classes of eukaryotes: sequence statistics and functional implications in gene expression. Nucleic Acids Res. 15, 7155—7 174. Ullmer C., Schmuck K., Kalkman H. 0., and LObbert H. (1995) Expression of serotonin receptor mRNAs in blood vessels. FEBS Lett. 370, 2 15—221. 3H]-GR113808 labelsF.,5-HT Waeber C., Sebben M., Grossman C., Javoy-Agid Bockaert J., and Dumuis A. (1993) [ 4 receptors in the human and guinea pig brain. Neuroreport 4, 1239— 1242. Wardle K. A., Ellis E. S., Baxter J. S., Kenneth J. A., Gaster L. M., and Sanger G. J. (1994) The effects of SB 204070, a highly potent and selective 5-HT4 recepfor antagonist, on guinea-pig distal colon. Br. J. Pharmacol. 112, 789—794. .J. Neurochem., Vol. 69, No. 5, 1997