Covarrubias Research

Contact

Name: Manuel L. Covarrubias, MD, PhD
Position: Professor

233 South 10th Street
BLSB 231
Philadelphia, PA 19107

Contact Number(s):

Ion channels govern sensory transduction, fast electrical signaling and intercellular communication. It is, therefore, no surprise that ion channel dysfunction and dysregulation is associated with numerous congenital and acquired diseases generally known as channelopathies. This realization has stimulated the discovery of potentially therapeutic small molecule modulators that target ion channels. The Covarrubias Lab applies multidisciplinary team-driven approaches (patch-clamp electrophysiology, in-silico modeling, molecular biology, animal models, cryo-EM, MD simulation, etc.) to elucidate the structure, function, and modulation of voltage-gated potassium (Kv) and sodium (Nav) channels. The knowledge gained is necessary to understand mechanisms of function and dysfunction and develop therapeutic interventions.

By pursuing these interests at a fundamental level, we have discovered mechanisms of activation and inactivation with non-canonical features and their modulation by accessory subunits and second messenger molecules.  Also, we have identified the sites and mechanisms of action of small molecule modulators of Kv and Nav channels (general anesthetics and positive allosteric modulators). Extending our interest to molecular pain physiology, the Covarrubias Lab has shed light on the ways in which the function and dysfunction of a specific Kv channel contribute to pain signaling and neuropathic pain, respectively. Ongoing work is investigating 1) the ionic basis of the modulation of excitable enteroendocrine cells in the small intestine (neuropod cells) by linaclotide, a drug currently used to treat irritable bowel syndrome, and 2) the role of dysregulated glutamatergic synaptic signaling in the spinal cord in the mechanism of neuropathic pain induced by spinal cord injury.

For more than three decades, the Covarrubias Lab has been supported by grants from the NIH (NINDS, NIGMS, NIAAA, and NIDDK), industry (Autifony Therapeutics, Ltd.) and intramural sources (Farber Discovery Fund, and SKMC Dean’s office).

Research Projects

Modulation of Use-dependent Spike Broadening with Implications in Pain Signaling

Highlights
  • The Kv3.4 channel is a major determinant of action potential repolarization in DRG neurons.
  • Use-dependent spike broadening (UDSB) in DRG neurons depends on phosphorylation of the N-terminal inactivation domain of the potassium channel Kv3.4.
  • Whereas dephosphorylated Kv3.4 promotes UDSB, phosphorylated Kv3.4 opposes UDSB.
  • We hypothesize that pro-nociceptive and antinociceptive states of DRG neurons are directly related to dephosphorylation and phosphorylation of Kv3.4 at afferent glutamatergic synapses in the spinal cord, respectively.

High-resolution Structures of Kv3 Channels in the Apo & Modular Bound Conformations

Highlights
  • Cryo-EM revealed the high-resolution structures (2.9 – 3.1 Å resolution) of the human Kv3.1a in the apo and modulator bound conformations.
  • These structures exhibit non-canonical features suggesting interactions between the cytoplasmic T1 domain (cT1D) and the activation gate, which are likely determinants of the specialized fast gating that characterizes Kv3 channels.
  • A pathological variant of Kv3.2 (Cys125Tyr), which causes DEE, disrupts the interaction between the cT1D and the activation gate by promoting a P-P stacking interaction between Tyr125 and Tyr109.
  • The modulator bound conformation revealed a surprising extracellular binding site for a new class of highly selective positive modulators of Kv3.1 and Kv3.2.
  • This highly selective modulation is dictated by a local conformational change of the extracellular turret region, which is unique in Kv3.1 and Kv3.2.

Visceral Pain Regualtion by Neuropod Cells in the Epithelium of the Small Intestine

Waldman & Covarrubias Labs

Highlights
  • Epithelial neuropod cells expressing high levels of the membrane-bound guanylyl cyclase 2C (GUCY2C) were discovered in the small intestine. GUCY2C is the receptor for linaclotide, an FDA-approved drug currently used to treat constipation and irritable bowel syndrome.
  • In co-cultures, these neuropod cells induce DRG neuron hyperexcitability, suggesting that they can establish putative synaptic connections to release an excitatory factor that acts on a postsynaptic neuronal receptor.
  • Selective knockout of GUC2YC neuropod cells induces visceral hypersensitivity. However, upon exposure to linaclotide, neuropod cells silence hyperexcitable DRG neurons.
  • GUCY2C neuropod cells express transcripts encoding voltage gated Na, K and Ca channels. Also, they display spontaneous and evoked action potentials and, under voltage-clamping conditions, neuropod cells display an early fast Na current and a delayed K current.
  • We hypothesize that activation of GUCY2C by linaclotide triggers a second messenger cascade that modulates voltage-gated Na and or K channels. This action silences the neuropod cells and accordingly also silences the otherwise hyperexcitable DRG neuron.

Regulation of Glutamatergic Pain Signaling in the Spinal Cord

Lepore & Covarrubias Labs

Highlights
  • Secondary sensory neurons in the superficial dorsal horn of the spinal cord receive glutamatergic inputs from A𝛿 and C-fibers involved in nociception.
  • Inhibition of Kv3.4 channels in sensory afferents promotes fast glutamatergic transmission in the spinal cord.
  • Spinal cord injury (SCI) inhibits Kv3.4 surface expression and induces neuropathic pain.
  • SCI upregulates the receptor tyrosine kinase EphB2 in projections neurons of the superficial dorsal horn, which also promotes NMDA receptor mediated fast glutamatergic transmission.
  • EphB2 knockdown selectively relieves mechanical hypersensitivity induced by SCI. Thermal hypersensitivity, by contrast, remains.
  • We hypothesize that SCI induces a combination of peripheral (presynaptic) and central (postsynaptic) changes that promote glutamatergic signaling in the spinal cord circuitry that integrates mechanical nociceptive stimuli.