The inhibition of the sarcoplasmic/endoplasmic reticulum Ca2+-ATPase by macrocyclic lactones and cyclosporin A

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Abstract
The pharmacology of macrocyclic lactones is varied, with many beneficial effects in treating disease processes. FK-506, rapamycin and ascomycin have been utilized as immunosuppressant agents. Ivermectin is typically used to treat parasitic worm infections in mammals. Another immunosuppressant, cyclosporin A, is a cyclic oligotide that has similar immunosuppressant properties to those exerted by macrocyclic lactones. Here we report on the inhibition by these compounds of sarcoplasmic/endoplasmic-reticulum Ca2+-ATPase (SERCA) Ca2+ pumps. Ivermectin, cyclosporin A and rapamycin all inhibited the skeletal muscle sarcoplasmic reticulum Ca2+-ATPase (SERCA1). In addition, although ivermectin inhibited brain microsomal endoplasmic reticulum (type 2b) Ca2+-ATPase, cyclosporin A and rapamycin did not. As cyclosporin A also did not inhibit cardiac Ca2+-ATPase activity, this would suggest that it could be an isoform-specific inhibitor. Ivermectin was shown to be the most potent Ca2+-ATPase inhibitor of the macrocyclic lactones (IC50 = 7μM). It appears to show a ‘competitive’ inhibition with respect to high concentrations of ATP by increasing the regulatory binding site Km but without affecting the catalytic site Km. In addition, ivermectin stabilizes the ATPase in an E1 conformational state, and inhibits Ca2+ release from the enzyme during turnover. This would suggest that ivermectin inhibits Ca2+ release from the luminal binding sites of the phosphoenzyme intermediate, a step that is known to be accelerated by high [ATP].