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Orthosteric, allosteric, and metabotropic activity of alpha7 nAChR Roger L. Papke1, Clare Stokes1, M. Imad Damaj2, Alain Simard3, Marta Quadri1,4, and Nicole A. Horenstein4 1 Department of Pharmacology and Therapeutics, University of Florida, PO Box 100267 Gainesville, FL 32610-0267 2 Department of Pharmacology and Toxicology, Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, VA 23298-0613 3 Department of Chemistry and Biochemistry, University of Moncton, Moncton, Canada E1A3E9 4 Department of Chemistry, University of Florida, PO Box 117200 Gainesville, FL 326117200 The subtype of nAChR is a unique receptor, widely distributed throughout the brain and expressed in many non-neuronal cells. These receptors function as homopentamers, with five binding sites for orthosteric agonists. Although activatible by acetylcholine (ACh) and the precursor molecule choline, orthosteric agonists produce relatively little channel activation compared to that produced with typical heteromeric nAChR. This is, in part, because high levels of agonist binding induce forms of desensitization that are unique to receptors. The induction of these desensitized states can be revealed with the use of efficacious positive allosteric modulators (PAMs) such as PNU-120596. The use of PAMs have allowed us to identify a new class of ligands, "silent agonists", which compete with orthosteric agonists but produce little or no channel activation. Nonetheless, these silent agonists induce conformational changes that include a desensitized state that can be converted to a conducting state by effects of PAMs. The recent discovery of a cholinergic anti-inflammatory system associated with expression in cells of the immune system has expanded the therapeutic indications for drugs targeting receptors to encompass inflammatory diseases and neuropathic pain. However, the cells that show -dependent regulation of inflammatory cytokine production do not demonstrably have forms of the receptor that appear to be capable of ion channel responses. Moreover, some of the ligands that are most effective for regulating -sensitive inflammation are silent agonists like NS6740, which induce very stable long-lived receptor desensitization. We have developed a new family of silent agonists that are structural analogs of N,N-diethyl-N’-phenylpiperazine (DEPP). Some of these DEPP-based silent agonists are very effective at reducing proinflammatory cytokine release in cell-based assays and are able to reduce neuropathic and inflammation-related pain in mouse models. Additionally, the DEPP analogs show promising effects in experimental autoimmune encephalomyelitis (EAE). These results support the hypothesis that receptors may, in addition to their ionotropic function that can be enhanced by PAMs, have metabotropic activity that is produced by conformational states associated with channel desensitization.