ABSTRACT

Water channel aquaporin-4 (AQP4) is predominantly expressed in glial cells

and has been implicated in brain edema resulting from water intoxication,

brain ischemia, or meningitis. An AQP4-speciic inhibitor suitable for

clinical use would thus be expected to help protect against brain edema. We

conirmed acetazolamide (AZA) speciically inhibits water permeation of the

rat AQP4 (rAQP4) channel, by measurement of water conduction through

AQP4-reconstituted liposomes. The structural study of this channel is also

important for understanding complex functions of the water channel in the

brain. The aqp4 gene is known to express two different isoforms, and only the shorter isoforms assemble into orthogonal arrays, while the longer isoforms

interfere with array formation. Two-dimensional (2D) crystals of AQP4

were revealed to be the same AQP4 packing as orthogonal arrays observed

in vivo. By sodium dodecyl sulfate (SDS)-digested freeze-fracture replica labeling (FRL), palmitoylation of the N-terminal cysteine was also identiied

to be involved in array inhibition of the longer isoform. The structure of the

double-layered 2D crystal of AQP4 suggested weak but speciic interactions

between tetramers in adjoining membranes, which may provide us insights

into an unknown and unexpected role for AQP4 in the adhesion of membrane

layers. Knowledge about multiplicity of AQP4 observed in structural studies

will provide an important building block for understanding the functional

complexity in our brain, while these functions remain to be elucidated.