Press Release: The 1991
Nobel Prize in Physiology or
Medicine
NOBELFÖRSAMLINGEN KAROLINSKA
INSTITUTET
THE NOBEL ASSEMBLY AT THE KAROLINSKA INSTITUTE
7
October 1991
The Nobel Assembly at the
Karolinska Institute has today decided to award the Nobel Prize in
Physiology or Medicine for 1991 jointly to Erwin Neher and Bert
Sakmann for their discoveries
concerning "the function of single ion channels in cells".
.......
Erwin Neher ---and--- Bert
Sakmann
SUMMARY:
Each living cell is
surrounded by a membrane which separates the world within the cell from
its exterior. In this membrane there are channels, through which the
cell communicates with its surroundings. These channels consist of
single molecules or complexes of molecules and have the ability to allow
passage of charged atoms, that is ions. The regulation of ion channels
influences the life of the cell and its functions under normal and
pathological conditions. The Nobel Prize in Physiology or Medicine for
1991 is awarded for the discoveries of the function of ion channels. The
two German cell physiologists Erwin Neher and Bert Sakmann have together
developed a technique that allows the registration of the incredibly
small electrical currents (amounting to a picoampere - 10-12A) that
passes through a single ion channel. The technique is unique in that it
records how a single channel molecule alters its shape and in that way
controls the flow of current within a time frame of a few millionths of
a second.
Neher and Sakmann
conclusively established with their technique that ion channels do exist
and how they function. They have demonstrated what happens during the
opening or closure of an ion channel with a diameter corresponding to
that of a single sodium or chloride ion. Several ion channels are
regulated by a receptor localized to one part of the channel molecule
which upon activation alters its shape. Neher and Sakmann have shown
which parts of the molecule that constitute the "sensor" and the
interior wall of the channel. They also showed how the channel regulates
the passage of positively or negatively charged ions. This new knowledge
and this new analytical tool has during the past ten years
revolutionized modern biology, facilitated research, and contributed to
the understanding of the cellular mechanisms underlying several
diseases, including diabetes and cystic fibrosis.
What Happens Inside the Cell?
Inside the cell
membrane there is a well-defined environment, in which many complex
biochemical processes take place. The interior of the cell differs in
important respects from its outside. For example the contents of
positive sodium and potassium ions and negatively charged chloride ions
are quite different. This leads to a difference in electrical potential
over the cell membrane, amounting to 0.03 to 0.1 volts. This is usually
referred to as the membrane potential.
The cell uses the
membrane potential in several ways. By rapidly opening channels for
sodium ions the membrane potential is altered radically within a
thousandth of a second. Cells in the nervous system communicate with
each other by means of such electrical signals of around a tenth of a
volt that rapidly travel along the nerve processes. When they reach the
point of contact between two cells - the synapse - they induce the
release of a transmitter substance. This substance affects receptors on
the target cell, often by opening ion channels. The membrane potential
is hereby altered so that the cell is stimulated or inhibited. The
nervous system consists of a series of networks each comprised of nerve
cells connected by synapses with different functions. New memory traces
in the brain are for example created by altering the number of available
ion channels in the synapses of a given network.
All cells
function in a similar way. In fact, life itself begins with a change in
membrane potential. As the sperm merges with the egg cell at the instant
of fertilization ion channels are activated. The resultant change in
membrane potential prevents the access of other sperm cells. All cells -
for instance nerve cells, gland cells, and blood cells - have a
characteristic set of ion channels that enable them to carry out their
specific functions. The ion channels consist of single molecules or
complexes of molecules, that forms the wall of the channel - or pore -
that traverses the cell membrane and connects the exterior to the
interior of the cell (Figure 1B and 1D). The diameter of the pore is so
small that it corresponds to that of a single ion (0.5-0.6 millionths of
a millimetre). An immediate change in the shape of the molecule leads to
either an opening or a closure of the ion channel. This can occur upon
activation of the receptor part of the molecule (Figure 1D) by a
specific signal molecule. Alternatively a specific part of the molecule
that senses changes in membrane potential can open or close the ion
channel.
Figure 1.
Registration
of the flow of current through single ion channels using the recording
technique of Neher and Sakmann. A schematically shows how a glass
micropipette is brought in contact with the cell, and B, using a higher
magnification, a part of the cell membrane, with ion channels, in close
contact with the tip of the pipette. The interior of the pipette is
connected to an electronic amplifier. C shows the current passing through
the ion channel as it opens. D shows a channel in greater magnification
with its receptor facing the exterior of the cell and its ion filter.
Neher and Sakmann
Record the Electric Current Flowing Through a Single Ion Channel
It has long been known
that there is a rapid ion exchange over the cell membrane, but Neher and
Sakmann were the first to show that specific ion channels actually
exist. To elucidate how an ion channel operates it is necessary to be
able to record how the channel opens and closes. This appeared elusive
since the ionic current through a single ion channel is extraordinarily
small. In addition, the small ion channel molecules are embedded in the
cell membrane. Neher and Sakmann succeeded in solving these
difficulties. They developed a thin glass micropipette (a thousandths of
a millimeter in diameter) as a recording electrode. When it is brought
in contact with the cell membrane, it will form a tight seal with the
periphery of the pipette orifice (Figure 1A, B). As a consequence the
exchange of ions between the inside of the pipette and the outside can
only occur through the ion channel in the membrane fragment (Figure 1B).
When a single ion channel opens, ions will move through the channel as
an electric current, since they are charged. Through a refinement of the
electronic equipment and the experimental conditions they succeeded in
measuring this "microscopical" current by laborious methodological
developments during the seventies (Figure 1C).
How Does an Ion Channel Operate?
Ion channels are of
different types. Some only permit the flow of positively charged sodium,
potassium or calcium ions, others only negatively charged chloride ions.
Neher and Sakmann discovered how this specificity is accomplished. One
reason is the diameter of the ion channel, which is adapted to the
diameter of a particular ion. In one class of ion channels, there are
also two rings of positively or negatively charged amino acids. They
form an ionic filter (see Figure 1D), which only permits ions with an
opposite charge to pass through the filter. In particular Sakmann
through a creative interaction with different molecular biologists
elucidated how the different parts of the ion channel molecule(s)
operate. Neher and Sakmann's scientific achievements have radically
changed our views on the function of the cell and the contents of text
books of cell biology. Their methods are now used by thousands of
scientists all over the world.
The
Study of Secretory Processes
Nerve cells, as
well as hormone-producing cells and cells engaged in the host defence
(like mast cells) secrete different agents. They are stored in vesicles
enclosed by a membrane. When the cell is stimulated the vesicles move to
the cell surface. The cell and vesicle membranes fuse and the agent is
liberated. The mast cell secretes histamine and other agents that give
rise to local inflammatory reactions. The cells of the adrenal medulla
liberate the stress hormone adrenaline, and the beta cells in the
pancreas insulin. Neher elucidated the secretory processes in these cell
types through the development of a new technique which records the
fusion of the vesicle(s) with the cell membrane. Neher realized that the
electric properties of a cell would change if its surface area increased
making it possible to record the actual secretory process. Through
further developments of their sophisticated equipment the resolution
finally permitted recording of each little vesicle fusing with the cell
membrane.
Regulation of Ion Channel
Function
Neher and Sakmann also
used the electrode pipette to inject different agents into the cell, and
they could thereby investigate the different steps in the secretory
process within the cell itself (see above). In this way a number of
cellular secretory mechanisms have been clarified such as the role of
cyclic AMP (see Nobel Prize to Sutherland 1971) or calcium ions. For
instance, we now have a better understanding of how the hormone levels
in the blood are maintained at a certain level.
Also the basal
mechanisms underlying the secretion of insulin have been identified. The
level of blood glucose controls the level of glucose within the
insulin-forming cell, which in turn regulates the level of the energy
rich substance ATP. ATP acts directly on a particular type of ion
channel which controls the electric membrane potential of the cell. The
change of membrane potential then indirectly influences other ion
channels, which permit calcium ions to pass into the cell. The calcium
ions subsequently trigger the insulin secretion. In diabetes the insulin
secretion is out of order. Certain drugs commonly used to stimulate
insulin secretion in diabetes act directly on the ATP-controlled ion
channels.
Many other diseases
depend entirely, or partially, on a defect regulation of ion channels,
and a number of drugs act directly on ion channels. Many pathological
mechanisms have been clarified during the eighties through ion channel
studies, for instance cystic fibrosis (cloride ion channels), epilepsy
(sodium and potassium ion channels), several cardio-vascular diseases
(calcium ion channels), and neuro-muscular disorders like Lambert-Eatons
disease (calcium ion channels). With the help of the technique of Neher
and Sakmann it is now possible to tailormake drugs, to achieve an
optimal effect on particular ion channels of importance in a given
disease. Drugs against anxiety act for instance on certain inhibitory
ionic channels in the brain. Alcohol, nicotine and other poisons act on
yet other sets of ion channels.
In summary, Neher and
Sakmann's contributions have meant a revolution for the field of cell
biology, for the understanding of different disease mechanisms, and
opened a way to develop new and more specific drugs.
REFERENCES:
Alberts et al.: The Molecular Biology of
the Cell. Garland Press, 1990, 2nd edition, pp. 156, 312-326, 1065-1084.
Grillner, S. I: N. Calder (ed.). Scientific
Europe. Foundation Scientific Europe, 1990.
Grillner, S. & Hökfelt, T.: Svindlande
snabb utveckling präglar neurovetenskapen. Läkartidningen 1990, 87,
2777-2786.
Rorsman, P. & Fredholm,
B.B.: Jonkanaler - molekylär bakgrund till nervtransmission.
Läkartidningen 1991, 88, 2868-2877.