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Am J Physiol Heart Circ Physiol 275: H2041-H2052, 1998;
0363-6135/98 $5.00
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Vol. 275, Issue 6, H2041-H2052, December 1998

Independent inhibition of calcineurin and K+ currents by the immunosuppressant FK-506 in rat ventricle

W. H. duBell1, S. T. Gaa1, W. J. Lederer2, and T. B. Rogers1

1 Department of Biochemistry and Molecular Biology, School of Medicine, and 2 Departments of Molecular Biology and Biophysics and Physiology, Medical Biotechnology Center and School of Medicine, University of Maryland, Baltimore, Maryland 21201

FK-506 increases the cytosolic Ca2+ concentration transient in rat ventricular myocytes by prolonging the action potential through inhibition of the K+ currents Ito and IK [J. Physiol. (Lond.) 501: 509-516, 1997]. Physiological and biochemical techniques were used in parallel to examine the electrophysiological mechanisms and the role of calcineurin inhibition in these effects. FK-506 prolonged the recovery of Ito from inactivation. Thus Ito inhibition was frequency dependent, with no decrease at 0.2 Hz (recorded at +50 mV from -70 mV) but a 40% decrease at 2.0 Hz. In contrast, inhibition of IK (~60%) was time and voltage independent. At 25 µM, FK-506 (by 65%) and cyclosporin A (by 57%) inhibited calcineurin activity in myocyte extracts. However, only FK-506 increased the cytosolic Ca2+ concentration transient in field-stimulated myocytes. Furthermore, FK-506 was still active on K+ currents when cells were dialyzed with 10 mM EGTA. These results demonstrate that calcineurin inhibition is not responsible for the functional effects of FK-506 in heart and suggest that IK and Ito are modulated by FK-506-binding proteins or directly by FK-506.

immunophilins; transient outward current; potassium current; excitation-contraction coupling


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