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Am J Physiol Heart Circ Physiol 294: H1473-H1480, 2008. First published January 18, 2008; doi:10.1152/ajpheart.01249.2007
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Endothelial nitric oxide synthase decreases β-adrenergic responsiveness via inhibition of the L-type Ca2+ current

Honglan Wang, Mark J. Kohr, Debra G. Wheeler, and Mark T. Ziolo

Department of Physiology and Cell Biology, The Ohio State University, Columbus, Ohio

Submitted 29 October 2007 ; accepted in final form 16 January 2008

Signaling via endothelial nitric oxide synthase (NOS3) limits the heart's response to β-adrenergic (β-AR) stimulation, which may be protective against arrhythmias. However, mechanistic data are limited. Therefore, we performed simultaneous measurements of action potential (AP, using patch clamp), Ca2+ transients (fluo 4), and myocyte shortening (edge detection). L-type Ca2+ current (ICa) was directly measured by the whole cell ruptured patch-clamp technique. Myocytes were isolated from wild-type (WT) and NOS3 knockout (NOS3–/–) mice. NOS3–/– myocytes exhibited a larger incidence of β-AR (isoproterenol, 1 µM)-induced early afterdepolarizations (EADs) and spontaneous activity (defined as aftercontractions). We also examined ICa, a major trigger for EADs. NOS3–/– myocytes had a significantly larger β-AR-stimulated increase in ICa compared with WT myocytes. In addition, NOS3–/– myocytes had a larger response to β-AR stimulation compared with WT myocytes in Ca2+ transient amplitude, shortening amplitude, and AP duration (APD). We observed similar effects with specific NOS3 inhibition [L-N5-(1-iminoethyl)-ornithine (L-NIO), 10 µM] in WT myocytes as with NOS3 knockout. Specifically, L-NIO further increased isoproterenol-stimulated EADs and aftercontractions. L-NIO also further increased the isoproterenol-stimulated ICa, Ca2+ transient amplitude, shortening amplitude, and APD (all P < 0.05 vs isoproterenol alone). L-NIO had no effect in NOS3–/– myocytes. These results indicate that NOS3 signaling inhibits the β-AR response by reducing ICa and protects against arrhythmias. This mechanism may play an important role in heart failure, where arrhythmias are increased and NOS3 expression is decreased.

endothelial nitric oxide synthase; cardiac myocytes; early afterdepolarizations; action potential



Address for reprint requests and other correspondence: M. T. Ziolo, Dept. of Physiology & Cell Biology, The Ohio State Univ., 304 Hamilton Hall, 1645 Neil Ave., Columbus, OH 43210 (e-mail: ziolo.1{at}osu.edu)




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Am. J. Physiol. Cell Physiol.Home page
H. Wang, M. J. Kohr, C. J. Traynham, D. G. Wheeler, P. M. L. Janssen, and M. T. Ziolo
Neuronal nitric oxide synthase signaling within cardiac myocytes targets phospholamban
Am J Physiol Cell Physiol, June 1, 2008; 294(6): C1566 - C1575.
[Abstract] [Full Text] [PDF]




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