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Am J Physiol Heart Circ Physiol 274: H2203-H2207, 1998;
0363-6135/98 $5.00
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Vol. 274, Issue 6, H2203-H2207, June 1998

RAPID COMMUNICATION
alpha 1-Adrenergic activation of L-type Ca current in rat ventricular myocytes: perforated patch-clamp recordings

Shi J. Liu1,2 and Richard H. Kennedy2

Departments of 1 Biopharmaceutical Sciences and 2 Pharmacology and Toxicology, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205

    ABSTRACT
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Abstract
Introduction
Methods
Results
Discussion
References

alpha 1-Adrenergic stimulation has little effect on L-type Ca2+ channel current (ICa,L) in adult cardiac myocytes measured using conventional whole cell voltage-clamp techniques. In this study using perforated-patch techniques, we reevaluated the effect of alpha 1-adrenergic stimulation on ICa,L in adult rat ventricular myocytes. Action potentials and ICa,L were examined in the presence of 1 µM nadolol, a beta -adrenergic antagonist, in myocytes internally dialyzed with Na+- and K+-free solutions (Cs+ and tetraethylammonium as substitutes). Phenylephrine (PE; 30 µM) increased the action potential duration measured at 25 and 70% of repolarization by 104 and 86%, respectively. In the perforated-patch configuration, PE elicited a transient decrease followed by a ~60% increase in ICa,L, whereas only the transient decrease in ICa,L was observed in myocytes when the conventional whole cell configuration was used. The PE-induced increase in ICa,L was reversibly blocked by 1 µM prazosin, an alpha 1-adrenergic antagonist. These results suggest that alpha 1-adrenergic stimulation enhances cardiac ICa,L and that obligatory intracellular mediators for this action are lost during whole cell recordings.

cardiac muscle cells; whole cell patch clamp; action potential; ion channel

    INTRODUCTION
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Abstract
Introduction
Methods
Results
Discussion
References

STIMULATION of alpha 1-adrenergic receptors has been shown to elicit a sustained positive inotropic effect in cardiac muscle (2-4, 10, 12, 15, 17) that is often accompanied by an increase in action potential duration (APD) (2, 3, 12, 15). The mechanism underlying the alpha 1-adrenoceptor-mediated increase in APD is often attributed to inhibition of a variety of K+ currents including the transient outward current (Ito) and the inward rectifier (3, 5-7, 15, 16). Many studies have reported that alpha 1-adrenergic stimulation has no effect on the L-type Ca2+ channel current (ICa,L) (3, 5, 7, 12, 15). However, studies using Ca2+-sensitive indicators have demonstrated an increase in the intracellular Ca2+ concentration ([Ca2+]i) transient in response to alpha 1-adrenergic stimulation in most intact cardiac cells (4). In addition, studies in rat atrial muscle with 45Ca2+ flux measurement suggested that phenylephrine (PE) increases Ca2+ influx through Ca2+ channels and decreases Ca2+ efflux via Na+/Ca2+ exchange (9). This led us to believe that the relative absence of an effect of alpha 1-adrenergic stimulation on ICa,L in whole cell patch-clamped myocytes results from a dilution or loss of obligatory intracellular regulatory components. To test this possibility we used perforated patch-clamp techniques to reevaluate the effect of alpha 1-adrenergic stimulation on ICa,L in adult rat ventricular myocytes. Results indicate that activation of alpha 1-adrenoceptors elicits significant and sustained increases in ICa,L and in APD under conditions that minimize K+ currents.

    METHODS
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Abstract
Introduction
Methods
Results
Discussion
References

Myocyte isolation. Single adult ventricular myocytes were isolated from the hearts of male Sprague-Dawley rats (250-300 g) using protocols described previously (11). Briefly, hearts were rapidly excised and perfused at 37°C via the aorta with an oxygenated control buffer solution (see Solutions) followed by another 5-min perfusion with Ca2+-free buffer solution. Hearts were then perfused for 20 min with a buffer solution containing 125 µM CaCl2 plus 0.5 mg/ml collagenase. The ventricles were removed, minced, rinsed with control buffer solution, and shaken in a water bath at 37°C for two to three periods of 10 min each. Isolated ventricular myocytes were then plated into 60-mm culture dishes (Falcon) containing antibiotic-free, bicarbonate-buffered culture medium 199 (60%, GIBCO, Grand Island, NY) with 36% Earle's balanced salt solution composed of (in mM) 116 NaCl, 4.7 KCl, 0.9 NaH2PO4, 0.8 MgSO4, 26 NaHCO3, and 5.6 glucose and 4% fetal bovine serum (GIBCO) (pH 7.4 in 5% CO2-95% air at 37°C).

Electrophysiological measurements. Ventricular myocytes were placed on the heated stage of an inverted microscope (Nikon Diaphot) and perfused with a normal Tyrode solution. Cells were patch-clamped in the whole cell configuration by conventional techniques (8) or in the perforated-patch configuration (13) using a patch-clamp amplifier (Axopatch 200A, Axon Instruments, Foster City, CA) as previously described (11). Briefly, patch electrodes were filled with a pipette solution and had a tip resistance of 2-5 MOmega . Recorded currents were filtered at 1-2 kHz through a four-pole low-pass Bessel filter and sampled at 5 kHz with a PC/AT computer using pCLAMP 6.03 software (Axon Instruments) through an Axon Digidata 2000A acquisition system.

In all experiments, myocytes were voltage-clamped at -40 mV and superfused in the normal Tyrode solution at 37°C. After the formation of a gigaseal, a 5-mV test pulse was repetitively applied to monitor the access resistance until it fell below 20 MOmega . After formation of the perforated-patch or conventional whole cell configuration, ICa,L was elicited by a single pulse of 250 ms to +10 mV from the holding potential. The peak current-voltage (I-V) relationship of ICa,L was constructed by applying 250-ms voltage pulses to potentials between -60 and +70 mV in 10-mV increments from the holding potential of -40 mV at 0.1 Hz. The magnitude of ICa,L was defined by the difference between the peak current and the level at the end of the 250-ms pulse. Because the access resistance improved with time during the perforated-patch mode, some experiments monitoring the time course of the effect of PE utilized a 120-ms voltage-ramp protocol to potentials between -60 and +60 mV from the holding potential to avoid the rupture of the patched membrane resulting from the overcompensation that can occur when a step voltage pulse is applied. Such a voltage-ramp protocol has been used by other investigators for rapid recordings of the I-V relationship of ICa,L (1, 19). Note that PE-induced changes in peak ICa,L are usually underestimated by ~20% when the voltage-ramp protocol is used; however, this does not affect the conclusion of this study. Successful formation of the perforated-patch configuration was justified by the contraction of myocytes concomitant with the elicited action potential. The success rate for acceptable perforated-patch recordings was <30%, and the average time to achieve a stable perforated patch was >15 min as described previously (13). Once adequate access (access resistance < 10 MOmega ) was achieved, ICa,L was stable for more than 1 h. In some experiments, after measurement of ICa,L in the perforated-patch configuration, the patched membrane was ruptured to obtain the whole cell configuration (see, e.g., Fig. 3B). Once in the whole cell mode, myocytes did not contract in response to voltage pulses because of the high concentration of EGTA in the pipette solution. The Na+ current was inactivated by using the holding potential of -40 mV. K+ currents were minimized by using 20 mM tetraethylammonium (TEA)-Cl and Cs+ to replace K+ in the pipette solution. Nadolol (1 µM) was added 3-5 min before the addition of PE in all experiments. The selected concentration of PE (30 µM) was used in this study because it produces maximum effects on developed tension in rat papillary muscle (18) and on Ito in rat ventricular myocytes (15).

Solutions. The control buffer solution for isolation of myocytes contained (in mM) 110 NaCl, 3.8 KCl, 1.2 KH2PO4, 1.2 MgSO4, 25 NaHCO3, 0.2 CaCl2, and 11 glucose (pH 7.4 in 95% O2-5% CO2 at 37°C). Normal Tyrode solution consisted of (in mM) 145 NaCl, 5.4 KCl, 0.8 MgCl2, 1.0 CaCl2, 5.6 glucose, 5.8 HEPES, and 4.2 Tris-base (pH 7.4 at 37°C). The pipette solution for ICa,L measurement consisted of (in mM) 100 CsOH, 70 aspartic acid, 11 CsCl, 15 TEA-Cl, 2 MgCl2, 5 Mg-ATP, 10 EGTA, 0.1 CaCl2, 5 pyruvic acid, 5.6 glucose, 5 (Tris)2-phosphocreatine, 0.4 Li4-GTP, 5 HEPES, and 5 Tris-base (pH 7.2 at 37°C). The pipette solution for the perforated-patch also contained 100-200 µg/ml gramicidin D (Sigma, St. Louis, MO). Stock solutions of 10 mg/ml gramicidin were made in methanol (13), and stock solutions of 0.1 M nadolol and 10 mM PE were made in ethanol and Milli-Q water, respectively.

Statistics. Values are presented as means ± SE. Statistical significance was evaluated by the two-tailed paired Student's t-test or, when more than two conditions were compared, by one-way ANOVA with Duncan's multiple-range test. Differences with P < 0.05 were considered significant.

    RESULTS
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Abstract
Introduction
Methods
Results
Discussion
References

Prolongation of APD by PE. Figure 1 shows the effect of PE on the action potential of a ventricular myocyte. After formation of a perforated patch in normal Tyrode solution containing 1 µM nadolol, myocytes were current-clamped, and action potentials were elicited by a 1-ms depolarizing pulse (trace 1 in Fig. 1). Exposure to 30 µM PE caused a gradual increase in the duration of the action potential as shown by recordings taken at 6 min (trace 2 in Fig. 1) and at 15 min (trace 3, Fig. 1). At the steady-state response to PE, the APDs measured at 25 and 70% of repolarization (APD25 and APD70, respectively) were increased by 104 ± 11 (n = 4 myocytes, P < 0.05) and 86 ± 15 (n = 4, P < 0.05) %, respectively. After removal of PE for 9 min, the APD partially recovered (trace 4, Fig. 1). This PE-induced prolongation of APD is consistent with findings by others (2, 3, 15); however, the extent of prolongation is greater in the present conditions, in which K+ currents are minimized.


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Fig. 1.   Prolongation of action potential duration (APD) by phenylephrine (PE). Action potentials were recorded from a myocyte that was internally dialyzed with a Na+- and K+-free pipette solution [Cs+ and tetraethylammonium (TEA+) as substitutes] using the perforated-patch (PP) configuration (trace 1). Exposure to 30 µM PE caused significant increases in APD at 6 (trace 2) and 15 (trace 3) min. APD was partially recovered after removal of PE for 9 min (trace 4). Dashed line, 0 mV level.

Activation of ICa,L induced by PE in perforated-patch recordings. Figure 2 shows representative results from one myocyte that was exposed for 6 min to 30 µM PE. PE doubled peak ICa,L in this cell without a significant effect on the voltage dependence of its I-V relationship. The ICa,L recovered almost completely after removal of PE for 15 min (compared with control). Figure 2, inset, shows superimposed current traces of peak ICa,L before, during, and after exposure to 30 µM PE.


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Fig. 2.   Activation of L-type Ca2+ channel current (ICa,L) by PE in a ventricular myocyte in a PP recording. Current-voltage (I-V) relationship of ICa,L was constructed by plotting measured peak ICa,L in response to 250-ms voltage pulses from a holding potential of -40 mV to potentials between -60 and +70 mV in 10-mV increment vs. test potential (square , see also inset of Fig. 4). Exposure to 30 µM PE for 6 min caused a significant increase in peak I-V relationship (black-square). I-V relationship recovered 15 min after removal of PE (triangle ). Inset, superimposed current traces measured at 0 mV before, during, and after exposure to PE. Dashed line, zero current level. Calibration bars, 10 pA/pF (vertical); 20 ms (horizontal).

Figure 3 shows the time course of PE effects on peak ICa,L in perforated-patch and conventional whole cell patch configurations. Figure 3A shows effects of repetitive exposure to 30 µM PE in a myocyte that was voltage-clamped in a perforated-patch mode. Exposure to PE caused a slight transient decrease in peak ICa,L within 2 min that was followed by a continuous, marked increase over the next 12 min (trace 1, Fig. 3A). Combined results from all experiments indicate that PE caused a transient decrease in ICa,L of 8 ± 1% (n = 6 myocytes, P < 0.01) and a sustained increase of 55 ± 8% (n = 4, P < 0.01) at the steady-state level. On washout of PE, after an initial transient increase, peak ICa,L recovered within 10 min. Subsequent exposure to 30 µM PE caused a similar effect on peak ICa,L but with a slightly reduced stimulatory response (trace 2 in Fig. 3A), possibly caused by a desensitization.


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Fig. 3.   Effects of PE on ICa,L when examined in PP and conventional whole cell patch (WCP) recordings. A: 2 consecutive exposures of a myocyte to 30 µM PE in PP mode. PE caused a transient decrease followed by a sustained increase in ICa,L (black-square, trace 1). A 10-min washout period was applied between the 2 exposures to PE. Second exposure to PE elicited a similar but slightly reduced effect on ICa,L (trace 2). B: 2 consecutive exposures of a myocyte to 30 µM PE first in PP mode and then in WCP mode. Patched membrane was ruptured to form WCP configuration during 10-min washout period between the 2 exposures. Second exposure to PE had no effect on ICa,L except for initial transient decrease (WCP). C: effect of PE on ICa,L was examined in myocytes in WCP configuration (without gramicidin). A single exposure to PE elicited only initial transient decrease in ICa,L (black-triangle, n = 7). D: inhibition of PE-enhanced ICa,L by prazosin. With the PP configuration, PE caused a sustained increase in ICa,L (black-square) that was reversed by addition of 1 µM prazosin (bullet ). Removal of prazosin in presence of PE revealed stimulatory effect of PE on ICa,L. All currents were normalized to the averaged current recorded 1 min before each exposure to PE. Open symbols indicate currents in absence of PE.

Figure 3B shows results obtained from a myocyte that was exposed to PE first in the perforated-patch mode and then in a conventional whole cell configuration. The whole cell mode was attained by rupturing the patched membrane during the 10-min washout period after the first exposure to PE. Under this condition, the second exposure to PE elicited only the initial transient decrease in peak ICa,L. The absence of a stimulatory effect on peak ICa,L by PE in the whole cell mode was consistent with results obtained from a single exposure to PE in the conventional whole cell configuration (i.e., in the absence of gramicidin, Fig. 3C, n = 5). Under these conditions, the transient level and steady-state ICa,L in the presence of PE were 87 ± 2 (n = 6) and 97 ± 2 (n = 7) % of control, respectively. These results suggest that intracellular components essential to the alpha 1-adrenergic activation of ICa,L are diminished during whole cell patch recordings.

Figure 3D shows that in perforated-patch recordings the PE-induced increase in peak ICa,L was reversed by addition of 1 µM prazosin, an alpha 1-adrenoceptor antagonist. On removal of prazosin in the presence of PE, the increase in ICa,L was again observed. Similar results were found in three other experiments. These data confirm that alpha 1-adrenoceptors mediate the PE-induced increase in peak ICa,L.

Figure 4 summarizes the steady-state PE effects on the peak I-V curves of ICa,L when examined in the perforated-patch and conventional whole cell patch configurations. In the perforated-patch mode, PE elicited a 66% increase in peak ICa,L measured at 0 mV [-29.0 ± 2.3 pA/pF (n = 5 myocytes) compared with -17.4 ± 1.9 pA/pF in control (n = 8)]. In contrast, conventional whole cell patch recordings show no significant effect of PE on peak ICa,L [-13.9 ± 2.7 pA/pF (n = 5) compared with -16.4 ± 3.9 pA/pF in control (n = 5)]. There was no apparent effect of PE on the voltage-dependence of peak ICa,L in either condition.


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Fig. 4.   Steady-state effects of PE on peak I-V relationship of ICa,L in myocytes voltage-clamped using PP and conventional WCP configurations. In PP mode, PE significantly increased peak I-V relationship of ICa,L [black-triangle (n = 5 myocytes) compared with control (triangle , n = 8)]. In contrast, in conventional WCP mode PE had no effect on peak I-V relationship of ICa,L [black-square (n = 5) compared with control (square , n = 5)]. Peak I-V curves were obtained 1 min before (controls) or 10-15 min during exposure to PE. Inset, voltage-pulse protocol.

    DISCUSSION
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Abstract
Introduction
Methods
Results
Discussion
References

Using perforated-patch techniques, we show in the present study that alpha 1-adrenoceptor stimulation results in a dramatic increase in ICa,L accompanied by a prolongation of APD in adult rat ventricular myocytes intracellularly dialyzed with Na+- and K+-free solutions. These effects were not observed when conventional whole cell patch recordings were used. The perforated-patch technique retains most intracellular constituents including second messenger(s) for regulation of ICa,L that can be diluted during conventional whole cell patch recordings. Two lines of evidence show that the perforated-patch technique per se does not alter the properties of ICa,L: 1) the control I-V relationship of ICa,L obtained from perforated-patch recordings is not different from that recorded in the conventional whole cell mode (Fig. 4); and 2) the responsiveness to PE in the whole cell mode that was formed after a perforated-patch recording does not differ from that in the conventional whole cell recordings (Fig. 3). Thus our data suggest that intracellular constituents play an important role in the cellular mechanism underlying the regulation of cardiac ICa,L by alpha 1-adrenoceptors. This is further supported by our results showing that after switching from a perforated-patch to a conventional whole cell patch configuration, the PE-induced increase in ICa,L is abolished.

alpha 1-Adrenergic stimulation has been shown to elicit a three-phase inotropic response in rat ventricular myocytes or papillary muscle: an initial brief positive inotropy followed by a transient negative inotropic phase and a sustained positive inotropic response (2, 3, 12, 15, 17). The PE-induced inotropic effects are believed to be mediated through multiple pathways (4, 10, 12, 17, 18). The PE-induced sustained positive inotropic response has been suggested to result in part from inhibition of Ito (3, 5, 15) that leads to prolongation of APD and thereby an increased Ca2+ influx (4). PE has been shown to increase Ca2+ influx and [Ca2+]i transients (9), and Ca2+ channel blockers such as verapamil and nifedipine have been shown to block the sustained positive inotropy (12, 14). However, whether the PE-induced inhibition (by 12-42%) of Ito can account for the increased Ca2+ influx and the sustained positive inotropic effect is still debatable. An effect of PE on ICa,L has not been completely ruled out because ICa,L has been measured in the conventional whole cell mode. Our data indicate that alpha 1-adrenergic activation does enhance ICa,L and prolong the APD under conditions where K+ currents are minimized; such results can account for the sustained positive inotropic effect of PE. This indicates that the effects of PE on APD and Ca influx are mediated at least in part by increase in ICa,L and not entirely by inhibition of Ito.

In summary, results of this study suggest that 1) PE-induced activation of ICa,L requires dialyzable intracellular second messengers and 2) the perforated-patch technique is required to delineate the cellular mechanisms by which alpha 1-adrenergic stimulation modulates cardiac function.

    ACKNOWLEDGEMENTS

The authors thank Meei-Yueh Liu and Richard Wyeth for excellent technical assistance. This work was supported in part by grants from the American Heart Association, Arkansas Affiliate, the American Health Assistance Foundation, and the Office of Naval Research.

    FOOTNOTES

Address for reprint requests: S. J. Liu, Dept. of Biopharmaceutical Sciences, Univ. of Arkansas for Medical Sciences, 4301 West Markham St., MS#522-3, Little Rock, AR 72205.

Received 17 December 1997; accepted in final form 18 February 1998.

    REFERENCES
Top
Abstract
Introduction
Methods
Results
Discussion
References

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7.   Fedida, D., Y. Shimoni, and W. R. Giles. alpha -Adrenergic modulation of the transient outward current in rabbit atrial myocytes. J. Physiol. (Lond.) 423: 257-277, 1990[Abstract/Free Full Text].

8.   Hamill, O. P., E. Neher, B. Sakmann, and F. J. Sigworth. Improved patch-clamp techniques for high-resolution current recording from cells and cell-free membrane patches. Pflügers Arch. 391: 85-100, 1981[Medline].

9.   Jahnel, U., E. Duwe, S. Pfennigsdorf, and H. Nawrath. On the mechanism of action of phenylephrine in rat atrial heart muscle. Naunyn Schmiedebergs Arch. Pharmacol. 349: 408-415, 1994[Medline].

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12.   Otani, H., and D. K. Das. alpha 1-Adrenoceptor-mediated phosphoinositide breakdown and inotropic response in rat left ventricular papillary muscles. Circ. Res. 62: 8-17, 1988[Abstract/Free Full Text].

13.   Tajima, Y., K. Ono, and N. Akaike. Perforated patch-clamp recording in cardiac myocytes using cation-selective ionophore gramicidin. Am. J. Physiol. 271 (Cell Physiol. 40): C524-C532, 1996[Abstract/Free Full Text].

14.   Talukder, M. A. H., and M. Endoh. Pharmacological differentiation of synergistic contribution of L-type Ca2+ channels and Na+/H+ exchange to the positive inotropic effect of phenylephrine, endothelin-3 and angiotensin II in rabbit ventricular myocardium. Naunyn Schmiedebergs Arch. Pharmacol. 355: 87-96, 1997[Medline].

15.   Tohse, N., H. Nakaya, Y. Hattori, M. Endou, and M. Kanno. Inhibitory effect mediated by alpha 1-adrenoceptors on transient outward current in isolated rat ventricular cells. Pflügers Arch. 415: 575-581, 1990[Medline].

16.   Van Wagoner, D. R., M. Kirian, and M. Lamorgese. Phenylephrine suppresses outward K+ currents in rat atrial myocytes. Am. J. Physiol. 271 (Heart Circ. Physiol. 40): H937-H946, 1996[Abstract/Free Full Text].

17.   Williamson, A. P., E. Seifen, J. P. Lindemann, and R. H. Kennedy. Effects of WB4101 and chloroethylclonidine on the positive and negative inotropic actions of phenylephrine in rat cardiac muscle. J. Pharmacol. Exp. Ther. 268: 1174-1182, 1994[Abstract/Free Full Text].

18.   Williamson, A. P., E. Seifen, J. P. Lindemann, and R. H. Kennedy. WB4101- and CEC-sensitive positive inotropic actions of phenylephrine in rat cardiac muscle. Am. J. Physiol. 266 (Heart Circ. Physiol. 35): H2462-H2467, 1994[Abstract/Free Full Text].

19.   Zhang, F., J. L. Ram, P. R. Standley, and J. R. Sowers. 17beta -Estradiol attenuates voltage-dependent Ca2+ currents in A7r5 vascular smooth muscle cell line. Am. J. Physiol. 266 (Cell Physiol. 35): C975-C980, 1994[Abstract/Free Full Text].


Am J Physiol Heart Circ Physiol 274(6):H2203-H2207
0002-9513/98 $5.00 Copyright © 1998 the American Physiological Society



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