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Am J Physiol Heart Circ Physiol 277: H1369-H1374, 1999;
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Vol. 277, Issue 4, H1369-H1374, October 1999

EP receptor-mediated inhibition by prostaglandin E1 of cardiac L-type Ca2+ current of rabbits

Taku Yamamoto1, Yoshizumi Habuchi1, Hideo Tanaka1, Fumiaki Suto3, Junichiro Morikawa2, Kei Kashima2, and Manabu Yoshimura1

Departments of 1 Laboratory Medicine and 2 Internal Medicine III, Kyoto Prefectural University of Medicine; and 3 Department of Pediatrics, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan


    ABSTRACT
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Prostaglandin E1 (PGE1) has cardioprotective effects on the ischemic-reperfused heart. To clarify the mechanisms underlying the protective action of PGE1 on myocardium, we examined the effect of PGE1 on the L-type Ca2+ current (ICa) using single atrial cells from rabbits. PGE1 did not show a significant effect on basal ICa but inhibited the ICa prestimulated by isoproterenol (Iso, 30 nM). This inhibition was concentration dependent (EC50 = 0.027 µM). Both sulprostone, a specific PGE receptor subtype (EP1 and EP3) agonist, and 11-deoxy-PGE1, an EP3 agonist, inhibited the Iso-stimulated ICa, similar to PGE1. Pretreatment with pertussis toxin (PTX) abolished the PGE1 inhibition of ICa. Both the application of forskolin plus IBMX and intracellular dialysis with 8-bromoadenosine 3',5'-cyclic monophosphate eliminated the effect of PGE1. PGE1 did not show any further inhibition of ICa when the effect of Iso was almost fully antagonized by acetylcholine. Methylene blue (guanylate cyclase inhibitor), KT-5823 (cGMP-dependent protein kinase inhibitor), and erythro-9-(2-hydroxy-3-nonyl)adenine (type II phosphodiesterase inhibitor) did not significantly change the inhibitory effect of PGE1. These findings suggest that 1) PGE1 inhibits Iso-stimulated ICa by binding to the EP3 receptor and 2) the PTX-sensitive and cAMP-dependent pathway is involved in the PGE1 inhibition of ICa, but the nitric oxide-cGMP-dependent pathway is not. The PGE1-induced antiadrenergic effect shown in this study may contribute to the PGE1 protection of myocardium against ischemia.

adenosine 3',5'-cyclic monophosphate; calcium channel; EP3 receptor; cardiac myocytes; myocardial protection


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

NUMEROUS STUDIES HAVE SHOWN that members of the prostaglandin E family, especially prostaglandin E1 (PGE1), have various effects on the heart, suggesting that PGE1 is a local hormone in the heart (17, 29). The dominant prostaglandin in the heart under physiological conditions is prostacyclin (28). It has been shown that during myocardial ischemia, other prostaglandins including PGE1 are released in the heart (28). The membrane disruption during ischemia causes accumulation of arachidonic acid and dihomo-gamma -linolenic acid, and the aggregation of platelets and inflammatory cells would promote the metabolism of these acids to form various prostaglandins (28).

PGE1 is generally regarded as a cardioprotective agent for ischemia or reperfusion injury (13, 14, 28). Its application to the coronary arteries during experimental ischemia consistently reduced the size of myocardial infarction (15, 28). Because PGE1 dilates coronary arteries and inhibits platelet aggregation (17), it improves the collateral blood supply to the ischemic myocardium (15). However, myocardial salvage independent from the blood supply was indicated (15). Because previous studies have suggested the presence of specific PGE receptors (EP receptors) on myocardial sarcolemma (14), PGE1 may cause some cellular responses that diminish the myocardial disruption during ischemia.

Under various experimental conditions, PGE1 was reported to have positive inotropic and chronotropic effects (17, 29). These effects were accompanied by an increase in the intracellular cAMP concentration (18), whereas the cAMP-mediated positive inotropic and chronotropic effects seem to contradict the cardioprotective actions of PGE1. Hohlfeld et al. (14) recently reported a negative inotropic effect and a decrease in adenylate cyclase activity by PGE1 in anesthetized pigs during infusion with isoproterenol (Iso). Their report indicates an antiadrenergic effect of PGE1, which is favorable for myocardial protection. However, prostaglandins may affect the coronary circulation or neurotransmitter release, and these effects may have affected the above results. In addition, the prostaglandin-induced change in cAMP concentration in myocardial cells does not correlate with the functional responses (9, 10, 18, 19). Therefore, whether PGE1 affects the myocardial cell functions (especially via the cAMP-dependent pathway) remains to be resolved. If so, the role of specific sarcolemmal receptors should be elucidated. To clarify these points, we used enzymatically isolated single cardiac cells. In myocardial cells, the L-type Ca2+ current (ICa) has been used as a probe to examine changes in intracellular cAMP concentration, and its increase is largely responsible for the inotropic effects and intracellular Ca2+ overload induced by beta -adrenoceptor stimulation. In this study, we examined the responses of ICa to PGE1 with special reference to the antiadrenergic effect.


    METHODS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Cell isolation. Single atrial cells were isolated as previously reported (7, 33). All the procedures conformed to the Guide for the Care and Use of Laboratory Animals published by the National Research Council (Washington, DC: Natl. Acad. Press, 1996). The heart was excised from rabbits (2-2.5 kg) after intravenous injection of 40 mg/kg pentobarbital sodium and 500 IU heparin. The excised heart was mounted on a Langendorff apparatus and retrogradely perfused for 15 min with Ca2+-free, phosphate-buffered solution containing (in mM) 136.9 NaCl, 5.4 KCl, 1.0 MgCl2, 0.33 NaH2PO4, 2.24 Na2HPO4, and 10 glucose (pH 7.4). The solution was then replaced with a solution containing 0.02 mg/ml collagenase (Yakult, Tokyo) and 0.015 mg/ml protease (type XIV, Sigma, St. Louis, MO). The temperature was maintained at 37°C, and the solutions were saturated with 100% O2. After the first enzyme treatment, the right atrium was isolated. It was then agitated in a second enzyme solution that contained 0.8 mg/ml collagenase (type H, Sigma). Isolated cells were collected by centrifugation at 70 g (3 min) and stored at 4°C in a stock solution containing (in mM) 75 potassium glutamate, 10 oxalate, 20 KCl, 10 KH2PO4, 1 MgSO4, 20 taurine, 0.5 EGTA, 5 HEPES, 5 NaCl, 5 creatine, and 10 glucose (pH 7.2 adjusted with KOH).

Electrical measurement and data analysis. The cells showing a rod shape and clear striation during perfusion with Tyrode solution were used. The Tyrode solution contained (in mM) 142 NaCl, 5.4 KCl, 1.0 NaH2PO4, 1.0 CaCl2, 1.0 MgCl2, 5 HEPES, and 10 glucose (pH 7.4 adjusted by NaOH). ICa was measured using the perforated-patch method in most of the voltage-clamp experiments. The pipette solution contained (in mM) 140 CsCl, 6 NaCl, and 5 HEPES (pH 7.2 adjusted with CsOH). The pipette tip was soaked in the simple pipette solution, and the pipette was backfilled with amphotericin B-containing solution. Amphotericin B was dissolved in DMSO at a concentration of 80 mg/ml and diluted in the pipette solution to make a final concentration of 0.56 mg/ml. Pipettes had a tip resistance of 1-1.5 MOmega . After a gigaohm seal was made during perfusion with Tyrode solution, the perfusate was changed to an external test solution containing (in mM) 135 NaCl, 10 CsCl, 0.5 CaCl2, 0.5 BaCl2, 1.0 MgCl2, 5 HEPES, and 10 glucose (pH 7.4 adjusted with NaOH). Test pulses were applied from a holding potential of -40 to 0 mV for 300 ms at 0.083 Hz. The temperature during the experiments was 37°C.

In some experiments, cells were incubated with pertussis toxin (PTX) at a concentration of 1 µg/ml for 5-8 h in the above-described stock solution containing 0.1% bovine serum albumin. In these experiments, the incubation was judged to be successful when ICa responded well to Iso (30 nM) and ACh (1 µM) failed to inhibit it. In other experiments, the membrane-ruptured patch-clamp method was used to dialyze the cells with 8-bromoadenosine 3',5'-cyclic monophosphate (8-BrcAMP). The pipette solution contained (in mM) 105 CsCl, 0.5 CaCl2, 10 EGTA, 5 MgATP, 5 Na2-phosphocreatine, 0.2 Na3GTP, and 5 HEPES (pH 7.2 adjusted with CsOH). The external solution contained (in mM) 135 NaCl, 10 CsCl, 1.8 CaCl2, 0.5 BaCl2, 1.0 MgCl2, 5 HEPES, and 10 glucose (pH 7.4 adjusted with NaOH). 8-BrcAMP was added to the pipette solution at a concentration of 100 µM. Pipettes had a tip resistance of 2-3 MOmega . A liquid junction potential of 10 mV was corrected. Holding potential was -70 mV, and test pulses to 0 mV for 300 ms were applied after a conditioning pulse at -40 mV for 500 ms (7, 33).

The amplifier used was a TM-1000 (ACT ME, Tokyo, Japan) or an Axopatch 1-D (Axon Instrument, Foster, CA). The filtration frequency was 2 kHz. The current signal was monitored on a digital oscilloscope (Nicolet 310C, Madison, WI) with a sampling time of 0.2 ms. Digitized data were subsequently analyzed on a computer (NEC 98, Tokyo). ICa was measured as the difference between the inward peak and the current at the end of the test pulse. In most experiments, we tested PGE1 in the presence of Iso at 30 nM. The inhibitory effect of PGE1 is expressed as percent inhibition of the Iso-induced increase in ICa (33).

To avoid daily bias caused by the cell isolation, no more than two experiments with the same protocol were performed on one day. The data are described as means ± SE. Statistical analyses were based on paired Student's t-test or ANOVA, and the differences were considered significant when P values were <0.05.

Materials. PGE1, Na2ATP, MgATP, Na2-phosphocreatine, 8-BrcAMP, DMSO, amphotericin B, PTX, and erythro-9-(2-hydroxy-3-nonyl)adenine (EHNA) were purchased from Sigma. KT-5823 and 11-deoxy-PGE1 (11-dPGE1) were purchased from Calbiochem (La Jolla, CA) and Cayman Chemicals (Ann Arbor, MI), respectively. Sulprostone and butaprost were gifts from Ono Pharmaceutical (Osaka, Japan). All other chemicals were from Wako Pure Chemicals (Osaka). Iso was dissolved in distilled water containing 1 mg/ml ascorbic acid as a 30 µM stock solution. PGE1, sulprostone, and butaprost were dissolved in ethanol at a concentration of 1 mM. Forskolin and 11-dPGE1 were stocked in ethanol at 3 mM and 100 µM, respectively. KT-5823 was stocked in DMSO at 2 mM. Methylene blue and IBMX were directly added to each external solution with sonication.


    RESULTS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Effects of PGE1 on nonstimulated and stimulated ICa. We first tested the effects of PGE1 on basal (nonstimulated) ICa. PGE1 at 0.1 (8 cells from 5 rabbits) and 3 (14 cells from 10 rabbits) µM did not change the amplitude of basal ICa significantly. Although in 4 of 14 cells (10 rabbits), PGE1 at 3 µM caused a slight inhibition of basal ICa (Fig. 1A), the effect was small (<= 10% of control amplitude). In contrast to the trivial effect of PGE1 on basal ICa, PGE1 showed a distinct inhibition of ICa when it was prestimulated by Iso. As shown in Fig. 1B, PGE1 at 0.1 µM reversibly inhibited the Iso-stimulated ICa. Iso at 30 nM increased ICa by 183.0 ± 18.8%, and 0.1 µM PGE1 reduced the Iso-induced increase in ICa by 25.1 ± 2.8% (14 cells from 11 rabbits). Figure 1C shows the concentration-response curve for the inhibitory effect of PGE1 on Iso-stimulated ICa, which indicates that PGE1 inhibited the 30 nM Iso-stimulated ICa with an EC50 of 0.027 µM.


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Fig. 1.   Effects of prostaglandin E1 (PGE1) on L-type Ca2+ current (ICa) of rabbit atrial cells. A: weak effect of PGE1 (3 µM) on basal ICa. B: PGE1 (0.1 µM) inhibition of ICa prestimulated by isoproterenol (Iso, 30 nM). Horizontal bars indicate periods of exposure to PGE1 or Iso. Actual records obtained at time indicated by arrows a-c appear in inset. C: concentration-dependent inhibition of Iso-stimulated ICa by PGE1. Effect of PGE1 is expressed as % inhibition of 30 nM Iso-induced increase in ICa (n = 5-16 for each symbol). A single concentration of PGE1 was used for 1 cell. ICa inhibition by PGE1 was expressed as % decrease in ICa = Emax/(1 + EC50/[PGE1]), where Emax and EC50 represent maximal response and concentration eliciting half-maximal response, respectively, and [PGE1] is PGE1 concentration. Emax = 30.9%, and EC50 = 0.027 µM.

Involvement of EP receptor. PGE1 induces cell responses by binding to specific EP receptors (3, 14). To investigate the involvement of EP receptors in PGE1 inhibition of Iso-stimulated ICa, we examined the effects of synthesized agonists of EP-receptor subtypes (sulprostone, 11-dPGE1, and butaprost). Sulprostone is selective for EP1 and EP3 receptors (3). As shown in Fig. 2A, sulprostone (0.1 µM) inhibited Iso-stimulated ICa by 23.9 ± 1.9% (11 cells from 8 rabbits; see also Fig. 2D) but did not affect the stimulated ICa additionally when PGE1 (3 µM) was applied in advance (6 cells from 5 rabbits; see Fig. 2B). As was the case with PGE1, sulprostone did not affect basal ICa (7 cells from 4 rabbits; data not shown). A similar ICa inhibition was observed with 11-dPGE1, an EP3-receptor agonist (Ref. 3; Fig. 2D). This inhibition was dose dependent, i.e., 0.01 and 0.1 µM 11-dPGE1 inhibited stimulated ICa by 11.1 ± 3.4% (8 cells from 6 rabbits) and 24.5 ± 2.4% (9 cells from 6 rabbits), respectively. In contrast, butaprost (selective agonist of EP2 receptor; Ref. 3) affected neither basal (6 cells from 3 rabbits; not shown) nor Iso-stimulated (6 cells from 3 rabbits; Fig. 2, C and D) ICa. These results suggest that the inhibitory effect of PGE1 on the stimulated ICa is mediated by the EP3 receptor.


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Fig. 2.   A and B: effects of sulprostone, an EP1 and EP3 agonist, on Iso-stimulated ICa. Sulprostone at 0.1 µM inhibited 30 nM Iso-stimulated ICa by 24% (A). Sulprostone at 0.1 µM did not affect Iso (30 nM)-stimulated ICa in presence of PGE1 at 3 µM (B). C: no effect of 0.1 µM butaprost, an EP2 agonist, on Iso (30 nM)-stimulated ICa. D: inhibition of Iso-stimulated ICa by PGE1 (3 µM), sulprostone (0.1 µM), 11-deoxy-PGE1 (11-dPGE1, 0.1 µM), and butaprost (0.1 µM); n = 16 for PGE1, 11 for sulprostone, 6 for PGE1 + sulprostone, 9 for 11-dPGE1, and 6 for butaprost. * Significant difference with accuracy of 0.001 (ANOVA); NS, not significant.

Signal transduction involvement. The finding that PGE1 inhibited ICa only when ICa was stimulated by Iso indicates the involvement of a cAMP-dependent pathway. In the experiments shown in Fig. 3, the involvement of cAMP was tested. In Fig. 3A, the cell was perfused with a solution containing forskolin (3 µM) and IBMX (100 µM). We previously showed (7, 33) that this treatment abolished the inhibitory effect of ACh (10 µM) and ATP (30 µM) on ICa in rabbit atrioventricular and atrial cells, respectively. Figure 3A shows that PGE1 also did not affect the ICa that was stimulated by forskolin plus IBMX (6 cells from 5 rabbits). We then tested the effect of PGE1 on cells that were dialyzed with 8-BrcAMP (100 µM) using the membrane-ruptured patch-clamp method. A sufficient dialysis was confirmed by applying Iso (30 nM) in all the cells tested. PGE1 did not affect the 8-BrcAMP-stimulated ICa (Fig. 3B; 10 cells from 6 rabbits). These findings clearly indicate a role of cAMP in the inhibitory effects of PGE1.


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Fig. 3.   A: no effect of PGE1 in a cell stimulated by forskolin (3 µM) and IBMX (100 µM). Concentrations of PGE1 and Iso were 0.1 µM and 30 nM, respectively. B: no effect of PGE1 in an 8-bromoadenosine 3',5'-cyclic monophosphate (8-BrcAMP)-loaded cell. This experiment was carried out with the ruptured-patch method. Pipette contained 8-BrcAMP at 100 µM. Iso (30 nM) and PGE1 (0.1 µM) were perfused sequentially. C and D: effects of PGE1 and ACh (10 µM) on Iso-stimulated ICa. In C, PGE1 (0.1 µM) did not show any additional inhibition to ACh. ICa amplitudes with reference to basal ICa are shown by bar graph (n = 8). In D, PGE1 (3 µM) was applied first, and subsequent application of ACh inhibited ICa (n = 6). * P < 0.05 (paired t-test).

In myocardial cells, some biological agents, such as ACh (4, 12, 25), adenosine (22), ATP (33), angiotensin II (1, 6), and endothelin-1 (27, 30), are known to regulate the intracellular cAMP concentration through their specific receptors linking with inhibitory GTP-binding (Gi) protein. Figure 3C shows that the inhibition of the Iso-stimulated ICa by PGE1 was completely abolished in the presence of a saturating concentration (10 µM) of ACh (8 cells from 7 rabbits), suggesting that PGE1 inhibits ICa using a common pathway with ACh. However, when the effect of Iso was antagonized by PGE1 at a maximal effective concentration (3 µM), additional application of ACh (10 µM) further reduced ICa (Fig. 3D; 6 cells from 5 rabbits). Thus the receptor-response coupling seems to be weak in the effects of PGE1 on ICa. The Gi involved in the inhibition of adenylate cyclase has been consistently shown to be sensitive to PTX. Figure 4A shows the effect of PGE1 on ICa in PTX-treated cells. The PTX treatment completely abolished the effect of PGE1 (6 cells from 6 rabbits), suggesting the involvement of a PTX-sensitive pathway.


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Fig. 4.   A: inhibition of ICa by PGE1 sensitive to pertussis toxin (PTX). Cell was preincubated with PTX (see METHODS). Concentrations of Iso, PGE1, and ACh were 30 nM, 0.1 µM and 1 µM, respectively. B: PGE1 inhibition of Iso (30 nM)-stimulated ICa in presence of methylene blue (MB, 10 µM), erythro-9-(2-hydroxy-3-nonyl)adenine (EHNA, 30 µM), and KT-5823 (1 µM). None of these compounds significantly changed control effect of PGE1 at 0.1 µM (ANOVA); n = 14 for control, 9 for MB, 6 for EHNA, and 6 for KT-5823.

In addition to the Gi-mediated inhibition of adenylate cyclase, alternative mechanisms have been suggested for the ACh-induced inhibition of ICa; these mechanisms involve activation of cGMP-dependent protein kinase (23) or activation of cGMP-stimulated (type II) phosphodiesterase (8). To test the involvement of these alternative pathways, we used methylene blue (a guanylate cyclase inhibitor), KT-5823 (a cGMP-dependent protein kinase inhibitor), and EHNA (a type II phosphodiesterase inhibitor). Figure 4B shows that methylene blue (9 cells from 6 rabbits), KT-5823 (6 cells from 4 rabbits), and EHNA (6 cells from 5 rabbits) did not significantly change the inhibitory effect of PGE1. Accordingly, the role of the nitric oxide (NO)-cGMP-dependent pathway seems negligible in the inhibitory actions of PGE1 on the cardiac ICa.


    DISCUSSION
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

ICa inhibition by PGE1 and involvement of EP receptor. We show here that PGE1 (>= 0.001 µM) consistently inhibited ICa in single cardiac cells when ICa was prestimulated by Iso. Sulprostone (EP1 and EP3 agonist) and 11-dPGE1 (EP3 agonist) inhibited the Iso-stimulated ICa similarly. Sulprostone did not affect basal ICa, similar to PGE1, and showed no additional effect to PGE1. On the other hand, the EP2 agonist butaprost did not mimic PGE1. The presence of the EP3 receptor in the heart has been suggested in several mammalian species by Northern blot analyses of the receptor proteins (3, 21). A recent study by Hohlfeld et al. (14) demonstrated the binding of the EP3-selective agonist M & B-28767 to the sarcolemmal preparation and the expression of the mRNA of the EP3 receptor in the pig heart, whereas no significant expression of the EP1 receptor was observed in the heart (3, 32). On the basis of these findings, the PGE1 inhibition of Iso-stimulated ICa is likely to be mediated by EP3 receptors on the myocardial sarcolemma.

Involvement of the cAMP-dependent pathway. The inhibitory effect of PGE1 on ICa was very weak in the absence of Iso. When ICa was maximally stimulated by forskolin plus IBMX or by dialysis with 8-BrcAMP, PGE1 did not affect ICa. The inhibitory effect of PGE1 was also abolished when the Iso stimulation of ICa was almost fully antagonized by ACh. These results indicate that PGE1 inhibited Iso-stimulated ICa via the cAMP-dependent pathway. Numerous investigators have studied the effects of PGE1 on myocardium with special reference to inotropic effects and adenylate cyclase (17, 29). Depending on the experimental conditions or preparations used, PGE1 produced either a positive or no inotropic effect (17, 29). Recently, Hohlfeld et al. (14) clearly showed the PGE1-induced negative inotropic effect during infusion with Iso in anesthetized pigs. This last finding is compatible with our present results showing that PGE1 has antiadrenergic actions. In addition to the species-dependent differences in the EP receptor-response coupling, some of the physiological responses of myocardium to PGE1 in previous studies may have been modulated by indirect actions such as neurotransmitter release (17, 29). The direct effects of PGE1 on myocardium can be examined most precisely using isolated single cells, as has been shown in this study.

In contrast with the contradictory reports regarding inotropic effects, PGE1 has consistently enhanced adenylate cyclase activity in rat (9, 16, 19), guinea pig (20), kitten (18), and rabbit (2, 10) cardiac preparations. This enhancement was observed using single cells (2) or homogenized preparations (16, 18), and thus indirect action was not involved in the PGE1-induced stimulation of adenylate cyclase. These reports indicated that the PGE1-induced increase in the intracellular cAMP concentration does not necessarily lead to a positive inotropic effect because of compartmentation of cAMP and cAMP-dependent protein kinase (9, 10, 18, 19). Although we did not measure the cAMP concentration in this study, Buxton and Brunton (2) previously showed that PGE1 promptly increased cAMP concentration and stimulated soluble cAMP-dependent protein kinase in isolated rabbit ventricular cells. Potentiation of adenylate cyclase by PGE1 without positive inotropic response was also observed with perfused rabbit hearts (10). In the present study, PGE1 stimulation of adenylate cyclase failed to enhance basal ICa, presumably because of the compartmentation of cAMP.

A cAMP-dependent pathway was apparently involved in the PGE1-induced inhibition of ICa. This finding is most plausibly explained by assuming that PGE1 decreased the intracellular cAMP concentration that was elevated in advance by Iso, similarly to ACh. However, biochemical studies have demonstrated that PGE1 did not inhibit the Iso-stimulated adenylate cyclase and cAMP-dependent protein kinase in the particulate fraction (2, 9, 10). It may be that the EP receptor-stimulated pathway preferably decreased the cAMP concentration in a space near the membrane Ca2+ channel, so that the biochemical measurements using cell homogenate failed to depict this effect of PGE1. Besides, PGE1 may inhibit the phosphorylated Ca2+ channels downstream of the cAMP-dependent protein kinase. Although the cGMP-dependent protein kinase can inhibit the stimulated ICa, presumably by phosphorylating the channels (8, 23), the results shown in Fig. 4B clearly indicate that the cGMP-dependent protein kinase was not involved. Phosphatase may also contribute to the muscarinic inhibition of ICa (11). However, PGE1 did not attenuate ICa when the channels were phosphorylated in the presence of a sufficient amount of cAMP (Fig. 3B). Thus the phosphatase-mediated mechanism plays a small role, if present, in the PGE1 inhibition of ICa.

PTX-sensitive inhibition of ICa. Hohlfeld et al. (14) reported that PGE1 stimulated GTPase activity, and guanosine 5'-O-(3-thiotriphosphate) inhibited the binding of [3H]PGE1 to the sarcolemmal preparation, indicating the coupling of EP3 receptor to G proteins. We also showed that the pathway involved in the PGE1 inhibition of ICa is sensitive to PTX. It is well known that the PTX-sensitive Gi is involved in the muscarinic regulation of ICa in myocardium (5, 12, 25). In addition to the inhibition of adenylate cyclase (5, 7, 12), the Gi-mediated activation of NO synthesis has been proposed to contribute to the antiadrenergic effects of muscarinic agonists by activating cGMP-stimulated phosphodiesterase or the cGMP-dependent protein kinase. (8, 23). However, other reports have shown that the inhibitors of the NO-cGMP pathway did not attenuate the effects of ACh or that NO donors did not mimic muscarinic stimulation (7, 24, 31, 34). As described above, our present results clearly suggest that the NO-cGMP pathway is not involved in PGE1 effects on ICa.

Previous reports including our own have suggested that various nonmuscarinic receptors are also coupled with Gi and that their stimulation inhibits ICa via the PTX-sensitive and cAMP-dependent pathway. These receptors include A1 (adenosine; Ref. 22), P2 (ATP; Ref. 33), AT1 (angiotensin II; Refs. 1, 6), and ETA (endothelin-1; Refs, 27, 30) receptors. The physiological role of Gi activation via these receptors has not been clarified. One possibility is that its activation serves as a protective mechanism against excessive contraction of myocardium, Ca2+ overload under some pathological conditions, or excessive adrenoceptor stimulation. It must be noted that PGE1 is released in the heart only under conditions in which a sufficient amount of arachidonic and dihomo-gamma -linolenic acids are accumulated, i.e., ischemia (28). Therefore, the antiadrenergic effects of PGE1 on ICa observed in this study could contribute to the PGE1-induced myocardial protection during myocardial ischemia. The ATP-regulated K+ channel (KATP) is also suggested to be involved in the PGE1 protection of ischemic myocardium in rabbits (13), and the PGE1-induced activation of KATP was shown in rat coronary artery cells (26). Further studies, including studies on the synthesis of specific EP3 receptor antagonists, are necessary to determine the physiological and pathophysiological roles of the PTX-sensitive pathway activated by PGE1.


    FOOTNOTES

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Address for reprint requests and other correspondence: Y. Habuchi, Dept. of Laboratory Medicine, Kyoto Prefectural Univ. of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan (E-mail: yhabuchi{at}koto.kpu-m.ac.jp).

Received 5 December 1998; accepted in final form 26 May 1999.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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Am J Physiol Heart Circ Physiol 277(4):H1369-H1374
0002-9513/99 $5.00 Copyright © 1999 the American Physiological Society



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