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Am J Physiol Heart Circ Physiol 278: H295-H299, 2000;
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Vol. 278, Issue 1, H295-H299, January 2000

RAPID COMMUNICATION
Extracellular Ba2+ blocks the cardiac transient outward K+ current

Hong Shi1, Hui-Zhen Wang1, and Zhiguo Wang1,2

1 Research Center, Montreal Heart Institute, Montreal, Quebec H1T 1C8; and 2 Department of Medicine, University of Montreal, Montreal, Quebec, Canada H3C 3J7


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Ba2+ is widely used as a tool in patch-clamp studies because of its ability to block a variety of K+ channels and to pass Ca2+ channels. Its potential ability to block the cardiac transient outward K+ current (Ito) has not been clearly documented. We performed whole cell patch-clamp studies in canine ventricular and atrial myocytes. Extracellular application of Ba2+ produced potent inhibition of Ito with an IC50 of ~40 µM. The effects were voltage independent, and the inactivation kinetics were not altered by Ba2+. The potency of Ba2+ was ~10 times higher than that of 4-aminopyridine (a selective Ito blocker with an IC50 of 430 µM) under identical conditions. By comparison, Ba2+ blockade of the inward rectifier K+ current was voltage dependent; the IC50 was ~20 times lower (2.5 µM) than that for Ito when determined at -100 mV and was comparable to Ito as determined at -60 mV (IC50 = 26 µM). Ba2+ concentrations of equal1 mM or higher failed to block ultrarapid delayed rectifier K+ current. Our data suggest that Ba2+ can be considered a potent blocker of Ito.

patch clamp; cardiac myocytes; 4-aminopyridine; inward rectifier potassium current; ultrarapid delayed rectifier potassium current


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

BARIUM is one of the frequently used divalent cations in patch-clamp studies. In cardiac research, it is probably most well known as a blocker of inward rectifier K+ currents (IK1) (5, 11, 14, 20). Some of the altered electrophysiological properties of the heart, such as membrane depolarization and spontaneous activity induced by Ba2+, can be attributed to its ability to inhibit IK1 (5, 11). As a matter of fact, Ba2+ has also been shown to block several other K+ channels and currents, including the ATP-sensitive K+ current (16), ACh-induced K+ current (8), Ca2+-activated K+ current (15), delayed rectifier K+ current (1), cloned Shaker K+ channels (7), and M-like K+ channels of rod photoreceptors of tiger salamanders (21). Ba2+ has actually been a useful probe for exploring the mechanisms of ion conduction (4, 5).

However, whether Ba2+ can also block the cardiac transient outward K+ current (Ito) is still unclear. Although there is a report indicating that Ba2+ blocked Ito in rat ventricular cells at high concentrations (9), no aimed study in this regard has been detailed in the literature. We therefore carried out experiments to investigate specifically the effects of Ba2+ on Ito in isolated single canine ventricular and atrial myocytes.


    METHODS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
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Cell isolation. Single ventricular and atrial myocytes were isolated from the left ventricular epicardium and the right atrium, respectively, from adult mongrel dogs (20-26 kg) of either sex with previously described Langendorff perfusion techniques (12, 13, 17, 18). The preparation was perfused with Ca2+-containing Tyrode solution at 37°C until the effluent was clear of blood, and the perfusate was then switched to Ca2+-free Tyrode solution for 20 min at a constant rate of 12 ml/min, followed by perfusion with the same solution containing collagenase (110 U/ml CLS II collagenase; Worthington Biochemical, Freehold, NJ) and 0.1% BSA (Sigma Chemical, St. Louis, MO). The dispersed cells were stored in Kraftbrühe (KB) medium at 4°C for later electrophysiological experiments.

Patch-clamp recording. Patch-clamp recording techniques used in this study have been described in detail elsewhere (12, 13, 17, 18). Ionic currents were recorded with the whole cell voltage-clamp methods, using an Axopatch 200B amplifier (Axon Instruments, Burlingame, CA). Borosilicate glass electrodes (1 mm outer diameter) had tip resistances of 1-3 MOmega when filled with pipette solution. Junction potentials were zeroed before formation of the membrane-pipette seal in Tyrode solution. Mean seal resistance averaged 15 ± 1 GOmega . Several minutes after seal formation, the membrane was ruptured by gentle suction to establish the whole cell configuration. The capacitance and series resistance were electrically compensated to minimize the duration of the capacitive surge on the current recording and the voltage drop across the clamped cell membrane. Leak currents were linearly subtracted. Cells with changing leak current (indicated by >10-pA changes in holding current at -50 mV) were rejected. Experiments were conducted at 36 ± 1°C unless otherwise specified.

The Tyrode solution for cell isolation and whole cell patch-clamp recordings had the following composition (in mM): 136 NaCl, 5.4 KCl, 1 MgCl2, 10 HEPES, 10 glucose, and 1 CaCl2 (pH 7.4). The KB medium for cell storage contained (in mM) 20 KCl, 10 KH2PO4, 25 glucose, 70 potassium glutamate, 10 beta -hydroxybutyric acid, 20 taurine, 10 EGTA, and 40 mannitol, as well as 0.1% albumin (pH 7.4). The pipette solution contained (in mM) 0.1 GTP, 110 potassium aspartate, 20 KCl, 1 MgCl2, 5 Mg-ATP, 10 HEPES, 10 EGTA, and 5 phosphocreatine (pH 7.3). Contamination by Na+ current was prevented by holding the cells at -50 mV. Potential contamination by other currents was minimized by including the following compounds in the bath solution: glyburide (10 µM; to prevent ATP-sensitive K+ current) and Cd2+ (200 µM; to suppress Ca2+ current). All chemicals were purchased from Sigma Chemical. BaCl2 and 4-aminopyridine (4-AP) were prepared at 1,000× stock solution before experiments, and the pH of the recording solution with 4-AP was properly adjusted.

Ito was elicited by 200-ms depolarizing test pulses ranging from -40 mV to +50 mV with 10-mV increments from a holding potential of -50 mV (see Fig. 1, inset). The interpulse interval was 10 s. Ito was measured as the difference between the peak amplitude and the current remaining at the end of the pulse. IK1 was evoked by 2-s voltage steps from -100 mV to 0 mV from a holding potential of -50 mV. IK1 amplitude was measured as the current size at the end of the pulses. For experiments designed to study ultrarapid delayed rectifier K+ current (IKur.d), bath temperature was 22°C. For IKur.d activation, a 200-ms prepulse to +50 mV was added 10 ms (to inactivate Ito) before each test pulse and the current amplitude was measured at the end of the 100-ms pulses.

Data analysis. Group data are expressed as means ± SE. Statistical comparisons among groups were performed by ANOVA. If significant effects were indicated by ANOVA, a t-test with Bonferroni correction or a Dunnett's test was used to evaluate the significance of differences between individual means. Otherwise, baseline and drug data were compared by Student's t-test. A two-tailed P < 0.05 was taken to indicate a statistically significant difference. A nonlinear least-squares curve-fitting program (Clampfit in pCLAMP 6.0 or GraphPad Prism) was used to perform curve-fitting procedures.


    RESULTS
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ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Depolarizing pulses activated a rapidly activating and inactivating outward current, known to be a 4-AP-sensitive Ito, in both ventricular and atrial myocytes. Exposure of the cells to Ba2+ markedly diminished the current, and complete reversion of the effects was achieved on washout of Ba2+. Figure 1A displays a typical example from a representative ventricular myocyte. Ba2+ at a concentration of 100 µM produced ~60% reduction in the current amplitude. Notice that in the absence of Ba2+, there is a time-independent outward component, presumably caused by overlapping IK1. This component was indeed depressed by Ba2+.


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Fig. 1.   Representative experiments showing Ba2+ block of cardiac transient outward K+ current (Ito) and inward rectifier K+ currents (IK1). Ito in canine ventricular (A) or atrial (B) myocytes were activated with voltage protocols shown in inset. Pulse duration was 200 ms, and interpulse interval was 10 s. For the sake of clarity, only current traces of the first 100 ms are shown. C: inward rectifier K+ currents (IK1) elicited by voltage steps ranging from -100 mV to 0 mV from a holding potential of -50 mV. Dashed lines indicate zero current levels. Only current traces obtained at -100 and -60 mV are shown for the sake of clarity and better comparison of voltage dependence of Ba2+ action.

The inhibition of Ito seen with Ba2+ could have been confounded by potential contamination caused by concomitant blockade of IK1. To exclude this possibility, effects of Ba2+ on Ito in atrial myocytes were also evaluated because atrial IK1 is known to have a negligible outward component (20, 23). An example of such experiments is shown in Fig. 1B. Atrial Ito was diminished to the same extent as ventricular Ito by 100 µM Ba2+ in the bathing solution. Similar results were obtained from another three atrial myocytes.

Ba2+ is known to be a blocker of IK1. To compare the relative potency of Ba2+ on Ito and IK1, effects of Ba2+ on ventricular IK1 were assessed. The results from a representative experiment are shown in Fig. 1C. Because Ba2+ blockade of IK1 is voltage dependent, currents recorded at test potentials of -100 and -60 mV are displayed for comparison. These two voltages were chosen because an inward current was elicited at -100 mV and the maximum outward IK1 was seen at -60 mV. As expected, Ba2+ at a concentration of 100 µM nearly abolished the inward IK1 at -100 mV, whereas the effect was considerably attenuated with less negative potentials, in this case at -60 mV (Fig. 1C, right).

To investigate whether the inhibition of Ito by Ba2+ was also voltage dependent, mean data of current-voltage relationships of ventricular Ito before and after Ba2+ are presented in Fig. 2A. Ba2+ blocked Ito equally at various voltages tested without showing voltage dependence (P > 0.05, F-test). For instance, the percent inhibition was 58% at -10 mV and 60% at +40 mV (P > 0.05, t-test). In addition, Ba2+ did not alter the inactivation kinetics either. For example, under control conditions, the inactivation time constants calculated by the double-exponential fits to the decaying phase of Ito were 3.8 ± 0.1 and 19.0 ± 2.2 ms for the rapid and slow components, respectively. The same analysis yielded time constants of 3.6 ± 0.3 and 20.7 ± 2.7 ms, respectively, in the presence of 100 µM Ba2+.


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Fig. 2.   Mean data on Ba2+ blockade of Ito and IK1. A: current-voltage relationships (I-V curves) of Ito. B: dose-response curves of Ito and IK1 blockade by Ba2+ determined with 3 different voltage protocols. VIto, ventricular Ito; VIK1, ventricular IK1. Symbols represent averaged experimental data [n = 6 for VIto (Ba2+), n = 8 for VIto (4-AP), n = 4 for VIK1] at varying concentrations; lines represent best fits to Hill equation: B = 100/[1 + (IC50/D)nH ], where B is percent change of Ito or IK1 at a drug concentration D, IC50 is Ba2+ concentration that produces 50% inhibition of current, and nH is Hill coefficient. IC50 was determined with a test potential of +50 mV for Ito. A test potential of -100 mV was used to evaluate Ba2+ effects on inward IK1, and a test potential of -60 mV was used to assess inhibition of outward IK1. [Drug], drug concentration.

Concentration-dependent blockade of Ito as well as IK1 by Ba2+ was analyzed using the Hill equation, and the data are shown in Fig. 2B. The IC50 (concentration needed for half-maximal inhibition) for Ito inhibition in ventricular cells was 41.7 ± 1.6 µM (Hill coefficient = 0.6). Whereas Ba2+ blocked the inward IK1 recorded at -100 mV with greater potency, as indicated by the smaller IC50 (2.6 ± 0.6 µM; Hill coefficient = 0.7), a much higher concentration of Ba2+ was required to achieve the same degree of block of the outward IK1 elicited at -60 mV (IC50 = 26.5 ± 2.2 µM; Hill coefficient = 0.8).

4-AP is considered to be a selective blocker of Ito. To compare the relative potency of 4-AP with that of Ba2+, additional experiments were performed with serial concentrations of 4-AP. Our results demonstrated that 4-AP was ~10 times less potent (IC50 = 425.4 ± 38.6 µM; Hill coefficient =0.6) than Ba2+ in blocking Ito under the same conditions (Fig. 2B). 4-AP at 2 mM completely suppressed the portion of Ito that was not inhibited by 100 µM Ba2+, as well as IKur.d (data not shown).

It was noticed that, as shown in Fig. 1B, although Ba2+ produced significant inhibition of Ito, it left IKur.d unaltered in atrial myocytes, as suggested by the lack of change in the sustained component remaining after complete inactivation of Ito. However, the analysis of this current was complicated by the overlapping Ito in these experiments. To clarify this issue, we conducted additional experiments at 22°C. Voltage protocols shown in Fig. 3, inset, activated a rapidly activating and slowly inactivating delayed rectifier current with typi cal characteristics of IKur.d (23, 24). Bath application of Ba2+ failed to alter IKur.d even at elevated concentrations of equal1 mM or higher.


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Fig. 3.   Lack of effects of Ba2+ on ultra-rapid delayed rectifier K+ current (IKur.d) in canine atrial myocytes. Voltage protocols are shown in inset. To inactivate Ito, a 200-ms prepulse to +50 mV was added 10 ms before each test pulse. Experiments were conducted at 22°C to provide better resolution of the initial activation phase of the current. Similar results were obtained from a total of 5 cells.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

We have demonstrated in this study that Ba2+ produced significant inhibition of Ito, in addition to its well-known effects on IK1, in cardiac myocytes. Noticeably, the potency of Ito blockade was comparable to inhibition of the outward IK1 at -60 mV, and Ito was actually more sensitive to Ba2+ than to 4-AP. On the other hand, Ba2+ did not affect IKur.d.

Although Ba2+ has been shown to block several types of K+ currents (1, 5, 7, 8, 11, 14-16, 20, 21), only one report (9) has presented one example showing the inhibition of rat ventricular Ito by a high concentration of Ba2+ (3.6 mM). To date, no aimed and detailed characterization of Ba2+ blockade of Ito has yet been documented despite the fact that Ba2+ is used so extensively for patch-clamp studies. This report represents the first aimed study of Ba2+ blockade of Ito. It is unlikely that the Ba2+ block of Ito seen in our experiments was caused simply by surface charge effects because Ba2+ did not alter the voltage-dependent steady-state inactivation of Ito (data not shown). In addition, the effects of Ba2+ on IK1 were also consistent with previous reports (5, 11, 14, 20) in terms of the voltage and time dependence. There should have been minimal contamination of Ito measurement by other currents because Na+ current, Ca2+ current, and ATP-sensitive K+ current were suppressed throughout the experiments. In addition, with the concentrations of Ba2+ used in our study, IKur.d was not affected. Only Ito currents elicited at +50 mV were used for evaluating the concentration-dependent Ba2+ effects because at less positive voltages (between -40 and +10 mV) there are outward IK1 currents, and effects of Ba2+ on these currents could complicate the analysis of Ito.

Our finding bears several important implications. An interesting finding is that Ba2+ blocks Ito with ~10 times higher potency than 4-AP (IC50 = 40 µM vs. 430 µM for Ba2+ vs. 4-AP, respectively), a compound commonly used as a selective Ito blocker (9, 10, 18, 19, 23). This indicates that Ba2+ could be used as an Ito blocker in some applications when Ito needs to be removed to minimize overlapping currents. This is particularly true when studying IKur.d. To date, there are no pharmacological tools for separating IKur.d and Ito from each other because 4-AP at concentrations that block IKur.d also significantly inhibit Ito (19, 23). Our finding that Ba2+ at 1 mM completely suppresses Ito and IK1 but does not alter IKur.d at all implies that Ba2+ provides an ideal tool for studying IKur.d in a condition free of contaminating currents.

Moreover, when the potency was compared between Ito and IK1, it was found that although the inward IK1 at -100 mV was more sensitive to Ba2+ than was Ito, the sensitivity of the outward IK1 at -60 mV was in the same range as that of Ito. It has been demonstrated that Ba2+ could alter cardiac electrical activities such as membrane depolarization and induction of pacemaker activity, changes presumably caused by reduction in outward currents. These Ba2+-induced alterations have been interpreted as a result of IK1 inhibition. Our finding here suggests that Ba2+ blockade of Ito may also contribute to the electrophysiological effects of Ba2+ in the heart. Future studies are certainly required to test this possibility.

Our finding also suggests that Ba2+ can be used to explore the structure-function relationships of A-type K+ channels in the light of its ability to block Ito potently. In fact, Ba2+ has been used as a probe for investigating the pore properties of Shaker K+ channels (6, 7), and two external Ba2+ binding sites were identified. It has been strongly suggested that Kv4.2 and Kv4.3 channels are the major components of the native Ito (2, 3), and detailed studies on the interactions of Ba2+ with these channels may help us understand mechanisms of Ba2+ blockade of Ito. However, whether Ba2+ also blocks these channels is still unknown, and future studies are absolutely needed to address this interesting and important issue in detail.

Finally, our study also suggests that caution must be exercised when Ba2+ is used to block IK1 to allow the study of Ito because, as has actually happened in many studies (10, 22), the interpretation and conclusion can be profoundly obscured by the concomitant inhibition of Ito as the result of a significant underestimation of Ito magnitude. Thus the use of Ba2+ cannot be easily validated and justified for experiments involving Ito.


    ACKNOWLEDGEMENTS

We thank XiaoFan Yang for excellent technical assistance.


    FOOTNOTES

This work was supported in part by Smokeless Tobacco Research Council Grant 0739-01, the Medical Research Council of Canada, the Heart and Stroke Foundation of Quebec, the Fonds de la Recherche en Santé du Québec Establishment Grant for Young Investigators (to Z. Wang), and the Fonds de la Recherche de l'Institut de Cardiologie de Montreal. Z. Wang is a research scholar of the Heart and Stroke Foundation of Canada.

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: Z. Wang, Research Center, Montreal Heart Institute, 5000 Belanger East, Montreal, Quebec, Canada H1T 1C8 (E-mail: wangz{at}icm.umontreal.ca).

Received 18 August 1999; accepted in final form 19 October 1999.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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2.   Barry, D. M., H. Xu, R. B. Schuessler, and J. M. Nerbonne. Functional knockout of the transient outward current, long-QT syndrome, and cardiac remodeling in mice expressing a dominant-negative Kv4 alpha subunit. Circ. Res. 83: 560-567, 1999[Abstract/Free Full Text].

3.   Dixon, J., W. Shi, H. Wang, C. McDonald, H. Yu, R. Wymore, I. Cohen, and D. McKinnon. Role of the Kv4.3 K+ channel in ventricular muscle: a molecular correlate for the transient outward current. Circ. Res. 79: 659-668, 1996[Abstract/Free Full Text].

4.   Ferreira, G., J. Yi, E. Rios, and R. Shirokov. Ion-dependent inactivation of barium current through L-type calcium channels. J. Gen. Physiol. 10: 449-461, 1997.

5.   Gondo, H., K. Ikeda, and M. Goto. Membrane currents linked to barium-induced pacemaker activity in the bullfrog atrium. Jpn. J. Physiol. 36: 467-484, 1986[Web of Science][Medline].

6.   Harris, R. E., H. P. Larsson, and E. Y. Isacoff. A permeant ion binding site located between two gates of the Shaker K+ channel. Biophys. J. 74: 1808-1820, 1998[Web of Science][Medline].

7.   Hurst, R. S., R. Latorre, L. Toro, and E. Stefani. External barium block of Shaker potassium channels: evidence for two binding sites. J. Gen. Physiol. 106: 1069-1087, 1995[Abstract/Free Full Text].

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12.   Shi, H., H. Wang, Y. Lu, D. Yang, and Z. Wang. Choline modulates cardiac membrane repolarization by activating an M3 muscarinic receptor and its coupled K+ channel. J. Membr. Biol. 169: 55-64, 1999[Web of Science][Medline].

13.   Shi, H., H. Wang, and Z. Wang. Identification and characterization of multiple subtypes of muscarinic acetylcholine receptors and their physiological functions in canine hearts. Mol. Pharmacol. 55: 497-507, 1999[Abstract/Free Full Text].

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19.   Wang, Z., B. Fermini, and S. Nattel. Sustained depolarization-induced outward current in human atrial myocytes: evidence for a novel delayed rectifier potassium current similar to Kv1.5 cloned channel currents. Circ. Res. 73: 1061-1076, 1993[Abstract/Free Full Text].

20.   Wang, Z., L. Yue, M. White, G. Pelletier, and S. Nattel. Differential expression of inward rectifier potassium channel mRNA in human atrium versus ventricle and in normal versus failing hearts. Circulation 98: 2422-2428, 1998[Abstract/Free Full Text].

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Am J Physiol Heart Circ Physiol 278(1):H295-H299
0363-6135/00 $5.00 Copyright © 2000 the American Physiological Society



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