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2 Laboratoire de Physiologie des Cellules Cardiaques et Vasculaires, Centre National de la Recherche Scientifique Unité Mixte de Recherche 6542, Faculté des Sciences, Parc de Grandmont, 37200 Tours; 3 Centre National de la Recherche Scientifique Unité Prope de Recherche 9021, Institute de Biologie Moléculaire et Cellulaire, 67084 Strasbourg, France; and 1 Instituto de Biofisica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, 21949-900 Rio de Janeiro, Brazil
The effects of a monoclonal antibody (B8E5) directed against the
second extracellular loop of the muscarinic M2
receptor were studied on the L-type Ca2+ currents
(ICa,L) of guinea pig ventricular myocytes
using the whole cell patch-clamp technique. Similar to carbachol, B8E5
reduced the isoproterenol (ISO)-stimulated
ICa,L but did not significantly affect basal
ICa,L. Atropine blocked the inhibitory
effect of B8E5. The electrophysiological parameters of ISO-stimulated
ICa,L were not modified in presence of B8E5.
Inhibition of ICa,L by B8E5 was still observed
when intracellular cAMP was either enhanced by forskolin or maintained
constant by using a hydrolysis-resistant cAMP analog (8-bromoadenosine
3',5'-cyclic monophosphate) or by applying the phosphodiesterase
inhibitor IBMX. The effect of B8E5 was mimicked by 8-bromoguanosine
3',5'-cyclic monophosphate, a potent stimulator of cGMP-dependent
protein kinase, and prevented by a selective inhibitor of nitric
oxide-sensitive guanylyl cyclase {1H-(1,2,4)oxadiazolo[4,3-a]quinoxaline-1-one}.
These results indicate that the antibody B8E5 inhibits the
-adrenergic-stimulated ICa,L through
activation of the M2 muscarinic receptor and further suggest that the antibody acts not via the classical pathway of decreasing intracellular cAMP, but rather by increasing cGMP.
M2 muscarinic receptor; guanosine 3',5'-cyclic monophosphate-dependent protein kinase pathway; autoantibodies; guinea pig ventricular myocytes
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