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1 Center for Swallowing and Motility Disorders, Harvard Medical School, West Roxbury Veterans Affairs Medical Center, West Roxbury, Massachusetts 02132; and 2 Department of Physiology and Biophysics, University of Calgary, Calgary, Alberta, Canada T2N 4N1
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ABSTRACT |
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An inwardly
rectifying K+ conductance closely
resembling the human ether-a-go-go-related gene (HERG) current was
identified in single smooth muscle cells of opossum esophageal circular
muscle. When cells were voltage clamped at 0 mV, in isotonic
K+ solution (140 mM), step
hyperpolarizations to
120 mV in 10-mV increments resulted in
large inward currents that activated rapidly and then declined slowly
(inactivated) during the test pulse in a time- and voltage- dependent
fashion. The HERG K+ channel
blockers E-4031 (1 µM), cisapride (1 µM), and
La3+ (100 µM) strongly inhibited
these currents as did millimolar concentrations of
Ba2+. Immunoflourescence staining
with anti-HERG antibody in single cells resulted in punctate staining
at the sarcolemma. At membrane potentials near the resting membrane
potential (
50 to
70 mV), this
K+ conductance did not inactivate
completely. In conventional microelectrode recordings, both E-4031 and
cisapride depolarized tissue strips by 10 mV and also induced phasic
contractions. In combination, these results provide direct experimental
evidence for expression of HERG-like
K+ currents in gastrointestinal
smooth muscle cells and suggest that HERG plays an important role in
modulating the resting membrane potential.
human ether-a-go-go; resting membrane potential; cisapride; inward rectifier
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INTRODUCTION |
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IN MANY EXCITABLE TISSUES the K+ conductance that is responsible for the resting potential exhibits inward rectification (12). Inwardly rectifying K+ currents (Kir) exhibit high conductance at negative potentials but greatly reduced conductance at positive potentials, thus avoiding short circuiting of the action potential. In smooth muscle, Kir belonging to the Kir 2.1 family of K+ channels have been identified in small diameter resistance blood vessels (6) but not in visceral smooth muscle. Isolated visceral smooth muscle cells, in physiological solutions, express only very small background K+ currents (>20 pA). In most cases, this precludes detailed characterization of the K+ channels that are responsible for maintaining the resting potential. Partly for this reason, the question of whether a Kir contributes to the resting potential of these smooth muscle remains unresolved.
Recent findings have drawn attention to the possible role of a novel inwardly rectifying K+ channel, the human ether-a-go-go-related gene (HERG) K+ channel, in modulating the resting membrane potential (RMP) associated with cell cycle changes, and in the setting of RMP of microglia (3, 24). HERG K+ channels have six transmembrane-spanning regions and therefore are distinct from other inward rectifiers that have only two transmembrane-spanning regions (21, 23). In cardiac myocytes, the HERG channel encodes for a rapidly activating delayed rectifier K+ current (IKr) (17). Mutations of HERG, or use of HERG channel blockers have been shown to cause cardiac abnormalities such as the long Q-T syndrome (8, 17). Interestingly, the gastrointestinal prokinetic agent, cisapride, was recently reported to block heterologously expressed HERG channels (14, 15), consistent with its proarrhythmic cardiac effects.
In the present study, we provide evidence for the presence of HERG-like K+ current in esophageal circular smooth muscle, define its role in setting RMP, and demonstrate that effects of cisapride in the esophagus are due to inhibition of HERG-like K+ currents.
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METHODS |
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Cell isolation and electrophysiology.
Single smooth muscle cells from the distal part of the subdiaphragmatic
esophagus of the opossum (Didelphis
virgiana) were prepared by enzymatic dissociation as
described previously (1). Patch-clamp experiments were done using the
standard whole cell configuration, with a pipette solution containing
(in mM) 100 potassium aspartate, 30 KCl, 5 HEPES, 5 ATP-Na2, 1 MgCl2, 0.1 GTP, and 5 EGTA. The pH
was adjusted to 7.2 with KOH. The pipette resistance was 3-5 M
.
The cells were initially perfused with a normal HEPES-buffered solution
containing (in mM) 135 NaCl, 5.4 KCl, 0.33 NaH2PO4,
5 HEPES, 0.8 MgCl2, 2 CaCl2, and 5.5 glucose (pH 7.3 with NaOH). The isotonic K+
solution that was used for characterization of HERG
K+ currents contained (in mM) 140 KCl, 0.1 CaCl2, 1 MgCl2, 5 HEPES, 5 tetraethylammonium, 3 4-aminopyridine, and 5.5 glucose. The pH was
adjusted to 7.3 with KOH. Recordings were filtered at 1 kHz and sampled
at 2.5 kHz. The voltage-clamp amplifier was an Axopatch 200 A (Axon
Instruments). Capacitative transients were not electronically canceled.
Data acquisition and analyses were preformed using pCLAMP 6 software.
Figures 1-4 were prepared using Sigmaplot 4.0 and Origin
5.0.
In some experiments, intracellular membrane potentials were recorded, using microelectrodes filled with 3 M KCl (7), from smooth muscle cells of circular muscle strips obtained from distal esophagus. Atropine (1 µM), guanethidine (3 µM), and desensitizing concentrations of substance P (1 µM) were present in the perfusate. For tension recordings, circular smooth muscle strips were attached to a force transducer (Grass) in 3-ml organ baths. Tension was measured in the presence of atropine (1 µM) and tetrodotoxin (1 µM).
Immunostaining. Single smooth muscle cells from the opossum esophagus were fixed in 3.7% formaldehyde for 30 min at room temperature and permeabilized by adding 0.1% Triton X-100 in PBS. Nonspecific binding sites were blocked by incubating cells with 10% goat serum for 1 h at room temperature and were washed and then treated with rabbit anti-HERG antibody (1:100 dilution) for 90 min. The cells were washed twice in PBS and then incubated with polyclonal fluorescein isothiocyanate (FITC)-conjugated donkey anti-rabbit antibody (1:100 dilution) for 1 h. Cells were subsequently washed twice with PBS, mounted on slides, and imaged using an epifluorescence confocal microscope (MRC 1024; Bio-Rad), at ×80 magnification. To further investigate the specificity of the anti-HERG antibody, cells were treated with nonspecific IgG for 30 min at room temperature before incubation with the primary antibody. In another control, cells were labeled with FITC-conjugated donkey anti-rabbit antibody in the absence of primary antibody. In this experiment, epifluourescence was barely visible. Nonspecific binding was <10%, as ascertained by photon counting of these cells.
The anti-HERG antibody was a generous gift of Dr. Jeanne Nerbonne (Washington University, St. Louis, MO). Similar staining was also obtained using rabbit anti-HERG antibody from Alomone Labs (Jersualem, Israel). E-4031 was purchased from Wako Chemical Industries (Osaka, Japan). Cisapride was a generous gift from Jannsen Research Foundation (Beerse, Belgium). All other reagents were purchased from Sigma (St. Louis, MO).
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RESULTS |
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Kir in esophageal cells.
Single smooth muscle cells isolated from the opossum esophageal
circular muscle were perfused in
high-K+ solution (140 mM
K+) to enhance the size of the
K+ currents and hence permit
unambiguous identification and quantitative analysis.
Ca2+-activated
K+ currents, transient outward
K+ currents, delayed rectifiers,
and ATP-sensitive K+ currents were
blocked by including tetraethylammonium (10 mM), 4-aminopyridine (3 mM), and low extracellular
Ca2+ concentration (0.1 mM) to all
superfusing solutions and by adding a high ATP concentration (5 mM) to
the pipette solutions. Under these conditions, with the Nernst
potential for K+
(EK) set at 0 mV, activation of K+ conductance
produces inward currents. Hyperpolarization from 0 mV induced large
transient inward currents (Fig.
1A).
The kinetics of both activation and inactivation exhibited voltage
dependence. The time constant for activation (when described by single
exponential fits) decreased from 21 ± 2 ms at
60 mV to 8 ± 0.6 ms at
120 mV (n = 6).
At potentials negative to approximately
60 mV, a substantial
inactivation occurred, resulting in the crossover of the currents.
These currents closely resemble those recorded from microglia and
pituitary cells (5, 24) in which HERG has been shown to be the
underlying K+ conductance.
Families of transmembrane currents from the holding potential of 0 mV
were recorded from eight cells and were normalized to peak currents at
120 mV. This current-voltage curve (Fig. 1B) demonstrates the presence of a
Kir in these esophageal circular muscle cells.
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120
mV to remove inactivation and then stepped back to test potentials of
120 to +30 mV (Fig.
3A).
The instantaneous current-voltage relationship, which was measured by
extrapolation of single exponential fits of the tail currents to the
beginning of the test pulse, was approximately linear (Fig.
3B). A plausible explanation for this finding, based on previous work (19, 21), is that, in the absence
of time-dependent inactivation, HERG
K+ channels do not exhibit inward
rectification. At depolarized potentials these
K+ channels enter inactivated
states very quickly, thus resulting in strong inward rectification.
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120 mV for
14 s (Fig. 3C). At the end of this
prepulse, a 100-ms test pulse of
120 mV was applied. Normalized
peak inward test currents plotted against the prepulse potential
demonstrate the steady-state voltage dependence of availability of the
K+ conductance (Fig.
3D). The voltage at which one-half
the channels are available for activation was
72 mV, and this
Boltzmann relationship had a slope factor of 6.8.
Close inspection of Fig. 3C shows that
a noninactivating current is present at the end of the prepulse.
Current-voltage relationships of these "window currents" were
measured by plotting the amplitude of the noninactivating current vs.
the applied voltage. As shown in Fig.
3E, this relationship showed a
U-shaped dependence on voltage, with the maximal steady-state currents
being recorded near the resting membrane potential of smooth muscle
cells (between
70 and
50 mV). The noninactivating
currents were significantly blocked by 1 µM cisapride (Fig.
3E).
HERG currents in resting potential.
The presence of a noninactivating
K+ current at membrane potentials
near the resting potential (Fig. 3E)
suggest a role for the HERG-like
K+ currents in the setting of RMP.
To evaluate this possibility, we examined the effects of HERG blockers
on the membrane potential and contractility in in vitro esophageal
muscle strip preparations. E-4031 at concentrations of 100 nM produced
a small tonic contraction. At higher concentrations (1-3 µM)
spontaneous phasic contractions were elicited (Fig.
4A).
Recordings of intracellular membrane potential showed that both
E-4031(3 µM) and cisapride (5 µM) depolarized the membrane
potential by ~10 mV (Fig. 4B).
These observations provide further support for the essential role of
the HERG channel in regulation of resting membrane potential and
mechanical responses of the esophageal circular muscle.
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DISCUSSION |
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These results provide pharmacological, biophysical and immunohistochemical evidence for the expression of HERG-like K+ conductance in opossum esophageal smooth muscle cells and suggest a potential role for HERG in regulating resting membrane potential in these cells. The electrophysiological characteristics of this Kir in esophageal cells strongly resembles that of the HERG-like K+ currents previously described in GH3 cells, neuroblastoma cells, and microglia, as well as in heterologously expressed HERG channels in Xenopus oocytes (3, 5, 21, 24). Previous publications have established that this type of K+ conductance can be identified consistently when isotonic extracellular K+ concentrations ([K+]o) are used. HERG currents exhibit marked time- and voltage-dependent inactivation and are blocked by methanesulfonanilides such as E-4031 and by relatively high concentrations of Ba2+. Each of these properties was observed in our study of the inwardly rectifying HERG-like K+ current in the opossum esophageal cells.
The inward rectification of the HERG is thought to be due to a
fast-inactivation mechanism at positive potentials (19). This type of
K+ conductance underlies the
"rapid" component of the delayed rectifier current in the heart,
and it defines its biophysical properties as a repolarizing current.
Thus, during an action potential, maximal currents through HERG
channels occur soon after the membrane begins to repolarize, as these
channels recover from the inactivated state (21). In esophageal smooth
muscle cells, as is the case of microglia and neuroblastoma cells (3,
24), HERG-like K+ currents
contribute to the resting potential. Our data (Fig. 3E) demonstrate that the
noninactivating current is maximal near the resting potential of smooth
muscle cells i.e.,
70 to
50 mV. The conductance at
60 mV was ~25-30% of the maximal conductance at
120 mV. Because, in physiological solutions (5.4 mM
K+), this
K+ conductance will be scaled down
by the square root of the changes in
[K+]o,
peak currents at
60 mV under physiological conditions will be
approximately fivefold smaller than those shown in Fig. 1. Thus these
currents will measure only ~20 pA near the resting potential.
However, in the setting of a high input resistance (5-10 G
), a
20-pA current can significantly modulate the resting potential.
HERG channel blockers depolarized muscle segments and induced contractions, further suggesting a role of HERG-like K+ currents in regulating resting potential. The gastrointestinal prokinetic agent cisapride (1 µM) completely blocks the HERG-like K+ currents in these smooth muscle cells (Fig. 2D). In cells transfected with the HERG channel, the IC50 for cisapride ranges from 6 to 45 nM (14, 15). In addition to its effects on the 5-hydroxytryptamine receptors, cisapride has been shown to have direct stimulating effects on gastrointestinal smooth muscle (20a). Cisapride also significantly blocked the noninactivating currents.
Several types of K+ channels are suggested to be involved in the control of the resting potential in gastrointestinal smooth muscle. These include intermediate-conductance Ca2+-activated K+ channels (22,), delayed rectifier K+ currents (10), transient outward K+ currents (2), and ATP-sensitive K+ channels (11). The results presented here strongly support an essential role of HERG-like K+ currents in regulating the electrophysiological and mechanical activity of gastrointestinal smooth muscle.
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ACKNOWLEDGEMENTS |
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This work was supported by National Institute of Diabetes and Digestive and Kidney Diseases Grants DK-46367 (H. I. Akbarali) and DK-31098 (R. K. Goyal), a Veterans Affairs Merit Award (R. K. Goyal), the Canadian Medical Research Council, the Heart and Stroke Foundation of Canada, and the Alberta Heritage Foundation for Medical Research (W. R. Giles).
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FOOTNOTES |
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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: H. I. Akbarali, Research 151, West Roxbury VA Medical Center, 1400 VFW Parkway, West Roxbury, MA 02132 (E-mail: hakbarali{at}hms.harvard.edu).
Received 22 July 1999; accepted in final form 3 September 1999.
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