Articles |
From the Departments of Pharmacology (M.V.B., M.J.M., D.L.C., H.C.S.) and Medicine (S.L., H.C.S.), Duke University Medical Center, and the Department of Biomedical Engineering (R.L.R.), School of Engineering, Duke University, Durham, NC.
Correspondence to Michael J. Morales, Department of Pharmacology Box 3845, Bell Building, Room 345, Duke University Medical Center, Durham, NC 27710. Internet mmorales@acpub.duke.edu.
| Abstract |
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Key Words: K+ channel heart gene expression localization SA node
| Introduction |
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Until recently, the K+ currents that dominate atrial repolarization were thought to be the transient outward current (Ito)7 and two delayed rectifier currents: a rapidly activating inwardly rectifying current (IKr) and a slower activating current (IKs).8 9 10 11 12 13 However, other K+ currents could potentially contribute to repolarization, eg, the ultrarapidly activating current (IKur).14 15 Despite extensive physiological characterization, the molecular basis of each of these currents is still debated. Assignment of currents to specific channel cDNAs is complicated by their similar functional properties and the wide molecular diversity of the voltage-gated K+ channel family.16 An additional confounding factor is the difference between functional properties of native human cardiac myocyte K+ currents versus those from other mammalian species (rabbit, dogs, rats, and guinea pigs). Recent analyses of the functional properties of the different K+ currents in ferret ventricular myocytes demonstrate that the phenotypes of ferret K+ currents closely resemble those of human ventricular myocytes,7 17 18 19 suggesting that the ferret is a particularly appropriate animal model in which to study mammalian cardiac K+ currents.
Originally discovered in Drosophila, the evolutionarily conserved Shaker family of K+ channels consists of six distinct subclasses: Shaker (Kv1), Shab (Kv2), Shaw (Kv3), Shal (Kv4), Kv5, and Kv6. Four of these (Kv1 through Kv4) have several mammalian homologues, whereas Kv5 and Kv6 each have only one known member.16 Although K+ channels in the Kv1 through Kv4 families have received the most experimental attention, additional attention will undoubtedly be focused on two channels implicated in familial forms of long-QT syndrome.20 21 One of these channels, ERG, is a member of the ether-à-go-go family,22 which are structurally similar to Shaker-type channels. Heterologously expressed ERG produces currents similar to that of the cardiac IKr.23 24 The other, KvLQT1, is a physiologically uncharacterized channel that represents a new class of the Shaker family.21
Two K+ channel families that lack the six membrane-spanning domains of the Shaker-type channels probably play a role in the generation of cardiac K+ currents. The IRK family of inwardly rectifying K+ channels has a structure with only two membrane-spanning domains on either side of a pore structure conserved with other members of the Shaker superfamily.25 The minK channels have a structure completely unrelated to other channels, with only one membrane-spanning segment.26 Heterologous expression of this protein results in a slowly activating delayed rectifier current.27 28
To identify K+ channels expressed in heart, Dixon and McKinnon29 used an RNase protection assay to detect the expression of 15 different K+ channels in rat atrial and ventricular muscle. Of these, Kv1.2, Kv1.4, Kv1.5, Kv2.1, and Kv4.2 were expressed at relatively high levels. The abundance of the remaining mRNAs ranged from low to undetectable. Any attempt to draw conclusions about transcript expression in heart cells using this method is predicated on the assumption that the tissue samples used consisted solely of myocardial cells and that expression was uniform between cells. However, it is widely recognized that only 70% of the cells isolated from heart consist of cardiac myocytes.30 In addition, some genes of interest were not included in this analysis.
To further our understanding of the molecular basis of cardiac K+ currents, we set out to determine the following: (1) the identity of voltage-sensitive K+ channel mRNAs expressed in cardiac myocytes, (2) the differences in voltage-gated K+ channel expression between major anatomic regions of the heart (ie, left and right atria, left and right ventricles, sinoatrial [SA] node, and ventricular and atrial septa), and (3) the uniformity of gene expression between myocardial cells in major anatomic regions of the heart. The present study used in situ hybridization on large numbers of enzymatically isolated single myocytes obtained from the major anatomic regions of the ferret heart, ensuring that our sample population was essentially free of contamination by nonmyocyte cell types.
| Materials and Methods |
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0.5 to 1 cycle per second)
on a rocker table at 37°C. Aliquots of myocytes were collected at 10-
to 15-minute intervals, gently centrifuged, and the pellets
were directly resuspended in normal 1.8 mmol/L
Ca2+containing control saline. After isolation, the
myocytes were fixed for 30 minutes in 3%
paraformaldehyde, subsequently washed twice with PBS,
and then used directly for in situ hybridization.
Preparation of Probe and Labeling
K+ channel subunit sequences from both the GenBank
library and our previous cloning studies in ferret heart were used to
design oligonucleotide probes of 45 to 50
nucleotides (see Table 1
). Where possible,
ferret or human sequences were used. When computer analysis
(Gene Runner v3.0, Hastings Software) predicted extensive secondary
structure, inosines were used to disrupt the potential structure. The
uniqueness of the probes was confirmed by comparison with the entire
GenBank database using BLAST32 and FASTA33
and by direct comparison with known channel sequences. A probe was
judged to be suitable if (1) no other channel appeared in the top 50
matches of the BLAST or the FASTA search and (2) the individual
searches of the antisense probe of related channel sequences showed no
more similarity than the corresponding sense probe. The sequence of the
probes, location in the GenBank entry, and the family from which they
are derived are presented in Table 1
. It was not possible to
design unique probes to members of the IRK family; the IRK
probe34 has 67% sequence identity with rat
B-IRK235 and may cross-react with other unknown
members of that family. Oligonucleotides were
synthesized and gel-purified by Genosys Inc. The
oligonucleotide probes were 3' end-labeled with
digoxigenin-ddUTP using terminal transferase as described by the
manufacturer's protocol (Boehringer-Mannheim).
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In Situ Hybridization
In situ hybridization was performed by a modification of
established techniques.36 The cells were suspended in 0.1
mol/L triethanolamine-OH, pH 7.2, 0.15 mol/L NaCl
(tetraethylammonium buffer), incubated for
3 minutes at 37°C, treated with acetic anhydride (0.25% in
tetraethylammonium buffer) for 10 minutes
at 37°C (to inactivate residual protease), washed in PBS
for 5 minutes at 37°C, and incubated in 2x SSC (1x SSC contains 150
mmol/L NaCl and 15 mmol/L Na3 citrate, pH 7.0) for 10
minutes at room temperature. The cells were prehybridized with 50%
deionized formamide, 4x SSC, 1x Denhardt's solution, 0.5 mg/mL
salmon sperm DNA, 0.5 mg/mL yeast tRNA, and 10% dextran sulfate for 30
minutes at room temperature. The digoxigenin-labeled probe (100
ng/mL) was added and incubated overnight at 42°C. The samples were
washed with 4x SSC for 10 minutes at room temperature, 1x SSC for 10
minutes at room temperature, 0.1x SSC at 42°C for 30 minutes, and
0.1x SSC for 10 minutes at room temperature. Cells were then washed in
100 mmol/L Tris-HCl plus 150 mmol/L NaCl (pH 7.5) and incubated for 30
minutes in the same buffer containing 2% normal sheep serum and 0.3%
Triton X-100. The cells were then incubated with
fluorescein isothiocyanateconjugated
anti-digoxigenin antibody (1:500 dilution in blocking buffer,
Boehringer-Mannheim) for 1 hour at room temperature. After
incubation, the reactions were stopped using 100 mmol/L Tris-HCl (pH
9.5), 100 mmol/L NaCl, and 50 mmol/L MgCl2. The cells were
centrifuged and laid on gelatin-coated slides.
Fluorescence was detected with a Nikon UFX IIA microscope using
an excitation range of 450 to 498 nm and an emission range of 550 to
560 nm. The relative percentage of positive isolated myocytes was
evaluated visually, and the totals were calculated using counts from a
hemocytometer. Between 1000 (for SA node) and 40 000
(ventricular) cells were individually evaluated in each
experiment. All numbers in Table 2
represent the
results of at least three different experiments. Because of
differential yields of cells from various anatomic regions, cells from
different ferrets were mixed in some experiments; however, each value
in Table 2
is derived from cells isolated from at least three different
ferret hearts. Where appropriate, confidence limits between experiments
were calculated using an unpaired Student's t test.
Differences were taken to be significant at P
.01. Images
were photographed on 400 ASA color film. Photographs were
scanned using a Hewlett-Packard ScanJet IIC and reproduced for
publication using Adobe Photoshop.
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Additional controls were run with some of the probes. Preincubation of the fixed cells with 100 µg/mL RNase A (37°C for 30 minutes) abolished the hybridization signal with Kv1.2, Kv1.3, Kv1.4, Kv1.5, and the cardiac form of troponin I (TnIC) antisense probes. To test the fluorescent signal for quenching, cells were hybridized with the TnIC, Kv1.4, Kv1.5, ERG, and IRK antisense probes, stained, and incubated with reticulocyte lysate as described previously.37
| Results |
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To validate our approach further, probes to TnIC and the
slow-twitch form of troponin I (TnIS) were used as
positive controls. Gorza et al38 showed that
TnIC was present in anatomic regions of the mature rat
heart rich in working myocytes (atrium and ventricle) and in the SA and
atrioventricular nodes as well. In contrast,
TnIS was present only in cells of the conduction
system.38 Our results (Table 2
; Figure
, panels O through
R) confirmed these observations in the ferret, where TnIC
was present in
90% of myocytes (except in the septa) and
TnIS was present in the SA node (54.1%) but virtually
absent from other anatomic regions. Contrary to expectations, we were
not able to detect TnIC in
10% of myocytes from the
atrium or ventricle. Although it is possible that some myocytes do not
contain this message, a more likely explanation is that some cells were
compromised during preparation, resulting in a few false
negatives.
The most intensively studied cardiac K+ channels are those
of the Kv1 family. Our data (Table 2
) show interesting patterns of
transcript expression among the Shaker family of
K+ channels. The most widely distributed K+
channel transcripts in the ferret heart are Kv1.5 (69% to 86%) and
Kv1.4 (46% to 94%). Both Kv1.5 and Kv1.4 (Figure
, panels C and D and
panels G through H) are fairly evenly distributed among myocytes from
different regions of the heart, except for the relatively low abundance
of Kv1.4 in the atrial and ventricular septa. Kv1.2 is also
widely distributed in the atrium and ventricle. Cells expressing
Kv1.1 (Figure
, panels A and E), Kv1.3 (panels B and F), and Kv1.6 were
all rare in atrium and ventricle, with the most abundant being Kv1.3 in
the right atrium (16.5%). The pattern of Kv1.3 channel mRNA expression
differed markedly from the free walls of the atrium and ventricle to
septum and SA node (P
.01). Both Kv1.2 and Kv1.4 are
expressed at lower levels in the septa, whereas Kv1.3 expression is
higher in the septa than in the free walls of the atria and ventricles
(P
.01). More dramatically, Kv1.1 and Kv1.6, which are very
rare elsewhere in the heart, are quite common in the SA node.
Transcripts from the three other classes of Shaker-type
channels were also expressed in ferret myocytes. Myocytes containing
Kv2 channel mRNA were uniformly distributed throughout the heart, with
myocytes expressing Kv2.1 being twofold to threefold more abundant than
those expressing Kv2.2. Surprisingly, the four known members of the Kv3
(Figure
, panels I through L) family are also expressed in myocytes
throughout the heart. Kv3.4 shows the most striking regional variation;
ventricular myocytes expressing Kv3.4 are roughly threefold
more common in the ventricle than in the atrium (P
.01).
All three known members of the Kv4 family are expressed in the ferret
heart, with Kv4.2 being the most abundant (P
.01). The
transcript of Kv5.1 was most common in the right atrium (46.4%) and
rarest in the atrial septum (21.5%). Kv6.1 was less abundant. It was
present in 28.4% of SA nodal cells and in <16% of cells in the
other anatomic regions.
Recent studies have shown that besides the Shaker-type
K+ channels, several other proteins may participate in the
generation of certain cardiac K+ currents. These include
members of the IRK family of inward rectifying channels (two
membrane-spanning segments)34 and the minK protein
(with only a single membrane-spanning segment).27 28
Essentially all ventricular myocytes express some member of
the IRK family (Figure
, panel M), which is also common in the atrium;
interestingly, it is nearly absent (6.6±0.6%) from the SA node,
consistent with the virtual absence of inward rectifying
current (IK1) in this region.39 The minK
protein, which has been proposed to be responsible for
IKs27 28 or a possible cofactor of
ERG,40 is most common in the SA node, followed
by atrium, and then ventricle.
Two channels deserving of special attention are ERG and
KvLQT1; mutations in each of these channels are responsible for two of
the forms of familial long-QT syndrome.20 21 Our results
show that ERG (Figure
, panel N) is uniformly expressed in
about half the myocytes throughout the heart, whereas KvLQT1 is
somewhat more common, present in roughly 70% of right atrial and
ventricular myocytes and in 50% to 60% in the other
regions.
| Discussion |
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In a previous study, Dixon and McKinnon determined K+ channel mRNA levels expressed in different regions of the rat heart.29 However, we detected myocytes containing mRNA for channels not previously thought to exist in the heart, notably members of the Kv3 family. Unfortunately, results obtained by these two methods are not directly comparable. Dixon and McKinnon29 studied RNA isolated from whole hearts by RNase protection assay. This approach is very specific and potentially quantitative. Yet the RNA is necessarily isolated from a large population of cells in whole tissue; it presumably contains all the myocyte mRNA and RNA from other cell types. Our approach of fluorescent in situ hybridization to isolated myocytes has the important advantage of probing for RNA that exists only in single myocytes isolated from specific anatomic regions of the heart. Since we do not know how many myocytes are present in each region and cannot quantify this signal, one cannot draw conclusions about the overall abundance of an individual RNA species. Despite these differences, our results seem to be in general agreement with those of Dixon and McKinnon; the most obvious difference is the presence of Kv3 channel message, which was of "very low" abundance in rat heart when assayed by RNase protection assay. One explanation of this possible discrepancy is a species difference in mRNA expression between ferret and rat. It is also possible that no discrepancy exists. A transcript, expressed at a moderate level in 10% to 20% of individual myocytes, might be of very low abundance when assayed by RNase protection.
The present data suggest that cellular variability in transcript expression may be an important variable in determining the strength of the mRNA signal detected in studies performed on homogenates of whole heart. A subsequent study was performed by Barry et al,41 who used antibodies to the five channels whose RNA was most abundant. They found that all these proteins were expressed in the rat heart except Kv1.4. Their study highlights an important caution when interpreting in situ hybridization data: mRNA expression may not show a direct correlation with protein expression, although lack of message generally predicts lack of protein expression.
Physiological and Therapeutic
Implications
Although our hybridization data do not address whether the
variability in transcript expression is cell-to- cell or is due to
regional sublocalization, it clearly suggests that differences in
K+ channel transcript expression could be a significant
determinant of differential K+ current expression in
isolated cardiac myocytes. Rational design of antiarrhythmic drugs will
require knowledge of the structure of the channel responsible for
generating a target current. Our data suggest that a wider range of
potential molecular targets for antiarrhythmic drug action may exist in
the heart than previously suspected. Further, the discovery of
heteromultimerism among K+
channels,42 43 the discovery of a cardiac
voltage-gated K+ channel ß subunit,44 45 46
and the realization that nonShaker-type channels may
play an important role in generation of cardiac
currents23 24 27 28 34 all serve to complicate the process
of identification. The traditional criteria for establishing this
connection include correlation of physiological and
pharmacological properties between cloned channels and native
currents.47 We propose that understanding the full
complexity of the molecular basis of K+ current expression
in the heart will require coordination of
electrophysiological measurements with in
situ detection methods for channel subunits in the cell or region of
the heart where the current of interest resides.
In conclusion, the present study has used an in situ hybridization technique on myocytes isolated from different regions of the heart. This approach has enabled us to localize mRNA expression of voltage-sensitive K+ channels to individual cells, although our data do not predict to what extent the mRNA detected is translated into protein. However, the present study suggests that differences in transcript expression could account for the experimentally observed differential K+ current expression between myocytes.48 For example, there are significant differences in K+ currents between atrial cells,49 in the inward rectifier K+ current between the ventricle,50 51 atrium, and sinus node, and in the Ito between the subepicardium and subendocardium of the human ventricle.52 Finally, the present data suggest that molecular information concerning regional and cell-to-cell variability of potential therapeutic targets may ultimately facilitate development of safer and more efficacious antiarrhythmic therapy.
| Acknowledgments |
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| Footnotes |
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Received October 2, 1995; accepted March 21, 1996.
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