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Circulation Research. 1997;80:103-113

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(Circulation Research. 1997;80:103-113.)
© 1997 American Heart Association, Inc.


Articles

Evidence That Outwardly Rectifying Cl- Channels Underlie Volume-Regulated Cl- Currents in Heart

Dayue Duan, Joseph R. Hume, Stanley Nattel

the Department of Pharmacology and Therapeutics (D.D., S.N.), McGill University, Montreal, Canada; the Department of Medicine (D.D., S.N.), University of Montreal; the Department of Medicine and Research Centre (D.D., S.N.), Montreal Heart Institute; and the Department of Physiology and Cell Biology (D.D., J.R.H.), University of Nevada, School of Medicine, Reno.

Correspondence to Stanley Nattel, MD, Montreal Heart Institute, 5000 Belanger St, Montreal, Quebec H1T 1C8, Canada.


*    Abstract
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*Abstract
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Swelling-induced Cl- current (ICl.swell) is present in most cardiac tissues, but the unitary channel underlying ICl.swell is unknown. We used the cell-attached patch-clamp technique to assess the properties of single channels underlying ICl.swell and the basally active Cl- current (ICl.b) in rabbit atrial myocytes. Under isotonic conditions, single outwardly rectifying Cl- channels (ORCCs) with a slope conductance of 28±1 pS at the reversal potential were observed in 21 (5.7%) of 367 patches. Unconditional kinetic analysis revealed at least three open and four closed-channel states. Hypotonic superfusion-induced swelling resulted in the appearance of active channels in 41 (15.5%) of 265 patches without channel activity under isotonic conditions and caused a second active channel to appear in 3 of 14 patches showing a single channel under isotonic conditions. Overall, channels were seen in 54 of 336 patches under hypotonic conditions (16.1%, P<.001 versus isotonic conditions). The current-voltage relations, reversal potential–[Cl-]o relations, open probability, and kinetics of swelling-induced channels were indistinguishable from those of ORCCs under isotonic conditions. Unitary ORCCs, ICl.b, and ICl.swell were strongly and similarly inhibited by tamoxifen. Swelling-induced increases in macroscopic Cl- current were attributable to an increase in the number of active ORCCs with no significant effects on single-channel amplitude or open probability. Estimated macroscopic currents based on cell surface area, patch dimensions, single-channel ORCC current amplitude, open probability, and density were consistent with measured values of ICl.b and ICl.swell. We conclude that ORCCs underlie volume-regulated basal and swelling-induced Cl- currents in isolated rabbit atrial myocytes.


Key Words: heart • cell swelling • cardiac electrophysiology • Cl- channel • action potential


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Chloride channels have been found to be present in the plasma membranes of most cells and play potentially important roles in the control of cell volume, pHi, and membrane potential.1 2 Over the past few years, evidence has accumulated to show that the heart may express several types of Cl- channels.3 ICl.swell has been reported to exist in various cardiac cell types, such as canine atrial and ventricular cells,4 5 rabbit atrial cells,6 guinea pig atrial and ventricular cells,7 human atrial cells,8 9 10 and cultured chick heart cells.11 12 Although a 400-pS Cl- channel has been reported to be activated by exposure to hypotonic solution in neonatal rat cardiac cells,13 this channel has not been observed in adult cardiac cells. The nature of the unitary channel(s) underlying cardiac ICl.swell is thus unclear.

In rabbit atrial myocytes, we have previously observed ICl.b14 15 and more recently have found that ICl.b may be regulated by cell volume and {alpha}1-adrenoceptor–coupled, pertussis toxin–sensitive, G protein–mediated activation of PKC, a mechanism similar to that regulating ICl.swell in the same preparation.6 Although ORCCs of {approx}60 pS were identified in inside-out patches excised from rabbit atrial myocytes with an I-V form similar to that of macroscopic ICl.b,15 a definitive identification between ORCC and ICl.b is still lacking. Furthermore, the nature of unitary channels underlying ICl.swell remains unknown. In the present study, we used the patch-clamp technique to identify unitary Cl- channels in the cell-attached mode in rabbit atrial myocytes during superfusion with isotonic and hypotonic solutions and to study their properties. Macroscopic ICl.b and ICl.swell were also studied with the use of the whole-cell voltage-clamp technique to compare them with single-channel currents under similar conditions. Preliminary data from these studies have been presented in abstract form.16 17


*    Materials and Methods
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*Materials and Methods
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Preparation of Single Cells
Single atrial cells were obtained from rabbit hearts using a previously described dissociation technique.6 14 15 Briefly, rabbits (1.5 to 2.0 kg) were killed by a blow on the neck, and the hearts were quickly removed and perfused in the Langendorff mode, first with a modified HEPES-buffered Tyrode's solution at 37°C, then with a nominally Ca2+-free Tyrode's solution until the heart ceased to beat, and finally with the same solution containing 0.04% collagenase (CLSII, Worthington Biochemical) and 1.0% bovine serum albumin (Sigma Chemical Co) for 10 minutes. The left atrium was removed and further dissected into small pieces, and cell dissociation was achieved by gentle mechanical agitation. All cells studied were rod-shaped, exhibited clear cross striations, and lacked any visible blebs under isotonic conditions. Cell dimensions were determined with a calibrated graticule in the microscope, and cell volumes were estimated with assumed right cylindrical geometry according to the following equation: V={pi}L(W/2)2, where V, L, and W are cell volume, length, and width, respectively.

Electrophysiological Recording
The cell-attached configuration of the patch-clamp technique18 was used to record single Cl- channel currents. The tight-seal, whole-cell, voltage-clamp configuration of the patch-clamp technique was used to record the macroscopic ICl.b and ICl.swell and compare their I-V and other properties with those of single-channel currents under similar conditions. Recording pipettes were prepared from borosilicate glass electrodes (outer diameter, 1.5 mm) with tip resistances of 2 to 5 M{Omega} when filled with pipette solution. A bridge (3 mol/L KCl in agar salt) between the bath and a Ag/AgCl reference electrode immersed in pipette solution was used to minimize changes in liquid junction potential, and junction potentials were zeroed before establishing a membrane seal. A tight seal between the cell membrane and the pipette tip (seal resistance, >10 G{Omega}) was achieved by applying light suction. Recordings were made using an Axopatch 200A amplifier (Axon Instruments). Commercial software from Axon Instruments (pCLAMP 6; Clampex, Clampfit, Fetchex, Fetchan, and Pstat routines) was used for control of voltage-clamp protocols, data acquisition, and data analysis. Voltage-clamp pulses were generated by a 12-bit digital-to-analog converter. Single-channel currents were recorded at a gain of 500 mV/pA and low pass–filtered with an eight-pole Bessel filter at 5 kHz and stored on videotape or at 1 to 2 kHz and simultaneously digitized (Digidata 1200, Axon Instruments Inc) at a sampling rate of 2 to 5 kHz and stored on the hard disk of an IBM PC/AT compatible computer.

To obtain single-channel I-V relations, the membrane was clamped from a holding potential of 0 mV (relative to the RP) to a series of test potentials for 4 s at a time. The voltage of all cell-attached single-channel voltage clamps in the present study will be expressed as RP+V, where RP is the cell membrane resting potential and V is the transpatch voltage step applied by the amplifier, as would be measured at the intracellular side of the patch membrane. Hyperpolarizing and depolarizing pulses were imposed at 0.1 Hz in +10-mV increments between RP-40 and RP+140 mV. Ensemble averages of single-channel current were obtained by analyzing data from patches with a single channel and averaging the records of 60 two-second pulses. All command voltages and single-channel currents are displayed as they would be measured at the intracellular side of the membrane; ie, the values given are the negative of the values measured by the pipette at the extracellular surface.

The cell-attached patch configuration was checked at the end of each experiment by rupturing the patch to confirm a passage from the cell-attached to the whole-cell configuration. The average intracellular potential measured immediately after membrane rupture was 63.6±1.6 mV (n=53). All experiments were performed at 30±1°C. Inward cation currents such as Na+, Ca2+, and nonselective cation currents were prevented in single-channel studies by using the large impermeant cation NMDG as the only cation in the pipette solution. CdCl2 (200 µmol/L), BaCl2 (2 mmol/L), 4-aminopyridine (2 mmol/L), and TEA-Cl (10 mmol/L) were present continuously in the bath solution to block Ca2+ and K+ currents (inward rectifier, transient outward, and delayed rectifier K+ currents, respectively).

Solutions and Drugs
The modified Tyrode's solution for cell isolation contained (mmol/L) NaCl 126, KCl 5.4, CaCl2 2.0, MgCl2 1.0, NaH2PO4 0.33, glucose 10, and HEPES 10; pH was adjusted to 7.4 with NaOH. The high-K+ cell storage solution contained (mmol/L) KCl 20, KH2PO4 10, glucose 10, L-glutamic acid 70, ß-hydroxybutyric acid 10, taurine 10, and EGTA 10, along with 1% albumin, pH 7.4 (KOH). Osmolarity was adjusted to 290 to 300 mOsm/kg H2O by adding mannitol.

The standard pipette (external) solution for cell-attached patch-clamp recording contained (mmol/L) NMDG-Cl 108, HEPES 5, and glucose 5.5 (total [Cl-]p=108 mmol/L). The pH was adjusted to 7.40 with NMDG-OH, and osmolarity was adjusted to 285 to 295 mOsm/kg H2O by adding mannitol. To evaluate the ionic selectivity of the channels studied, the concentration of the ion of interest was reduced by equimolar replacement of NMDG with Tris or of Cl- with aspartate in the pipette solution. When high [Cl-]p was needed, the concentration of NMDG-Cl in the pipette solution was increased. The pipette (internal) solution for whole-cell patch-clamp recordings contained (mmol/L) NMDG aspartate 100, NMDG-Cl 24, Mg2+-ATP 5, and HEPES 10 (total [Cl]i=24 mmol/L).

The standard hypotonic bath (external) solutions for both cell-attached and whole-cell recordings contained (mmol/L) NaCl 85, KCl 5.0, BaCl2 2, TEA-Cl 10, CdCl2 0.2, 4-aminopyridine 5, MgCl2 0.8, CaCl2 1.0, NaH2PO4 0.33, HEPES 10, and glucose 5.5; pH was adjusted to 7.4 with NaOH (220 mOsm/kg H2O); total [Cl]o was 108 mmol/L. When experiments were performed with decreased [Cl-], aspartate was used to replace Cl- at equimolar concentrations. The standard isotonic bath solution was the same as the standard hypotonic solution, but the osmolarity was adjusted to 290 to 310 (302±4) mOsm/kg H2O by adding mannitol. Solution osmolarities were measured by freezing-point depression (Osmomette A, Precision Systems Inc).

Data Analysis
Single-channel current amplitudes were measured relative to the 0 current level. For the analysis of Po and open- and closed-state kinetics, patches were held at the desired potential for at least 150 s (>100 000 transitions). Po was obtained for patches with only one open peak and one closed peak in the amplitude histogram from the ratio of the area under the curve representing open events (fitted with a gaussian equation by a curve-fitting program in Pstat) divided by the sum of the areas under the open- and closed-event histograms. The kinetics of open and closed events were analyzed for patches containing only one active channel (determined by all-points amplitude histogram) with a half-amplitude algorithm incorporated in Fetchan, and events were reviewed manually. Open and closed dwell-time analyses were performed using the unconditional distributions of these interval durations.19 The interval durations were logarithmically binned, and the number of events was transformed as a square root of the ordinate in order to keep the errors approximately constant throughout the plot of the dwell-time histogram.20 Log-binned open or closed dwell-time data were fitted by the maximum likelihood estimate or Marquardt least-squares method (program incorporated in Pstat) using 1, 2, 3, and 4 exponential terms. To test whether or not different models produce a statistically better fit, for each dwell-time distribution histogram we compared the sum of squared errors for each model (the F value) and the ratio of the natural logarithm of the maximum likelihood estimate (log likelihood ratio) for different models. The F statistic was evaluated at {alpha} levels of 90% and 95%. A log likelihood ratio of >2 was taken to indicate statistical significance.

All results are expressed as mean±SEM. Statistical comparisons were performed either by ANOVA with Scheffe contrasts for group data or by Student's t test when only two groups were compared. The {chi}2 test was applied to compare the prevalence of active channels under isotonic versus hypotonic conditions. A two-tailed probability of <5% was taken to indicate statistical significance.


*    Results
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up arrowMaterials and Methods
*Results
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Properties of Unitary Cl- Channel Current in Cell-Attached Patches
Under isotonic conditions (290 to 310 mOsm/kg H2O), most patches failed to show single-channel activity. However, in a minority of patches (21 [5.7%] of 367), single-channel activity of the type shown in Fig 1ADown was clearly visible. When present, channel activity was evident at either hyperpolarizing or depolarizing voltages immediately after the formation of cell-attached configuration and generally remained stable for >15 minutes. Single-channel currents showed strong outward rectification and reversed at 19±1 mV (n=6) positive to RP at [Cl-]p of 108 mmol/L. The average slope conductance of the channel for outward current was 49±1 pS (n=6) on the basis of linear regression of current versus voltage over the range RP+20 to RP+140 mV (slope conductance, 28±1 pS at reversal potential) when [Cl-]p was 108 mmol/L (Fig 1BDown).



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Figure 1. Cell-attached patch-clamp recordings of single-channel currents in rabbit atrial cells. A, Tracings of channel currents obtained at various patch potentials. Potentials are expressed as a change from RP as measured from the inside of the cell. The reversal potential was RP+20 mV, and the pipette contained 108 mmol/L NMDG-Cl. B, Average I-V relation (mean±SEM) from six patches studied under the same conditions as in panel A. Standard error bars fall within symbols for means. C, Ensemble-averaged currents (lowest tracings) obtained by averaging 60 single-channel recordings (three examples shown at each voltage). The patch was pulsed to -40 mV (left panel) and +80 mV (right panel) relative to RP for 2 seconds at 0.1 Hz (values {approx}60 mV negative and {approx}60 mV positive to the reversal potential, respectively). The pipette (extracellular side) contained 108 mmol/L NMDG-Cl. Dashed line indicates closed-state (0 current) level.

Three examples of single-channel currents elicited from a typical patch by 2-second hyperpolarizing (Fig 1CUp, left) and depolarizing (Fig 1CUp, right) pulses from the RP are shown at the bottom of Fig 1Up. The respective voltage steps shown are {approx}60 mV negative (Fig 1CUp, left) and 60 mV positive (Fig 1CUp, right) to the current reversal potential at 108 mmol/L [Cl-]p, which averaged RP+19 mV. Ensemble-averaged currents from 60 pulses are shown at the bottom of each panel and indicate that the current carried by this channel is time independent and outwardly rectifying.

To evaluate the ionic selectivity of the channel, we altered [Cl-]p by equimolar substitution with aspartate, producing the type of recordings shown in Fig 2ADown-b, which had smaller outward currents and a more positive reversal potential than recordings at a physiological [Cl-]o of 108 mmol/L (Fig 2ADown-a). Increasing the concentration of NMDG-Cl (to increase [Cl-]p) had opposite effects, resulting in the type of recordings shown in Fig 2ADown-c. Mean (±SEM; where error bars are not visible, they fall within symbol for mean) I-V relations for single-channel current under each condition are shown in Fig 2BDown. A decrease in [Cl-]p to 22 mmol/L decreased single-channel conductance in the outward direction (to 23±1 pS, over the range from RP+60 mV to RP+140 mV; slope conductance at reversal potential, 20±2 pS; n=4) and shifted the reversal potential to more positive values (53±3 mV). Opposite effects were seen with an increase in [Cl-]p to 208 mmol/L, which increased conductance in the outward direction (to 62±1 pS, over the range from RP+10 mV to RP+140 mV; slope conductance at reversal potential, 33±1 pS; n=3) and shifted the reversal potential to more negative voltages (RP-6±1 mV). When mean reversal potentials (expressed as voltages relative to RP) were plotted as a function of log ([Cl-]p), the points fell on a line (r=.987) with a slope of -57.7 mV per decade (Fig 2CDown), indicating substantial Cl- selectivity of the channel. NMDG was the only cation in the pipette solution. Since cation channels are relatively impermeable to NMDG, inward currents across single channels studied with NMDG-Cl in the pipette are very unlikely to be due to cation entry into the cell. To address this possibility further, we eliminated NMDG from the pipette solution by substituting the even larger cation Tris for NMDG in the pipette. Fig 2DDown shows mean I-V relations obtained with either 108 or 0 mmol/L NMDG in the pipette. The mean reversal potential of single-channel currents obtained with Tris substitution was RP+17±2 mV (n=4), not significantly different from the value obtained with 108 mmol/L NMDG in the pipette (RP+19±1 mV). Single-channel conductance over the range between RP+20 mV and RP+140 mV averaged 51±2 pS (n=4) with 0 mmol/L NMDG in the pipette, not significantly different from the value of 49±1 pS obtained with the use of 108 mmol/L NMDG.



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Figure 2. Dependence of unitary channel current on pipette anion and cation concentrations. A, Recordings from cell-attached patches exposed to 108 mmol/L (a), 22 mmol/L (b), and 208 mmol/L (c) [Cl-]p. B, Average I-V curves for patches studied at different values of [Cl-]p. Results are mean±SEM, with error bars within means when not visible. C, Relation between mean reversal potential (Erev, expressed as voltage relative to RP) and [Cl-]p. Linear regression on the data provided the best-fit line shown (r=.987; slope, -57.7 mV per decade). D, Average I-V curves recorded with 108 or 0 mmol/L NMDG in the pipette ([NMDG]p) solution. Where standard error bars are not visible, they fall within symbols for means. The I-V curves are superimposed, indicating no significant effect of substitution of Tris for NMDG on conductance.

Channel activity at all voltages showed long-duration openings with either brief or relatively longer-lasting closings, as shown in Figs 1 through 3UpUpDown. Amplitude histograms of unitary single-channel currents were consistent with the presence of only one channel with a single dominant closed and open level for each of the seven patches studied to evaluate Po. Po averaged 0.68±0.02 at RP+120 mV (n=6), 0.66±0.04 at RP-40 mV (n=7), 0.63±0.03 at RP+60 mV (n=6), 0.62±0.03 at RP+80 mV (n=5), 0.65±0.03 at RP+100 mV (n=6), and 0.70±0.03 at RP+140 mV (n=5) (P=NS for voltage dependence, ANOVA).



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Figure 3. Examples of single-channel currents and kinetic analysis of open and closed dwell times at RP-40 mV under isotonic conditions. A, Representative 2.5-minute recordings at different time resolutions (low-pass–filtered at 1 kHz). Dashed lines indicate the closed (0 current) level. B, Histograms of open (upper) and closed (lower) dwell times. The interval durations were log-binned, and the number of events spent in each interval was transformed to square root. Data fitting (see text for methods) indicated that the channels must have at least three open kinetic states ({tau}1=2.1 ms, {tau}2=15.9 ms, and {tau}3=120.8 ms) and a minimum of four closed kinetic states ({tau}1=1.0 ms, {tau}2=6.1 ms, {tau}3=1.4 ms, and {tau}4=246.7 ms). Dashed lines indicate the fitting components, and the solid line indicates the final fitting curve.

Channel kinetics were studied in seven patches in which single-channel activity was observed for at least 150 seconds. In each patch, single open and closed levels were determined from the all-points amplitude histogram. Results from a representative patch are shown in Fig 3Up. During hyperpolarization (to 40 mV negative to RP), channel opening elicited an inward current. The open and closed analysis using the unconditional interval distribution and maximum likelihood fitting indicated that the channels must have a minimum of three open kinetic states (P<.01 for a model with three open states versus model with two, P>.05 for a model with four open states versus a model with three) with time constants of {tau}1=2.1 ms, {tau}2=15.9 ms, and {tau}3=120.8 ms and a minimum of four closed states (P<.05 for a model with four closed states versus a model with three, P<.01 for a model with four closed states versus a model with two, and P<.01 for a model with three closed states versus a model with two) with time constants of {tau}1=1.0 ms, {tau}2=6.1 ms, {tau}3=31.4 ms, and {tau}4=246.7 ms. Mean kinetic data from seven patches under isotonic conditions are shown in the TableDown.


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Table 1. Kinetics of ORCCs Under Different Conditions at RP-40 mV

Effects of Hypotonic Cell Swelling on Single-Channel Activity
In the first series of experiments, patches lacking single-channel activity in the presence of isotonic superfusate were monitored during the induction of cell swelling. Superfusion with hypotonic bath solution (210 to 220 mOsm/kg H2O) for >15 minutes increased cell volume from 7895±524 µm3 (length, 102±3 µm; width, 9.8±0.3 µm) to 14778±1080 µm3 (length, 102±3 µm; width, 13.3±0.4 µm; n=54), representing an 88±6% increase in volume compared with control conditions (P<.001). Fig 4Down shows an example of a patch without single-channel activity under isotonic conditions that developed currents typical of ORCCs in the presence of hypotonic swelling. Of 220 patches lacking channel activity under isotonic conditions with [Cl-]p of 108 mmol/L that were followed for >15 minutes after the onset of hypotonic superfusion, 36 (16.4%) showed the type of response illustrated in Fig 4Down. The onset of channel opening was observed an average of 15±2 minutes after changing to hypotonic superfusate.



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Figure 4. Recordings from a patch that failed to show single-channel activity under isotonic conditions (left) but showed typical outwardly rectifying currents after the induction of hypotonic cell swelling (right).

Another set of patches (n=14) that demonstrated channel activity under isotonic conditions was observed during the induction of hypotonic swelling. In some of these (n=3), cell swelling revealed the presence of a second channel in the patch, with unitary current properties resembling those of the channels under basal conditions. Fig 5Down shows a representative recording of single-channel currents from these patches. Under isotonic conditions, the amplitude distribution histogram (right panel of Fig 5ADown) showed only a single dominant open and closed level and was best fitted with a two-order gaussian equation (r=.94, mean current amplitude, -0.43 pA; Po, 0.65). Exposure of the same cell to hypotonic superfusate for 10 minutes caused the appearance of a second active channel in the same patch. The amplitude histogram (right panel of Fig 5BDown) showed two open levels and one closed level and was best fit with a three-order gaussian equation (r=.96). The mean current amplitude at each open level was the same (-0.43 pA), and the amplitude distributions were consistent with two channels with Po of {approx}0.6. These data suggest that the second channel activated by cell swelling is identical to the first channel in the same patch recorded under isotonic conditions.



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Figure 5. Effect of hypotonic cell swelling on channel activity recorded at RP-40 mV in a cell-attached patch in the presence of 108 mmol/L [Cl-]p. Corresponding amplitude histograms are shown on the right of each panel. A, Recordings under isotonic conditions are shown. B, Hypotonic swelling caused the appearance of a second active channel in this patch.

Finally, in one channel studied in the presence of 22 mmol/L [Cl-]p, the induction of hypotonic swelling caused the reappearance of the same channel activity that had disappeared spontaneously after a period of activity under isotonic conditions.

Comparison of Properties of ORCCs Under Basal Conditions and in the Presence of Hypotonic Cell Swelling
Fig 6ADown shows mean (±SEM, where error bars are not visible they fall within the symbol for mean) I-V relations of single-channel activity recorded in the presence of isotonic and hypotonic superfusate with [Cl-]p of 108 mmol/L. The data are superimposed, indicating identical conductance properties. The reversal potential of single-channel current in the presence of hypotonic superfusate was RP+18±1 mV, not significantly different from that of the ORCC under basal isotonic conditions (RP+19±1 mV, P=NS). The slope conductance at the reversal potential of single-channel current carried by channels recorded in the presence of cell swelling was 27±1 pS (n=14), similar to that of channels studied under isotonic conditions (28±1 pS, P=NS). Fig 6BDown shows the effects of reduced [Cl-]p (22 mmol/L) on single-channel activity in the presence of hypotonic swelling and compares unitary currents at this [Cl-]p under hypotonic and isotonic conditions. At lower [Cl-]p, channels under hypotonic conditions showed a reduced conductance (slope conductance at the reversal potential averaged 20±1 pS) and more positive reversal potential (RP+54±3 mV, n=5) compared with results at 108 mmol/L [Cl-]p. When values of the reversal potential of single-channel activity under hypotonic conditions (open squares in Fig 6CDown) at various [Cl-]p levels are plotted along with those of channels observed under isotonic conditions (open circles in Fig 6CDown), they are virtually superimposed. The reversal potentials for single-channel currents recorded in the presence of hypotonic swelling fall close to the regression line obtained under isotonic conditions (dashed line), indicating high Cl- selectivity (57.7 mV per decade, r=.99). Furthermore, a similar selectivity for Cl- was observed for macroscopic ICl.b (56.3 mV per decade, r=.99, n=5) and ICl.swell (56.9 mV per decade, r=.999, n=5; data not shown).



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Figure 6. Comparison of properties of ORCCs recorded under isotonic (Isot.) and hypotonic (Hypot.) conditions. A, I-V curves (mean±SEM) recorded with [Cl-]p of 108 mmol/L. The reversal potential (Erev) averaged RP+18±1 mV (n=14) under hypotonic and RP+19±1 mV (n=6) under isotonic conditions. Slope conductances of outward current (from RP+20 mV to RP+140 mV) were 50±1 pS (n=14) and 49±1 pS (n=6), respectively. B, I-V curves recorded at lower (22 mmol/L) [Cl-]p. Erev was RP+54±3 mV (n=5) under hypotonic conditions and RP+53±3 mV (n=4) under isotonic conditions; the slope conductance of outward current (from RP+60 mV to RP+140 mV) averaged 22±1 pS (n=5) and 23±1 pS (n=4), respectively. C, Erev of currents recorded from unitary channels under isotonic and hypotonic conditions at various levels of [Cl-]p. Dashed line was obtained by linear regression of data from isotonic conditions. D, Prevalence of active channels in patches recorded under isotonic and hypotonic conditions.

The prevalence of channel activity was substantially greater in the presence of hypotonic swelling. Overall, single-channel activity was seen in 54 (16.1%) of 336 patches studied under hypotonic conditions with [Cl-]p of 108 or 22 mmol/L. Of these, 41 patches had failed to show activity under isotonic conditions and became active during exposure of the cell to hypotonic conditions. The remaining 13 patches showing channel activity were obtained by initially forming a patch under hypotonic conditions and constituted 18.3% of the 71 patches studied in this fashion. The overall prevalence of channel activity under hypotonic conditions was thus much greater than under isotonic conditions (Fig 6DUp). On the other hand, the Po of channels under hypotonic conditions was similar to that of channels recorded under isotonic conditions (TableUp).

Fig 7Down illustrates the kinetic properties of channels recorded under hypotonic conditions. As was the case under isotonic conditions, the open-time distributions were best fit with a three-exponential relation, and the closed-time distributions were best fit with a four-exponential relation. The mean time constants for both open and closed dwell times under hypotonic conditions (from 10 different patches) were of the same order as those observed under isotonic conditions (P>.05 for each time constant under hypotonic conditions compared with the corresponding time constant under isotonic conditions, Table). These data suggest that cell swelling activates the same set of Cl- channels (ORCCs) as recorded under isotonic conditions and increases macroscopic current by recruiting additional channels without altering the properties of those already activated.



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Figure 7. Examples of single-channel currents and kinetic analysis of open and closed dwell times at RP-40 mV under hypotonic conditions. A, Representative 2.5-minute recordings at different time resolutions (low-pass–filtered at 1 kHz). Dashed lines indicate the closed (0 current) level. B, Histograms of open (upper) and closed (lower) dwell time. The interval durations were log-binned, and the number of events in each interval was transformed to square root. Data fitting (see text for methods) indicated that the channels must have at least three open kinetic states ({tau}1=2.1 ms, {tau}2=9.3 ms, and {tau}3=78.8 ms) and at least four closed kinetic states ({tau}1=0.7 ms, {tau}2=5.0 ms, {tau}3=31.5 ms, and {tau}4=211.9 ms). Dashed lines indicate the fitting components, and the solid line indicates the final fitting curve.

Inhibition of ORCC, ICl.b, and ICl.swell by Tamoxifen
Recent studies have shown that tamoxifen (an antiestrogen) is a selective and potent inhibitor of ICl.swell in both cardiac myocytes7 and noncardiac cells.21 Vandenberg et al7 reported that tamoxifen inhibits whole-cell ICl.swell in guinea pig atrial and ventricular myocytes with a slow onset of action, suggesting that this agent may act from the intracellular surface of the channel. Therefore, we studied the effects of tamoxifen on ORCCs in cell-attached patches and on macroscopic ICl.b and ICl.swell.

As shown in Fig 8Down, tamoxifen (10 µmol/L, 10 minutes) almost completely inhibited ORCCs activated by cell swelling. The same effect was observed in all four cell-attached patches studied. Tamoxifen also inhibited ICl.b and ICl.swell (Fig 9Down). Fig 9ADown shows the effect of tamoxifen on ICl.b. Although the current showed no change over 20 minutes of recording before drug infusion, tamoxifen (10 µmol/L) caused time-dependent inhibition (44%, 71%, and 88% reduction at +40 mV and 29%, 52%, and 82% at -100 mV after 2, 4, and 7 minutes, respectively). The currents recorded after exposure to tamoxifen for 7 minutes are shown in Fig 9ADown-c. The tamoxifen-sensitive current (Fig 9ADown-d) reversed at -41.5 mV (estimated Cl- equilibrium potential, -39.3 mV). Fig 9BDown shows the effect of tamoxifen (10 µmol/L) on swelling-induced currents. Tamoxifen strongly inhibited the current (Fig 9BDown-c) within 10 minutes. Fig 9BDown-d shows average I-V curves from four cells: tamoxifen reduced total current by 90±2% and 76±4% at +40 mV and -100 mV, respectively. The pharmacological data shown in Figs 8 and 9DownDown support the role of ORCCs in underlying both ICl.b and ICl.swell.



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Figure 8. Effects of tamoxifen on ORCCs activated by cell swelling. Examples of single-channel currents recorded at RP-40 mV for 2.5 minutes from the cell-attached patch when the cell was perfused with isotonic (A), hypotonic (B), and tamoxifen (10 µmol/L)–hypotonic (C) solutions are shown on the left, and the corresponding amplitude histograms are shown on the right of each panel. Po was 0, 0.72, and 0 under isotonic and hypotonic conditions and in the presence of tamoxifen, respectively.



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Figure 9. Effects of tamoxifen on volume-regulated Cl- currents. A, Basal currents recorded under isotonic conditions immediately after formation of the whole-cell configuration (a) and after 20 minutes of recording (b). Current amplitude and reversal potential (-40.5 mV) did not change over time. Subsequent exposure of the same cell to tamoxifen (10 µmol/L) for 7 minutes caused a substantial reduction in the current amplitude at all test potentials and shifted the reversal potential toward 0 mV (c). The tamoxifen-sensitive current (d) obtained by subtracting currents in panel A-c from those in panel A-b showed strong outward rectification and reversed at a potential (-41.5 mV) near the Cl- equilibrium potential (-39.3 mV). B, The cell swelling–induced current caused by hypotonic superfusion (b) was also strongly inhibited by 10 µmol/L tamoxifen (c). The average I-V relations from four cells under isotonic (isot, {blacksquare}) and hypotonic (hypot, {bullet}) conditions and in the presence of tamoxifen ({blacktriangleup}) are shown (d). The reversal potential of current was -39.0±1.2 mV under isotonic conditions and -44.1±0.3 mV under hypotonic conditions.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
In the present study, we have demonstrated that unitary channel currents carried by ORCCs can be recorded in the cell-attached mode in isolated rabbit atrial myocytes under isotonic conditions. These channels carry inward current in the absence of permeable cations in the pipette (extracellular) solution, and changes in pipette Cl-concentration cause shifts in channel conductance and reversal potential consistent with a Cl--selective channel. Several lines of evidence suggest that hypotonic cell swelling increases Cl- conductance by activating the same channel. These include (1) similar conductance, open probability, and kinetic properties of cell swelling–induced single-channel currents to ORCCs under hypotonic conditions, (2) a higher prevalence of active ORCCs in the presence of hypotonic superfusate–induced swelling and the swelling-induced appearance of active channels in patches that lack such channels under basal conditions, and (3) a similar response to tamoxifen of ORCC, ICl.b, and ICl.swell. The correspondence between the pharmacological response of ORCC, ICl.b, and ICl.swell, their Cl- dependence, and directly measured ICl.b and ICl.swell suggest that the latter are carried by ORCCs in rabbit atrial myocytes.

Relation Between Single-Channel and Macroscopic Cl- Currents in the Present Experiments
As indicated in "Results", the Cl- dependence of ORCC was indistinguishable from that of ICl.b and ICl.swell, as was the response to tamoxifen. To evaluate further the relation between macroscopic currents and ORCCs, we compared the estimated macroscopic current expected on the basis of the properties of ORCCs with directly measured whole-cell currents. The number of active channels per cell under isotonic conditions was estimated on the basis of the following formula: (CSA/PA)·(%prev), where CSA is cell surface area estimated from cell dimensions assuming right cylindrical geometry ({pi}xlengthxwidth), PA is patch area estimated with an assumed circular electrode tip and a microscopically measured diameter of 2 µm, and %prev is the proportion of patches showing channel activity. This provides an estimate of 67 active channels per cell. Mean unitary current at RP+120 mV, which corresponds to a transmembrane potential of +56 mV based on the mean measured resting potential, was 4.62 pA. Multiplying this value by the measured Po of 0.68 and by the estimated number of channels per cell provides an expected macroscopic current of 210 pA at +56 mV. This compares with directly measured mean values of macroscopic ICl.b of 196 and 237 pA under isotonic conditions at +50 and +60 mV. The corresponding estimate under hypotonic conditions was obtained by multiplying the number of active channels per cell under isotonic conditions by ACThypo/ACTiso, where ACThypo and ACTiso are the mean prevalence of active channels per patch under hypotonic and isotonic conditions, respectively. This provides an estimate of 189 channels per cell and a predicted macroscopic current at +56 mV (RP+120 mV) of 593 pA, similar to the measured mean values of total macroscopic Cl- current of 568 and 678 pA at +50 and +60 mV, respectively, under hypotonic conditions. These results indicate that the ORCCs recorded in cell-attached patches can account for all of the ICl.b and ICl.swell measured by whole-cell voltage clamp. In combination with the similar kinetics and conductance of ORCCs observed under isotonic and hypotonic conditions, they suggest that cell swelling elicits ICl.swell by increasing the number of active ORCCs without altering the intrinsic behavior of active channels.

Comparison With Previous Studies of Unitary Cardiac Cl- Channels
The first cardiac Cl- current to have a unitary channel identified was the ICl.cAMP,22 whose biophysical properties resemble those of CFTR.23 24 25 The nature of single channels underlying other cardiac Cl- currents remains largely unknown. We previously reported the presence of ORCCs, with properties similar to sarcolemmal Cl- channels reported by Coronado and Latorre,26 in excised patches from rabbit atrial myocytes.15 In the present study, we report the observation of ORCCs during cell-attached patch recording on intact rabbit atrial myocytes and, for the first time, provide strong direct evidence for a role of ORCCs in underlying ICl.swell.

Very recent studies from Collier et al27 28 investigated the single-channel properties of ICl.PKC27 and ICl.Ca.28 In guinea pig ventricular cells, PKC-activated unitary Cl- channels have properties similar to those of cardiac CFTR Cl- channels.27 In canine ventricular myocytes, Ca2+ applied to the cytosolic surface of inside-out membrane patches activated small-conductance (1.0 to 1.3 pS) Cl- channels.28 The properties of cardiac ORCCs, including their conductance, kinetics, rectification, and Ca2+-sensitivity, are strikingly different from those of unitary cardiac Cl- channels of ICl.cAMP,22 ICl.PKC,27 and ICl.Ca.28

Relation of Cardiac ORCCs to Noncardiac ORCCs
ORCCs are found in a wide variety of mammalian tissues29 30 31 32 and may play a role in volume regulation, signal transduction, and transepithelial transport.33 34 35 36 The properties of cardiac ORCCs are in general quite similar to those of ORCCs in noncardiac cells in terms of conductance, outward rectification under symmetric Cl- gradients, and pharmacological properties. Although ORCCs have been observed often in cell-free patches from noncardiac tissues, they have been more difficult to record in the cell-attached mode. Moreover, the macroscopic equivalent of ORCCs in these tissues is also still uncertain, leading to uncertainty about their physiological function.36 37

Solc and Wine35 recorded single-channel activity during cell swelling in epithelial cells and observed an outwardly rectifying channel with properties somewhat different from ORCC, including a slightly greater conductance, greater stability of the open state, voltage-dependent inactivation, and a strong tendency for time-dependent rundown. They concluded that the two types of channel may be distinct proteins or different functional states of the same channel. In the present study, the properties of ORCCs recorded in the cell-attached mode under isotonic conditions and during cell swelling were identical and were similar to those of cardiac ORCCs in excised inside-out patches15 in terms of conductance, rectification, and voltage dependence.

Potential Significance of the Present Findings
Despite the broad distribution of ICl.swells that have been described in both cardiac4 5 6 7 8 9 10 11 12 13 and noncardiac tissues,38 39 40 41 42 the single-channel properties underlying the macroscopic behaviors of these currents are still unclear. The present study provides strong and direct evidence that ORCCs underlie volume-regulated Cl- currents in rabbit atrial cells. Further work is necessary in order to establish the role of ORCCs in volume-sensitive Cl- currents of other cardiac cell types and other species.

Our previous studies pointed toward a common ionic mechanism for ICl.swell and ICl.b in rabbit atrial myocytes.6 Both currents are outwardly rectifying, volume sensitive, inhibited by disulfonic stilbenes, and suppressed by {alpha}1-adrenergic stimulation through a PKC-mediated mechanism.6 The present work further supports the notion of a common mechanism for these currents by providing direct evidence that they are mediated by the same unitary channels. ICl.swell is conventionally considered to be activated by cell swelling and to be inactive under normal physiological conditions. It is possible, however, that such channels are active over a range of volume states, which includes basal conditions, and therefore may play a role even in the absence of pathological swelling. On the other hand, the cell isolation procedure and experimental manipulations may have allowed ORCCs to be recorded under isotonic conditions, despite a lack of activity under physiological conditions in vivo.

Stationary noise analysis studies of noncardiac ICl.swell have suggested a channel conductance in the range of 1 to 2 pS.38 39 40 41 Recently, Jackson and Strange42 showed that stationary noise analysis suggested a single-channel conductance of volume-sensitive currents of {approx}1 pS at 0 mV. They then applied nonstationary noise analysis, which does not assume a constant number of functional channels, and obtained a single-channel conductance of 50.6±1 pS at +120 mV, in the range that we obtained for cardiac ORCCs at positive voltages. They suggested that activation of volume-sensitive anion channels may involve an abrupt switching of channels from an "off" state, where Po is zero, to an "on" state, where Po is substantial. Our results provide direct evidence supporting the theoretical basis of Jackson and Strange's analysis, in that hypotonic swelling appeared to increase current by increasing the number of channels in an active mode, without altering the Po of active channels. It has been reported that there may be a cytoplasmic inhibitor of ORCCs that restricts activity in cell-attached mode.43 44 Our results are consistent with these reports in that, under isotonic conditions, the prevalence of active channels and the Po of ORCCs in cell-attached patches are significantly lower than those of ORCCs in inside-out patches.15 Our findings are also compatible with preliminary observations reported by Zhang et al12 in 1992, who observed outwardly rectifying Cl- channels with a chord conductance of 31 pS during hypotonic swelling in cultured chick heart cells.

Cardiac ORCCs share many similarities with ORCCs in other tissues, including basic biophysical (eg, the characteristic outwardly rectifying I-V relation under symmetrical Cl-concentrations) and pharmacological (eg, inhibition by stilbene derivatives) properties. Like cardiac ORCCs,6 ORCCs from human airway epithelial cells are also inhibited by PKC45 and pertussis toxin–sensitive G proteins (G{alpha}i-2).46 A recently cloned member of the CLC family, CLC-3, is also inhibited by PKC.47 CLC-3 is the most distantly related member of the CLC family (the 760–amino acid protein encoded by CLC-3 is only 24% homologous to previously reported CLC channels but has a similar hydropathy profile) and may represent a new branch of this gene family.48 Unlike other members of the CLC family but similar to cardiac ICl.b and ICl.swell, the current carried by CLC-3 shows strong outward rectification under symmetric Cl- and is inhibited by PKC and stilbene derivatives.6 15 47 The single-channel properties of CLC-3 also show similarities to those of cardiac ORCCs, including (1) strong outward rectification under symmetrical Cl- conditions, (2) 40-pS conductance (when intracellular Ca2+ is 200 nmol/L), (3) similar open- and closed-state kinetics, and (4) sensitivity to DIDS. Although CLC-3 appears not to be expressed in the heart,47 two new members of the CLC family, CLCN449 and CLCN5,50 which are strikingly similar to CLC-3, are expressed in the heart,49 50 and a deficiency in CLCN4 has been associated with cardiac abnormalities.49 Our finding that ORCC underlies cardiac volume-sensitive Cl- currents may help in the delineation of the cellular mechanisms by which these genes contribute to cardiac function.

Conclusions
We have obtained, for the first time, direct evidence that ORCCs underlie both ICl.b and ICl.swell in rabbit atrium and may therefore play a potentially important physiological role in cardiac electrophysiology. These findings provide new insights into subcellular mechanisms controlling Cl- movement across cardiac cell membranes and open up new avenues for the exploration of their molecular control.


*    Selected Abbreviations and Acronyms
 
[Cl-]p = pipette Cl- concentration
CFTR = cystic fibrosis transmembrane conductance regulator
CLC = cloned Cl- channel family
ICl.b = basal macroscopic Cl- current
ICl.Ca = Ca2+-dependent Cl- current
ICl.cAMP = cAMP-dependent Cl- current
ICl.PKC = PKC-dependent Cl- current
ICl.swell = cell swelling–induced Cl- current
I-V = current-voltage
NMDG = N'-methyl-D-glucamine
ORCC = outwardly rectifying Cl- channel
PKC = protein kinase C
Po = open-channel probability
RP = resting potential
TEA = tetraethylammonium


*    Acknowledgments
 
This study was supported by the Medical Research Council of Canada, the Quebec Heart Foundation, the Fonds de Recherche de l'Institut de Cardiologie de Montreal, and National Institutes of Health grant HL-52803 (Dr Hume). Dr Duan was supported by a graduate studentship and subsequently by a postdoctoral fellowship from the Medical Research Council of Canada. We thank Dr Lingyu Ye for excellent technical support, Dr J.L. Kenyon for suggestions regarding single-channel analysis, and Luce Begin and Carolyn Gillis for secretarial assistance.


*    Footnotes
 
Previously published in abstract form (Biophys J. 1995;68:A110; Circulation. 1995;92[suppl I]:I-638).

Received September 19, 1996; accepted October 15, 1996.


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up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
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I. Kocic, Y. Hirano, and M. Hiraoka
Ionic basis for membrane potential changes induced by hypoosmotic stress in guinea-pig ventricular myocytes
Cardiovasc Res, July 1, 2001; 51(1): 59 - 70.
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J. Physiol.Home page
D. Duan, J. Zhong, M. Hermoso, C. M Satterwhite, C. F Rossow, W. J Hatton, I. Yamboliev, B. Horowitz, and J. R Hume
Functional inhibition of native volume-sensitive outwardly rectifying anion channels in muscle cells and Xenopus oocytes by anti-ClC-3 antibody
J. Physiol., March 1, 2001; 531(2): 437 - 444.
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Am. J. Physiol. Heart Circ. Physiol.Home page
F. C. Britton, W. J. Hatton, C. F. Rossow, D. Duan, J. R. Hume, and B. Horowitz
Molecular distribution of volume-regulated chloride channels (ClC-2 and ClC-3) in cardiac tissues
Am J Physiol Heart Circ Physiol, November 1, 2000; 279(5): H2225 - H2233.
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J. Physiol.Home page
M. Nagasaki, L. Ye, D. Duan, B. Horowitz, and J. R Hume
Intracellular cyclic AMP inhibits native and recombinant volume-regulated chloride channels from mammalian heart
J. Physiol., March 15, 2000; 523(3): 705 - 717.
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Circ. Res.Home page
D. Duan, L. Ye, F. Britton, B. Horowitz, and J. R. Hume
A Novel Anionic Inward Rectifier in Native Cardiac Myocytes
Circ. Res., March 3, 2000; 86 (4): e63 - e71.
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Am. J. Physiol. Cell Physiol.Home page
A. S. Lader, Y. Wang, G. R. Jackson Jr., S. C. Borkan, and H. F. Cantiello
cAMP-activated anion conductance is associated with expression of CFTR in neonatal mouse cardiac myocytes
Am J Physiol Cell Physiol, February 1, 2000; 278(2): C436 - C450.
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Physiol. Rev.Home page
J. R. Hume, D. Duan, M. L. Collier, J. Yamazaki, and B. Horowitz
Anion Transport in Heart
Physiol Rev, January 1, 2000; 80(1): 31 - 81.
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J. Physiol.Home page
D. Duan, L. Ye, F. Britton, L. J Miller, J. Yamazaki, B. Horowitz, and J. R Hume
Purinoceptor-coupled Cl- channels in mouse heart: a novel, alternative pathway for CFTR regulation
J. Physiol., November 15, 1999; 521(1): 43 - 56.
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Am. J. Physiol. Cell Physiol.Home page
M. Kawasaki, T. Fukuma, K. Yamauchi, H. Sakamoto, F. Marumo, and S. Sasaki
Identification of an acid-activated Cl- channel from human skeletal muscles
Am J Physiol Cell Physiol, November 1, 1999; 277(5): C948 - C954.
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E. Carmeliet
Cardiac Ionic Currents and Acute Ischemia: From Channels to Arrhythmias
Physiol Rev, July 1, 1999; 79(3): 917 - 1017.
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Cardiovasc ResHome page
S. Sorota
Insights into the structure, distribution and function of the cardiac chloride channels
Cardiovasc Res, May 1, 1999; 42(2): 361 - 376.
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Circ. Res.Home page
R. J. Diaz, V. A. Losito, G. D. Mao, M. K. Ford, P. H. Backx, and G. J. Wilson
Chloride Channel Inhibition Blocks the Protection of Ischemic Preconditioning and Hypo-Osmotic Stress in Rabbit Ventricular Myocardium
Circ. Res., April 16, 1999; 84(7): 763 - 775.
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Am. J. Physiol. Cell Physiol.Home page
G. M. Dick, K. K. Bradley, B. Horowitz, J. R. Hume, and K. M. Sanders
Functional and molecular identification of a novel chloride conductance in canine colonic smooth muscle
Am J Physiol Cell Physiol, October 1, 1998; 275(4): C940 - C950.
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Cardiovasc ResHome page
M. Hiraoka, S. Kawano, Y. Hirano, and T. Furukawa
Role of cardiac chloride currents in changes in action potential characteristics and arrhythmias
Cardiovasc Res, October 1, 1998; 40(1): 23 - 33.
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J. Yamazaki and J. R. Hume
Inhibitory Effects of Glibenclamide on Cystic Fibrosis Transmembrane Regulator, Swelling-Activated, and Ca2+-Activated Cl- Channels in Mammalian Cardiac Myocytes
Circ. Res., July 19, 1997; 81(1): 101 - 109.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G.-R. Li, M. Zhang, L. S. Satin, and C. M. Baumgarten
Biphasic effects of cell volume on excitation-contraction coupling in rabbit ventricular myocytes
Am J Physiol Heart Circ Physiol, April 1, 2002; 282(4): H1270 - H1277.
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W. E. Cascio, H. Yang, T. A. Johnson, B. J. Muller-Borer, and J. J. Lemasters
Electrical Properties and Conduction in Reperfused Papillary Muscle
Circ. Res., October 26, 2001; 89(9): 807 - 814.
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