Donate Help Contact The AHA Sign In Home
American Heart Association
Circulation Research
Search: search_blue_button Advanced Search
Circulation Research. 1999;84:136-145

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Maltsev, V. A.
Right arrow Articles by Hescheler, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Maltsev, V. A.
Right arrow Articles by Hescheler, J.
Related Collections
Right arrow Cell signalling/signal transduction
Right arrow Heart failure - basic studies
Right arrow Ion channels/membrane transport
(Circulation Research. 1999;84:136-145.)
© 1999 American Heart Association, Inc.


Original Contribution

Establishment of ß-Adrenergic Modulation of L-Type Ca2+ Current in the Early Stages of Cardiomyocyte Development

Victor A. Maltsev, G. J. Ji, Anna M. Wobus, Bernd K. Fleischmann, Jürgen Hescheler

From the Division of Cardiovascular Medicine, Henry Ford Heart and Vascular Institute (V.A.M.), Detroit, Mich; Institut für Neurophysiologie der Universität zu Köln (G.J.J., B.K.F., J.H.), Cologne, Germany; and Institut für Pflanzengenetik und Kulturpflanzenforschung (A.M.W.), Gatersleben, Germany.

Correspondence to Jürgen Hescheler, Institut für Neurophysiologie, Robert-Koch str 39, 50931 Köln, Germany. E-mail jh{at}Physiologie.Uni-Koeln.de


*    Abstract
up arrowTop
*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Abstract—ß-Adrenergic modulation of the L-type Ca2+ current (ICaL) was characterized for different developmental stages in murine embryonic stem cell-derived cardiomyocytes using the whole-cell patch-clamp technique at 37°C. Cardiomyocytes first appeared in embryonic stem cell-derived embryoid bodies grown for 7 days (7d). ICaL was insensitive to isoproterenol, forskolin, and 8-bromo-cAMP in very early developmental stage (VEDS) cardiomyocytes (from 7+1d to 7+2d) but highly stimulated by these substances in late developmental stage (LDS) cardiomyocytes (from 7+9d to 7+12d), indicating that all signaling cascade components became functionally coupled during development. In early developmental stage (EDS) cells (from 7+3d to 7+5d), the stimulatory response to forskolin and 8-bromo-cAMP was relatively weak. The forskolin effect was strongly augmented by ATP-{gamma}-S. At this stage, basal ICaL was stimulated by the nonselective phosphodiesterase (PDE) inhibitor isobutylmethylxanthine, by PDE inhibitors selective for the PDE II, III, and IV isoforms, as well as by the phosphatase inhibitor okadaic acid. Stimulation of ICaL by the catalytic subunit of the cAMP-dependent protein kinase A (PKA) was found to be similar (about 3 times) throughout development and in adult mouse ventricular cardiomyocytes, indicating that no structural changes of the Ca2+ channel related to phosphorylation occurred during development. ICaL was stimulated by isoproterenol in the presence of a PKA inhibitor and GTP-{gamma}-S in LDS but not VEDS cardiomyocytes, suggesting the development of a membrane-delimited stimulatory pathway mediated through the stimulatory GTP binding protein, Gs. We conclude that uncoupling and/or low expression of Gs protein accounted for the ICaL insensitivity to ß-adrenergic stimulation in VEDS cardiomyocytes. Furthermore, in EDS cells at the 7+4d stage, the reduced ß-adrenergic response is due, at least in part, to high intrinsic PDE and phosphatase activities.


Key Words: L-type Ca2+ channel • adenylyl cyclase • cAMP-dependent protein kinase A • phosphatase • phosphodiesterase


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
An important process in regulating heart rate and excitation-contraction coupling by sympathetic nerves is the stimulation of the high-threshold (L-type) Ca2+ current (ICaL) by ß-adrenergic agonists. In adult mammalian cardiomyocytes, the signal transduction from receptor to the channel includes several steps of interaction of functionally coupled downstream components (Figure 1Down). Binding of an agonist to the ß-adrenoceptor activates a guanine nucleotide-binding (G) protein, Gs, which triggers the activation of adenylyl cyclase (AC) and, in turn, increases the level of cytosolic cAMP.1 This is followed by the phosphorylation of the Ca2+ channel through the activation of cAMP-dependent protein kinase A (PKA),2 3 leading to an increase in channel open probability and channel availability.4 However, a direct stimulation of Ca2+ channels via Gs protein was also suggested.5 Despite recent advances in the understanding of the ß-adrenergic modulation of the Ca2+ channel during embryonic6 and postnatal development,7 the establishment of this important signaling cascade during cardiomyocyte development is still unresolved. Moreover, studies on isolated cardiomyocytes highlighted the importance of the impaired ß-adrenergic modulation in cardiac disorders, such as heart hypertrophy and heart failure.8 9 The detailed knowledge about cardiomyocytes of early developmental stages has now become of particular interest, because recent studies show that cardiomyocytes of failing hearts tend to dedifferentiate toward an embryonic phenotype (see References 10 and 1110 11 ). On the other hand, dysfunctions in adult cells may stem from activation of a dormant pathway developed earlier during cellular differentiation.



View larger version (47K):
[in this window]
[in a new window]
 
Figure 1. Schematic representation of Gs-mediated ICaL stimulation pathways in cardiomyocytes. The tools used in the present study are shown together with arrows pointing to the targeted molecules of the signal transduction cascade. "Stimulation" or "inhibition" labels on the arrows mean stimulation or inhibition of ICaL, respectively.

The aim of the present study was to investigate the establishment of the ß-adrenergic signaling cascade for early cardiomyocyte development. Because of the known difficulties to obtain cardiomyocytes of the very early developmental stages from the mammalian embryos (eg, before day 12 to 13 of gestation in mouse), we have used for the present study an in vitro model of cardiomyogenesis based on pluripotent mouse embryonic stem (ES) cells. The cardiomyogenesis observed in ES cell–derived embryoid bodies (EBs) is almost identical to mouse embryo12 during early stages of development. Moreover, late-stage ES cell–derived cardiomyocytes exhibit rod-shaped morphology, sarcomere formation, and cell-cell junctions similar to those observed in cardiac myocytes developing in vivo.13 The electrophysiological characteristics in late developmental stage ES cell–derived cardiomyocytes are identical to postnatal cardiomyocytes.14 15 16 The normal course of development of cardiomyocytes from ES cells has been recently corroborated by the finding that implanted ES cell–derived cardiomyocytes form stable functional grafts in the hearts of adult mice.17 18

The ES cell differentiation model provides the unique possibility to examine the role of particular components involved in signal transduction at different time points during cardiomyogenesis.19 20 Early-stage ES cell–derived cardiomyocytes express ICaL as well as the delayed rectifying K+ current. These currents were regulated by both ß-adrenergic and muscarinic signaling pathways, suggesting the normal course of development for signaling components.16 In preliminary experiments, we found a strong developmental increase in the chronotropic response of EBs to ß-adrenergic stimulation.14 Therefore, in the present study, the modulation of ICaL was used as a functional assay to test different components of the ß-adrenergic signaling cascade during cardiomyocyte development (Figure 1Up).


*    Materials and Methods
up arrowTop
up arrowAbstract
up arrowIntroduction
*Materials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
Cell Cultures, Differentiation Procedure, and Preparation of Single Cardiomyocytes
The ES cell line D321 was used throughout the present study. These cells were cultivated and differentiated into spontaneously beating cardiomyocytes as previously described.14 15 16 Briefly, ES cells were kept in an undifferentiated, pluripotent state using mitomycin C–inactivated feeder layer of primary cultures of mouse embryonic fibroblasts. They were cultivated on gelatin (0.1%)-coated plastic Petri dishes in DMEM supplemented with 15% FCS (selected batches), L-glutamine (2 mmol/L), and nonessential amino acids. The main steps of differentiation included the following: (1) the cultivation of a definite number of cells (400) in "hanging drops" as EBs for 2 days, (2) cultivation as suspension in bacteriological dishes for 5 days, (3) plating of 7 days' (7d) EBs on 24–well-microwell plates. About 10% of these 7d EBs already contained contracting cardiomyocytes. In EB outgrowths, cardiomyocytes appeared in the form of spontaneously contracting cell clusters. The clusters increased in size during differentiation. Single cardiomyocytes were isolated from the clusters by enzymatic dissociation with collagenase using a modified procedure of Isenberg and Klöckner22 described previously.16 Cardiomyocytes were isolated at 3 distinct developmental stages: (1) the very early developmental stage (VEDS), when first spontaneously contracting clusters of cardiomyocytes appeared (from 7+1d to 7+2d), (2) the early developmental stage (EDS) (from 7+3d to 7+5d), and (3) the late developmental stage (LDS) (from 7+9d to 7+12d). Ventricular cardiomyocytes were isolated from adult mice by collagenase treatment as previously reported.22

Stable Recording of ICaL by Whole-Cell Patch-Clamp Technique
The whole-cell configuration of the patch-clamp technique23 was used throughout the present study. This configuration allowed the cell to be dialyzed with various compounds, testing the development of different components of the ß-adrenergic signaling cascade. Stimulation effects of ICaL were measured when ICaL rundown was minimized. Fast rundown of Ca2+ channel current has been previously reported in embryonic mouse cardiomyocytes when Ba2+ was used as a charge carrier.6 This was also true for cardiomyocytes differentiated from ES cells (authors' recent unpublished observation). However, we found that ICaL rundown was smaller when Ca2+ was used as a charge carrier. Furthermore, the intracellular ATP concentration was raised to 5 mmol/L to minimize ICaL rundown.24 Under these conditions, the decrease in ICaL amplitude was small particularly during the first 10 minutes after establishment of the whole-cell configuration using 1.8 mmol/L Ca2+ as a charge carrier.

As previously reported,16 the size of cardiomyocytes increases during development. For the developmental stages characterized in the present study, VEDS, EDS, and LDS, the average membrane capacities were 19.5±1.4 pF (n=16), 29.2±1.7 (n=39), and 35.9±2.4 pF (n=58), respectively. Because cell constituents may be washed out more rapidly in smaller cells and lead to possible artifacts, we ensured that this was insignificant for our investigations on ICaL stimulation. Indeed, the isoproterenol effect on ICaL measured at 5 and 20 minutes after establishment of the whole-cell configuration was identical (difference <10%, n=8; data not shown). Furthermore, although cell dialysis depends even more on pipette size, we detected no correlation between ICaL stimulation and pipette size (pipette resistances from 0.8 to 4.5 M{Omega}). Our stable recordings of ICaL allowed us to accurately measure and compare effects of ICaL stimulation at physiological levels of [Ca2+]o.

Measurements of ICaL Stimulation
ICaL was measured under voltage-clamp conditions by L/M EPC-7 patch-clamp amplifier (List Electronic) or an Axopatch 200A (Axon Instruments) amplifier. Cells were constantly superfused using a gravitational perfusion system, the perfusion rate being {approx}2 mL/min. The chamber volume was 0.5 mL. The temperature of the bath as well as of the perfusion solutions was kept constant at 37°C. The pipette solution contained (in mmol/L) CsCl 120, MgCl2 3, MgATP 5, EGTA 10, and HEPES 5 (pH 7.4; CsOH). The extracellular solution was of the following composition (in mmol/L): NaCl 120, KCl 5, CaCl2 1.8, TEA-Cl 20, MgCl2 1, and HEPES 10 (pH 7.4; TEA-OH). For some experiments on ICaL stimulation, the concentration of [Ca2+]o was raised to 3.6 mmol/L CaCl2 to increase the amplitude of ICaL. The internal and external solutions contained Cs+ and tetraethylammonium, respectively, to effectively block K+ current. The ICaL peak was measured repetitively at a test potential of 0 mV for 300 or 20 ms from a holding potential of -40 or -50 mV. For the recording of the time course of peak ICaL, depolarizing voltage pulses were applied at a frequency of 0.2 Hz. To evaluate the degree of ICaL stimulation, the maximum ICaL density was taken before and after drug application. The stimulation of ICaL is reported in terms of the percentage of the increase of ICaL density. The average stimulation effect at a given developmental stage was calculated by averaging individual cell responses. If not stated otherwise, only those cells with an increase of ICaL density of >10% after drug application were considered responding cells and included into the statistics. The membrane capacity was measured by applying a voltage ramp16 or by using appropriate software (MFK). Current densities are expressed as the ICaL peak value per capacity. The results are presented as mean±SEM for n cells. The statistical significance of mean values was determined by Student t test for unpaired data. If not stated otherwise, the 2 pools of data were considered to be significantly different at P<0.01.

Investigation of the Establishment of ß-Adrenergic Signal Transduction During Development
The functional coupling of different components of the ß-adrenergic signaling cascade was studied during cardiomyocyte development. For this purpose, ICaL peak amplitude was measured using different agents. Key molecules involved in signal transduction and specific molecular tools testing their functions are shown schematically in Figure 1Up. The functional expression of ß-adrenergic receptors was tested by extracellular application of isoproterenol (1 µmol/L). The function of AC was tested by its specific activator, forskolin (1 µmol/L). Maximum stimulation of ICaL by cAMP was evaluated by cell dialysis with the cAMP analog 8-bromo-cAMP (8-Br-cAMP; 400 µmol/L). The function of phosphodiesterases (PDEs) was tested by using the nonselective inhibitor isobutylmethylxanthine (IBMX) as well as the selective inhibitors EHNA (Erythro-9-[2-hydroxy-3-nonyl]adenine), milrinone, and rolipram for the various PDE isoforms. The receptor-mediated phosphorylation was investigated by coapplication of forskolin (1 µmol/L) and the thiophosphorylating compound ATP-{gamma}-S (2 mmol/L via patch pipette). The effect of Ca2+ channel phosphorylation was tested by cell dialysis with the catalytic subunit of PKA (7 µmol/L). ATP-{gamma}-S (1 mmol/L) was added into the pipette solution in addition to the catalytic subunit of PKA to make channel phosphorylation irreversible. To test the direct stimulation of ICaL via Gs protein, isoproterenol was applied extracellularly when cells were dialyzed with 10 µmol/L of PKA inhibitor (PKI) and 1 mmol/L GTP-{gamma}-S. Okadaic acid (10 µmol/L) was used as a phosphatase type 1 and type 2A inhibitor.

Source of Substances
Forskolin was purchased from Serva, the catalytic subunit of PKA from Promega, and PKI 5-24 (lot LK-102) from Calbiochem. Cell cultivation medium, FCS, and all other substances for cell cultures were purchased from Gibco BRL. All the other substances were purchased from Sigma Chemical Co.


*    Results
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
Isoproterenol, Forskolin, and 8-Br-cAMP Stimulated ICaL in LDS but not VEDS Cardiomyocytes
The effect of isoproterenol on ICaL was different in VEDS and LDS cardiomyocytes. Although ICaL was insensitive to isoproterenol in VEDS cardiomyocytes (n=28), ICaL was stimulated by isoproterenol in all (n=24) LDS cardiomyocytes assayed (see examples in Figure 2Down), suggesting the establishment of a functional ß-adrenergic cascade during development. Peak current amplitudes changed insignificantly (remaining within 10% of initial value) during at least 5 minutes after isoproterenol application in VEDS cells (in 25 of 28 cells) within the entire range of tested voltages from -30 to 40 mV (Figure 2ADown). In those 3 responding cells, the average increase in ICaL density was very small (16±5%). In contrast, in LDS cells, ICaL stimulation amounted to 70±8% (n=24, measured at 0 mV). The stimulation of ICaL was observed in the whole range of test potentials applied, from -30 to 40 mV (Figure 2BDown).



View larger version (27K):
[in this window]
[in a new window]
 
Figure 2. Developmental changes of isoproterenol effect on ICaL. A and B, Representative examples of absence of isoproterenol (1 µmol/L) effect on ICaL in very early developmental stage (from 7+1d to 7+2d) and ICaL stimulation induced by isoproterenol in late developmental stage (from 7+9d to 7+12d), respectively. Shown are peak ICaL density-voltage (Vm) relationships before ({bullet}) and after isoproterenol (Isoprot) application ({circ}). Original ICaL traces used for the peak current determinations are shown on the right. The membrane voltage levels are indicated at the respective traces. Cm indicates membrane capacity.

The different sensitivity of the cells to isoproterenol may be a result of the low expression of ß-adrenoceptors, as has been previously reported for cardiomyocytes from the fetal murine heart.25 If the low expression of ß-adrenoceptors was the only reason for the unresponsiveness of VEDS cells to isoproterenol, ICaL would still be stimulated by either forskolin, an activator of AC or 8-Br-cAMP. We also noticed significant changes of ICaL sensitivity to both forskolin (Figure 3ADown and 3BDown) and intracellular application of 8-Br-cAMP (400 µmol/L) during development (Figure 3CDown and 3DDown). Whereas in VEDS cells forskolin or 8-Br-cAMP did not influence ICaL, all LDS cardiomyocytes were highly responsive to both drugs. ICaL density increase amounted to 82±12% (n=16) and 156±32% (n=12) in LDS cells treated with forskolin and 8-Br-cAMP, respectively (see TableDown for absolute values of ICaL densities). This indicated that the full functional coupling of the ß-adrenergic signaling cascade was established only in LDS cardiomyocytes. Conversely, the lack of response to isoproterenol, forskolin, and 8-Br-cAMP in VEDS cardiomyocytes (see Figures 2Up and 3Down and TableDown) is consistent with a signaling defect at a number of levels in these cells.



View larger version (32K):
[in this window]
[in a new window]
 
Figure 3. Developmental changes of forskolin and 8-Br-cAMP effects on ICaL. A and B, Representative examples of absence of forskolin (1 µmol/L) effect on ICaL in very early developmental stage (from 7+1d to 7+2d) and ICaL stimulation induced by forskolin in late developmental stage (from 7+9d to 7+12d), respectively. C and D, Representative examples of absence of 8-Br-cAMP (400 µmol/L, applied internally) effect on ICaL in VEDS cardiomyocytes and ICaL stimulation induced by 8-Br-cAMP in LDS cardiomyocytes, respectively. The time course of ICaL density measured at 0 mV ({bullet}) is shown together with the membrane current density at a holding potential (-40 mV, {circ}). Time 0 represents time-of-patch rupture.


View this table:
[in this window]
[in a new window]
 
Table 1. Effects of Drugs Testing ß-Adrenergic Enzymatic Cascade on ICaL Density

ICaL Stimulation in EDS Cardiomyocytes
To determine the critical period for the development of the functional ß-adrenergic signaling cascade, we tested on a "day-by-day" basis the effects of 8-Br-cAMP, isoproterenol, and forskolin on ICaL (Figure 4Down). Most (71%, n=7) of 7+3d myocytes responded to 8-Br-cAMP exposure with an average increase of ICaL density of 18.6±3.2%. Cells of 7+4d stage (79%, n=14) responded with a significantly larger increase of ICaL density (68.2±12.1%). In 7+5d cells, ICaL stimulation amounted to 84±21.8% (n=7, 100% response rate). An important finding was that all cells responded to 8-Br-cAMP after 7+5d, suggesting that significant developmental changes occur during this short period from day 7+3d to day 7+4d in the EDS cells. However, during this transitory period, the stimulation of ICaL by isoproterenol still remained relatively small, 38.7±5.1% (n=20, 45% response rate, see Figure 4ADown and TableUp).



View larger version (25K):
[in this window]
[in a new window]
 
Figure 4. Summary of developmental changes for isoproterenol (A), forskolin (B), and 8-Br-cAMP (C) effects on ICaL. Shown are the percentage of responding cells (with ICaL increase by >10%, {circ}) and the average ICaL density increase measured in very early developmental stage (from 7+1d to 7+2d), early developmental stage (from 7+3d to 7+5d), and late developmental stage (from 7+9d to 7+12d). The average absolute values of ICaL densities before and after stimulation are shown in the TableUp.

A possible interpretation of these findings in EDS cells was a reduced expression of functional ß-adrenoceptors and/or a defective coupling to AC. We tested therefore different components of the signal transduction cascade in EDS cells to identify the mechanism(s) responsible for the observed changes. ICaL was stimulated by forskolin in EDS cells (from 7+3d to 7+4d), but the effect was small in comparison to LDS cells and could not be observed in all cells tested (Figure 4BUp). The 7+3d cells responded (67%, n=9) with a 33.3±10.5% ICaL density increase. The stimulatory effect of forskolin on ICaL was still relatively small (45±11.4% ICaL density increase) in 7+4d cells (n=8, 100% of cells responding), whereas 7+5d cardiomyocytes (n=17, all cells responding) displayed significantly greater stimulation, ie, an 84.5±9.9% increase of ICaL density. The forskolin effect was strongly augmented by coapplication of forskolin plus ATP-{gamma}-S (Figure 5Down), particularly at the 7+4d stage. The 7+3d cardiomyocytes (n=19, 100% of cells responding) showed a 68.2±15.4% stimulation of ICaL density, and the 7+4d cells (n=14, 14 cells responding) responded with a 131±30% stimulation. In contrast, in LDS cells, coapplication of forskolin plus ATP-{gamma}-S resulted in a current density increase (103±26%, n=3) that was similar to the stimulation produced by forskolin alone (Figure 4BUp).



View larger version (53K):
[in this window]
[in a new window]
 
Figure 5. Forskolin-induced increase of ICaL density was strongly augmented by coapplication of forskolin (1 µmol/L) and the thiophosphorylating compound ATP-{gamma}-S (2 mmol/L via patch pipette) in 7+3d and 7+4d cardiomyocytes of early developmental stage. A and B, Examples of forskolin effect in 7+3d stage cells in control cells and in cells dialyzed with ATP-{gamma}-S, respectively. C, Average ICaL density increase. D, Percentage of responding cells (ICaL density increase by >10%). Time 0 represents time-of-patch rupture. Cell numbers are indicated above each bar.

Effect of ATP-{gamma}-S and Okadaic Acid on ICaL in EDS and LDS Cells
Because coapplication of forskolin plus ATP-{gamma}-S in EDS cells caused a strongly increased stimulation of ICaL density compared with forskolin alone, an involvement of phosphatases was suspected. Therefore, the stimulatory effect of intracellular ATP-{gamma}-S (2 mmol/L) application via the patch pipette was tested in EDS and LDS cells (Figure 6ADown, 6BDown, and 6DDown).



View larger version (31K):
[in this window]
[in a new window]
 
Figure 6. Experiments designed to investigate involvement of phosphatases in control of basal ICaL during cardiomyocyte development. Inclusion of the thiophosphorylating compound ATP-{gamma}-S in the patch pipette resulted in a pronounced stimulation of basal ICaL in EDS cells (from 7+3d and 7+4d) (A) but not in LDS cells (from 7+9d to 7+12d) (B). Inclusion of the phosphatase inhibitor okadaic acid (10 µmol/L) resulted in an increase of ICaL density (C) in EDS cells. D, Average data in terms of percentage increase in ICaL density.

ATP-{gamma}-S resulted in a large increase of the basal ICaL density (70.3±13%, n=5) in EDS cells, whereas it augmented ICaL slightly in LDS cells (9.7±15.6%, n=4, averaging all cells examined). A high intrinsic phosphatase activity in EDS cells was further confirmed by examining the effect of okadaic acid, an inhibitor of type 1 and type 2A phosphatases on ICaL density at this developmental stage. Infusion of okadaic acid (10 µmol/L) via the patch pipette resulted in an increase of ICaL density by 22±5% (n=5) (Figure 6CUp and 6DUp).

Functional Expression of PDEs in EDS Cells
Because 8-Br-cAMP stimulated ICaL significantly stronger (about 2 times) than forskolin in 7+4d cells, an involvement of PDEs in cAMP degradation was suspected. Therefore, effects of nonselective and selective PDE inhibitors on ICaL density were examined (Figure 7Down). IBMX, a nonselective PDE inhibitor, had a strong stimulatory effect on ICaL density (61±7.5%) in 7+3d and 7+4d cardiomyocytes in all cells tested (n=21). The PDE II inhibitor EHNA increased ICaL density by 30.2±7.4% in 89% of cells (n=9). The PDE III blocker milrinone stimulated ICaL density by 44.2±5.3% in 64% of the tested cells (n=17). Furthermore, the cAMP-dependent PDE IV inhibitor rolipram increased ICaL density by 41±9.3% in 69% of cells tested (n=12).



View larger version (36K):
[in this window]
[in a new window]
 
Figure 7. Function of endogenous PDEs in EDS cells (7+3d and 7+4d) was assayed by testing the effect of PDE inhibitors on ICaL density. A through D, Examples of ICaL stimulation produced by a nonselective inhibitor IBMX or the selective inhibitors milrinone, EHNA, and rolipram for the various PDE isoforms, respectively. Time 0 represents time-of-patch rupture. E and F, Average ICaL increase produced by the PDE inhibitors and the percentage of responding cells (ICaL increase by >10%), respectively.

ICaL Was Stimulated by Cell Dialysis With the Catalytic Subunit of PKA in Both VEDS and LDS Cells
The fact that ICaL in VEDS cells was not stimulated by forskolin or 8-Br-cAMP indicated that uncoupling of signal transduction at this very early developmental stage could also occur downstream to the ß-adrenoceptor or AC, possibly as a result of unresponsiveness of the Ca2+ channel molecule itself. However, ICaL was strongly stimulated in all VEDS cells tested (n=6) on intracellular application of the catalytic subunit of PKA via the patch pipette. After establishment of the whole-cell configuration, ICaL density gradually increased. The increase of ICaL density attained saturation (increase by 213±25%, n=6) within 5 minutes of cell dialysis. A similar stimulatory effect induced by the catalytic subunit of PKA was observed in LDS cardiomyocytes (increase by 208±28%, n=10) as well as in ventricular cardiomyocytes isolated from adult mice (increase by 202±15%, n=3). This indicates that during all developmental stages, the channel itself or a closely associated protein can be effectively phosphorylated, leading to an increase of ICaL amplitude. The final ICaL density was higher in LDS cardiomyocytes than in VEDS cells (see TableUp), reflecting an increase of ICaL density of {approx}1.7 times during development (see also Reference 1616 ).

ICaL Stimulation by a Membrane-Delimited Pathway in LDS but not VEDS Cardiomyocytes
In adult cardiomyocytes, a direct pathway for ICaL stimulation independent of cAMP-dependent phosphorylation is believed to be mediated via direct interaction of Gs with Ca2+ channels.26 Therefore, the next set of experiments was designed to test whether ES cell–derived cardiomyocytes also developed this alternative pathway. To discriminate between these 2 pathways, the cAMP-dependent phosphorylation was prevented by cell dialysis with the peptide inhibitor 5-24, a known potent blocker of PKA activity.27 In addition, GTP-{gamma}-S (1 mmol/L) was included into the pipette to fully activate all available Gs (see also Reference 2828 ).

Under these conditions, the amplitude of ICaL varied insignificantly with time. The reduction of ICaL remained within 10% during the first 10 minutes of cell dialysis, similar to control cells (see Figure 8ADown). The stability of the ICaL amplitude was important for the evaluation of the ß-adrenergic stimulation. To demonstrate that PKI completely blocked the PKA activation, we tested whether inclusion of PKI plus GTP-{gamma}-S in the patch pipette prevented forskolin (1 µmol/L)-mediated stimulation of ICaL in LDS cells. Indeed, ICaL density did not change on forskolin application in 6 cells 10 minutes after rupture of the cell membrane (see example in Figure 8BDown). Accordingly, the isoproterenol effect was assayed 10 minutes after starting cell dialysis with PKI plus GTP-{gamma}-S. ICaL was stimulated by isoproterenol (Figure 8CDown) in all LDS cardiomyocytes (n=8), suggesting the functional activity of the alternative pathway for ICaL regulation. The stimulating effect of isoproterenol on ICaL under these conditions was 31±7%.



View larger version (23K):
[in this window]
[in a new window]
 
Figure 8. Experiments designed to investigate the development of a membrane-delimited pathway of ICaL stimulation. PKA activity was blocked by dialyzing cells with PKI 5-24 (10 µmol/L) together with GTP-{gamma}-S (1 mmol/L). A, ICaL density changed insignificantly in cells dialyzed with PKI and GTP-{gamma}-S. Shown is an example of monitoring ICaL density during 10 minutes in a 7+10d stage cardiomyocyte. B, Example showing that forskolin did not stimulate ICaL in a cell (7+12d) dialyzed with PKI and GTP-{gamma}-S (ensuring that PKI was capable of blocking PKA activation). C and D, Examples of stimulation effect of isoproterenol (Iso) on ICaL density in late developmental stage (from 7+9d to 7+12d) but not in very early developmental stage (from 7+1d to 7+2d), respectively. Time 0 represents time-of-patch rupture. Insets show current traces measured at the moment of isoproterenol application (Con) and 2 minutes after the application (Iso).

The existence of a distinct G protein–dependent pathway for ICaL regulation was also investigated in VEDS cells. As shown in the present study, ICaL in VEDS cells was unresponsive to isoproterenol. The reason for this could be a relatively weak G protein activity because of low intracellular GTP.

To rule out this possibility, additional experiments were performed with VEDS cells, dialyzed with PKI and GTP-{gamma}-S, using the identical experimental protocol as for LDS cardiomyocytes. None of VEDS cells (n=6) responded to isoproterenol (Figure 8DUp), suggesting the lack of this pathway during very early stages of cardiac development.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
In the present study, using the stimulation of ICaL as a functional assay, we have characterized important changes in the functional expression of components of the ß-adrenergic signaling cascade occurring during early stages of cardiomyogenesis. Although VEDS cardiomyocytes were insensitive to ß-adrenergic stimulation, LDS cardiomyocytes responded to isoproterenol with a large increase of ICaL density (by {approx}70%), similarly as reported for mammalian cardiomyocytes during postnatal development ({approx}100%7 ). Our data are in line with reports that embryonic mouse and rat cardiomyocytes are unresponsive to ß-adrenergic stimulation.6 29 In addition, the membrane-delimited pathway via direct Ca2+ channel activation by Gs previously reported for adult cardiomyocytes26 30 was absent in VEDS cells.

In the present study, we took advantage of the ES cell–derived cardiomyogenesis to isolate cardiomyocytes at very early developmental stages, when the first contractions occurred.16 Optical recordings of contractions of rat embryos indicated that the paired cardiac primordia are just fused at the time of the first spontaneous contractions at the late period of the 3-somite stage.31 In contrast to the ES cell differentiation system, access to the mammalian heart at such an early developmental stage is complicated.31 For the VEDS and EDS cardiomyocytes, we developed an experimental protocol of relatively stable recordings of ICaL at physiological Ca2+ concentrations and temperature (37°C). The latter is particularly important with respect to the high temperature sensitivity of the regulatory enzyme cascade examined in the present study. This experimental approach allowed the characterization of the mechanisms responsible for changes in the ß-adrenergic modulation of ICaL that occurred during development.

Changes of ICaL Modulation During Development
The lack of ß-adrenergic modulation in VEDS cardiomyocytes suggests that one or more components of the signaling cascade were missing or functionally inactive. To identify these components, we assayed the functional activity of different elements in the ß-adrenergic enzymatic cascade. A key finding was that ICaL was strongly stimulated by cell dialysis with the catalytic subunit of PKA in both VEDS and LDS cardiomyocytes. In contrast to a previous report6 in which fast current rundown was observed using Ba2+ as a charge carrier, we could accurately measure the stimulating effect of the catalytic subunit of PKA on ICaL in VEDS cardiomyocytes. The catalytic subunit of PKA produced a maximal ICaL stimulation. Importantly, ICaL stimulation by the catalytic subunit of PKA was found to be similar ({approx}3 times) in VEDS, LDS, and ventricular cardiomyocytes isolated from the adult mouse heart. These data provide strong evidence for similar structural properties of the Ca2+ channel or a closely related protein during development at least in regard to phosphorylation sites. Because ICaL was strongly stimulated by the catalytic subunit of PKA but relatively insensitive to either forskolin or 8-Br-cAMP, one explanation for the lack of ß-adrenergic modulation in VEDS cardiomyocytes could be a low expression of the PKA holoenzyme, as suggested by An et al.6

The EDS cells proved to be particularly interesting, because forskolin and 8-Br-cAMP already had a stimulatory effect on ICaL density, but the majority of cells still were not stimulated by isoproterenol. Furthermore, we detected a strong stimulation of ICaL by the combined application of forskolin plus the thiophosphorylating agent ATP-{gamma}-S. This indicated an involvement of phosphatases in the modulation of ICaL at this developmental stage. Our hypothesis was confirmed by the experimental observation that ATP-{gamma}-S led to a pronounced stimulation of basal ICaL in EDS cells, whereas at the LDS cell stage only a small stimulation was seen, similarly as reported for guinea-pig ventricular cardiomyocytes.32 These results were further corroborated by experiments using the phosphatase (type 1 and type 2A inhibitor) okadaic acid.33 EDS cells dialyzed with okadaic acid displayed an increase of ICaL density, suggesting that there is an intrinsic AC activity as well as the functional expression of PKA leading to the phosphorylation of Ca2+ channels at rest besides an intrinsic phosphatase activity. Because of the intrinsic AC activity, we tested whether cAMP degradation was controlled by intrinsic PDE activity. Indeed, application of the nonselective PDE inhibitor IBMX caused a strong increase of ICaL density. The use of selective PDE inhibitors confirmed the functional expression of the cGMP-dependent type II and III and the cAMP-dependent type IV PDE isoforms. Thus, EDS cells are characterized by high intrinsic AC activity, which is counterbalanced by high intrinsic activity of PDEs and phosphatases.

The strong ICa stimulation by ß-adrenergic agonists in the presence of ATP-{gamma}-S has been previously demonstrated in adult cardiomyocytes.34 Interestingly, forskolin plus ATP-{gamma}-S led to a much stronger stimulation compared with forskolin alone in 7+4d cells, whereas in 7+3d cells this effect was significantly less pronounced. This suggests that at 7+3d, not all ß-adrenergic signaling components are fully functional, and, therefore, the role of phosphatases is less important. One day later, however, nearly full coupling is established, and a strong functional role of phosphatases in the dephosphorylation of stimulated ICaL, even more pronounced than in LDS cells, is observed.

We also tested for the establishment of the membrane-delimited pathway for ICaL regulation via direct interaction of Gs and the Ca2+ channel. This modulatory pathway was found only in LDS but not VEDS cardiomyocytes. One of the possible reasons for the lack of both the membrane-delimited and the cAMP-mediated functional coupling of ß-adrenoceptors may be a low level of the Gs protein.35 This is in line with the observation that in the mouse embryonic heart, ß-adrenoceptors appear before a detectable heart rate response to isoproterenol.25 Also, important developmental changes in the coupling between ß-adrenoceptors and G proteins have been recently reported for fetal rat heart.36

Possible Physiological Significance
Functional abnormalities of the cardiac sympathetic nervous system during development were suggested to be involved in the genesis of cardiac arrhythmias, particularly in sudden infant death syndrome.37 Depressed function of ß-adrenoceptors,38 deficient production of cAMP,39 and altered expression of G proteins40 are characteristic for cardiomyocytes of failing hearts. Furthermore, an altered coupling of G proteins was suggested to account for decreased stimulation of ICaL by ß-adrenergic agonists in hypertrophied8 and diabetic41 hearts. The ß-adrenergic receptor system in heart failure is markedly desensitized due to, at least in part, altered expression of ß-adrenergic receptor kinase acting in concert with an inhibitor protein, ß-arrestin.42 In addition, cardiomyocytes from failing hearts have an altered program of gene expression. Many studies demonstrate that cardiac hypertrophy as well as heart failure is associated with reexpression of an ensemble of genes characteristic of the embryonic heart.10 11 These findings clearly show that detailed knowledge about the establishment of the ß-adrenergic signaling cascade during development is important for a better understanding of abnormalities in signaling detected in heart disease. Because cardiac disease states are characterized by hyporesponsiveness to ß-adrenergic agonists, it is tempting to speculate that high PDE as well as phosphatase activities may contribute, similar to our findings in EDS cells, to this functional disorder.


*    Acknowledgments
 
This research was supported by Deutsche Forschungsgemeinschaft (DFG, SFB 366 YW1/YE1), Ministry of Science and Research of Sachsen-Anhalt, and ZEBET, Bundesgesundheitsamt, of FRG. The skillful technical assistance of Oda Weiss, Sabine Sommerfeld, Marianne Faulhaber, and Birgit Hops is gratefully acknowledged.

Received August 6, 1998; accepted October 22, 1998.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
1. Gilman AG. G proteins. Transducers of receptor-generated signals. Annu Rev Biochem. 1987;56:615–649.[Medline] [Order article via Infotrieve]

2. Reuter H. Calcium channel modulation by neurotransmitters, enzymes and drugs. Nature. 1983;301:569–574.[Medline] [Order article via Infotrieve]

3. Trautwein W, Hescheler J. Regulation of cardiac L-type calcium current by phosphorylation and G-proteins. Annu Rev Physiol. 1990;52:257–274.[Medline] [Order article via Infotrieve]

4. Ochi R, Kawashima Y. Modulation of slow gating process of calcium channels by isoprenaline in guinea pig ventricular cells. J Physiol (Lond). 1990;424:187–204.[Abstract/Free Full Text]

5. Yatani A, Brown AM. Rapid ß-adrenergic modulation of cardiac calcium channel currents by a fast G protein pathway. Science. 1989;245:71–74.[Abstract/Free Full Text]

6. An RH, Davies MP, Doevendans PA, Kubalak SW, Bangalore R, Chien KR. Developmental changes in beta-adrenergic modulation of L-type Ca2+ channels in embryonic mouse heart. Circ Res. 1996;78:371–378.[Abstract/Free Full Text]

7. Osaka T, Joyner RW. Developmental changes in the beta-adrenergic modulation of calcium currents in rabbit ventricular cells. Circ Res. 1992;70:104–115.[Abstract/Free Full Text]

8. Scamps F, Mayoux E, Charlemagne D, Vassort G. Calcium current in single cells isolated from normal and hypertrophied rat heart. Circ Res. 1990;67:199–208.[Abstract/Free Full Text]

9. Beuckelmann DJ, Nabauer M, Erdmann E. Characteristics of calcium-current in isolated human ventricular myocytes from patients with terminal heart failure. J Mol Cell Cardiol. 1991;23:929–937.[Medline] [Order article via Infotrieve]

10. Townsend PJ, Barton PJ, Yacoub MH, Farza H. Molecular cloning of human cardiac troponin T isoforms: expression in developing and failing heart. J Mol Cell Cardiol. 1995;27:2223–2236.[Medline] [Order article via Infotrieve]

11. Sack MN, Rader TA, Park S, Bastin J, McCune SA, Kelly DP. Fatty acid oxidation enzyme gene expression is downregulated in the failing heart. Circulation. 1996;94:2837–2842.[Abstract/Free Full Text]

12. Wobus AM, Rohwedel J, Maltsev V, Hescheler J. Development of cardiomyocytes expressing cardiac-specific genes, action potentials, and ionic channels during embryonic stem cell-derived cardiogenesis. Ann N Y Acad Sci. 1995;752:460–469.[Medline] [Order article via Infotrieve]

13. Westfall MV, Pasyk KA, Yule DI, Samuelson LC, Metzger JM. Ultrastructure and cell-cell coupling of cardiac myocytes differentiating in embryonic stem cell cultures. Cell Motil Cytoskeleton. 1997;36:43–54.[Medline] [Order article via Infotrieve]

14. Wobus AM, Wallukat G, Hescheler J. Pluripotent mouse embryonic stem cells are able to differentiate into cardiomyocytes expressing chronotropic responses to adrenergic and cholinergic agents and Ca2+ channel blockers. Differentiation. 1991;48:173–182.[Medline] [Order article via Infotrieve]

15. Maltsev VA, Rohwedel J, Hescheler J, Wobus AM. Embryonic stem cells differentiate in vitro into cardiomyocytes representing sinusnodal, atrial and ventricular cell types. Mech Dev. 1993;44:41–50.[Medline] [Order article via Infotrieve]

16. Maltsev VA, Wobus AM, Rohwedel J, Bader M, Hescheler J. Cardiomyocytes differentiated in vitro from embryonic stem cells developmentally express cardiac-specific genes and ionic currents. Circ Res. 1994;75:233–244.[Abstract/Free Full Text]

17. Klug MG, Soonpaa MH, Field LJ. DNA synthesis and multinucleation in embryonic stem cell-derived cardiomyocytes. Am J Physiol. 1995;269:H1913–H1921.[Abstract/Free Full Text]

18. Klug MG, Soonpaa MH, Koh GY, Field LJ. Genetically selected cardiomyocytes from differentiating embryonic stem cells form stable intracardiac grafts. J Clin Invest. 1996;98:216–224.[Medline] [Order article via Infotrieve]

19. Sowell MO, Ye C, Ricupero DA, Hansen S, Quinn SJ, Vassilev PM, Mortensen RM. Targeted inactivation of alphai2 or alphai3 disrupts activation of the cardiac muscarinic K+ channel, IK+Ach, in intact cells. Proc Natl Acad Sci U S A. 1997;94:7921–7926.[Abstract/Free Full Text]

20. Fassler R, Rohwedel J, Maltsev V, Bloch W, Lentini S, Guan K, Gullberg D, Hescheler J, Addicks K, Wobus AM. Differentiation and integrity of cardiac muscle cells are impaired in the absence of beta 1 integrin. J Cell Sci. 1996;109:2989–2999.[Abstract]

21. Doetschman TC, Eistetter H, Katz M, Schmidt W, Kemler R. The in vitro development of blastocyst-derived embryonic stem cell lines: formation of visceral yolk sac, blood islands and myocardium. J Embryol Exp Morphol. 1985;87:27–45.[Medline] [Order article via Infotrieve]

22. Isenberg G, Klockner U. Calcium tolerant ventricular myocytes prepared by preincubation in a "KB medium." Pflugers Arch. 1982;395:6–18.[Medline] [Order article via Infotrieve]

23. Hamill OP, Marty A, Neher E, Sakmann B, Sigworth FJ. Improved patch-clamp techniques for high-resolution current recording from cells and cell free membrane patches. Pflugers Arch. 1981;391:85–100.[Medline] [Order article via Infotrieve]

24. Belles B, Malecot CO, Hescheler J, Trautwein W. "Run-down" of the Ca current during long whole-cell recordings in guinea pig heart cells: role of phosphorylation and intracellular calcium. Pflugers Arch. 1988;411:353–360.[Medline] [Order article via Infotrieve]

25. Chen FM, Yamamura HI, Roeske WR. Ontogeny of mammalian myocardial beta-adrenergic receptors. Eur J Pharmacol. 1979;58:255–264.[Medline] [Order article via Infotrieve]

26. Brown AM. Membrane-delimited cell signaling complexes: direct ion channel regulation by G proteins. J Membr Biol. 1993;131:93–104.[Medline] [Order article via Infotrieve]

27. Glass DB, Cheng H-C, Mende-Mueller L, Reed J, Walsh DA. Primary structural determinants essential for potent inhibition of cAMP-dependent protein kinase by inhibitory peptides corresponding to the active portion of the heat-stable inhibitor protein. J Biol Chem. 1989;264:8802–8810.[Abstract/Free Full Text]

28. Cavalie A, Allen TJ, Trautwein W. Role of the GTP-binding protein Gs in the beta-adrenergic modulation of cardiac Ca channels. Pflugers Arch. 1991;419:433–443.[Medline] [Order article via Infotrieve]

29. Kojima M, Sada H, Sperelakis N. Developmental changes in beta-adrenergic and cholinergic interactions on calcium-dependent slow action potentials in rat ventricular muscles. Br J Pharmacol. 1990;99:327–333.[Medline] [Order article via Infotrieve]

30. Yatani A. Ion channels that are directly regulated by G proteins. In: Sperelakis N, ed. Cell Physiology Source Book. San Diego, Calif: Academic Press; 1995:378–385.

31. Kamino K. Optical approaches to ontogeny of electrical activity and related functional organization during early heart development. Physiol Rev. 1991;71:53–91.[Abstract/Free Full Text]

32. Hescheler J, Mieskes G, Ruegg JC, Takai A, Trautwein W. Effects of a protein phosphatase inhibitor, okadaic acid, on membrane currents of isolated guinea-pig cardiac myocytes. Pflugers Arch. 1988;412:248–252.[Medline] [Order article via Infotrieve]

33. Bialojan C, Takai A. Inhibitory effect of a marine-sponge toxin, okadaic acid, on protein phosphatases. Specificity and kinetics. Biochem J. 1988;256:283–290.[Medline] [Order article via Infotrieve]

34. Trautwein W, Kameyama M. Intracellular control of calcium and potassium currents in cardiac cells. Jpn Heart J. 1986;27(suppl 1):31–50.

35. Kojima M, Kitamura Y, Nomura Y, Sada H, Sperelakis N. Developmental changes in the levels of substrates for cholera toxin catalyzed and pertussis toxin-catalyzed ADP-ribosylation in rat cardiac cell membranes. Jpn J Pharmacol. 1988;48:23–30.[Medline] [Order article via Infotrieve]

36. Slotkin TA, Lau C, Seidler FJ. Beta-adrenergic receptor overexpression in the fetal rat: distribution, receptor subtypes, and coupling to adenylate cyclase activity via G-proteins. Toxicol Appl Pharmacol. 1994;129:223–234.[Medline] [Order article via Infotrieve]

37. Stramba-Badiale M, Lazzarotti M, Schwartz PJ. Development of cardiac innervation, ventricular fibrillation, and sudden infant death syndrome. Am J Physiol. 1992;263:H1514–H1522.[Abstract/Free Full Text]

38. Näbauer M, Böhm M, Brown L, Diet F, Eichhorn M, Kemkes B, Pieske B, Erdmann E. Positive inotropic effects in isolated ventricular myocardium from non-failing and terminally failing hearts. Eur J Clin Invest. 1988;18:600–606.[Medline] [Order article via Infotrieve]

39. Feldman MD, Copelas L, Gwathmey JK, Phillips P, Warren SE, Schoen FJ, Grossman W, Morgan JP. Deficient production of cyclic AMP: pharmacologic evidence of an important cause of contractile dysfunction in patients with end-stage heart failure. Circulation. 1987;75:331–339.[Abstract/Free Full Text]

40. Feldman AM, Cates AE, Bristow MR, Van Dop C. Altered expression of alpha-subunits of G proteins in failing human hearts. J Mol Cell Cardiol. 1989;21:359–365.[Medline] [Order article via Infotrieve]

41. Yu Z, Quamme GA, McNeill JH. Depressed [Ca2+]i responses to isoproterenol and cAMP in isolated cardiomyocytes from experimental and diabetic rats. Am J Physiol. 1994;266:H2334–H2342.[Abstract/Free Full Text]

42. Ungerer M, Parruti G, Bohm M, Puzicha M, DeBlasi A, Erdmann E, Lohse MJ. Expression of beta-arrestins and beta-adrenergic receptor kinases in the failing human heart. Circ Res. 1994;74:206–213.[Abstract/Free Full Text]




This article has been cited by other articles:


Home page
Stem CellsHome page
D. Malan, M. Reppel, R. Dobrowolski, W. Roell, N. Smyth, J. Hescheler, M. Paulsson, W. Bloch, and B. K. Fleischmann
Lack of Laminin {gamma}1 in Embryonic Stem Cell-Derived Cardiomyocytes Causes Inhomogeneous Electrical Spreading Despite Intact Differentiation and Function
Stem Cells, January 1, 2009; 27(1): 88 - 99.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
M. Reppel, B. K. Fleischmann, H. Reuter, P. Sasse, H. Schunkert, and J. Hescheler
Regulation of the Na+/Ca2+ exchanger (NCX) in the murine embryonic heart
Cardiovasc Res, July 1, 2007; 75(1): 99 - 108.
[Abstract] [Full Text] [PDF]


Home page
J. Physiol.Home page
N. Kapur and K. Banach
Inositol-1,4,5-trisphosphate-mediated spontaneous activity in mouse embryonic stem cell-derived cardiomyocytes
J. Physiol., June 15, 2007; 581(3): 1113 - 1127.
[Abstract] [Full Text] [PDF]


Home page
PhysiologyHome page
S. P. Raikwar, T. Mueller, and N. Zavazava
Strategies for Developing Therapeutic Application of Human Embryonic Stem Cells
Physiology, February 1, 2006; 21(1): 19 - 28.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
M. Reppel, P. Sasse, R. Piekorz, M. Tang, W. Roell, Y. Duan, A. Kletke, J. Hescheler, B. Nurnberg, and B. K. Fleischmann
S100A1 Enhances the L-type Ca2+ Current in Embryonic Mouse and Neonatal Rat Ventricular Cardiomyocytes
J. Biol. Chem., October 28, 2005; 280(43): 36019 - 36028.
[Abstract] [Full Text] [PDF]


Home page
Physiol. Rev.Home page
A. M. Wobus and K. R. Boheler
Embryonic Stem Cells: Prospects for Developmental Biology and Cell Therapy
Physiol Rev, April 1, 2005; 85(2): 635 - 678.
[Abstract] [Full Text] [PDF]


Home page
Cardiovasc ResHome page
M. A.G. van der Heyden, T. J.M. Wijnhoven, and T. Opthof
Molecular aspects of adrenergic modulation of cardiac L-type Ca2+ channels
Cardiovasc Res, January 1, 2005; 65(1): 28 - 39.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
K. Banach, M. D. Halbach, P. Hu, J. Hescheler, and U. Egert
Development of electrical activity in cardiac myocyte aggregates derived from mouse embryonic stem cells
Am J Physiol Heart Circ Physiol, June 1, 2003; 284(6): H2114 - H2123.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
R. J. Hassink, A. Brutel de la Riviere, C. L. Mummery, and P. A. Doevendans
Transplantation of cells for cardiac repair
J. Am. Coll. Cardiol., March 5, 2003; 41(5): 711 - 717.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
L. Gepstein
Derivation and Potential Applications of Human Embryonic Stem Cells
Circ. Res., November 15, 2002; 91(10): 866 - 876.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
C. Xu, S. Police, N. Rao, and M. K. Carpenter
Characterization and Enrichment of Cardiomyocytes Derived From Human Embryonic Stem Cells
Circ. Res., September 20, 2002; 91(6): 501 - 508.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
Y. M. Zhang, C. Hartzell, M. Narlow, and S. C. Dudley Jr
Stem Cell-Derived Cardiomyocytes Demonstrate Arrhythmic Potential
Circulation, September 3, 2002; 106(10): 1294 - 1299.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
K. R. Boheler, J. Czyz, D. Tweedie, H.-T. Yang, S. V. Anisimov, and A. M. Wobus
Differentiation of Pluripotent Embryonic Stem Cells Into Cardiomyocytes
Circ. Res., August 9, 2002; 91(3): 189 - 201.
[Abstract] [Full Text] [PDF]


Home page
JCBHome page
W. Bloch, Y. Fan, J. Han, S. Xue, T. Schoneberg, G. Ji, Z. J. Lu, M. Walther, R. Fassler, J. Hescheler, et al.
Disruption of cytoskeletal integrity impairs Gi-mediated signaling due to displacement of Gi proteins
J. Cell Biol., August 20, 2001; 154(4): 753 - 762.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Heart Circ. Physiol.Home page
H. Sauer, T. Theben, J. Hescheler, M. Lindner, M. C. Brandt, and M. Wartenberg
Characteristics of calcium sparks in cardiomyocytes derived from embryonic stem cells
Am J Physiol Heart Circ Physiol, July 1, 2001; 281(1): H411 - H421.
[Abstract] [Full Text] [PDF]


Home page
Circ. Res.Home page
S. N. Ebert and R. P. Thompson
Embryonic Epinephrine Synthesis in the Rat Heart Before Innervation : Association With Pacemaking and Conduction Tissue Development
Circ. Res., January 19, 2001; 88(1): 117 - 124.
[Abstract] [Full Text] [PDF]


Home page
FASEB J.Home page
M. MÜLLER, B. K. FLEISCHMANN, S. SELBERT, G. J. JI, E. ENDL, G. MIDDELER, O. J. MÜLLER, P. SCHLENKE, S. FRESE, A. M. WOBUS, et al.
Selection of ventricular-like cardiomyocytes from ES cells in vitro
FASEB J, December 1, 2000; 14(15): 2540 - 2548.
[Abstract] [Full Text]


Home page
J. Physiol.Home page
N Abi-Gerges, G J Ji, Z J Lu, R Fischmeister, J Hescheler, and B K Fleischmann
Functional expression and regulation of the hyperpolarization activated non-selective cation current in embryonic stem cell-derived cardiomyocytes
J. Physiol., March 1, 2000; 523(2): 377 - 389.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
J. N. Muth, H. Yamaguchi, G. Mikala, I. L. Grupp, W. Lewis, H. Cheng, L.-S. Song, E. G. Lakatta, G. Varadi, and A. Schwartz
Cardiac-specific Overexpression of the alpha 1 Subunit of the L-type Voltage-dependent Ca2+ Channel in Transgenic Mice. LOSS OF ISOPROTERENOL-INDUCED CONTRACTION
J. Biol. Chem., July 30, 1999; 274(31): 21503 - 21506.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Maltsev, V. A.
Right arrow Articles by Hescheler, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Maltsev, V. A.
Right arrow Articles by Hescheler, J.
Related Collections
Right arrow Cell signalling/signal transduction
Right arrow Heart failure - basic studies
Right arrow Ion channels/membrane transport