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Circulation Research. 1999;84:210-219

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(Circulation Research. 1999;84:210-219.)
© 1999 American Heart Association, Inc.


Original Contribution

Mechanism of Nitric Oxide–Induced Vasodilatation

Refilling of Intracellular Stores by Sarcoplasmic Reticulum Ca2+ ATPase and Inhibition of Store-Operated Ca2+ Influx

Richard A. Cohen, Robert M. Weisbrod, Marion Gericke, Mohammad Yaghoubi, Charlene Bierl, Victoria M. Bolotina

From the Vascular Biology Unit, Whitaker Cardiovascular Institute, Evans Department of Clinical Research, Department of Medicine, Boston University Medical Center, Boston, Mass.

Correspondence to Richard A. Cohen, MD, Director, Vascular Biology Unit, R408, Boston University School of Medicine, 80 E Concord St, Boston, MA 02118. E-mail racohen{at}med-med1.bu.edu


*    Abstract
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*Abstract
down arrowIntroduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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Abstract—The precise mechanisms by which nitric oxide (NO) decreases free [Ca2+]i, inhibits Ca2+ influx, and relaxes vascular smooth muscle are poorly understood. In rabbit and mouse aorta, agonist-induced contractions and increases in [Ca2+]i were resistant to nifedipine, suggesting Ca2+ entry through non–L-type Ca2+ channels. Relaxations to NO were inhibited by thapsigargin (TG) or cyclopiazonic acid (CPA) indicating the involvement of sarcoplasmic reticulum ATPase (SERCA). Studies of the effect of NO on [Ca2+]i and the rate of Mn2+ influx with fura-2 fluorometry in rabbit aortic smooth muscle cells in primary culture were designed to test how SERCA is involved in mediating the response to NO. When cells were stimulated with angiotensin II (AII), NO accelerated the removal of Ca2+ from the cytoplasm, decreased [Ca2+]i, and inhibited Ca2+ and Mn2+ influx. Inhibition of SERCA abolished all the effects of NO. In contrast, inhibition of the Na+/Ca2+exchanger or the plasma membrane Ca2+ ATPase had no influence on the ability of NO to decrease [Ca2+]i. NO maximally decreased [Ca2+]i within 5 s, whereas significant inhibition of AII-induced Ca2+ and Mn2+ influx required more than 15 s. The inhibition of cation influx strictly depended on [Ca2+]o and functional SERCA, suggesting that during the delay before NO inhibits Ca2+ influx, the influx of Ca2+ and the uptake into intracellular stores are required. In the absence of [Ca2+]o, NO diminished the AII-induced [Ca2+]i transient by a SERCA-dependent mechanism and increased the amount of Ca2+ in the stores subsequently released by ionomycin. The present study indicates that the initial rapid decrease in [Ca2+]i caused by NO in vascular smooth muscle is accounted for by the uptake of Ca2+ by SERCA into intracellular stores. It is proposed that the refilling of the stores inhibits store-operated Ca2+ influx through non–L-type Ca2+ conducting ion channels and that this maintains the decrease in [Ca2+]i and NO-induced relaxation.


Key Words: nitric oxide • Ca2+ ATPase • Ca2+ • Ca2+ stores • vascular smooth muscle


*    Introduction
up arrowTop
up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
down arrowReferences
 
The endothelial cell production of nitric oxide (NO) accounts for endothelium-dependent vasodilatation.1 Despite a growing understanding of the mechanisms by which NO is released from the endothelium, the precise molecular mechanisms by which NO relaxes vascular smooth muscle are not fully understood. A variety of mechanisms have been proposed by which NO participates in the regulation of smooth muscle free [Ca2+]i, which is the primary determinant of contractile tone.2 Among them, several different mechanisms for NO-induced inhibition of Ca2+ influx through L-type Ca2+ channels have been proposed, including their inhibition by cGMP-dependent mechanisms3 or by membrane hyperpolarization due to direct4 or indirect cGMP-dependent5 6 activation of Ca2+-dependent K+ channels. NO also has been proposed to reduce [Ca2+]i by inhibiting the agonist-induced release of Ca2+ from intracellular stores7 or by increasing Ca2+ removal from the cytoplasm by accelerating the plasma membrane Ca2+ ATPase8 or the Na+/Ca2+ exchanger.9 The sarcoplasmic(endo)plasmic reticulum Ca2+ ATPase (SERCA), which may be accelerated by the NO-induced rise in cGMP,10 is also thought to be involved.11 Thus, several potential Ca2+ regulatory targets have been proposed for NO in vascular smooth muscle, but their relative importance in decreasing [Ca2+]i and their individual contribution to smooth muscle relaxation is still unclear.

Supporting previous observations,12 the present study indicates that agonist-induced increases in [Ca2+]i and contractions of rabbit and mouse aortic smooth muscle cells are highly resistant to inhibitors of L-type Ca2+ channels, indicating that Ca2+ influx through different channels can mediate the responses. In a variety of cell types, including smooth muscle, Ca2+ entry is thought to be initiated by agonist-induced Ca2+ release and depletion of [Ca2+]i stores.13 Activation of store-operated Ca2+ entry is known to be triggered not only by receptor-dependent agonists but also by store depletion that occurs after inhibiting Ca2+ uptake into the stores by thapsigargin (TG) or cyclopiazonic acid (CPA).13 14 15

Increases in [Ca2+]i and contractions stimulated by agonists including phenylephrine, angiotensin II (AII), or 5-hydroxytryptamine (5-HT) are shown in the present study to be highly sensitive to NO, but those caused by inhibitors of SERCA are demonstrated to be resistant to NO. This important finding led us to further investigate the effect of NO on [Ca2+]i stores and store-operated Ca2+ entry. Our results suggest a simple model whereby NO initiates its response by accelerating sequestration of Ca2+ into intracellular stores via SERCA, thereby rapidly decreasing [Ca2+]i. The resulting refilling of Ca2+ stores would indirectly inhibit store-operated Ca2+ influx, thereby maintaining the decrease in [Ca2+]i and mediating smooth muscle cell relaxation. This coordinated effect on [Ca2+]i homeostasis represents a novel mechanism for NO-induced vasodilatation.


*    Materials and Methods
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up arrowAbstract
up arrowIntroduction
*Materials and Methods
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Relaxation of Intact Rabbit and Mouse Aorta
Rings of New Zealand White rabbit descending thoracic aorta were cleaned of adherent fat and connective tissue and were suspended in organ chambers filled with physiological salt solution (PSS) for tension measurements as previously described.16 Rings (3 mm long) of the thoracic aorta of mice (8 to 11 weeks of age) were suspended on horizontal wire myographs (Kent Scientific). After equilibration at the optimal resting tension (mouse aorta, 1.5 g; rabbit aorta, 6 g), the smooth muscle was contracted with phenylephrine hydrochloride, and after achieving a stable contraction, NO was added in increasing concentrations. When needed, the contractile tone caused by SERCA inhibitors was supplemented with phenylephrine to match the tone achieved by phenylephrine in the absence of the inhibitors.

[Ca2+]i Measurement in Intact Mouse Aorta
The mouse aorta was slid over a Teflon filament to fix it and to destroy the endothelial layer. In a Petri dish containing ice-cold PSS (in mmol/L: NaCl 140, KCl 2.8, MgCl2 1, CaCl2 2, glucose 11, and HEPES 10 [pH 7.4]), the aorta was cleaned of fat and connective tissue and cut into 2-mm-long rings. Each ring was transferred into an experimental chamber ({Delta}TC3 dish, Bioptechs, Inc) between 2 small plaques of neutral silicon grease. Here the ring was cut open, fixed by a piece of woven nylon mesh (Spectra/Mesh nylon, Spectrum) and stored in filtered PSS solution at 4°C until use, but not longer than 4 hours. Fura-2 loading of the strip was done in 10-5 mol/L fura-2 AM in PSS with 0.02% Pluronic F-127 (Molecular Probes) for 1 hour at 37°C. Strips were then washed in prewarmed PSS for 15 minutes at 37°C, and the chamber was mounted into a {Delta}TC3 temperature control system (Bioptechs, Inc) on the stage of the microscope (Olympus, x20 fluorescence objective). The solution was warmed to 37°C. The microscope was focused on the elastin and collagen structure of the tissue beneath the nylon mesh. NO was applied as a 50-µL drop of 1 µmol/L solution close to the aortic strip. At the end of each measurement, digitonin and MnCl2 were applied in several steps to avoid contraction and dislocation of the strip, reaching final concentrations of 10-4 mol/L and 2x10-2 mol/L, respectively. Fluorescence background was automatically subtracted. Because of the well-known difficulties in calibrating fura-2 in intact tissues and obtaining precise values, [Ca2+]i changes are reported as ratios after background subtraction.

Cell Culture
The thoracic aorta was removed from New Zealand White rabbits and cleaned of adherent fat and connective tissue. Strips of rabbit thoracic aorta were aseptically removed from the media, dispersed with collagenase (4 mg/mL) and elastase (1 mg/mL), and grown in medium M199 with 20% heat-inactivated FBS as previously described.17 Cells were seeded onto 9x22 mm No. 1 glass coverslips for [Ca2+]i studies. On reaching confluence, cells were growth-arrested by placing them in M199 with 1% FBS for 3 to 4 days before the experiments. All experiments were done on primary cultures that stain uniformly for smooth muscle {alpha}-actin.

[Ca2+]i Measurement in Cultured Smooth Muscle
As described previously,17 cells in culture on coverslips were loaded for 45 minutes with fura-2 AM (5 µmol/L) in PSS at 37°C and washed for 15 minutes to allow complete ester cleavage. The PSS was of the following composition (mmol/L): NaCl 119, NaHEPES 20, KCl 4.6, CaCl2 1.2, MgSO4 1.0, Na2HPO4 0.15, KH2PO4 0.4, and NaHCO3 5.0, supplemented with 0.1% albumin. Nominally Ca2+ free PSS was composed of the same solution without CaCl2 or EGTA added. Fura-2 fluorescence was measured in a photomultiplier-based fluorometer at 37°C or in an imaging system at 22°C to 24°C (Figure 3Down) (both from IonOptix Inc). Sampling rate for the ratio of 510-nm emitted light from excitation at 340 and 380 nm was 2 Hz (photomultiplier system) or 5 Hz (imaging system). [Ca2+]i in cultured cells was estimated by previously published methods,17 and the concentration is reported as nanomoles per liter (nmol/L).



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Figure 3. TG causes a time-dependent inhibition of the response to NO. A, Increase in [Ca2+]i caused by TG (100 nmol/L) in rabbit aortic smooth muscle cells in primary culture. After reaching the maximal response to TG, NO (1 µmol/L) had no effect. B, Addition of NO before TG slowed the increase in [Ca2+]i, but [Ca2+]i eventually reached a similar level. C, NO added during the rise in [Ca2+]i caused a transient decrease in [Ca2+]i. The 3 experiments shown were repeated 3 times with similar results.

Measurement of Divalent Cation Influx Rate
Mn2+-induced quenching of fura-2 fluorescence was used to estimate rates of divalent cation influx.17 18 Fluorescence of fura-2–loaded cells was measured at the isosbestic point wavelength of 360 nm. Data are expressed as the Mn2+ influx rates, which were calculated from the slope of the linear decline in fura-2 fluorescence during the 30 s immediately after addition of MnCl2 (100 µmol/L), and were normalized to the level of fluorescence at the time of Mn2+ addition. When the rate of Mn2+ influx in the presence and absence of [Ca2+]o was compared, the rates were normalized to that measured under basal conditions.

Measurement of Inositol 1,4,5-Trisphosphate
Rabbit aortic smooth muscle cells were grown to confluence in 35-mm culture dishes and made quiescent by reducing the supplemental serum to 1% during the last 4 days before the experiment. Quiescent cells were incubated for 1 hour in serum-free PSS and then stimulated with 0.1 µmol/L AII for 15 s to 70 s. The extracellular solution was removed, and 250 µL of cold 1 mol/L trichloroacetic acid was added. The lysate was collected and centrifuged for 1 minute at 12 000g at 4°C. The trichloroacetic acid was extracted with a 3:1 solution of 1,1,2-trichloro-1,2,2-trifluoroethane-triotylamine, and the remaining inositol 1,4,5-trisphosphate (IP3) was quantified according to the methodology provided with the IP3 (3H) radioreceptor assay kit (Dupont NEN).

Materials
NO gas was obtained from Matheson. Saturated NO solution was prepared at 4°C and diluted in deoxygenated sealed tubes of aqueous solution as described.17 Responses of intact rings and cultured cells to NO (10-10 to 10-6 mol/L) were entirely prevented by deoxyhemoglobin (10-5 mol/L). Fura-2 AM was from Molecular Probes. All other chemicals were from Sigma Chemical Co.

Statistical Analysis
All data are expressed as mean±SE. Evaluation of statistics was done by Student t test. Values of P<0.05 indicated significant differences and are designated in the figures by an asterisk.


*    Results
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up arrowIntroduction
up arrowMaterials and Methods
*Results
down arrowDiscussion
down arrowReferences
 
Effect of Nifedipine and Inhibitors of SERCA on NO-induced Relaxations and Decreases in [Ca2+]i in Intact Rabbit and Mouse Aorta
The role of L-type Ca2+ channels in agonist-induced contractions and NO-induced relaxations of rings of rabbit thoracic aorta denuded of endothelium was determined. Figure 1ADown (left) shows that phenylephrine (10-8 to 3x10-6 mol/L) caused concentration-dependent contractions, and NO (10-9 to 10-5 mol/L) caused concentration-dependent relaxations (Figure 1ADown, right), neither of which was significantly affected by pretreatment of the aorta with nifedipine (10-6 mol/L, 30 minutes; n=5 to 6, P>0.5). This concentration of nifedipine abolished contractions to potassium chloride (30 mmol/L, not shown).



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Figure 1. Effect of nifedipine, TG, or CPA on the relaxation of rabbit thoracic aorta to NO. Rings were pretreated with nifedipine (A; 5 µmol/L, 30 minutes, n=6), TG (B; 100 µmol/L, 30 minutes, n=4), or CPA (B; 200 µmol/L, 30 minutes, n=5). The rings were then contracted with phenylephrine, and NO (10-10 to 10-5 mol/L) was administered. In panel A (left), the concentration-dependent contractions (g) to phenylephrine (10-8 to 3x10-7 mol/L) are shown in the presence or absence of nifedipine, showing that the inhibitor of L-type Ca2+ channels had no significant effect on the contraction. Because some arteries contracted to phenylephrine to {approx}7 g at a lower concentration of the agonist, the values shown in the rectangle represent the mean±SEM of the final tension before administration of NO regardless of the concentration. Nifedipine also had no significant effect on NO-induced relaxation (A, right). TG or CPA had no consistent direct effect on tone in resting aortic rings, and similar concentrations of phenylephrine were required to contract the rings to equivalent levels of tone. In the absence or presence of TG or CPA, respectively, the concentration of phenylephrine (-log mol/L: 7.2±0.5, 7.5±0.6, and 7.2±0.7) and the contraction produced (g: 7.5±1.1, 7.4±0.7, and 6.2±0.9) were not significantly different. There was a significant inhibition of the NO-induced relaxation caused by TG (P<0.05) or CPA (P<0.05), designated by asterisks.

The role of calcium uptake into intracellular stores in the relaxations to NO was determined in rabbit aortic rings pretreated with the SERCA inhibitors TG and CPA (Figure 1BUp). TG (10-4 mol/L) or CPA (2x10-4 mol/L) caused small, transient, and inconsistent contractions of resting rabbit thoracic aortic rings denuded of endothelium. The concentration of phenylephrine required to contract the rings in the presence of TG or CPA was unchanged (Figure 1BUp). Relaxations caused by NO (10-10 to 10-5 mol/L) were significantly inhibited by both TG and CPA (P<0.05, n=5; Figure 1BUp).

In rings of mouse aorta contracted with phenylephrine, NO caused rapid, transient, and concentration-dependent relaxations (Figure 2ADown). In the mouse aorta, TG consistently caused slowly developing contractions, whereas CPA caused small and variable contractions (Figure 2BDown and 2CDown). The tone induced in the presence of the inhibitors of SERCA, with or without supplemental phenylephrine, was not significantly affected by NO (Figure 2BDown through 2D).



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Figure 2. TG or CPA inhibits NO-induced decrease in [Ca2+]i and relaxation of mouse aorta. Rings of mouse aorta were contracted to similar levels of tone with phenylephrine either alone (A) or after CPA (B; 10 and 20 µmol/L) or with TG alone (C; 1 µmol/L), and NO (10-10 to 10-5 mol/L) was administered. Similar concentrations of phenylephrine (-log mol/L: -6.7±0.6 or -6.5±0.8) were required in the absence or in the presence of CPA to contract the mouse aorta to similar levels of tone (397±15 or 340±14 mg, respectively). TG contracted the mouse aorta (610±22 mg) and did not require additional phenylephrine. Relaxations to NO were significantly inhibited in rings treated with either CPA or TG (D; P<0.05, n= 6). E and F, Measurements of [Ca2+]i in strips of intact mouse aorta loaded with fura-2. In the presence of nifedipine (E; 10 µmol/L), 5-HT (20 µmol/L) caused a rapid biphasic increase in [Ca2+]i. The tonic phase of the increased [Ca2+]i was decreased rapidly by NO (1 µmol/L). TG (5 µmol/L) increased [Ca2+]i over a time course similar to the contraction shown in panel C, and the increased level was not affected by NO.

To determine whether in the above experiments contraction and relaxation reflected changes in [Ca2+]i, intact mouse aortic strips were loaded with fura-2, and the effects of NO on agonist- and TG-induced increases in [Ca2+]i were measured. 5-HT, used in these experiments because it was the most potent agonist, caused a rapid transient increase in [Ca2+]i followed by a plateau (Figure 2EUp). NO significantly decreased the plateau level from a ratio of 0.045±0.011 to 0.014±0.010 (P<0.02, n=9). Treatment of the mouse aorta with nifedipine 10 µmol/L did not significantly affect either the plateau (0.038±0.016) or the decrease caused by NO (0.016±0.009, n=6). The NO-induced decrease in [Ca2+]i was 86±26% in the absence and 64±14% in the presence of nifedipine (P>0.1). TG caused a slow increase in [Ca2+]i to a plateau value of 0.104±0.016, and NO did not significantly affect this response (0.099±0.013, P>0.1, n=4; Figure 2FUp).

SERCA Inhibitors Prevent the Decrease in [Ca2+]i Caused by NO in Rabbit Aortic Smooth Muscle Cells in Culture
The experiments discussed above showing that TG or CPA inhibited decreases in [Ca2+]i and relaxations to NO in intact aortic tissue suggest that calcium uptake into intracellular stores by SERCA is involved in mediating the response to NO. Therefore, additional experiments of the effect of TG and CPA on [Ca2+]i regulation by NO were performed in fura-2–loaded rabbit aortic smooth muscle cells in primary culture. In the presence of [Ca2+]o (1.2 mmol/L), TG (100 nmol/L) caused a rise in [Ca2+]i similar to that observed in intact mouse aorta. NO (10-6 mol/L) had no effect on the TG-induced increase in [Ca2+]i when it was applied after [Ca2+]i reached maximum level (Figure 3AUp). If NO was added 1 minute before TG, the rise in [Ca2+]i caused by the SERCA inhibitor was slowed but reached a similar maximum level (Figure 3BUp). If NO was added 1 minute after addition of TG, it caused a small transient decrease in [Ca2+]i (Figure 3CUp). Thus, in the presence of TG, there is a time-dependent disappearance of the response to NO.

The effect of NO was studied further on AII-induced increases in [Ca2+]i. In these experiments, AII was used because, similar to phenylephrine and 5-HT, it activates IP3-induced Ca2+ release and influx, and it gave the most consistent response in the smooth muscle cells in culture. The AII-induced elevation of [Ca2+]i was separated into the transient rise due to the release of Ca2+ from intracellular stores (shown to occur in the nominal absence of [Ca2+]o) and the sustained elevation in [Ca2+]i after the addition and influx of [Ca2+]o (Figure 4ADown). Similar to phenylephrine-induced contractions and 5-HT induced increases in [Ca2+]i in the intact rabbit and mouse aorta, the Ca2+ influx–induced sustained elevation of [Ca2+]i was insensitive to nifedipine (5 µmol/L) but was sensitive to NO (10-10 to 10-9 mol/L), as well as to blocking Ca2+ influx by Ni2+ (Figure 4ADown).



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Figure 4. Inhibiting SERCA, but not Na+/Ca2+ exchange and PMCA, prevents the decrease in [Ca2+]i caused by NO. AII (A through C; 100 nmol/L) or TG (D and E; 100 nmol/L) was used to stimulate the release of [Ca2+]i in the nominal absence of [Ca2+]o, as well as the influx of Ca2+, which occurred on the addition of [Ca2+]o in rabbit aortic smooth muscle cells in primary culture. A, Elevation in [Ca2+]i caused by AII was insensitive to nifedipine (5 µmol/L) but was inhibited transiently by NO (10-10 and 10-9 mol/L) and blocked by Ni2+ (2 mmol/L). B, Under control conditions, NO (1 µmol/L) caused a sustained decrease in [Ca2+]i. C, Na+/Ca2+ exchange was inhibited by replacing Na+ in the buffer with choline, and PMCA was inhibited by increasing Mg2+ in the buffer to 20 mmol/L and pH to 8.8.8 Under these conditions, the transient increase in [Ca2+]i was unchanged, the increase in [Ca2+]i that occurred on Ca2+ addition was increased, and the effect of NO was unchanged (see TableUp). When [Ca2+]i was increased by adding [Ca2+]o after stimulation with TG (D; 100 nmol/L), NO had no effect, but addition of Ni2+ decreased [Ca2+]i. When [Ca2+]i was increased by TG to inhibit SERCA, and Na+/Ca2+ exchange and PMCA (E) were also inhibited, [Ca2+]i was significantly higher after addition of [Ca2+]o, and neither NO nor Ni2+ decreased [Ca2+]i (see TableUp).

NO (10-6 mol/L) applied during the elevation of [Ca2+]i caused by AII-induced Ca2+ influx (Figure 4BUp) produced a very rapid and sustained decrease in [Ca2+]i. Because the response to NO could result not only from inhibition of Ca2+ influx but also from acceleration of Ca2+ extrusion from the cytoplasm via the Na+/Ca2+ exchanger and the plasma membrane Ca2+ ATPase (PMCA) or by sequestration of Ca2+ into the stores by SERCA, the effects of inhibition of these systems were determined. Inhibition of the Na+/Ca2+ exchanger (by replacing extracellular Na+ with choline) and/or PMCA (by elevating pHo to 8.8 and Mg2+ concentration to 20 mmol/L8 ) increased the sustained elevation of [Ca2+]i but did not affect the NO-induced decrease in [Ca2+]i (Figure 4CUp; TableDown). In contrast, a similar Ca2+ elevation evoked by inhibition of SERCA with TG or CPA (Figure 4DUp; TableDown) was completely insensitive to NO (1 µmol/L). Blocking Ca2+ influx with Ni2+ decreased [Ca2+]i when either TG (Figure 1DUp) or PMCA and Na+/Ca2+ exchanger (Figure 1CUp) were inhibited (TableDown). However, when SERCA, PMCA, and Na+/Ca2+ exchanger were all inhibited (Figure 1EUp), blocking Ca2+ influx with Ni2+ was not followed by a decrease in [Ca2+]i. This indicates that these 3 mechanisms are together responsible for eliminating Ca2+ from the cytoplasm and that they were effectively inhibited. These studies indicate that SERCA activity, but not that of the Na+/Ca2+ exchanger or PMCA, is required for NO to decrease [Ca2+]i.


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Table 1. Effect of Inhibiting [Ca2+]i Removal Mechanisms on the Decrease in [Ca2+]i Caused by NO and Ni2+ in Smooth Muscle Cells

NO-Induced Inhibition of Ca2+ and Mn2+ Influx Requires SERCA Activity and [Ca2+]o
After stimulation with AII in the absence of [Ca2+]o, treatment of cells with NO (1 µmol/L) significantly inhibited the rise in [Ca2+]i caused by the addition of [Ca2+]o (Figure 5ADown). The initial rise in [Ca2+]i started similarly in the absence or presence of NO, but in the presence of NO, [Ca2+]i stopped increasing and reached a stable plateau of 214±60 nmol/L after 21±4 s (n=3), compared with a peak of 560±89 nmol/L (P<0.05, n=3) reached in 18±2 s in the absence of NO. In contrast, NO did not affect the rise in [Ca2+]i caused by addition of Ca2+ in the presence of TG (Figure 5BDown; 551±20 and 531±28 nmol/L, n=3, with or without NO, respectively). These studies suggest that NO inhibits AII- but not TG-induced Ca2+ influx.



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Figure 5. NO inhibits the influx of [Ca2+]o and Mn2+ caused by AII but not by TG. [Ca2+]i was measured in rabbit aortic smooth muscle cells in primary culture. A, When administered after the transient response to AII (100 nmol/L) in the absence of [Ca2+]o, NO (10-6 mol/L) inhibited the increase in [Ca2+]i associated with the subsequent addition of [Ca2+]o. B, When administered after the response to TG (100 nmol/L) in the absence of [Ca2+]o, NO had no observable effect on the increase in [Ca2+]i associated with the addition of [Ca2+]o. C and D, Traces show quenching of 360-nm fura-2 fluorescence by Mn2+. Dotted lines indicate the initial slope that reflects the rate of Mn2+ influx over the initial 30 s after addition of Mn2+. AII (C; 100 nmol/L) or TG (D, 100 nmol/L) caused similar increases in the rate of Mn2+ quenching compared with the basal rate assessed without the addition of an agonist. When NO (1 µmol/L) was added 1 minute before Mn2+ in cells stimulated by AII, but not in those stimulated by TG, the influx of Mn2+ was inhibited. E and F, Summary of rates of Mn2+ influx, normalized to the rate under basal conditions. In the presence (hatched bars), but not in the absence of [Ca2+]o (solid bars), NO significantly decreased AII-stimulated Mn2+ influx. Mn2+ influx stimulated by TG was unaffected by NO in the presence or absence of [Ca2+]o. Bars represent mean±SEM of results from 3 experiments.

To study cation influx while excluding the influence of mechanisms that remove Ca2+ from the cytoplasm, AII-induced Mn2+ influx was measured. Figure 5CUp shows that AII increases the rate at which Mn2+ quenched fura-2 fluorescence. NO (1 µmol/L), applied 1 minute before Mn2+, significantly inhibited cation influx caused by AII. Interestingly, in the nominal absence of [Ca2+]o, NO had no effect (Figure 5EUp). TG (100 nmol/L) increased Mn2+ influx to similar levels as AII, but NO had no effect on Mn2+ influx in either the presence or absence of [Ca2+]o (Figure 5DUp and 5FUp).

Effect of NO on [Ca2+]i Precedes Its Effect on Cation Influx
Having investigated the effects of NO on cation influx, studies were conducted to determine the temporal relationship between the inhibition of cation influx and the decrease in [Ca2+]i caused by NO. The effect of NO was compared with that of Ni2+, which is known to directly block cation influx. When [Ca2+]i was increased by AII, NO (1 µmol/L) decreased [Ca2+]i more rapidly than did Ni2+ (Figure 6ADown and 6BDown). The exponential half-time, {tau}, was significantly shorter with NO than with Ni2+ (1.4±0.1 versus 3.1±0.2 s, respectively; P<0.001, n=4). In contrast, when Mn2+ influx was measured in cells stimulated with AII, the initial rate of cation influx was inhibited faster by Ni2+ than by NO (Figure 6CDown and 6DDown). When added simultaneously with, or at any time before the addition of Mn2+, Ni2+ fully and immediately blocked AII-induced Mn2+ influx (Figure 6DDown), consistent with its blocking cation-conducting channels directly. In contrast, when NO was added simultaneously with Mn2+, the cation influx (estimated over the next 30 s) was not significantly different from that obtained with AII alone (Figure 6CDown). Only if NO was added >15 s before the addition of Mn2+ was there sufficient time for NO to inhibit AII-induced Mn2+ influx. This delay in the action of NO is similar to that needed for inhibition of Ca2+ influx, observed in Figure 5AUp, and suggests why after addition of [Ca2+]o, [Ca2+]i begins to rise normally, despite treatment with NO. These results indicate that a considerable delay occurs before NO inhibits the influx of extracellular cations and that the decrease in [Ca2+]i caused by NO occurs more rapidly than can be accounted for by a direct inhibition of cation channels. This finding is consistent with the initial rapid decrease in [Ca2+]i by NO being primarily due to stimulation of [Ca2+]i removal mechanisms.



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Figure 6. NO decreases [Ca2+]i faster than Ni2+ but inhibits Mn2+ influx slower than Ni2+. The effect of NO (A and C) is compared with that of blocking cation channels directly with Ni2+ (B and D; 2 mmol/L) on [Ca2+]i (A and B) and Mn2+ influx (C and D) stimulated by AII (100 nmol/L) in rabbit aortic smooth muscle cells in primary culture. A, NO (1 µmol/L) decreases [Ca2+]i faster (half-time, {tau}=1.4±0.1 s) than does Ni2+ (B; {tau}=3.1±0.2 s). Example traces are from 4 similar experiments. C and D, Effect of NO (1 µmol/L) or Ni2+ (2 mmol/L) on the AII-stimulated influx of Mn2+. NO or Ni2+ was added simultaneously with (0 s) or 15 s and 60 s before adding Mn2+. Unlike Ni2+, which inhibited Mn2+ influx when added at any time before adding Mn2+, NO had no effect on Mn2+ influx when added simultaneously with Mn2+. It was not until after 15 s that a significant inhibition of Mn2+ influx by NO was noted (*P<0.05). Bars represent mean±SEM of 3 experiments.

NO Accelerates the Removal of Ca2+ From the Cytoplasm via SERCA and Promotes Refilling of [Ca2+]i Stores
Because the intracellular action of NO precedes its effect on Ca2+ influx, the effect of NO on the rate of removal of Ca2+ from the cytoplasm was further studied. When AII-induced Ca2+ influx was stopped by rapidly eliminating Ca2+ from the extracellular solution, [Ca2+]i decreased with a half-time for exponential decay, {tau}, of 21±4.6 s (n=5; Figure 7ADown, left). The NO donor S-nitroso-N-acetylpenicillamine (SNAP, 10-4 mol/L) added at the same time that [Ca2+]o was eliminated significantly increased the rate at which [Ca2+]i declined, indicating that NO accelerates the removal of Ca2+ from the cytoplasm ({tau}=8.1±1.1 s, n=5, P<0.04; Figure 7ADown, right). When Ca2+ was readmitted to the extracellular solution in the presence of SNAP, [Ca2+]i initially rose rapidly and then after a delay of 10 s to 15 s, reached a new plateau that was lower than in the absence of SNAP (Figure 7ADown, right).



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Figure 7. NO accelerates the removal of [Ca2+]i by a TG-sensitive mechanism. [Ca2+]i was measured at room temperature in superfused cell monolayers allowing rapid changing of drugs and Ca2+ in the solution. When [Ca2+]i was raised by AII (A, left) or TG (B, left), elimination of Ca2+ from the superfusate led to a rapid fall in [Ca2+]i, the rate of which was not significantly different in the presence of AII or TG. When cells stimulated with AII were superfused with SNAP and superfusate Ca2+ was simultaneously eliminated, the rate of decline in [Ca2+]i was significantly increased (A, right). In contrast, in cells stimulated with TG, SNAP did not accelerate the rate of decline in [Ca2+]i (B, right). The tracings represent 5 similar experiments.

Ca2+ influx stimulated by TG elevated [Ca2+]i to a level similar to that caused by AII. Elimination of [Ca2+]o resulted in a decline in [Ca2+]i at a rate that was not significantly different from that observed in the presence of AII ({tau}=27±1.5 s, n=4, P>0.3; Figure 7BUp, left). This suggests that in the absence of Ca2+ influx, [Ca2+]i removal mechanisms other than SERCA are primarily responsible for decreasing [Ca2+]i in the presence of either AII or TG. However, inhibition of SERCA with TG completely prevented the increase in the rate of [Ca2+]i removal caused by SNAP ({tau}=27±2.6 s, P>0.7; Figure 7BUp, right). This result supports the concept that NO rapidly decreases [Ca2+]i in the presence of AII primarily by accelerating the removal of cytosolic Ca2+ via SERCA.

To determine if NO accelerates the removal of cytoplasmic Ca2+ by increasing its uptake into intracellular stores, the effect of NO was determined on the Ca2+ content of the stores. Ionomycin (10 µmol/L) alone or in combination with AII (0.1 µmol/L) was used to release Ca2+ from the stores in the nominal absence of [Ca2+]o. Ionomycin alone caused a peak increase in [Ca2+]i from a basal value of 92±9 to 835±72 nmol/L (Figure 8ADown). Application of NO (1 µmol/L) 4 minutes before had no significant effect on the subsequent response to ionomycin (-7±9% compared to without NO, not shown in figure). AII (0.1 µmol/L) caused a peak transient increase in [Ca2+]i to 591±33 nmol/L and significantly reduced the release caused by the subsequent application of ionomycin (442±22 nmol/L, n=6, P<0.003; Figure 8ADown). When NO (1 µmol/L) was given 1 minute before AII, the [Ca2+]i transient caused by AII was significantly reduced (434±40 nmol/L, P<0.007), whereas the subsequent ionomycin-induced release was increased by 42±7% compared with that in the absence of NO (631±47 nmol/L, P<0.003; Figure 8BDown). Even if NO was added 20 s after AII (after the peak increase in [Ca2+]i caused by the agonist), the ionomycin-induced release was 26±9% greater than in the absence of NO (564±63, P<0.04; Figure 8CDown), consistent with an NO-induced augmentation of the refilling of Ca2+ stores.



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Figure 8. NO increases ionomycin-releasable [Ca2+]i stores. [Ca2+]i was measured in rabbit aortic smooth muscle cells in primary culture in the nominal absence of [Ca2+]o. [Ca2+]i release was elicited with ionomycin (IM, 10 µmol/L) alone or with ionomycin after AII (AII/IM, 0.1 µmol/L). Traces are superimposed to emphasize differences in the responses. Release of [Ca2+]i (A) caused by AII (B) decreased the subsequent release caused by ionomycin compared with that caused by ionomycin alone. When NO (1 µmol/L) was administered 1 minute before AII (B), the response to AII was reduced, and the response to ionomycin increased (NO/AII/IM) compared with in the absence of NO (AII/NO). NO administered 20 s after AII-initiated release of Ca2+ (C) rapidly decreased [Ca2+]i and increased the ionomycin response (AII/NO/IM) compared with that in the absence of NO (AII/IM).

Inhibition of the peak increase in [Ca2+]i caused by AII could be achieved by either inhibition of Ca2+ release from the stores7 19 or by accelerated sequestration of Ca2+ into the stores. The role of uptake by SERCA was determined by releasing Ca2+ from the stores with AII in the absence or presence of TG. In the absence of [Ca2+]o, NO (1 µmol/L), added before AII, inhibited the transient increase in [Ca2+]i caused by AII by 44±7% (Figure 9ADown and 9BDown). The peak increase in [Ca2+]i was 528±57 nmol/L compared with 319±52 nmol/L in the presence of NO. Two minutes after treatment with TG, AII caused a transient Ca2+ increase to a level that was not significantly different from that in the absence of TG (Figure 9CDown and 9DDown). However, NO failed to inhibit the AII response when SERCA was inhibited by TG (Figure 9CDown and 9DDown). Similarly, NO inhibited the Ca2+ influx-induced rise in [Ca2+]i caused by releasing the stores with AII but not with AII and TG. This suggests that NO inhibits the peak increase in [Ca2+]i caused by AII primarily by accelerating the sequestration of Ca2+ into the stores via SERCA, rather than by interfering with IP3-induced Ca2+ release.



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Figure 9. Inhibition of SERCA prevents the effect of NO on the response to AII in the absence of [Ca2+]o. The [Ca2+]i response to AII (100 nmol/L) was measured in rabbit aortic smooth muscle cells in primary culture in the nominal absence of [Ca2+]o and then after the addition of Ca2+ (A; 1.2 mmol/L). A, Traces are overlapped to show that when administered 3.6 minutes before AII, NO (+NO, 1 µmol/L) significantly decreased the peak transient rise in [Ca2+]i caused by AII, as well as the increase in [Ca2+]i after the addition of [Ca2+]o compared with in the absence of NO (-NO; B). In cells first treated with TG (C and D; 100 nmol/L, 2.6 minutes before AII), AII still released [Ca2+]i. However, NO added before TG and AII had no significant effect on the AII-induced rise in [Ca2+]i nor in the rise in [Ca2+]i that followed the addition of 1.2 mmol/L [Ca2+]o.

NO Does Not Affect IP3 Production Caused by AII
The effect of NO on AII-induced IP3 production was measured by radioimmunoassay. Basal levels of IP3 were 0.9±0.1 pmol/plate. During the first 45 s after AII (0.1 µmol/L), IP3 levels were significantly increased (3.1±0.5, 3.1±0.7, and 3.1±0.5 pmol/plate at 15, 30, and 45 s after AII, respectively, n=5) but were not significantly different after 1 minute of treatment with NO (3.4±0.6, 2.7±0.4, 2.2±0.6 pmol/plate, respectively). Furthermore, IP3 levels 60 s and 70 s after AII were 2.3±0.4 and 2.1±0.3 pmol/plate, respectively. When NO was administered at 60 s after AII, the level of IP3 10 s later was not significantly decreased compared with that in the absence of NO (2.0±0.4 pmol/plate). Thus, changes in AII-induced IP3 levels do not explain the effect of NO on [Ca2+]i.


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
*Discussion
down arrowReferences
 
According to the capacitative Ca2+ entry model, Ca2+ influx can be activated not only by emptying the stores with agonists but also by depletion of the stores after inhibition of SERCA with TG or CPA.13 14 15 An important role of SERCA in the physiological response to NO in agonist-stimulated smooth muscle cells is suggested by the present study in which these 2 structurally different, highly specific inhibitors of SERCA20 21 interfered with the actions of NO. The present study also demonstrates that the initial action of NO in agonist-stimulated smooth muscle cells is to rapidly sequester [Ca2+]i via SERCA and secondarily to inhibit Ca2+ influx. This temporal sequence suggests the proposal that NO regulates agonist-induced Ca2+ influx by a 2-step process: (1) NO initiates a rapid decrease in [Ca2+]i by sequestering cytoplasmic Ca2+ into intracellular stores via SERCA, and (2) the refilling of intracellular stores inhibits store-operated Ca2+ entry, which in turn maintains the decrease in [Ca2+]i and relaxation of vascular smooth muscle.

Several pieces of evidence support sequestration of [Ca2+]i by SERCA as the primary mechanism by which NO initiates the decrease in [Ca2+]i. First, NO causes [Ca2+]i to fall more rapidly than can be explained by either directly inhibiting Ca2+ influx with Ni2+ (Figure 6Up) or by removing [Ca2+]o (Figure 7Up). Second, NO does not decrease [Ca2+]i when SERCA is inhibited by TG or CPA (Figures 2 through 4UpUpUp; TableUp). The ability of the inhibitors of SERCA to prevent the response to NO is time-dependent (Figure 3Up), presumably indicating that the inhibitors require sufficient time to completely block uptake of Ca2+ into the stores. Third, studies in which PMCA or Na+/Ca2+ exchanger was inhibited (Figure 4Up) indicate that although these mechanisms actively remove [Ca2+]i from the cytoplasm when it is elevated by either AII or TG, they are not essential for NO to decrease [Ca2+]i.

The ability of NO to increase the content of [Ca2+]i stores was made evident by the increased size of the response to ionomycin after NO was administered before the partial emptying of the stores caused by AII (Figure 8Up). Ionomycin, at the concentrations used, is known to permeabilize membranes to Ca2+, to release all Ca2+ from stores, and to make Ca2+ pumps and transporters ineffective.22 In the absence of [Ca2+]o, an increased amount of Ca2+ released by ionomycin in the presence of NO can only be explained by increased uptake from the cytoplasm or decreased release from the stores. NO increased the ionomycin-releasable store even when NO was administered after Ca2+ release induced by AII was nearly complete, suggesting that NO increased reuptake, rather than inhibited the IP3-mediated release of Ca2+ from the stores. Indeed, the effect of NO on the AII-induced transient increase in [Ca2+]i in the absence of [Ca2+]o was entirely prevented by pretreatment with TG (Figure 9Up). The latter experiment suggests that NO has little or no direct effect on the production of, or response to, IP3 initiated by AII in these cells. This finding is also supported by the lack of an effect of NO on AII-stimulated IP3 levels. Thus, our results indicate that NO initiates a decrease in [Ca2+]i primarily as a result of its sequestration into intracellular stores by SERCA.

The hypothesis that the inhibition of Ca2+ influx by NO is secondary to its initial effects on sequestration of Ca2+ into the stores by SERCA is based on several observations. The inhibition by NO of AII-induced Mn2+ influx was strictly dependent on [Ca2+]o (Figure 5Up). This result suggests the apparent paradox that Ca2+ influx is required for NO to inhibit divalent cation influx. Indeed, when [Ca2+]o was added after AII in the presence of NO (Figures 5Up, 7Up, and 9Up), [Ca2+]i initially rose rapidly but then equilibrated at a lower level compared with control. This requirement for Ca2+ influx for NO to inhibit Ca2+ influx is also evident from the delay observed in the NO-induced inhibition of Mn2+ influx (Figure 6Up). Together with the lack of effects of NO when SERCA is inhibited, these experiments support a requirement for SERCA-dependent uptake of Ca2+ into the stores for divalent cation influx to be inhibited by NO.

Thus, our results can best be explained by proposing that NO indirectly inhibits capacitative or store-operated, agonist-activated Ca2+ influx in vascular smooth muscle cells by increasing Ca2+ in the stores. The observation that inhibitors of SERCA can prevent the actions of NO on [Ca2+]i was made previously in studies on platelets23 and HEK 293 cells,24 but the finding was interpreted as meaning that NO is not capable of regulating capacitative Ca2+ influx. However, the present findings suggest that functional SERCA is an essential requirement for NO to regulate store-operated Ca2+ influx. Although we have not measured a direct effect of NO on SERCA itself, others have shown that nitrovasodilators stimulate the ATPase activity of SERCA by a mechanism dependent on cGMP and protein kinase G.10 Furthermore, cGMP-dependent phosphorylation of phospholamban is induced by NO in vascular smooth muscle.10 25 Dissociation of phosphorylated phospholamban from SERCA would provide a molecular mechanism for NO to regulate SERCA activity and thus to regulate store-operated Ca2+ influx. cGMP-independent effects of NO on SERCA via redox-sensitive thiols are potentially possible, similar to those described recently for K+ channels4 and the ryanodine receptor.26 Indeed, the effects of NO on vascular smooth muscle [Ca2+]i and relaxation persist despite effective inhibition of cGMP and protein kinase G.27

Ca2+ entry in vascular smooth muscle is known to occur via 2 distinct pathways, only one of which is sensitive to inhibitors of L-type Ca2+channels.12 In the present study, nifedipine had little effect on agonist-induced increases in [Ca2+]i and contractions of rabbit or mouse aortic smooth muscle, indicating that non–L-type Ca2+ channels are responsible for the majority of Ca2+ entry in these conduit arteries. Thus, the mechanism proposed in the present study can explain how NO regulates the portion of Ca2+ influx and contractions induced by agonists and growth factors that occurs independently of L-type Ca2+ channels. The voltage-dependent activation of smooth muscle L-type Ca2+ channels also can be regulated by NO either directly3 or indirectly by hyperpolarization mediated by K+ channels.4 5 6 Thus, the proposal that NO regulates agonist-activated, store-operated Ca2+ influx widens the potential mechanisms by which NO causes vasodilatation.


*    Acknowledgments
 
This study was supported by NIH grants HL31607, HL54150, and HL55620.

Received September 25, 1998; accepted November 3, 1998.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
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