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Integrative Physiology |
From the Department of Molecular Physiology and Biological Physics (X.F.F., K.H.D., D.N.D., B.R.D.), University of Virginia, Charlottesville, Va; the Department of Neurobiology (D.L.P.) and Department of Cell Biology (D.A.G.), Harvard Medical School, Boston, Mass; and the Department of Physiology (A.M.S.), University of Arizona, Tucson, Ariz.
Correspondence to Dr Brian R. Duling, Dept of Molecular Physiology and Biological Physics, University of Virginia Health Sciences Center, PO Box 800736, Charlottesville, VA 22908-0736. E-mail brd{at}virginia.edu
| Abstract |
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Key Words: connexin40 conducted response vasodilation electrical stimulation cremaster microcirculation
| Introduction |
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Electrical stimulation has also been used to study conducted vasomotor responses in arterioles,R9-126738 R10-126738 R11-126738 912 but the pathways and modes of activation of the responses induced by electrical stimulation remain to be determined. Endothelial cells are thought to be electrically unexcitable,13 although field electrical stimulation has been reported to evoke an endothelium-dependent relaxation in isolated vessels.R9-126738 R14-126738 R15-126738 R16-126738 9,1417 Consequently, changes in diameter observed in response to electrical stimulation could be the result of activation of different cell types and the conduction along the vessel axis of these vasomotor responses can depend on the summation of multiple vasomotor signals both by chemical interactions and via gap junctions.
Conducted signals spread over vessel segments spanning many cells, and thus gap junctions are likely to form the pathway for cell-cell conduction. Gap junctions are intercellular channels formed by proteins known as connexins (Cxs). Four Cx proteins have been identified in vessels: Cx37, Cx40, Cx43, and Cx45.R18-126738 R19-126738 1820 Cx45 is reported to be only in vascular smooth muscle cells, whereas Cx37 is thought to be only in endothelial cells. Cx40 and Cx43 are expressed in both cell types,R20-126738 R21-126738 R22-126738 2023 but Cx40 expression is more abundant and uniformly distributed in endothelial cells, whereas Cx43 is found predominately in smooth muscle cells.R20-126738 20,21
The development of Cx knockout animals represents an important tool to disclose the role of gap junctions in vascular physiology. Early data suggest that the roles of Cxs in the vasculature may be selective and diverse. Cx43 endothelial cell-specific knockout mice are reported to be hypotensive,24 whereas Cx40 knockout (Cx40-/-) mice are hypertensive and manifest an impaired conduction of responses induced by acetylcholine or bradykinin.25
In the present study, we assessed the functional role of Cx40 gap junctions in the conduction of vasomotor signals induced by electrical stimulation, using Cx40-/- mice. We analyzed the vasomotor responses induced by focal electrical stimulation of second and third order arterioles in the mouse cremaster microcirculation. Our results show that depolarizing current injection activates local and conducted vasoconstrictor signals mediated by a combination of perivascular nerve stimulation, smooth muscle stimulation, and a nonneuronal, endothelial cell Cx40-dependent vasodilator response that propagates along the vessel length without decay.
| Materials and Methods |
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Mouse Cremaster Preparation
Mice were anesthetized with pentobarbital sodium (80 mg/Kg, IP, diluted in isotonic saline to 10 mg/mL), and the cremaster muscle was prepared as described previously.27 The cremaster muscle was spread and pinned on a Sylgard pedestal. The mouse was placed on the stage of an Olympus microscope (BX 50 WI, Gibralter Platform), and the cremaster muscle was continuously superfused at 3 mL/min with a bicarbonate-buffered saline solution (in mmol/L: 131.9 NaCl, 4.7 KCl, 2.0 CaCl2, 1.2 MgSO4, 20.0 NaHCO3) kept at 35°C. The buffer solution was equilibrated with 95% N2/5% CO2 to yield a pH 7.35 to 7.45. The preparation was allowed to stabilize for 45 to 60 minutes before starting the experiment. Throughout the experiment, supplemental doses of anesthetic in isotonic saline (20 mg/Kg, IP) were administrated as appropriate. At the end of the experiment, the animals were euthanized by an anesthetic overdose.
Vessel Diameters
Arterioles were visualized by transillumination using a 10x eyepiece and a 50x Leitz UMK (NA=0.60) objective. The microscope image was projected to a video camera (Dage-MTI Series 65) whose output was displayed on a monitor (Dage-MTI Model HR1000) and recorded on videotape (Panasonic Omnivision). The inner diameter of the arteriole was continuously measured using Diamtrak software.28
Electrical Stimulation
Arterioles were stimulated electrically for 10 seconds with a micropipette (inner diameter 3 to 4 µm) filled with 1 mol/L NaCl connected to the cathode of a Grass SD9 stimulator (Grass Instrument). To minimize heterogeneity in the electrical field around the pipette tip, an Ag/AgCl reference electrode was positioned symmetrically around the cremaster in the superfusate covering the tissue. A variety of electrical stimuli with an amplitude of 30 to 50 V were used, including a pulse train of 1 ms duration at 30 Hz, 100 ms duration at 5 Hz, and direct current (DC).
Immunocytochemistry
Anesthetized mice were perfused through the left ventricle with a warmed MOPS-buffered PSS containing 1% fetal calf serum, 10 U/µL heparin, 10 µmol/L ACh, and 10 µmol/L sodium nitroprusside followed by a 2% paraformaldehyde perfusion in MOPS-buffered PSS to fix the vasculature. The cremaster muscles were removed and postfixed overnight. The tissues were dehydrated, embedded in paraffin, sectioned (5 µm), placed on charge-coated slides, and deparaffinized using standard procedures. Antigen retrieval was performed by microwaving the slides in a citrate buffer. The sections were blocked with 0.5% BSA in PBS, incubated with rabbit primary anti-Cx40 antibody (1:500) overnight at 4°C (ADI, TX), and then with Alexa-568labeled goat anti-rabbit secondary antibody (Molecular Probes, OR) for 1 hour at room temperature, as described previously.24 The immunoreactivity was examined using an Olympus Fluoview confocal microscope.
Experimental Protocols
Cathodal electrical stimulation of second and third order arterioles was the basic mode of stimulation. Using a micromanipulator (Burleigh TS-5000-I50), the stimulation micropipette tip was positioned below the superficial cremasteric connective tissue and above the arteriole. Voltage and distance of the micropipette tip from the selected arteriole were adjusted to induce a local constriction of about 50%. After recording the local response, the arteriole was stimulated repeatedly at 3-minute intervals, and the changes in diameter were measured at locations 500, 1000, and 2000 µm upstream to evaluate the conduction of vasomotor responses. The upstream locations were selected using a calibrated eyepiece reticule and each measurement corresponded to a separate stimulus. To confirm the reproducibility of conducted responses, at the end of each stimulation series (local, 500, 1000, and 2000 µm), the response at 500 µm was assessed again. In addition, in some experiments, the arterioles were stimulated repeatedly at 3-minute intervals, and the changes in diameter were measured at the local site or at 2000 µm upstream. Maximal diameter was estimated during superfusion of 1 mmol/L adenosine. Variations in diameter were expressed as percentage of resting diameter.
Blockade of Perivascular Nerves
To assess the participation of perivascular nerves in the response to electrical stimulation, arterioles of wild-type (6 vessels, 4 animals) or Cx40-/- (10 vessels, 9 animals) cremaster muscles were stimulated in control conditions and after superfusing 1 µmol/L tetrodotoxin (TTX) or 100 nmol/L prazosin for 15 to 20 minutes.
Long-Pulse Stimulation
To evaluate the involvement of voltage-operated, fast-inactivating ion channels in the propagation of electrically induced vasomotor responses, the pulse duration was varied from 1 to 100 ms to DC (3 vessels, 3 animals) with fixed amplitude of 30 V. In this series of experiments, the responses were observed at the local site, 500, and 1000 µm upstream.
Chemicals
All biochemical reagents and chemicals of analytical grade were purchased from Sigma Chemical Co.
Statistical Analysis
Results are presented as mean±SEM. Two-way ANOVA was used to assess significance of differences as a function of time. Comparisons between groups were made using paired or unpaired Students t test or one-way ANOVA plus Newman-Keuls post hoc test as appropriate. The level for establishing a significance of difference was set at P<0.05.
| Results |
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Electrically Induced Vasomotor Responses
A representative response of wild-type arterioles to depolarizing electrical stimulation is depicted in Figure 1A. Electrical stimulation resulted in a local vasoconstriction and a conducted vasodilation that spread along the vessel without apparent decay. The local vasoconstriction was restricted to a short vessel segment underneath the stimulation pipette (approximately 50 to 100 µm) and lasted for the entire duration of the stimulus. This reduction in diameter attained a maximum of -48.7±2.2% at
9 seconds of stimulation and returned to control level within 40 to 60 seconds. The vasodilation was propagated along the vessel without a detectable delay and showed a very fast initial phase followed by a slower component, which typically reached a maximum by the end of the stimulation period (n=33; Figures 1A and 1B). The recovery of the conducted responses was very rapid. The arteriolar diameter returned to baseline within 3 to 5 seconds after stimulation and typically showed a small undershoot.
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The local constriction showed a striking, progressive reduction in response to successive stimuli (Figure 1C). After a series of stimuli, the arteriolar reactivity recovered over 10 to 15 minutes. In sharp contrast to the local response, the conducted vasodilator response was sustained with multiple stimuli and showed no evidence of tachyphylaxis (Figure 1C).
In Cx40-/- mice, cathodal electrical stimulation consistently induced a local vasoconstriction (Figure 2A), which was similar to that observed in wild-type animals (-55.6±4.0%, n=15, P>0.05 by unpaired t test). The conducted responses in the knockout animals were quite different. The average data for all Cx40-/- arterioles (n=15) showed a small, slow vasoconstriction for the conducted vasomotor responses, in contrast to the abrupt, marked dilation in control animals (compare Figure 1 with Figure 2A). On careful examination of the data, we noted that there were two qualitatively distinct groups of animals based on the responses observed at 500 µm. In 8 arterioles, focal electrical stimulation resulted in a conducted vasoconstriction (Figure 2B), and in seven arterioles, a conducted vasodilation was observed (Figure 2C). Note that in both cases, the magnitude of the local vasoconstriction was similar (-58.9±5.0% conducted constriction group, and -51.9±6.5% conducted dilation group). As shown in Figure 3, electrically induced conducted vasodilation in wild-type animals as well as the conducted vasoconstriction observed in one group of Cx40-/- arterioles did not decay along the vessel (Figure 3 and Table). In contrast, the conducted vasodilation elicited by electrical stimulation in Cx40-/- animals decreased progressively with distance (Figure 3 and Table). In addition, as compared with wild-type mice, the increase in diameter induced by electrical stimulation of arterioles from the Cx40-/- mice was slower (compare Figures 1B and 2C) and smaller at 1000 and 2000 µm (Table).
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Perivascular Nerves
To assess the participation of perivascular nerves in the response to electrical stimulation, arterioles of wild-type and Cx40-/- mice were stimulated in control conditions and in the presence of 1 µmol/L TTX. In wild-type animals, treatment with TTX did not affect resting microvessel diameter and did not block either the local vasoconstriction or the conducted vasodilation induced by electrical stimulation (Figure 4A). TTX enhanced the vasodilator response observed at upstream sites (Figure 4A), suggesting that TTX may have blocked a constrictor component. Consistent with the activation of a constrictor component, 100-nmol/L prazosin, a
1-adrenoceptor antagonist, also enhanced the electrically induced conducted vasodilation without affecting the magnitude of the local vasoconstriction (-42.4±6.1% control and -48.2±8.2% prazosin, n=3). At 500 and 1000 µm upstream, the maximal vasodilation was 137.2±8.0% and 136.3±13.4% in control conditions and 144.7±8.1% (P<0.015 by paired t test) and 153.8±21.6% in presence of prazosin.
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We also attempted to rule out a role for voltage-dependent sodium channels in the propagation of this response by showing that the vasodilator response was not blunted by stimulation with either a train of long duration pulses or DC10 (Figure 4B).
As in wild-type animals, superfusion with TTX did not alter control diameter and did not block the electrically induced local vasoconstriction in Cx40-/- mice (Figure 5). However, TTX abolished the conducted vasoconstriction observed in these animals and revealed a small vasodilation (Figure 5A). The small vasodilation unmasked by TTX decayed along the vessel length and the temporal changes in diameter only reached significance at 500 and 1000 µm upstream (P<0.0001 by 2-way ANOVA). The finding shown in Figure 5A contrasts with the observation that in the Cx40-/- mice in which electrical stimulation elicited a conducted vasodilation, this response was TTX-insensitive (Figure 5B).
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Identification of Cx40
The presence and distribution of Cx40 in cremaster muscle microvessels was assessed by immunocytochemical analysis. A clear staining for Cx40 was apparent only in the endothelium of both orders of arterioles (Figure 6A). In arteriolar smooth muscle cells, we detected no positive reaction for this connexin. As expected, the presence of Cx40 staining was not found in cremasteric arterioles from Cx40-/- mice (Figure 6B).
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| Discussion |
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Electrically Induced Vasomotor Response
Focal stimulation of second or third order cremasteric arterioles with a train of cathodal electrical pulses caused a local vasoconstriction limited to a short segment immediately underneath the stimulation micropipette and a very fast vasodilation that was propagated along the entire vessel (Figure 1). Recently, Emerson and Segal9 described a response of similar characteristic in isolated resistance arteries subjected to focal electrical field stimulation using two stimulus micropipettes, the cathode in the adventitia, and the anode directly at the other side of the vessel. However, the transverse stimulation used in that study caused a conducted vasodilation only with a train of pulses of high intensity and after blocking the perivascular nerve. In the current experiments, this response was observed in control conditions, a finding that we attribute to the fact that the stimulation threshold is higher when the electric field is applied in a transverse orientation, because one half of the tissue is depolarized and the other half is hyperpolarized.29 Such transverse stimulation may have favored the activation of perivascular nerves on the cathode side of the isolated resistance arteries. In our experimental set up in vivo, we surrounded the tissue with the reference electrode to allow a more homogenous stimulation across the vessel.
Recent reports have suggested that calcium can diffuse from smooth muscle cells into endothelial cells via myoendothelial gap junctions.R30-126738 30,31 As a result, the increase in intracellular calcium concentration of smooth muscle that is associated with a vasoconstriction, can trigger a subsequent endothelium-dependent vasodilator signal, as calcium diffuses through the myoendothelial junctions.32 However, in the present study, there was no detectable delay between the local vasoconstriction and the vasodilation observed upstream (Figure 3), which suggests that electrical stimulation might directly activate the endothelial cells, as proposed by Emerson and Segal.9 Furthermore, the conducted vasodilator response was sustained with multiple stimuli, although the local constriction showed a progressive tachyphylaxis (Figure 1C), suggesting that the vasodilation elicited by electrical stimulation was independent of the mechanical activation of the smooth muscle cells or a hemodynamic effect.
Perivascular Nerves in the Electrically Induced Vasomotor Response
The vasodilation in response to current stimulation did not show the characteristic exponential decay of electrotonic conduction, suggesting the involvement of a regenerative mechanism as part of the conducted response. The mouse cremaster microcirculation is provided with an extensive network of vasomotor nerves,R33-126738 33,34 but topical application of TTX did not alter the resting arteriolar diameter, excluding a role for TTX-sensitive nerves such as the sympathetics in the control of resting tone. TTX did enhance the electrically elicited conducted vasodilator response (Figure 4A), indicating that current stimulation activates at least two conducted vasomotor components, a nerve-independent vasodilation and a TTX-sensitive vasoconstriction that is overcome by the conducted vasodilation. In all likelihood, the TTX-sensitive vasoconstrictor signal originated from the sympathetic perivascular nerves.R11-126738 11,33 Consistent with this assumption, the blockade of
1-adrenoceptors with prazosin also enhanced the electrically induced vasodilation.
Cremaster muscle microvessels are also innervated by branches of primary sensory afferent neurons, which possess TTX-resistant sodium channels.R34-126738 R35-126738 3436 The voltage-sensitive sodium channels rapidly inactivate during depolarization.R29-126738 29,37 Therefore, we stimulated the arterioles with a train of long pulse-duration or DC to preclude repetitive triggering of action potentials and, in consequence, the propagation of a nerve dependent-vasomotor signal. This maneuver did not inhibit the conducted vasodilator response (Figure 4B), supporting the idea that the generation and the propagation mechanism of this response are nerve-independent.
Gap Junctions in the Conduction of Electrically Induced Responses
Deletion of Cx40 had a dramatic effect on the conducted vasodilation evoked by electrical stimulation, converting the marked conducted dilation into a strong, conducted constriction or in some cases a vasodilation that decayed rapidly with distance (Figures 1 through 3). This transformation occurred in spite of the fact that the vasoconstriction observed at the local site was similar in the two mouse lines (Figures 1 through 3). Also it is noteworthy that among the three groups identified (wild-type, constricting Cx40-/-, and dilating Cx40-/-), the degree of resting tone was similar.
The diverse conducted responses observed in the two groups of Cx40-/- animals may correspond to a different balance of the two conducted vasomotor components disclosed in wild-type mice using TTX (Figure 4A). Perhaps there was a higher degree of sympathetic activation with stimulation in the group of vessels shown in Figure 5A, thus making them more sensitive to TTX. In the Cx40-/- arterioles in which electrical stimulation elicited a conducted vasodilation, the TTX-sensitive constrictor component was smaller or absent (Figure 5B). In the Cx40-/- animals that showed a constriction, TTX blocked the conducted vasoconstriction and revealed a small vasodilation that decayed along the vessel length (Figure 5A), making the two groups of animals much more similar.
The endothelium would seem to be the most likely pathway for the conducted vasodilator signal. Although Cx40 gap junctional protein is reported to be present in both endothelial cells and smooth muscle cells of large arteries and in the hamster cheek pouch microcirculation,R20-126738 R21-126738 R22-126738 2022,38 in mouse cremaster, we found Cx40 expression only in the endothelium (Figure 6), confirming a previous report.25 When taken in the context of the impaired vasodilation observed in Cx40-/- mice, this finding strongly supports the idea that the electrically induced vasodilation is propagated via endothelial cells. The finding also highlights the functional role of Cx40 in the coordination of vasomotor responses.
Impaired propagation of ACh-induced vasodilator signals has also been observed in Cx40-/- mice.25 However, deletion of Cx40 produces a modest reduction in the conducted responses to ACh compared with the effect of electrical stimulation (Figure 2). The absence of Cx40 reduces, but does not eliminate the conduction of either the electrically or ACh-induced vasodilation. This might suggest that other endothelial Cxs participate in the propagation of the vasodilation. Alternatively, vasodilatory signals may spread along the vessel via smooth muscle cells.R5-126738 R8-126738 5,8,39
Although multiple connexins and cell types may be involved in the coordination of vasomotor responses, Cx40 gap junction seems to play a special role because Cx40 knockout mice are hypertensive,25 and the development of hypertension in spontaneously hypertensive rats is associated with a reduction in endothelial cells length and in the density of endothelial gap junction plaques containing Cx40 but not Cx37 or Cx43.40
As mentioned, the rapid and nondecremental nature of the conducted vasodilation observed in wild-type animals points strongly to the activation of a regenerative process. Without an active response, a length constant on the order of 2 mm would have been predicted.R5-126738 5,41 Thus, the longitudinal decay of vasodilation evoked by current stimulation in Cx40-/- compared with the wild-type mice implies that the regenerative process was interrupted. This fact combined with the observation of the localization of Cx40 exclusively in the endothelium (Figure 6), leads us to hypothesize that Cx40 coupling is somehow necessary for an active propagation (regenerative) of the vasodilator signal, but that other connexins can mediate an electrotonic conduction.
Endothelial cells are typically assumed to be electrically unexcitable,13 but they are not insensitive to voltage change.42 Field electrical stimulation has been reported to induce a nonneuronal, endothelium-dependent vasodilation in vitro.R9-126738 R14-126738 R15-126738 R16-126738 9,1417 Moreover, it has been shown that effluent obtained from the bath of freshly isolated bovine aortic endothelial cells subjected to field electrical stimulation causes relaxation of an endothelium-denuded ring precontracted with phenylephrine.16 These findings show that endothelial cells are endowed with a voltage-sensitive mechanism. In addition, endothelial cells have been reported to possess voltage-sensitive Ca2+ channels,R43-126738 R44-126738 R45-126738 R46-126738 4346,47 which have been proposed to participate in impulse conduction and pacemaking in the heart.48 The presence of these channels in the endothelial cells could help to explain a regenerative propagation of an endothelium-dependent vasodilator signal.
It is important to note that although voltage-sensitive Ca2+ channels inactivate during depolarization, they continue to exhibit a window current, as manifested by a voltage range where the steady-state activation and inactivation curves overlap. In this voltage range, channels cycle between closed, open, and inactivated states.49 Therefore, in a tonically depolarized tissue, window current of the Ca2+ channels may allow a sustained calcium entry, such as is shown by the maintained vasoconstriction observed with DC stimulation (Figure 4B).
It is also noteworthy that voltage-dependent Ca2+ channels are sometimes found in caveolae, a membrane microdomain specialized in signal transduction.R50-126738 50,51 This location provides these channels with a special proximity to Ca2+-dependent signaling molecules present in caveolae, such as nitric oxide synthase, calmodulin, Ca2+-activated potassium channels, and plasma membrane Ca2+ pumps.R50-126738 R51-126738 5052 Interestingly, gap junctions can also be targeted to caveolae or other subcellular compartments in a pattern dependent on gap junction type.53 Therefore, we hypothesized that the subcellular location of gap junctions plays a key role in the functional selectivity of this intercellular channels and, thereby, in the regenerative propagation of the electrically induced Cx40-dependent vasodilation.
In summary, we have confirmed a previous report11 that depolarizing electrical stimulation of cremasteric arterioles causes vasoconstriction by the activation of perivascular nerves and smooth muscle cells. In addition, our data indicate that electrical stimulation also initiates a conducted dilation that spreads rapidly along the endothelium without apparent decay, suggesting that a regenerative mechanism is involved in this process. Knockout of Cx40 demonstrates that the gap junctions play a key role in this process, although it remains uncertain whether the gap junctional channels are critical to the conduction process per se or are somehow involved in smooth muscle/endothelial cell coupling.
| Acknowledgments |
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Received December 4, 2002; revision received February 12, 2003; accepted February 26, 2003.
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