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Circulation Research. 1995;77:379-393

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*PHENYLEPHRINE
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(Circulation Research. 1995;77:379-393.)
© 1995 American Heart Association, Inc.


Articles

{alpha}-Adrenergic Control of Volume-Regulated Cl- Currents in Rabbit Atrial Myocytes

Characterization of a Novel Ionic Regulatory Mechanism

Dayue Duan, Bernard Fermini, Stanley Nattel

From the Department of Pharmacology and Therapeutics, McGill University, Montreal, Quebec, Canada; the Department of Medicine, University of Montreal; and the Department of Medicine and the Research Center, Montreal Heart Institute.

Correspondence to Stanley Nattel, Research Center, Montreal Heart Institute, Montreal, Quebec, Canada H1T 1C8.

Abstract {alpha}-Adrenergic stimulation is known to play a role in cardiac arrhythmogenesis and to modulate a variety of cardiac K+ currents. The effects of {alpha}-adrenergic stimulation on Cl- currents are largely unknown. Many cardiac cell types show a volume-sensitive Cl- current induced by cell swelling (ICl.swell). The present experiments were designed to assess the potential {alpha}-adrenergic modulation of ICl.swell in rabbit atrial myocytes. ICl.swell was induced with the use of a hypotonic superfusate, under conditions designed to prevent currents carried by K+, Na+, and Ca2+ ions. A basal Cl- current (ICl.b) was observed under isotonic conditions in 128 of 150 cells (85%), had the same dependency on [Cl-]o as ICl.swell, and was reduced by cell shrinkage induced by hypertonic superfusion, suggesting that ICl.b is carried by the same volume-sensitive Cl- conductance as ICl.swell. Phenylephrine produced a concentration-dependent and near-complete inhibition of ICl.b and ICl.swell, with EC50 values of 86±5 and 72±7 (mean±SEM) µmol/L, respectively, at +20 mV. Norepinephrine (administered in the presence of 1 µmol/L propranolol) also inhibited ICl.b and ICl.swell, with EC50 values of 2.6±0.1 and 2.8±0.4 µmol/L, respectively. The concentration-response curve for phenylephrine was shifted significantly (P<.001) to the right by the {alpha}1-adrenoceptor antagonist prazosin and by the {alpha}1A-receptor antagonists (+)-niguldipine and 5-methylurapidil but was unaltered by the {alpha}1B-receptor antagonist chloroethylclonidine (100 µmol/L). Inhibition of protein kinase C (PKC) with staurosporine, H-7, or 18-hour preincubation with the phorbol ester 4ß-phorbol 12-myristate 13-acetate (PMA, 500 nmol/L) blocked the effects of phenylephrine on ICl.swell, and the highly selective PKC inhibitor bisindolylmaleimide blocked the effects of norepinephrine on ICl.swell and ICl.b. Both PMA and 1-oleoyl-2-acetylglycerol inhibited ICl.swell in a concentration-dependent fashion. In blinded studies, the phorbol ester phorbol 12,13-didecanoate (PDD) reduced ICl.swell by 91±3%; its inactive analogue 4{alpha}-PDD had no effect (mean change, 3±1%). Preincubation with pertussis toxin (PTX) prevented the actions of phenylephrine on ICl.swell, indicating a role for a PTX-sensitive guanine nucleotide–binding (G) protein. We conclude that {alpha}-adrenergic agonists inhibit volume-sensitive Cl- currents in rabbit atrial cells by interacting with an {alpha}1A-adrenoceptor mechanism that is coupled to PKC via a PTX-sensitive G protein. These results suggest a potentially novel mechanism of {alpha}-adrenergic control of cardiac electrical activity, the inhibition of volume-sensitive Cl- currents, and indicate that PKC, well known to elicit phosphorylation-dependent Cl- currents in cat and guinea pig ventricular myocytes, is also capable of potently inhibiting other forms of cardiac Cl- current.


Key Words: action potential • Cl- currents • ion channels • autonomic nervous system • phenylephrine




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