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Regulation of Cardiac Na+,Ca2+ Exchange and change current, although ATP did not (Fig.
1B). Pure PI vesicles (0.3 mM) were applied
KATpPotassium Channels by PIP, for 60 s to other treated patches that failed
to respond to ATP (Fig. 1C). PI had no
Donald 'W. Hilgemann* and Rebecca Ball effect by itself, but it restored the capacity of
ATP to stimulate the exchange current.
Cardiac Nq+,Ca2+ exchange is activated by a mechanism that requires hydrolysis of The effect of ATP was reversed by a
adenosine triphosphate (ATP) but is not mediated by protein kinases. In giant cardiac recombinant PIP2-specific phospholipase
membrane patches, ATP acted to generate phosphatidylinositol-4,5-bisphosphate C, PLC-PI, that is fully activated by 0.5
(PIP,) from phosphatidylinositol (PI). The action of ATP was abolished by a PI-specific pM free Ca2+ under standard assay condi-
phospholipase C (PLC) and recovered after addition of exogenous PI; it was reversed tions (Fig. 2A) (13). This PLC-P1 was his-
by a PIP,-specific PLC; and it was mimicked by exogenous PIP,. High concentrations tidine-tagged, expressed in Sf9 cells, puri-
of free Ca2+ (5 to 20 pM) accelerated reversal of the ATP effect, and PLC activity in fied by Ni2+-chelate affinity chromatogra-
myocyte membranes was activated with a similar Ca2+ dependence. Aluminum reversed phy, and dialyzed against the solution used
the ATP effect by binding with high affinity to PIP,. ATP-inhibited potassium channels in the experiments. Reversal of the ATP
),K
,(, were also sensitive to PIP,, whereas Na+,Kt pumps and Na+ channels were not. effect after ATP removal was very slow (Fig.
Thus, PIP, may be an important regulator of both ion transporters and channels. 2A). However, upon application of PLC-P1
(0.2 mg mlp' with a maximal specific ac-
tivity of 100 pmol min-' mg-'), the cur-
rent declined to its original value within
Cardiac Na+,Ca2+ exchange activity can Outward Na+,Ca2+ exchange current 40 s (in three similar experiments). PLC-P1
be enhanced by several acidic lipids (1, 2) was increased by addition of Mg-ATP to had no effect when it was applied to patches
that lnav occur in domains in cell mem- the cytoplaslnic side of inside-out giant car- in which the exchange current had been
branes (3). In cardiac membrane patches diac ~nernbranepatches (Fig. 1A) (9). The stimulated by PS rather than ATP (12).
treated with ATP, acidic lipids are generated current was first activated by application of High concentrations of cytoplasrnic free
on the cytoplasmic side of the rnelnbrane in 90 mM Na+ to the cytoplasrnic side of the Ca2+ induced a fast reversal of the ATP
parallel with a stirnulation of Na+,Ca2+ex- patch with 2 mM extracellular (pipette) effect, probably mediated by an endogenous
change current ( 2 , 4 ) .The underlying mech- Ca2+.With the free cytoplasrnic Ca2+ con- Ca2+-dependent PLC (Fig. 2B). After ATP
anism might be (i) an ATP-dependent trans- celntration used (0.5 pM) the current inac- was applied and removed, 20 pM free Ca2+
port of phosphatidylserine (PS) from the tivated (decreased) by about 80% over 15 s. was applied. At first, the exchange current
extracellular to the cytoplasmic side by an Subsequent application of Mg-ATP (2 was slightly stimulated because cytoplasmic
amino phospholipid "flippase" (5), (ii) the mM) for 40 s increased the current sixfold, Ca2+ activates the exchanger by an intrinsic
phosphorylation of diacylglycerol (DAG) to and after ATP was rernoved the current regulatory mechanism (14). Thereafter, the
form phosphatidic acid (PA) (6), or (iii) the remained stimulated for 100 s, after which it exchange current declined rapidly over 30 s,
phospholylation of PI to form PIP and PIP, was turned off by rernoval of Nat. and it declined to below its original level
(7). We used specific phospholipases and The record in Fig. 1A is a control exper- when free Ca2+was reduced back to 0.5 pM
phospholipid vesicles to modify the lipid iment from a randomized series of patches, (15). To determine the Ca2+ dependence of
colnposition of giant cardiac lnelnbrane one-half of which were treated for 4 min endogenous cardiac membrane-associated
patches (8) and determined that the major with a phospholipase C that specifically hy- PLC, a crude membrahe fraction was pre-
mechanism is the generation of PIP2from PI. drolyzes PI (PI-PLC) (10). The PI-PLC pared from guinea-pig myocytes, and PLC
treatment (0.6 U/ml) did not significantly activity was measured as inositol trisphos-
D W. Hlaemann. Denartment of Phvsoloav. Universitv decrease the current before application of phate (IP3)released from exogenous vesicles
of ~exas,%outhwksternMedical ~ e n f e at
r Gk~~as,
~allai ATP (1 1 ) (Fig. lB), and PI-PLC had no containing [3H]PIP2(16). The PLC activity
TX 75235-9040, USA.
R. Ball, Department of Pharmacology, Universty of Tex-
effect after the current had been stimulated of the cardiac membranes was slightly acti-
as, Southwestern Med~caCenter at Dallas, Dallas, TX by ATP (12). However, the treatment de- vated with 0.5 pM free Ca2+ and was max-
75235-9041, USA. creased the ATP effect by 96% (P < 0.001). imally activated with 20 pM free Ca2+ (Fig.
*To whom correspondence should be addressed. PIP, (50 pM) strongly activated the ex- 2C), which correlates with the ability of 20