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1.
Basic Res Cardiol ; 106(6): 953-66, 2011 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21681579

RESUMO

In rat atrial myocytes GIRK (Kir3) channels can be activated by acetylcholine and adenosine via M(2) and A(1) receptors coupled to Pertussis-toxin-sensitive G proteins, such as M(2)R or A(1)R. Owing to the lower density of A(1)R, the amplitude of current activated by a saturating concentration (10 µM) of Ado (I(K(Ado))) amounts to about 40% of maximum I(K(ACh)). Adenovirus-driven overexpression of A(1)R results in an increase in I(K(Ado)). In a fraction of A(1)R-overexpressing cells, both ACh and Ado failed to activate GIRK channels. These cells had a large constitutive Ba(2+)-sensitive inward rectifying background K(+) current, which was insensitive to the GIRK channel inhibitor tertiapin (200 nM), suggesting this current component to be carried by I(K1) (Kir) channels. This effect of A(1)R overexpression was reduced by treatment (48 h) with the A(1)R antagonist DPCPX. siRNA-mediated knockdown of Kir2.1, simultaneously with A(1)R overexpression, substantially reduced I(K1). The mechanisms underlying the upregulation of functional I(K1) channels involve activation of the phosphatidylinositol 3-kinase (Pi3K)/Akt (protein kinase B) pathway. Kir2.1 transcripts are not increased in myocytes overexpressing A(1)R. These data demonstrate that manipulation of the expression level of a G protein-coupled receptor has unpredictable effects on functional expression of proteins that are supposed to be unrelated to the pathway controlled by that GPCR.


Assuntos
Canais de Potássio Corretores do Fluxo de Internalização Acoplados a Proteínas G/metabolismo , Átrios do Coração/metabolismo , Miócitos Cardíacos/metabolismo , Receptor A1 de Adenosina/biossíntese , Transdução de Sinais/fisiologia , Animais , Feminino , Técnicas de Silenciamento de Genes , Masculino , Técnicas de Cultura de Órgãos , Técnicas de Patch-Clamp , Interferência de RNA , Ratos , Ratos Endogâmicos WKY , Reação em Cadeia da Polimerase em Tempo Real , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transdução Genética , Regulação para Cima
2.
Anaesthesia ; 65(11): 1114-8, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20860646

RESUMO

The Gastro-Laryngeal Tube is a modification of the Laryngeal Tube that provides a dedicated channel for the insertion of a gastroscope. In this study of 30 patients undergoing general anaesthesia for endoscopic retrograde cholangiopancreatography, we evaluated both the effectiveness of airway management with a Gastro Laryngeal Tube and the feasibility of performing it using the endoscopic channel. The Gastro Laryngeal Tube was inserted successfully in all patients, in 27 patients at the first attempt. The mean (SD) time to achieve an effective airway was 26 (6) s. Mean (SD) inspiratory and expiratory tidal volumes were 336 (57) ml and 312 (72) ml, respectively, and oropharyngeal leak pressure was 33.7 (2) cmH(2)O. These data suggest that the Gastro Laryngeal Tube is an effective and secure device for airway management and for use during performance of endoscopic retrograde cholangiopancreatography.


Assuntos
Colangiopancreatografia Retrógrada Endoscópica/instrumentação , Intubação Intratraqueal/instrumentação , Adolescente , Adulto , Idoso , Anestesia Geral/métodos , Desenho de Equipamento , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Volume de Ventilação Pulmonar , Adulto Jovem
3.
Orthopade ; 34(7): 698-700, 702, 2005 Jul.
Artigo em Alemão | MEDLINE | ID: mdl-15856167

RESUMO

A 78-year old woman with osteoporotic collapse of the Th12 and L4 vertebrae was treated by percutaneous vertebroplasty (pVp) with PMMA (polymethylmethacrylate). Postoperatively, the Th11 and L1 vertebrae collapsed so that a second vertebroplasty was performed. Postoperatively, the patient developed a severe pulmonary embolism which was treated conservatively. In this report, the complications of pulmonary embolism, perivertebral leakage of PMMA and of additional vertebral collapses after pVp are discussed.


Assuntos
Extravasamento de Materiais Terapêuticos e Diagnósticos/complicações , Laminectomia/efeitos adversos , Polimetil Metacrilato/efeitos adversos , Polimetil Metacrilato/uso terapêutico , Embolia Pulmonar/induzido quimicamente , Fraturas da Coluna Vertebral/etiologia , Vértebras Torácicas/cirurgia , Idoso , Feminino , Humanos , Fraturas da Coluna Vertebral/complicações , Vértebras Torácicas/efeitos dos fármacos , Falha de Tratamento
4.
J Biol Chem ; 276(40): 37347-54, 2001 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-11495921

RESUMO

G protein-activated inwardly rectifying K(+) (GIRK) channels, expressed in atrial myocytes, various neurons, and endocrine cells, represent the paradigmatic target of beta gamma subunits released from activated heterotrimeric G proteins. These channels contribute to physiological slowing of cardiac frequency and synaptic inhibition. They are activated by beta gamma dimers released upon stimulation of receptors coupled to pertussis toxin-sensitive G proteins (G(i/o)), whereas beta gamma released from G(s) do not converge on the channel subunits. This is in conflict with the finding that dimeric combinations of various beta and gamma subunits can activate GIRK channels with little specificity. In the present study, we have overexpressed the major subtypes of cardiac beta-adrenergic receptors (beta(1)-AR and beta(2)-AR) in atrial myocytes by transient transfection. Whereas in native cells beta-adrenergic stimulation with isoproterenol failed to induce measurable GIRK current, robust currents were recorded from myocytes overexpressing either beta(1)-AR or beta(2)-AR. Whereas the beta(2)-AR-induced current showed the same sensitivity to pertussis toxin as the current evoked by the endogenous G(i/o)-coupled muscarinic M(2) receptor, isoproterenol-activated currents were insensitive to pertussis toxin treatment in beta(1)-AR-overexpressing myocytes. In contrast to a recent publication (Leaney, J. L., Milligan, G., and Tinker, A. (2000) J. Biol. Chem. 275, 921-929), sizable GIRK currents could also be activated by isoproterenol when the signaling pathway was reconstituted by transient transfection in two different standard cell lines (Chinese hamster ovary and HEK293). These results demonstrate that specificity of receptor-G protein signaling can be disrupted by overexpression of receptors. Moreover, the alpha subunit of heterotrimeric G proteins does not confer specificity to G beta gamma-mediated signaling.


Assuntos
Átrios do Coração/metabolismo , Miocárdio/metabolismo , Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/fisiologia , Receptores Adrenérgicos beta 1/metabolismo , Receptores Adrenérgicos beta 2/metabolismo , Animais , Função Atrial , Eletrofisiologia , Feminino , Subunidades alfa Gi-Go de Proteínas de Ligação ao GTP/metabolismo , Subunidades alfa Gs de Proteínas de Ligação ao GTP/metabolismo , Masculino , Canais de Potássio/metabolismo , Ratos , Ratos Endogâmicos WKY , Transfecção
5.
J Biol Chem ; 276(31): 28873-80, 2001 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-11384974

RESUMO

K(+) channels composed of G-protein-coupled inwardly rectifying K(+) channel (GIRK) (Kir3.0) subunits are expressed in cardiac, neuronal, and various endocrine tissues. They are involved in inhibiting excitability and contribute to regulating important physiological functions such as cardiac frequency and secretion of hormones. The functional cardiac (K((ACh))) channel activated by G(i)/G(o)-coupled receptors such as muscarinic M(2) or purinergic A(1) receptors is supposed to be composed of the subunits GIRK1 and GIRK4 in a heterotetrameric (2:2) fashion. In the present study, we have manipulated the subunit composition of the K((ACh)) channels in cultured atrial myocytes from hearts of adult rats by transient transfection of vectors encoding for GIRK1 or GIRK4 subunits or GIRK4 concatemeric constructs and investigated the effects on properties of macroscopic I(K(ACh)). Transfection with a GIRK1 vector did not cause any measurable effect on properties of I(K(ACh)), whereas transfection with a GIRK4 vector resulted in a complete loss in desensitization, a reduction of inward rectification, and a slowing of activation. Transfection of myocytes with a construct encoding for a concatemeric GIRK4(2) subunit had similar effects on desensitization and inward rectification. Following transfection of a tetrameric construct (GIRK4(4)), these changes in properties of I(K(ACh)) were still observed but were less pronounced. Heterologous expression in Chinese hamster ovary cells and human embryonic kidney 293 cells of monomeric, dimeric, and tetrameric GIRK4 resulted in robust currents activated by co-expressed A(1) and M(2) receptors, respectively. These data provide strong evidence that homomeric GIRK4 complexes form functional G(beta)gamma gated ion channels and that kinetic properties of GIRK channels, such as activation rate, desensitization, and inward rectification, depend on subunit composition.


Assuntos
Coração/fisiologia , Miocárdio/metabolismo , Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/fisiologia , Acetilcolina/farmacologia , Sequência de Aminoácidos , Animais , Anticorpos , Células CHO , Linhagem Celular , Membrana Celular/efeitos dos fármacos , Membrana Celular/fisiologia , Cricetinae , Dimerização , Epitopos/química , Canais de Potássio Corretores do Fluxo de Internalização Acoplados a Proteínas G , Átrios do Coração , Humanos , Técnicas In Vitro , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologia , Dados de Sequência Molecular , Técnicas de Patch-Clamp , Canais de Potássio/química , Canais de Potássio/genética , Subunidades Proteicas , Ratos , Ratos Endogâmicos WKY , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Transfecção
6.
Biochem J ; 355(Pt 1): 189-97, 2001 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-11256963

RESUMO

Blood plasma and serum contain factors that activate inwardly rectifying GIRK1/GIRK4 K+ channels in atrial myocytes via one or more non-atropine-sensitive receptors coupled to pertussis-toxin-sensitive G-proteins. This channel is also the target of muscarinic M(2) receptors activated by the physiological release of acetylcholine from parasympathetic nerve endings. By using a combination of HPLC and TLC techniques with matrix-assisted laser desorption ionization-time-of-flight MS, we purified and identified sphingosine 1-phosphate (SPP) and sphingosylphosphocholine (SPC) as the plasma and serum factors responsible for activating the inwardly rectifying K+ channel (I(K)). With the use of MS the concentration of SPC was estimated at 50 nM in plasma and 130 nM in serum; those concentrations exceeded the 1.5 nM EC(50) measured in guinea-pig atrial myocytes. With the use of reverse-transcriptase-mediated PCR and/or Western blot analysis, we detected Edg1, Edg3, Edg5 and Edg8 as well as OGR1 sphingolipid receptor transcripts and/or proteins. In perfused guinea-pig hearts, SPC exerted a negative chronotropic effect with a threshold concentration of 1 microM. SPC was completely removed after perfusion through the coronary circulation at a concentration of 10 microM. On the basis of their constitutive presence in plasma, the expression of specific receptors, and a mechanism of ligand inactivation, we propose that SPP and SPC might have a physiologically relevant role in the regulation of the heart.


Assuntos
Proteínas de Transporte/fisiologia , Coração/fisiologia , Fosforilcolina/análogos & derivados , Fosforilcolina/sangue , Esfingolipídeos/metabolismo , Esfingosina/análogos & derivados , Esfingosina/sangue , Animais , Western Blotting , Proteínas de Transporte/metabolismo , Átrios do Coração/metabolismo , Testes de Precipitina , Coelhos , Ratos , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz
7.
J Biol Chem ; 276(8): 5650-8, 2001 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-11104770

RESUMO

G protein-gated inwardly rectifier K+ current in atrial myocytes (I(K(ACh))) upon stimulation with acetylcholine (ACh) shows a fast desensitizing component (t(1/2) approximately 5 s). After washout of ACh, I(K(ACh)) recovers from fast desensitization within < 30 s. A recent hypothesis suggests that fast desensitization is caused by depletion of phosphatidylinositol 4,5-bisphosphate (PtIns(4,5)P(2)), resulting from costimulation of phospholipase C (PLC)-coupled M3 receptors (M3AChR). The effects of stimulating two established PLC-coupled receptors, alpha-adrenergic and endothelin (ET(A)), on I(K(ACh)) were studied in rat atrial myocytes. Stimulation of these receptors caused activation of I(K(ACh)) and inhibition of the M2AChR-activated current. In myocytes loaded with GTPgammaS (guanosine 5'-3-O-(thio)triphosphate), causing stable activation of I(K(ACh)), inhibition via alpha-agonists and ET-1 was studied in isolation. Stimulation of either type of receptor under this condition, via G(q/11), caused a slow inhibition (t(1/2) approximately 50 s) by about 70%. No comparable effect on GTPgammaS-activated I(K(ACh)) was induced by ACh, suggesting that PLC-coupled M3AChRs are not functionally expressed in rat myocytes, which was supported by the finding that M3AChR transcripts were not detected by reverse transcriptase-polymerase chain reaction in identified atrial myocytes. Supplementing the pipette solution with PtIns(4,5)P(2) significantly reduced inhibition of I(K(ACh)) but had no effect on fast desensitization. From these data it is concluded that stimulation of PLC-coupled receptors causes slow inhibition of I(K(ACh)) by depletion of PtIns(4,5)P(2), whereas fast desensitization of I(K(ACh)) is not related to PtIns(4,5)P(2) depletion. As muscarinic stimulation by ACh does not exert inhibition of I(K(ACh)) comparable to stimulation of alpha(1)- and ET(A) receptors, expression of functional PLC-coupled muscarinic receptors in rat atrial myocytes is unlikely.


Assuntos
Proteínas de Ligação ao GTP/metabolismo , Átrios do Coração/metabolismo , Fosfatidilinositol 4,5-Difosfato/metabolismo , Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/metabolismo , Receptores de Superfície Celular/metabolismo , Fosfolipases Tipo C/metabolismo , Acetilcolina/farmacologia , Condutividade Elétrica , Endotelina-1/metabolismo , Guanosina 5'-O-(3-Tiotrifosfato)/metabolismo , Átrios do Coração/citologia , Ativação do Canal Iônico , Antagonistas Muscarínicos/farmacologia , Fenilefrina/farmacologia , Piperidinas/farmacologia , Receptores de Endotelina/metabolismo , Receptores Muscarínicos/metabolismo
9.
J Biol Chem ; 275(17): 12537-45, 2000 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-10777542

RESUMO

G(i) protein-coupled receptors such as the M(2) muscarinic acetylcholine receptor (mAChR) and A(1) adenosine receptor have been shown to activate G protein-activated inwardly rectifying K(+) channels (GIRKs) via pertussis toxin-sensitive G proteins in atrial myocytes and in many neuronal cells. Here we show that muscarinic M(2) receptors not only activate but also reversibly inhibit these K(+) currents when stimulated with agonist for up to 2 min. The M(2) mAChR-mediated inhibition of the channel was also observed when the channels were first activated by inclusion of guanosine 5'-O-(thiotriphosphate) in the pipette. Under these conditions the M(2) mAChR-induced inhibition was quasi-irreversible, suggesting a role for G proteins in the inhibitory process. In contrast, when GIRK currents were maximally activated by co-expressing exogenous Gbetagamma, the extent of acetylcholine (ACh)-induced inhibition was significantly reduced, suggesting competition between the receptor-mediated inhibition and the large pool of available Gbetagamma subunits. The signaling pathway that led to the ACh-induced inhibition of GIRK channels was unaffected by pertussis toxin pretreatment. Furthermore, the internalization and agonist-induced phosphorylation of M(2) mAChR was not required because a phosphorylation- and internalization-deficient mutant of the M(2) mAChR was as potent as the wild-type counterpart. Pharmacological agents modulating various protein kinases or phosphatidylinositol 3-kinase did not affect the inhibition of GIRK currents. Furthermore, the signaling pathway that mediates GIRK current inhibition was found to be membrane-delimited because bath application of ACh did not inhibit GIRK channel activity in cell-attached patches. Other G protein-coupled receptors including M(4) mAChR and alpha(1A) adrenergic receptors also caused the inhibition, whereas other G protein-coupled receptors including A(1) and A(3) adenosine receptors and alpha(2A) and alpha(2C) adrenergic receptors could not induce the inhibition. The presented results suggest the existence of a novel signaling pathway that can be activated selectively by M(2) and M(4) mAChR but not by adenosine receptors and that involves non-pertussis toxin-sensitive G proteins leading to an inhibition of Gbetagamma-activated GIRK currents in a membrane-delimited fashion.


Assuntos
Toxina Pertussis , Canais de Potássio Corretores do Fluxo de Internalização , Potássio/metabolismo , Receptores de Superfície Celular/antagonistas & inibidores , Receptores Muscarínicos/metabolismo , Fatores de Virulência de Bordetella/metabolismo , Animais , Células CHO , Cricetinae , Canais de Potássio Corretores do Fluxo de Internalização Acoplados a Proteínas G , Proteínas de Ligação ao GTP/metabolismo , Humanos , Técnicas de Patch-Clamp , Canais de Potássio/metabolismo , Receptores Colinérgicos/metabolismo , Receptores Purinérgicos P1/metabolismo , Transfecção
10.
Circ Res ; 86(6): 643-8, 2000 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-10746999

RESUMO

In adult rat atrial myocytes, muscarinic acetylcholine (ACh)-sensitive K(+) current activated by a saturating concentration of adenosine (I(K(ACh),(Ado))) via A(1) receptors (A(1)Rs) amounts to only 30% of the current activated by a saturating concentration of ACh (I(K(ACh),(ACh))) via muscarinic M(2) receptors. The half-time of activation of I(K(ACh),(Ado)) on a rapid exposure to agonist was approximately 4-fold longer than that of I(K(ACh),(ACh)). Furthermore, I(K(ACh),(Ado)) never showed fast desensitization. To study the importance of receptor density for A(1)R-I(K(ACh),(Ado)) signaling, adult atrial myocytes in vitro were transfected with cDNA encoding for rat brain A(1)R and enhanced green fluorescent protein (EGFP) as a reporter. Whole-cell current was measured on days 3 and 4 after transfection. Time-matched cells transfected with only the EGFP vector served as controls. In approximately 30% of EGFP-positive cells (group I), the density of I(K(ACh),(Ado)) was increased by 72%, and its half-time of activation was reduced. Density and kinetic properties of I(K(ACh),(ACh)) were not affected in this fraction. In approximately 70% of transfection-positive myocytes (group II), the density of I(K(ACh),(ACh)) was significantly reduced, its activation was slowed, and the fast desensitizing component was lost. Adenosine-induced currents were larger in group II than in group I, their activation rate was further increased, and a fast desensitizing component developed. These data indicate that in native myocytes the amplitude and activation kinetics of I(K(ACh),(Ado)) are limited by the expression of A(1)R. Overexpression of A(1)R negatively interferes with signal transduction via the muscarinic M(2) receptor-linked pathway, which might reflect a competition of receptors with a common pool of G proteins. Negative interference of an overexpressed receptor with physiological regulation of a target protein by a different receptor should be considered in attempts to use receptor overexpression for gene therapy.


Assuntos
Acetilcolina/fisiologia , Miocárdio/metabolismo , Canais de Potássio/fisiologia , Receptores Muscarínicos/fisiologia , Receptores Purinérgicos P1/metabolismo , Acetilcolina/farmacologia , Adenosina/farmacologia , Animais , Condutividade Elétrica , Feminino , Átrios do Coração , Masculino , Miocárdio/citologia , Canais de Potássio/efeitos dos fármacos , Ratos , Ratos Endogâmicos WKY , Receptor Muscarínico M2 , Transfecção
11.
Naunyn Schmiedebergs Arch Pharmacol ; 361(2): 120-6, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10685866

RESUMO

Ca2+ transients evoked by endothelin-1 (ET-1) were measured in single cells of a human tracheal epithelial cell line using the fluorescent Ca2+ indicator fura-2. In line with a previous study, a single exposure to ET-1 (10 nM) for 10-20 s resulted in a long-lasting desensitization to a subsequent challenge by the peptide, without affecting sensitivity to agonists for other Ca2+-mobilizing receptors such as P2y or H1, respectively. In the absence of extracellular Ca2+ ET-1 elicited a Ca2+ signal of comparable amplitude as in the presence of extracellular Ca2+ but of shorter duration. Exposure to ET-1 in the absence of Ca2+ caused significantly less desensitization. Inhibition of the Ca2+ entry component of the Ca2+ transient by means of SK&F 96365, an inhibitor of Ca2+ entry, had effects comparable to Ca2+ removal. The Ca2+ transient was shortened but not significantly reduced in amplitude, and desensitization was reduced in the presence of the compound. These data demonstrate that desensitization of ET(A) receptors (ET(A)R) is promoted by transmembrane Ca2+ entry but not by Ca2+ release.


Assuntos
Sinalização do Cálcio/efeitos dos fármacos , Cálcio/metabolismo , Receptores de Endotelina/fisiologia , Traqueia/metabolismo , Células Cultivadas , Endotelina-1/farmacologia , Humanos , Imidazóis/farmacologia , Receptor de Endotelina A
12.
Pacing Clin Electrophysiol ; 23(11 Pt 2): 1816-9, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11139932

RESUMO

ATP-sensitive K+ current (IK(ATP)) plays an important role in the regulation of cardiac electrical activity. In the myocardium, IK(ATP) is regulated by the sulfonylurea receptor (SURIIA) which mediates the inhibition of IK(ATP) due to glibenclamide (Gli). The role played by SURIIA in the sensitivity of IK(ATP) to metabolic inhibition is unclear. We studied the effect of SURIIA antisense oligonucleotides (ODNs) on the properties of IK(ATP) in cultured guinea-pig atrial myocytes. IK(ATP) was measured by the whole-cell voltage clamp method and was activated with cromakalim (Cro; 200 microns) and dinitrophenole (DNP; 100 microns). Mean IK(ATP) density activated by DNP and Cro in nonincubated cells was 117 +/- 12 pA/pF (n = 17) and 17 +/- 9 pA/pF (n = 16) respectively. No significant difference was observed after incubation with nODN [DNP: 121 +/- 13 pA/pF (n = 20); Cro:19 +/- 4 pA/pF (n = 8)]. Cells incubated with ODNs showed a significant reduction of IK(ATP) due to DNP (19 +/- 13 pA/pF; P < 0.05, n = 6), whereas Cro-induced IK(ATP) was unaffected (16 +/- 8 pA/pF, n = 8). The effectiveness of DNP-induced metabolic inhibition was apparent in a concomitant reduction of the nucleotide-phosphate dependent muscarinic K+ current (inhibition of IK(ACh) in ODN incubated myocytes without activation of IK(ATP)). The ATP sensitivity of IK(ATP) appears mediated by SURIIA. Activation of this current by Cro seems to be SURIIA-independent. ODN-induced metabolic uncoupling of IK(ATP) may be a useful experimental tool. A reduced sensitivity of IK(ATP) to intracellular ATP concentrations may be of clinical interest.


Assuntos
Transportadores de Cassetes de Ligação de ATP , Trifosfato de Adenosina/metabolismo , Miocárdio/metabolismo , Oligonucleotídeos Antissenso/farmacologia , Bloqueadores dos Canais de Potássio , Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/metabolismo , Receptores de Droga/antagonistas & inibidores , 2,4-Dinitrofenol/farmacologia , Acetilcolina/farmacologia , Trifosfato de Adenosina/farmacologia , Animais , Células Cultivadas , Cromakalim/farmacologia , Feminino , Cobaias , Átrios do Coração/citologia , Átrios do Coração/efeitos dos fármacos , Átrios do Coração/metabolismo , Masculino , Miocárdio/citologia , Técnicas de Patch-Clamp , Potássio/metabolismo , Canais de Potássio/genética , Receptores de Droga/genética , Receptores de Droga/metabolismo , Receptores de Sulfonilureias
13.
EMBO J ; 18(12): 3317-24, 1999 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-10369672

RESUMO

Potassium (K+) channels are highly selective for K+ ions but their unitary conductances are quite divergent. Although Kir6.1 and Kir6.2 are highly homologous and both form functional K+ channels with sulfonylurea receptors, their unitary conductances measured with 150 mM extracellular K+ are approximately 35 and 80 pS, respectively. We found that a chain of three amino acid residues N123-V124-R125 of Kir6.1 and S113-I114-H115 of Kir6.2 in the M1-H5 extracellular link and single residues M148 of Kir6.1 and V138 of Kir6.2 in the H5-M2 link accounted for the difference. By using a 3D structure model of Kir6.2, we were able to recognize two independent plausible mechanisms involved in the determination of single channel conductance of the Kir6.0 subunits: (i) steric effects at Kir6.2V138 or Kir6.1M148 in the H5-M2 link influence directly the diffusion of K+ ions; and (ii) structural constraints between Kir6.2S113 or Kir6. 1N123 in the M1-H5 link and Kir6.2R136 or Kir6.1R146 near the H5 region control the conformation of the permeation pathway. These mechanisms represent a novel and possibly general aspect of the control of ion channel permeability.


Assuntos
Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/química , Canais de Potássio/fisiologia , Sequência de Aminoácidos , Substituição de Aminoácidos , Animais , Linhagem Celular , Condutividade Elétrica , Humanos , Ligação de Hidrogênio , Ativação do Canal Iônico , Rim/citologia , Rim/metabolismo , Camundongos , Modelos Moleculares , Dados de Sequência Molecular , Técnicas de Patch-Clamp , Potássio/metabolismo , Canais de Potássio/genética , Estrutura Terciária de Proteína , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/fisiologia , Alinhamento de Sequência , Transfecção
14.
FEBS Lett ; 451(3): 279-83, 1999 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-10371205

RESUMO

K+ channels composed of GIRK subunits are predominantly expressed in the heart and various regions of the brain. They are activated by betagamma-subunits released from pertussis toxin-sensitive G-proteins coupled to different seven-helix receptors. In rat atrial myocytes, activation of K(ACh) channels is strictly limited to receptors coupled to pertussis toxin-sensitive G-proteins. Upon treatment of myocytes with antisense oligodesoxynucleotides against GRK2, a receptor kinase with Gbetagamma binding sites, in a fraction of cells, K(ACh) channels can be activated by beta-adrenergic receptors. Sensitivity to beta-agonist is insensitive to pertussis toxin treatment. These findings demonstrate a potential role of Gbetagamma binding proteins for target selectivity of G-protein-coupled receptors.


Assuntos
Proteínas Quinases Dependentes de AMP Cíclico/antagonistas & inibidores , Proteínas Quinases Dependentes de AMP Cíclico/genética , Átrios do Coração/metabolismo , Oligonucleotídeos Antissenso/farmacologia , Canais de Potássio/metabolismo , Receptores Adrenérgicos beta/metabolismo , Transdução de Sinais/efeitos dos fármacos , Animais , Células Cultivadas , Proteínas Quinases Dependentes de AMP Cíclico/metabolismo , Ativação do Canal Iônico/genética , Oligonucleotídeos Antissenso/genética , Canais de Potássio/genética , Ratos , Ratos Endogâmicos WKY , Receptores Adrenérgicos beta/genética , Transdução de Sinais/genética , Quinases de Receptores Adrenérgicos beta
15.
FEBS Lett ; 439(1-2): 115-20, 1998 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-9849890

RESUMO

Muscarinic K+ channels (IK(ACh)) in native atrial myocytes are activated by betagamma subunits of pertussis toxin (Ptx)-sensitive heterotrimeric G proteins coupled to different receptors. betagamma subunits of Ptx-insensitive Gs, coupled to beta-adrenergic receptors, do not activate native IK(ACh). In atrial myocytes from adult rats transfected with rat brain beta1 subunit IK(ACh) can be activated by stimulation of beta-adrenergic receptors using isoprenaline. This effect is insensitive to Ptx. These findings demonstrate for the first time promiscuous (Ptx-insensitive) coupling of Gsbetagamma to GIRK channels in their native environment.


Assuntos
Proteínas de Ligação ao GTP/fisiologia , Miocárdio/metabolismo , Canais de Potássio/fisiologia , Receptores Adrenérgicos beta/fisiologia , Animais , Função Atrial/fisiologia , Células Cultivadas , Feminino , Proteínas de Ligação ao GTP/metabolismo , Coração/fisiologia , Masculino , Potenciais da Membrana , Canais de Potássio/metabolismo , Ratos , Ratos Wistar , Receptores Adrenérgicos beta/metabolismo
16.
Anaesthesia ; 53(7): 645-9, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9771172

RESUMO

The intubating laryngeal mask airway is a new device that facilitates intubation of the trachea. We assessed its use in 15 awake patients in whom we anticipated difficulty with tracheal intubation; we would otherwise have secured the patients' airways using a fibreoptic bronchoscope. All patients were sedated and had their airways anaesthetised with local anaesthetic. The tracheas of all 15 patients were successfully intubated. The mean time from start of sedation to successful intubation was 10.8 min. The mean time from completion of sedation and airway local anaesthesia to tracheal intubation was 2.8 min. Patients remained haemodynamically stable throughout, peripheral oxygen saturation was maintained and there were no obvious cases of pulmonary aspiration. Most patients complained of sore throat and hoarseness. We have demonstrated through this descriptive study that the intubating laryngel mask airway may, in certain circumstances, be used as an alternative to the fibreoptic bronchoscope.


Assuntos
Máscaras Laríngeas , Adulto , Pressão Sanguínea , Estado de Consciência , Contraindicações , Frequência Cardíaca , Humanos , Intubação Intratraqueal/instrumentação , Máscaras Laríngeas/efeitos adversos , Oxigênio/sangue , Faringite/etiologia , Fatores de Tempo
17.
J Physiol ; 512 ( Pt 2): 407-20, 1998 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-9763631

RESUMO

1. The effects of diadenosine polyphosphates (APnA, where n = 4-6) were studied on beating frequency of perfused guinea-pig hearts and on muscarinic K+ current (IK(ACh)) and ATP-regulated K+ current (IK(ATP)) in atrial myocytes from guinea-pig hearts using whole-cell voltage clamp. 2. Bradycardia induced by APnA in perfused hearts was completely inhibited by 8-cyclopentyl- 1,3-dipropylxanthine (CPX, 20 microM), a selective antagonist at A1 adenosine receptors, and was augmented by dipyridamole (Dipy), an inhibitor of cellular adenosine (Ado) uptake. 3. Whereas exposure of atrial myocytes to Ado (100 microM) within about 1 s induced a significant whole-cell IK(ACh), APnA up to 1 mM applied for some tens of seconds failed to activate IK(ACh). If present for periods > 2 min, APnA caused inhibition of agonist-evoked IK(ACh) and activation of a weakly inward rectifying K+ current, which was identified as IK(ATP) by its sensitivity to glibenclamide and its current-voltage curve. 4. The actions of extracellular APnA on IK(ACh) and IK(ATP) were mimicked by intracellular loading of compounds via the patch clamp pipette and by intracellular loading of AMP. 5. The results from isolated myocytes exclude APnA acting as A1 agonists. It is suggested that myocytes can take up APnA, which are degraded to AMP. In the presence of ATP, AMP is converted to ADP, a physiological activator of ATP-regulated K+ channels, by adenylate kinase. A similar mechanism resulting in a reduction of the [GTP]/[GDP] ratio might be responsible for inhibition of IK(ACh). 6. In the perfused heart and other multicellular cardiac preparations the actions of APnA are mediated by Ado via A1 receptors. It is suggested that APnA in multicellular cardiac tissue are hydrolysed by an ectohydrolase to yield AMP which is converted to Ado by ectonucleotidases.


Assuntos
Acetilcolina/fisiologia , Nucleotídeos de Adenina/farmacologia , Trifosfato de Adenosina/fisiologia , Miocárdio/metabolismo , Canais de Potássio/metabolismo , Animais , Cromatografia Líquida de Alta Pressão , Estimulação Elétrica , Eletrofisiologia , Cobaias , Átrios do Coração/citologia , Átrios do Coração/metabolismo , Técnicas In Vitro , Potenciais da Membrana/fisiologia , Miocárdio/citologia , Técnicas de Patch-Clamp , Canais de Potássio/efeitos dos fármacos
18.
Recept Channels ; 6(2): 129-40, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9932289

RESUMO

The ATP-sensitive K+ (KATP) channels, e.g. in heart and pancreatic beta-cells, open spontaneously in the absence of intracellular ATP (ATPi). Their unitary conductance is approximately 80 pS with 150 mM extracellular K+. These features are shared by the K+ channels composed of various sulfonylurea receptors (SURs) and Kir6.2, whereas SUR/Kir6.1 channels have a smaller conductance (approximately 35 pS) and do not open spontaneously in the absence of ATPi. To identify the structural elements in Kir6.0 subunits which determine these properties, we analyzed the properties of functional K+ channels composed of SUR2A, the cardiac type SUR, and various chimeras of Kir6.1 and Kir6.2 heterologously expressed in HEK (human embryonic kidney) 293T cells. The analyses indicate that the extracellular linker domain between the two putative membrane-spanning regions is responsible for the difference in the single channel conductance between SUR2A/Kir6.1 and SUR2A/Kir6.2 channels. The cytosolic N-terminal domain of Kir6.2 was mandatory for spontaneous channel opening in the absence of ATPi, although a part of C-terminus was also involved. These results implicate specific regions of Kir6.0 in the spontaneous opening and the single channel conductance.


Assuntos
Trifosfato de Adenosina/farmacologia , Canais de Potássio Corretores do Fluxo de Internalização , Canais de Potássio/fisiologia , Proteínas Recombinantes de Fusão/fisiologia , Sequência de Aminoácidos , Animais , Linhagem Celular , DNA Complementar , Humanos , Potenciais da Membrana , Camundongos , Dados de Sequência Molecular , Canais de Potássio/química , Canais de Potássio/efeitos dos fármacos , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/efeitos dos fármacos
19.
Chem Senses ; 22(4): 467-76, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9279469

RESUMO

Odorant receptors of zebrafish and C elegans were functionally expressed in vertebrate kidney cells (HEK293) using the eucaryotic expression vector pSMyc. Receptor-encoding cDNA cloned into this vector was expressed as a fusion protein with the N-terminal membrane import sequence of the guinea-pig serotonin receptor followed by a myc tag. Immunocytochemical evidence indicates that this strategy directs a protein with the predicted immunoreactivity and approximate molecular weight to the plasma membrane. Fish food extract (TetraMin) evoked a transient increase in intracellular [Ca2+] in HEK293 cells transiently transfected with plasmids containing cDNA for three fish odorant receptors and converted to stable cell lines. The effect of the extract was concentration dependent and limited to the fraction of the extract < 5 kDa. Pretreating the transfected cells with the PLC inhibitor U73122 reduced the odor-evoked signal. Fish food extract also evoked a transient increase in intracellular [Ca2+] in HEK293 cells transiently transfected with plasmids containing cDNA for single fish odorant receptors. Diacetyl evoked a transient increase in intracellular [Ca2+] in HEK293 cells transiently transfected with plasmids encoding the cDNA of ODR10, an odorant receptor of C. elegans suggested in other work to be specific for diacetyl. These results strongly imply that odorant receptors can be functionally expressed in HEK293 cells using this novel expression protocol.


Assuntos
Caenorhabditis elegans/genética , Receptores Odorantes/genética , Receptores Odorantes/fisiologia , Peixe-Zebra/genética , Animais , Sequência de Bases , Western Blotting , Cálcio/metabolismo , Linhagem Celular , Clonagem Molecular , DNA Complementar/genética , DNA Complementar/fisiologia , Expressão Gênica/genética , Expressão Gênica/fisiologia , Vetores Genéticos , Humanos , Imuno-Histoquímica , Ligantes , Dados de Sequência Molecular , Receptores Odorantes/imunologia , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/imunologia , Proteínas Recombinantes de Fusão/fisiologia , Transdução de Sinais/fisiologia , Transfecção/genética , Transfecção/fisiologia
20.
Br J Pharmacol ; 121(6): 1217-23, 1997 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9249260

RESUMO

1. PD 81,723 has been shown to enhance binding of adenosine to A1 receptors by stabilizing G protein-receptor coupling ('allosteric enhancement'). Evidence has been provided that in the perfused hearts and isolated atria PD 81,723 causes a sensitization to adenosine via this mechanism. 2. We have studied the effect of PD 81,723 in guinea-pig isolated atrial myocytes by use of whole-cell measurement of the muscarinic K+ current (I[K(ACh)]) activated by different Gi-coupled receptors (A1, M2, sphingolipid). PD 81,273 caused inhibition of I[K(ACh)] (IC50 approximately 5 microM) activated by either of the three receptors. Receptor-independent I[K(ACh)] in cells loaded with GTP-gamma-S and background I[K(ACh)], which contributes to the resting conductance of atrial myocytes, were equally sensitive to PD 81,723. At no combination of concentrations of adenosine and PD 81,723 could an enhancing effect be detected. 3. The compound was active from the outside only. Loading of the cells with PD 81,723 (50 microM) via the patch pipette did not affect either I[K(ACh)] or its sensitivity to adenosine. We suggest that PD 81,723 acts as an inhibitor of inward rectifying K+ channels; this is supported by the finding that ventricular I(K1), which shares a large degree of homology with the proteins (GIRK1/GIRK4) forming I[K(ACh)] but is not G protein-gated, was also blocked by this compound. 4. It is concluded that the functional effects of PD 81,723 described in the literature are not mediated by the A1 adenosine receptor-Gi-I[K(ACh)] pathway.


Assuntos
Adenosina/metabolismo , Átrios do Coração/efeitos dos fármacos , Bloqueadores dos Canais de Potássio , Receptores Muscarínicos/metabolismo , Receptores Purinérgicos P1/metabolismo , Tiofenos/farmacologia , Regulação Alostérica , Animais , Células Cultivadas , Feminino , Cobaias , Átrios do Coração/metabolismo , Masculino
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