Section of Pharmacology, Department of Neuroscience, School of
Medicine, University of Naples Federico II, Naples, Italy
 |
Introduction |
Nitric
oxide (NO·) is a ubiquitous intercellular messenger in
vertebrates that plays a crucial role in a wide array of both physiological and pathological processes (Gross and Wolin, 1995
). In
fact, when produced in appropriate concentrations and times, this
gaseous mediator can influence inflammation, vascular tone, memory
formation, synaptogenesis, synaptic plasticity, and neuroendocrine secretion. On the other hand, its excessive and/or altered production has been implicated in various pathological states, such as vascular shock, diabetes, neurodegeneration, and stroke (Simonian and Coyle, 1996
). Although NO· often exerts its biological effects by
binding to the heme group and by activating the soluble form of
guanlylyl cyclase (Ignarro et al., 1982
), in other cases it can
directly introduce reversible and irreversible chemical modifications
into proteins, causing nitrosylation at the level of tyrosines and
thiol-containing amino acids (Darley-Usmar et al., 1995
). Furthermore,
it should be emphasized that NO· is only one of the redox forms
of nitrogen monoxide (NO), because one electron can be withdrawn from
or added to NO· to form the nitrosonium ion
(NO+) or the nitroxyl anion
(NO
), respectively, depending on the redox
state of the environment (Stamler et al., 1992
). Therefore, in close
analogy to the array of the redox forms of oxygen, or the so-called
radical oxygen species (ROS), the term "radical nitrogen species"
(RNS) has been coined for these molecules. Several biological actions
of RNS depend on their interaction with ROS, as demonstrated by the
reaction of NO· with the superoxide anion (O
2) to
produce peroxynitrite (ONOO
; Beckman and
Koppenol, 1996
), although other forms of interaction have been proposed
(Stamler et al., 1992
).
Because several diseases have been related to the oxidative threat
posed by the disruption of the homeostatic regulation of oxygen and
nitrogen metabolism, the study of the mechanisms mediating the actions
of ROS and RNS assumes particular importance. In fact, NO·
participates in the early events after ischemia/reperfusion in neuronal
cells, exerting both neurodegenerative and neuroprotective responses
depending on the stage of evolution of the ischemic process and on the
cellular source of NO· (Iadecola, 1997
), and in cardiac tissue,
NO· mediates the protective effects of ischemic preconditioning
against both reversible and irreversible ischemia/reperfusion injury
(Takano et al., 1998
) and arrhythmias (Bilinska et al., 1996
).
In both cardiac and neuronal cells, one of the early events after the
ischemic insult is a loss in the ability to control the resting
membrane potential (Martin et al., 1994
). Because K+ channels are the main regulators of membrane
potential in these tissues, the aim of this study was to investigate
whether different classes of K+ channels
primarily expressed in excitable cells could be a target for the
molecular actions of NO·. Toward this aim, the cDNA clones
encoding for various voltage-gated K+ channels
constitutively present in cardiac and/or brain tissues were
heterologously expressed, and their possible modulation by endogenously
produced or by NO·-generating compounds was investigated.
Xenopus laevis oocytes were chosen as an expression system
for these experiments because the two-microelectrode voltage-clamp
technique in these cells allows more physiological intracellular
conditions to be maintained during the recordings, whereas
electrophysiological studies in mammalian cells performed with the
whole-cell configuration of the patch-clamp technique, by extensively
dialyzing the intracellular compartment, may cause a derangement of the
biochemical processes involved in the physiological control of the
redox status. In addition, X. laevis oocytes have been
widely used to characterize the redox modulation of heterologously
expressed ion channels (Omerovic et al., 1994
; DuVall et al., 1998
;
Ciorba et al., 1999
).
The K+ channels used in the present investigation
were rat neuroblastoma-glioma K+ channel 2 (rNGK2), cloned from a rat brain cDNA library (Taglialatela et al., 1991
); rat delayed rectifier K+ channel 1 (rDRK1), cloned from a rat brain cDNA library (Frech et al.,
1989
) and expressed in both cardiac and neuronal tissues; the bovine
isoform of the ether-a-gogo-encoded K+ channel
(bEAG; Frings et al., 1998
), rat ether-a-gogo-related genes-2 and -3 (rERG2 and rERG3; Shi et al.,
1997
), exclusively expressed in the nervous system; and human
ether-a-gogo related gene-1 (hERG1), which plays a crucial
role in excitable tissues such as the heart and the brain (Warmke et
al., 1994
; Taglialatela et al., 1998
). In fact, in cardiac tissue,
hERG1 encodes for a K+ current with
the biophysical and pharmacological properties of native cardiac
IKr, one of the main repolarizing currents of the cardiac action potential (Sanguinetti et al., 1995
); in addition, mutations affecting the hERG1 gene are responsible for a
life-threatening human cardiac arrhythmia, the long QT syndrome (Curran
et al., 1995
). In the nervous system, hERG1
K+ channels have been implicated in the
changes of the resting membrane potential associated with the cell
cycle (Arcangeli et al., 1995
), in the control of neuritogenesis and
differentiation (Faravelli et al., 1996
), and in the spike-frequency
adaptation (Chiesa et al., 1997
) of neuroblastoma cells, although their
specific regional and cellular distribution in mammalian brain have yet
to be described.
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Materials and Methods |
Isolation of X. laevis Oocytes.
Ovarian lobes
were surgically removed from adult female X. laevis frogs
(Rettili di Schneider, Varese, Italy) and placed in 100-mm Petri dishes
containing a Ca2+-free solution consisting of
82.5 mM NaCl, 2 mM KCl, 1 mM MgCl2, 5 mM HEPES,
2.5 mM piruvic acid, 100 U/ml penicillin, and 100 µg/ml streptomycin,
pH 7.5 with NaOH. After four extensive washes, the oocytes (stages
V-VI) were dissociated by collagenase treatment (type IA, 45-80 min
at a concentration of 2 mg/ml). Dissociated oocytes were then placed in
a Ca2+-containing solution (denominated Solution
A) consisting of 100 mM NaCl, 2 mM KCl, 1.8 mM
CaCl2, 1 mM MgCl2, 5 mM
HEPES, 2.5 mM piruvic acid, 100 U/ml penicillin, and 100 µg/ml
streptomycin, pH 7.5 with NaOH, and kept in a 19°C incubator for use
in experiments the next day.
Measurement of Nitrite Production in X. laevis
Oocytes.
NO· levels in X. laevis oocytes were
measured by assaying nitrite (NO2
) production in
these cells according to the Griess reaction, as previously described
(Stuehr and Nathan, 1989
). Because NO· is known to equilibrate
across the cell membrane, its extracellular concentration reflects the
intracellular levels of this gaseous mediator. Eight defolliculated
oocytes were incubated at 19°C in 500 µl of Solution A
(controls) or Solution A plus the substance under investigation in the
concentration required by the experimental protocol. According to the
experimental protocol, 250 µl of supernatant was removed at specific
times (5, 15, 30, and 60 min of incubation) and incubated with 250 µl
of Griess reagent (1% sulfanilamide, 0.1% naphthylethylene diamine
dihydrochloride, and 2%
H3PO4) for 10 min at room
temperature. After this period, the absorbance of the sample was
measured at 550 nm. Absolute NO2
values were
determined using NaNO2 as a standard.
Determination of Lipid Peroxidation in X. laevis
Oocytes.
Lipid peroxidation in X. laevis oocytes was
determined by assaying the intracellular malondialdehyde (MDA)
production by means of the 2-thiobarbituric acid test (Taglialatela et
al., 1997
) according to previously described procedures (Esterbauer and
Cheeseman, 1990
).
Molecular Biology and Oocyte Injection.
The cloning of
hERG1 (Warmke and Ganetzky, 1994
), bEAG (Frings
et al., 1998
), rDRK1 (Frech et al., 1989
), rNGK2
(Taglialatela et al., 1991
), and rERG2 and rERG3
(Shi et al., 1997
) has already been described. These cDNAs were cloned
into the following vectors: pSp64A+ for
hERG1, pCRII for bEAG, and pBluescript for
rDRK1, rNGK2, rERG2, and
rERG3. cDNAs were linearized with HindIII for
bEAG, EcoRI for hERG1, and
NotI for rDRK1, rNGK2,
rERG2, and rERG3. cRNAs were transcribed in vitro
from linearized cDNAs by means of a commercially available kit (mCAP,
Stratagene, La Jolla, CA), using T7 RNA polymerase for bEAG,
rDRK1, rNGK2, rERG2, and
rERG3 and SP6 RNA polymerase for hERG1. RNAs were
quantified with the use of the RiboGreen fluorescent kit (Molecular
Probes, Eugene, OR) and stored in a stock solution (250 ng/µl) at
20°C in 0.1 M KCl. One day after isolation, X. laevis
oocytes were microinjected with 46 nl of the respective cRNA stock
solution or appropriate dilution.
Electrophysiology: Voltage-Clamp with Two Microelectrodes.
At 2 to 10 days after the cRNA microinjection, expressed
K+ currents were measured according to the
two-microelectrode voltage-clamp technique with a commercially
available amplifier (Warner OC-725A; Warner Instruments Corp.). Current
and voltage electrodes were filled with 3 M KCl and 10 mM HEPES (pH
7.4;
1 M
resistance). The bath solution contained 88 mM NaCl, 10 mM KCl, 2.6 mM MgCl2, 0.18 mM
CaCl2, and 5 mM HEPES, pH 7.5 (ND88). This
solution was perfused in the recording chamber at a rate of
0.2
ml/min. Data were stored on the hard disk of a 486 PC for off-line
analysis. The pCLAMP (version 6.0.2; Axon Instruments, Burlingame, CA)
software was used for data acquisition and analysis. Currents were
recorded at room temperature. Oocytes that showed signs of membrane
deterioration during the experiment (an increase in the holding current
at
90 mV >
200 nA) were excluded from the electrophysiological analysis.
Drugs and Statistics.
(Z)-1-[N-(2-Aminoethyl)-N-(2-ammonioethyl)amino]diazen-1-ium-1,2-diolate
(NOC-18) was obtained from Cayman Chemical (Ann Arbor, MI).
3-Morpholino-sydnonimine (SIN-1) was obtained from Calbiochem (San
Diego, CA). S-nitroso N-acetylpenicillamine
(SNAP) and sodium nitroprusside (SNP) were purchased from Sigma
Chemical Co. (Milan, Italy), as were all of the other materials not
otherwise mentioned. NO· donors were dissolved in the
experimental solutions and prepared fresh daily and then stored in
light-protected polypropylene tubes; the solutions containing the
NO· donors had to be prepared fresh immediately before the
execution of the experiments to be effective. They proved ineffective
after a few hours (data not shown), a possible consequence of the
relatively short half-life of NO· released by these molecules in
aqueous solutions. FeSO4 and ascorbate stock
solutions (10 and 25 mM, respectively) were prepared daily and stored
in light-protected tubes to avoid spontaneous oxidation. Statistical
significance between the data was obtained by means of the Student's
t test. When appropriate, data are expressed as mean ± S.E.
 |
Results |
Effects of Modulation of Endogenous NO· Levels on
hERG1 K+ Channels Heterologously Expressed
in X. laevis Oocytes.
X. laevis oocytes
injected with cRNA transcribed in vitro from hERG1 cDNA
expressed a K+-selective current with peculiar
biophysical and pharmacological properties. In fact, hERG1
currents are activated by depolarizing pulses above
60 mV but display
pronounced inward rectification at positive potentials (>0 mV;
Sanguinetti et al., 1995
; Smith et al., 1996
). These currents also
exhibit rather slow kinetics of activation, carry large inward currents
on repolarization to values of membrane potential below the equilibrium
potential for K+ ions, and are selectively
blocked by certain second-generation antihistamines and class III
antiarrhythmics (Taglialatela et al., 1998
). These characteristics have
led to the suggestion that hERG1
K+ channels represent the main molecular
component for the cardiac repolarizing current
IKr (Sanguinetti et al., 1995
).
Perfusion of hERG1-expressing oocytes for 5 min with
extracellular solutions containing increasing concentrations of the
NO· synthase (NOS) inhibitor
N-nitro-L-arginine methyl ester
(L-NAME; 0.03-1 mM) caused a dose-dependent
enhancement in the outward K+ currents carried by
the heterologously expressed channels (Fig. 1A). Figure 1C shows the outward currents
elicited by 1.5-s depolarizing pulses to 0 mV from an holding potential
of
90 mV in a hERG1-expressing X. laevis
oocyte, both under control conditions and after a 5-min superfusion
with 1 mM L-NAME. On the other hand, the NOS
substrate L-arginine (0.03-10 mM) caused a
dose-dependent inhibition of the outward K+
currents carried by the hERG1 channel, as shown in Fig. 1B.
Figure 1D shows the inhibition of the hERG1 outward
K+ currents by 10 mM
L-arginine, using the same experimental protocol of Fig. 1B. The inward currents carried by hERG1
K+ channels on membrane repolarization to
100 mV were not modified by either L-NAME or
L-arginine (data not shown). Furthermore, the
increase in hERG1 outward K+ currents
induced by the NOS inhibitor L-NAME (1 mM) was
reversed if a maximal concentration (10 mM) of the NOS substrate
L-arginine was added (Fig.
2A). Figure 2B shows the hERG1
outward K+ currents elicited by 1.5-s
depolarizing pulses to 0 mV from a holding potential of
90 mV in an
hERG1-expressing X. laevis oocyte under control
conditions, after a 5-min superfusion with 1 mM L-NAME, and after an additional 5 min in the
presence of 1 mM L-NAME plus 10 mM
L-arginine. To establish a more direct link between NO· levels and hERG1
K+ channels modulation, we studied
NO· levels in X. laevis oocytes under various
experimental conditions by measuring in these cells the concentration
of nitrite (Stuehr and Nathan, 1989
), a stable byproduct of NO·
metabolism. Figure 3A shows that the
incubation of X. laevis oocytes for 5 min in the presence of
increasing concentrations of L-arginine (0.03-10
mM) caused a dose-dependent increase in nitrite levels, whereas the NOS
inhibitor L-NAME (0.03-3 mM) produced a
concentration-dependent decrease in endogenous nitrite levels in these
cells. Similar results were also obtained at later incubation times
(15, 30, and 60 min) with both L-arginine and
L-NAME (data not shown). These observations
suggest that NO· is constitutively produced in X. laevis oocytes and that this production can be pharmacologically
modulated by exposing the cells either to the NO· metabolic
precursor L-arginine or to the NOS inhibitor
L-NAME. Figure 3B shows a comparison between the
levels of NO· achieved in X. laevis oocytes on their
exposure to the highest concentration of
L-arginine (10 mM) and those obtained with the two NO· donors NOC-18 and SNAP (1 and 10 µM for both
compounds). The results show that after both 5 and 60 min of
incubation, 10 mM L-arginine induced an increase
in NO· levels that was comparable with that achieved with
concentrations of the NO· donors between 1 and 10 µM. These
measurements also show that the kinetics of NO· release from
NOC-18 were significantly slower than those of SNAP. In fact,
NO· levels after 60 min of incubation with NOC-18 were about 4 times higher than those achieved after 5 min, whereas similar
NO· values were obtained at the same time points with SNAP.

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Fig. 1.
Effect of the modulation of constitutive NO·
production on hERG1 K+ currents
heterologously expressed in X. laevis oocytes. A,
dose-response of hERG1 outward K+ current
stimulation by L-NAME. hERG1 outward
K+ current was measured at the end of a 1.75-s depolarizing
pulse to 0 mV (holding potential, 90 mV; return potential, 100 mV)
both under control conditions and after a 5-min superfusion with the
indicated L-NAME concentrations and was expressed as
percent change versus controls. Each experimental point is the
mean ± S.E. of three to eight separate experiments.
*Significantly different from control values (p < .05). B, dose-response of hERG1 outward K+
currents inhibition by L-arginine. hERG1
outward K+ current was measured at the end of a 1.75-s
depolarizing pulse to 0 mV (holding potential, 90 mV; return
potential, 100 mV) both under control conditions and after a 5-min
superfusion with the indicated L-arginine concentrations
and was expressed as percent change versus controls. Each experimental
point is the mean ± S.E. of three to eight separate experiments.
*Significantly different from control values (p < .05). C, stimulation of hERG1 outward K+
currents by 1 mM L-NAME. Two traces of hERG1
K+ currents recorded in the same oocyte in control
condition and after superfusion for 5 min with 1 mM L-NAME
are shown superimposed. Holding potential, 90 mV; 1.75-s test
potential to 0 mV; return potential, 100 mV. In C and D, the inward
current component elicited on repolarization to 100 mV has been
blanked for clarity. D, inhibition of hERG1 outward
K+ currents by 10 mM L-arginine. Two traces of
hERG1 K+ currents recorded in the same
oocyte under control conditions and after a 5-min superfusion with 10 mM L-arginine are shown superimposed. Holding potential,
90 mV; 1.75-s test potential to 0 mV; return potential, 100 mV.
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Fig. 2.
Reversal of L-NAME-induced stimulation of
hERG1 K+ currents by
L-arginine in X. laevis oocytes. A, time
course of the reversal of L-NAME-induced stimulation of
hERG1 K+ currents by
L-arginine. hERG1 outward K+
current were elicited at 0.05 Hz frequency by means of 1.75-s
depolarizing pulses to 0 mV (holding potential, 90 mV; return
potential, 100 mV) under both control conditions (5 pulses) and after
subsequent superfusion with 1 mM L-NAME or 1 mM
L-NAME plus 10 mM L-arginine, as indicated by
the respective arrows. The amplitude of the outward K+
current measured at the end of the depolarizing pulse is expressed as
percent of the mean current elicited by the five control pulses. Each
experimental point is the mean ± S.E. of four separate
experiments. B, reversal of L-NAME-induced stimulation of
hERG1 K+ currents by
L-arginine. Three traces of hERG1
K+ currents recorded in the same oocyte in control
condition, after superfusion for 5 min with 1 mM L-NAME,
and after subsequent 5-min exposure to 1 mM L-NAME plus 10 mM L-arginine are shown superimposed. Holding potential,
90 mV; 1.75-s test potential to 0 mV; return potential, 100 mV. The
inward current component elicited on repolarization to 100 mV has
been blanked for clarity.
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Fig. 3.
Modulation of constitutive NO· levels in
X. laevis oocytes by L-NAME and
L-arginine, and comparison with the NO· levels
achieved on exposure to NO· donors. A, dose-response for
L-arginine-induced stimulation and
L-NAME-induced inhibition of constitutive NO· levels
in X. laevis oocytes. Each experimental point is the
mean ± S.E. of three to eight separate experiments performed
after 5 min of incubation in each experimental condition.
*Significantly different from control values (p < .05). B, comparison of the NO· levels reached by
L-arginine and NO· donors (SNAP and NOC-18) in
X. laevis oocytes. Each experimental point is the
mean ± S.E. of three to eight separate experiments performed
after 5 or 60 min of incubation in each experimental condition.
*Significantly different from control values (p < .05).
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Effects of Four Different NO· Donors on
K+ Currents Carried by hERG1 and Other
Cloned K+ Channels Heterologously Expressed in X.
laevis Oocytes.
The observation that exogenously added
NO· donors, particularly at concentrations of >10 µM, can
achieve NO· levels much higher than those obtained with
L-arginine prompted us to investigate the effects of four
NO· donors belonging to different chemical classes (SNAP,
NOC-18, SNP, and SIN-1) on the K+ currents
recorded in X. laevis oocytes on heterologous expression of
hERG1 and of other cloned K+ channels.
Perfusion of hERG1-expressing oocytes for 5 min with SNP (1 mM), SIN-1 (1 mM), NOC-18 (0.3 mM), and SNAP (0.3 mM) inhibited the
outward K+ currents at all the potentials tested
between
40 and +40 mV (Fig. 4A). By
contrast, the inward K+ currents carried by
hERG1 K+ channels were unaffected
by the perfusion with NO· donors. In fact, these inward
K+ currents, when expressed as a percent of their
respective control values, were 103.7 ± 1.7% (p > .05, n = 8) for 1 mM SNP, 99.6 ± 1.4%
(p > .05, n = 6) for 1 mM SIN-1,
104.4 ± 1.7% (p > .05, n = 7)
for 0.3 mM NOC-18, and 96 ± 3% (p > .05, n = 7) for 0.3 mM SNAP. The inhibitory effect of
NO· donors on the outward K+ currents
seemed to be highly specific for hERG1 channels. In fact,
when NOC-18 (0.3 mM) was perfused on X. laevis oocytes
expressing the other K+ channels,
rNGK2, rDRK1, bEAG, rERG2,
and rERG3, no modulatory effect could be detected (Fig. 4B).
In addition to NOC-18, SNAP (0.3 mM) failed to affect the
K+ currents carried by rNGK2,
rDRK1, bEAG, rERG2, and
rERG3 (data not shown). Figure
5 shows the dose-responses for the
inhibition of the outward IhERG1 at the peak
value of 0 mV by the four NO· donors. The results obtained show
that SNP, SNAP, and NOC-18 induced an inhibition of the outward
hERG1 K+ current that reached a
plateau value of 30 to 40% of the total outward current. On the other
hand, concentrations of >1 mM SIN-1 could not be studied because 3 mM
SIN-1 exerted toxic effects on X. laevis oocytes (data not
shown). The IC50 values for the outward
IhERG1 inhibition were between 5 and 8 µM for
SNP, SNAP, and NOC-18, whereas SIN-1 was
50 times less potent. The
lower inhibitory potency of SIN-1 on IhERG1
inhibition compared with other NO· donors might be related to
the ability of SIN-1, in addition to releasing NO·, to
spontaneously decompose and yield superoxide anions
(O2·
) that might
reduce the half-life of the NO· formed (Southam and Garthwaite,
1991
) or exert opposite effects on hERG1 outward currents
(Taglialatela et al., 1997
), as further discussed later. It should be
emphasized that the extent of inhibition of hERG1 outward
K+ currents induced by IC50
values of NOC-18 and SNAP (approximately 15-20% of inhibition) is
comparable with that achieved with 10 mM
L-arginine and that, interestingly, these
concentrations of the NO· donors released an amount of
NO· that was comparable with that achieved with the maximal
concentration of the NO· precursor, as previously shown in Fig.
3B.

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Fig. 4.
Selective effect of four NO· donors on
K+ currents elicited by hERG1 channels
heterologously expressed in X. laevis oocytes. A,
inhibition of hERG1 outward K+ currents by 1 mM SNP, 1 mM SIN-1, 0.3 mM NOC-18, and 0.3 mM SNAP. K+
currents were recorded in the same oocyte under control conditions and
after superfusion with the indicated NO· donor. Holding
potential, 90 mV; 1.75-s test potentials from 80 mV to +40 mV
(except for SIN-1, in which the steps were from 80 to +20 mV) in
20-mV steps; return potential, 100 mV. The inward current component
elicited on repolarization to 100 mV has been blanked for clarity. B,
selective modulation of hERG1 K+
channels by 0.3 mM NOC-18. The percentage variation of the outward
K+ current induced by 5-min perfusion with 0.3 mM NOC-18
(INOC-18/Icontrol) at voltages that fully
activated the conductance for each K+ channel (0 mV for
hERG1 and rERG3; +40 mV for
bEAG, rNGK2, and rDRK1, and +20 mV for
rERG2) are reported. Each experimental point is the
mean ± S.E. of three to eight separate experiments.
*Significantly different from control values (p < .05).
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Fig. 5.
Dose-response curves for hERG1
K+ channels inhibition by NO· donors in
X. laevis oocytes. The outward hERG1
K+ currents recorded at the end of depolarizing pulses
to 0 mV after the exposure to different drug concentrations were
normalized to the control value and expressed as a function of each
drug concentration. The solid lines represent the fits of experimental
data to the following binding isotherm: y = max/(1 + X/IC50)n, where
X is the drug concentration and n is the
Hill coefficient. Fitted values for n were between 1.1 and 1.5. Each point is the mean ± S.E. of three to six
determinations. *Significantly different from control values
(p < .05).
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Biophysical Mechanism of NO·-induced Inhibition of
hERG1 Outward K+ Currents.
The
selective modulation exerted by NO· on the outward
K+ currents carried by hERG1 channels,
with no modification of the inward currents, was already suggestive of
an interference of this gaseous mediator with the peculiar inactivation
mechanism characteristic of hERG1 channels. This rapid and
voltage-dependent inactivation process reduces the conductance at
positive potentials (>0 mV), therefore being responsible for the
inward rectification occurring within this voltage range (Sanguinetti
et al., 1995
; Smith et al., 1996
). To study the effect of NO· on
this fast inactivation process, we used a voltage protocol that took
advantage of the kinetic difference existing between the fast recovery
from inactivation and the slower channel deactivation occurring at
hyperpolarized potentials. The voltage protocol was the following: the
channels were first opened and inactivated by a 2-s depolarizing pulse
at 0 mV, recovered from inactivation by means of 25-ms conditioning
pulses from
120 to +60 mV, and finally depolarized again to +20 mV.
Even though the duration of the conditioning pulses using this protocol
might not have been long enough to be considered steady state, longer
conditioning pulses could not be used due to the occurrence of
substantial channel deactivation, particularly at negative potentials
(Smith et al., 1996
). Perfusion with the long-lasting NO· donor
NOC-18 (0.3 mM) caused a
14.4 ± 1.7 mV (n = 5, p < .05 versus controls) shift of the hERG1
voltage dependence of inactivation (Fig.
6). On the other hand, the activation
properties of the hERG1 K+
channels were unaffected by 0.3 mM NOC-18 (Fig. 6). Even if the
14-mV
shift of the hERG1 inactivation curve induced by NOC-18 could be in principle accounted for by changes in deactivation kinetics
(particularly at very negative potentials), it should be emphasized
that the channel deactivation proceeds very slowly at around the
midpoint potential of the steady-state inactivation curve (
60 mV),
having a time constant of several seconds. Therefore, the
NOC-18-induced changes in the inactivation process could not be
accounted for by a slight modification of the deactivation kinetics.
The product of steady-state activation and inactivation curves gives
the steady-state current-to-voltage relationship. Figure 6 (inset)
shows this product for both controls and NOC-18-treated groups. The
results indicate that the negative shift of the steady-state inactivation curve of hERG1 channels induced by NOC-18, in
the absence of any modification of the steady-state activation curve, qualitatively reproduced the 40% inhibition of the current-to-voltage relationship of the outward hERG1
K+ currents.

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Fig. 6.
Modulation of hERG1 channel activation
and inactivation by NOC-18 in X. laevis oocytes.
Steady-state inactivation and activation curves of hERG1
K+ channels in control condition and on NOC-18
exposure. The same hERG1-expressing oocytes were
recorded in control condition and after 5-min exposure to 0.3 mM
NOC-18. For the inactivation curves, the following protocol was used:
holding potential 90 mV, 1.75-s depolarizing steps to 0 mV, 25-ms
conditioning pulses from 120 to +60 mV in 10-mV increments, and
200-ms test potential to +40 mV. The currents were measured on
extrapolation of the outward current elicited by the +20-mV test pulse
to time 0' and plotted versus the membrane voltage of the conditioning
pulses. The experimental data were fitted to the following form of the
Boltzmann equation: gKv = max/(1 + exp(V1/2 V)/k), where V is the test
potential, V1/2 is the half-activation
potential, and k (or kT/ze) is the slope of the
conductance-to-voltage relationship. The values for
V1/2 for the inactivation curve were
54.8 ± 1.4 (n = 5) and 71.2 ± 1.3 (n = 5) in controls and NOC-18 conditions,
respectively (p < .05). The values for
V1/2 for the activation curve were,
respectively, 26.7 ± 1.7 (n = 3) and
27 ± 1.5 (n = 3) in controls and after
NOC-18 exposure (p > .05). Inset, product of the
fitted steady-state activation and inactivation curves at each
potential.
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Effect of NO· Scavengers on NO· Donor-Induced
hERG1 K+ Current Inhibition and Possible
cGMP-Mediated Effect of NO· on Outward hERG1
K+ Currents.
Figure 7A
shows that 2-phenyl-4,4,5,5-tetramethylimidazoline-1-oxyl 3-oxide
(PTIO, 0.3 mM), a stable radical compound that has been shown to exert
a potent scavenging action against NO· via a radical-radical
reaction (Akaike et al., 1993
), was also able to prevent the inhibitory
action exerted by NOC-18 (0.3 mM), SNAP (0.3 mM), and SIN-1 (1 mM) on
outward hERG1 K+ currents.
Furthermore, the effects of NOC-18 (0.3 mM) were also prevented by the
simultaneous presence of 10 µM hemoglobin (Hb), a heme-containing
protein that, among various radical species, is known to bind and
inactivate NO· (Yu, 1994
). This suggests a direct participation
of NO· in this biological phenomenon.

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Fig. 7.
Effect of the NO·-scavenging compounds PTIO
and Hb, as well as of 8-bromo-cGMP and ODQ, on resting and NO·
donor-induced inhibition of IhERG1 in X.
laevis oocytes. A, reversal of NO· donor-induced
inhibition of hERG1 K+ currents by the
NO· scavengers PTIO and Hb. The percentage of variation of the
hERG1 outward K+ current at the end of a
0-mV depolarizing pulse caused by 5-min perfusion with 0.3 mM NOC-18,
0.3 mM NOC-18 plus 0.3 mM PTIO, or 0.3 mM NO·C-18 plus 10 µM
Hb are reported. Each experimental point is the mean ± S.E. of
three to eight separate experiments. *Significantly different from the
NO· donor-treated group (p < .05). B, lack
of effect of 8-bromo-cGMP and ODQ on hERG1 outward
K+ currents. The currents measured at the end of 2-s
depolarizing pulses to 0 mV in each experimental condition (20-min
perfusion with 1 mM bromo-cGMP; 5-min perfusion with 50 µM ODQ, 0.3 mM NOC-18, or 50 µM ODQ plus 0.3 mM NOC-18) were normalized and
expressed as percent of the respective control value. Each point is the
mean ± S.E. of four to nine determinations in separate cells.
*Significantly different from control values (p < .05). **NOC + ODQ group is not significantly different from the NOC
group (p > .05).
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It is widely recognized that NO· can affect cellular functions
by exerting both cGMP- and non-cGMP-mediated effects (Gross and Wolin,
1995
). Considering that the K+ channels belonging
to the ERG subfamily have a consensus sequence for cyclic
nucleotides in their C terminus (Warmke and Ganetzky, 1994
) and that
the functional role played by cyclic nucleotides in the modulation of
ERG K+ channels is currently unknown, it was
thought to be relevant to investigate whether cGMP mediated the
inhibitory effects exerted by NO· on hERG1
K+ channels. To this aim,
hERG1-expressing X. laevis oocytes were perfused
with 1 mM 8-bromo-cGMP, a membrane-permeable cGMP analog that mimics
the intracellular actions of cGMP in many cellular systems
(Brüggemann et al., 1993
). After a 20-min incubation time, no
significant change on hERG1 outward K+
currents (Fig. 7B), as well as on any biophysical property of the
channel (voltage dependence of activation, kinetics of activation and
deactivation, inward rectification), was detected. Furthermore, the
effects of a specific inhibitor of the NO·-dependent guanylyl
cyclase,
1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one (ODQ; Garthwaite et al., 1995
), on both resting and NOC-18-inhibited outward hERG1 K+ currents were
evaluated. Perfusion with 50 µM ODQ failed to affect resting outward
hERG1 K+ currents and, more
importantly, did not prevent their inhibition by 0.3 mM NOC-18 (Fig.
7B).
Effect of Endogenous or Pharmacologically Delivered NO· on
the Increase in hERG1 Outward K+ Currents
and on Membrane Iron- and Ascorbate-Containing Solution
(Fe/Asc)-Induced Lipid Peroxidation.
Recent evidence from our
laboratory has shown that ROS can specifically modulate
hERG1 K+ channels (Taglialatela
et al., 1997
). In fact, an enhancement of ROS production, achieved by
activation of the Fenton reaction in the presence of Fe/Asc (Yu et al.,
1994
), increases hERG1 outward K+
currents. On the other hand, a decrease in ROS levels induced by ROS
scavengers can prevent the increase in hERG1 outward
K+ currents determined by oxidative stress and
inhibits the same K+ currents under resting
conditions. The occurrence of this modulation by ROS on
hERG1 K+ channels prompted us to
investigate whether the effects of NO· may have been interpreted
as a consequence of its interaction with ROS. For this purpose, we
studied the effects of the NO· donor NOC-18 (0.3 mM) on
hERG1 outward K+ currents
activated by oxidative stress. As shown in Fig.
8, A and B, 0.3 mM NOC-18 completely
counteracted the stimulatory effect of the Fe/Asc ROS-generating
system. Similar effects could also be detected when different
NO· donors such as SNAP (0.3 mM) or SIN-1 (1 mM) were used (data not shown). In addition, the pharmacological modulation of endogenous NO· levels achieved by L-arginine
perfusion was able to counteract the increase in hERG1
outward K+ currents elicited by Fe/Asc perfusion.
In fact, Fig. 9A shows the outward
currents elicited by depolarizing pulses to 0 mV in a
hERG1-expressing oocyte subsequently exposed to the
following experimental conditions: control, 25/50 µM Fe/Asc (5 min),
25/50 µM Fe/Asc plus 10 mM L-arginine (5 min),
and washout (10 min). The time course of the same experiment averaged
in four different cells is reported in Fig. 9B. To more directly test
the hypothesis that NO·, either endogenously produced or
exogenously released from NO· donors, might interfere with the
oxidating process promoted by Fe/Asc, we measured the effects of the
pharmacological modulation of endogenous NO· levels in X. laevis oocytes on resting and Fe/Asc-enhanced intracellular MDA
production, a direct index of lipid peroxidation. The results obtained
showed that both L-arginine (10 mM) and the
NO· donor NOC-18 (0.3 mM) inhibited resting MDA production (Fig. 10). By contrast,
L-NAME (1 mM), which decreased endogenous
NO· levels in X. laevis oocytes (Fig. 3A), enhanced
MDA content in the same cells, and this enhancement, in accordance to
the results of the electrophysiological experiments shown in Fig. 2,
was reversed by the simultaneous presence of
L-arginine (10 mM). Furthermore, both
L-arginine (10 mM) and NOC-18 (0.3 mM) completely
counteracted the stimulatory effect of Fe/Asc (0.1/0.2 mM) on the
levels of the lipid peroxidation product. Similar results were obtained using other NO· donors (SNAP and SIN-1; data not shown).

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Fig. 8.
NOC-18 prevents the stimulation of the
hERG1 outward K+ currents by ROS in
X. laevis oocytes. A, representative current traces of
the effects of Fe/Asc and Fe/Asc plus NOC-18 on hERG1
outward currents. The same oocyte was subsequently perfused for 5 min
with control solution, Fe/Asc (25 µM/50 µM), and Fe/Asc (25/50
µM) plus NOC-18 (0.3 mM). A single HERG1 outward currents trace in
response to a 0-mV depolarization in each experimental condition is
shown. B, effect of NOC-18, Fe/Asc, and Fe/Asc plus NOC-18 on
hERG1 outward K+ currents. Reported is the
percentage of variation induced by the indicated experimental
conditions (5-min perfusion) on the hERG1 outward
current measured at the end of a depolarizing pulse to 0 mV. Each point
is the mean ± S.E. of four to nine determinations in separate
cells. *Significantly different from control values
(p < .05).). **Fe/Asc + NOC-18 group is
significantly different from the controls and Fe/Asc groups
(p > .05).
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Fig. 9.
L-Arginine prevents the stimulation of
the hERG1 outward K+ currents by ROS in
X. laevis oocytes. A, representative current traces of
the effects of Fe/Asc and Fe/Asc plus L-arginine and
washout on hERG1 outward currents. The same oocyte was
subsequently perfused for 5 min with control solution, Fe/Asc (25/50
µM), and Fe/Asc (25/50 µM) plus L-arginine (10 mM), and
washout. A single hERG1 outward current trace in
response to a 0-mV depolarization in each experimental condition is
shown. B, time course of the reversal by L-arginine of the
Fe/Asc-induced stimulation of hERG1 K+
currents. hERG1 outward K+ current were
elicited at 0.05-Hz frequency by means of depolarizing pulses to 0 mV
in control conditions (five pulses), after superfusion Fe/Asc (25/50
µM), and after subsequent perfusion with Fe/Asc (25/50 µM) plus
L-arginine (10 mM), as indicated by the respective arrows.
The amplitude of the outward K+ currents measured at the
end of depolarizing pulse is expressed as percent of the mean current
elicited by the five control pulses. Each experimental point is the
mean ± S.E. of four separate experiments.
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Fig. 10.
Effects of L-arginine,
L-NAME, and NO· donors on resting and Fe/Asc-induced
lipid peroxidation in X. laevis oocytes. Each
experimental point is the mean ± S.E. of 4 to 16 determinations
performed in triplicate. *Significantly different from control values
(p < .05). **Fe/Asc plus L-arginine
and Fe/Asc plus NOC-18 groups are significantly different from the
Fe/Asc group (p < .05). The MDA content in control
group was 6.7 ± 0.9 pmol/mg protein/2 h.
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Discussion |
The results of the present study show that the outward
K+ currents carried by hERG1 channels
heterologously expressed in X. laevis oocytes are inhibited
by both endogenously produced and pharmacologically delivered
NO·. The existence of a tonic modulation of outward
hERG1 K+ currents by NO·
is revealed by the observation that L-NAME, a
specific inhibitor of NOS, potentiated depolarization-activated outward
hERG1 K+ currents by reducing
NO· levels, whereas L-arginine inhibited
them by increasing endogenous NO· production. The extent of
hERG1 channel inhibition by L-arginine reached a maximal value of
15% of the control current, whereas NO· donors such as SNP, SIN-1, NOC-18, and SNAP, which were able to produce higher concentrations of NO· compared with
L-arginine, exerted a stronger inhibition of
outward hERG1 K+ currents. In
fact, the dose-response analysis of the effect of NO· donors
revealed that the degree of maximal inhibition of hERG1 K+ channels was
30 to 40%.
The observation that the four NO· donors SNP, SIN-1, NOC-18, and
SNAP, which are chemically dissimilar and whose only common denominator
is their ability to release NO·, all inhibit hERG1
outward K+ current suggests that this modulation
is mediated by NO·, rather than being a consequence of the
activation of other NO·-independent mechanisms. This view seems
to be confirmed by the reversal of the inhibitory effect exerted by
NO· donors on hERG1 K+
channels by the NO· scavengers PTIO and Hb. Furthermore,
evidence that increasing or reducing endogenous NO· levels with
the precursor or the synthesis inhibitor reproduced effects on
hERG1 K+ currents that are the
same or the opposite of the NO· donors, respectively, reinforces
the hypothesis that NO· is the mediator of hERG1
modulation exerted by these compounds.
In addition, the present study shows that the inhibitory effect of
NO· on hERG1 K+ channels
appeared to be highly selective for this K+
channel subtype. In fact, other cloned voltage-dependent
K+ channels only distantly related to
hERG1, such as rNGK2, rDRK1, and
bEAG, or belonging to the same gene family of
hERG1, such as rERG2 and rERG3, do not
display any sensitivity to the modulation by NO· donors.
The inhibition of hERG1 outward K+
currents induced by NO· in the present study can be accounted
for by several biophysical mechanisms: 1) changes in the gating voltage
dependence, 2) decreased single-channel conductance, and 3) a reduction
in the number of functional channels. The results of the present study
suggest that NO· interferes with the first of these mechanisms
because it causes a
14-mV shift in the voltage dependence of
inactivation without any significant change in the current kinetics or
steady-state voltage dependence of activation. This evidence suggests
that when NO· levels are increased, hERG1 channels
enter into a nonconductive inactivated state on membrane
depolarization. On the other hand, the fact that NO· does not
inhibit the inward component of hERG1
K+ currents is due to the previously
described hyperpolarizing shift in the voltage dependence of
inactivation. In fact, at hyperpolarized potentials where inward
currents are recorded, hERG1 K+
channels undergo a fast recovery from inactivation, thus preventing any
effect of the NO· at these negative values of membrane
potential. This biophysical mechanism has considerable analogies with
that involved in the inhibitory action of NO· donors on neuronal
voltage-dependent Na+ channels (Li et al., 1998
).
Despite the presence of a consensus domain for cyclic nucleotide
binding in hERG1 C-terminal sequence (Warmke and Ganetzky, 1994
), the inhibitory effects exerted by NO· donors on
hERG1 K+ channels seem not to be
the consequence of a NO·-dependent activation of the soluble
form of guanylyl cyclase and of an increased production of
intracellular cGMP. In fact, the membrane-permeable cGMP analog
8-bromo-cGMP (Brüggemann et al., 1993
) did not reproduce the
inhibitory modulation of outward hERG1
K+ currents observed with the NO·
donors and the NO· synthesis precursor. Furthermore, the
specific inhibitor of the NO·-dependent guanylyl cyclase ODQ
(Garthwaite et al., 1995
) failed to affect hERG1 outward
K+ currents and was unable to prevent their
inhibition induced by NOC-18. On the other hand, several of the
described effects exerted by NO· or NO· donors on various
ion channels, including the
N-methyl-D-aspartate subtype of
glutammate receptors in striatal and cerebellar neurons (Manzoni et
al., 1992
), the calcium-activated K+ currents in
ciliary ganglia neurons (Cetiner and Bennett, 1993
), the
L-type Ca2+ channels in
cardiac myocytes (Campbell et al., 1996
), and the tetrodotoxin-sensitive and -insensitive neuronal
Na+ channels (Li et al., 1998
), appear to be at
least in part independent of changes in intracellular cyclic nucleotide levels.
The cGMP-independent signals of NO· have been typically grouped
under the broad heading of "redox" effects (Stamler et al., 1997
)
to emphasize the fact that depending on the redox state of the
environment, various RNS can be produced with different biological
actions and potential toxicity (Stamler et al., 1992
). Recent results
from our laboratory suggest that hERG1
K+ channels are influenced by the cell redox
status (Taglialatela et al., 1997
). In fact, an enhancement of ROS
production promoted by oxidative conditions increases hERG1
outward K+ currents, whereas a decrease in ROS
levels achieved by ROS scavengers (catalase, in particular) can inhibit
these K+ currents and prevent their increase
induced by oxidating conditions. The analogies between the actions of
ROS scavengers and of NO· at the level of hERG1
channels are evident in several respects: 1) both ROS scavengers and
NO· selectively inhibit hERG1 channels, with no
effect on any other cloned K+ channel
investigated; 2) they both specifically modulate the outward, and not
the inward, current component; and 3) the maximal degree of channel
modulation is similar with ROS scavengers and with increased NO·
levels (
30-40% of inhibition). The analogies of ROS scavengers and
of NO· actions in the modulation of hERG1
K+ currents prompted us to investigate
whether NO· could interfere with ROS levels in resting redox
conditions or during oxidative stress (Yu et al., 1994
). The fact that
NO· completely counteracted the enhancement of hERG1
outward K+ currents elicited by oxidative stress
suggested an interaction between RNS and ROS. This hypothesis was
confirmed by the results showing that L-arginine
and NO· donors can inhibit lipid peroxidation occurring in
oxidating conditions. Therefore, it seems likely that in the present
experimental model, NO· may exert potent antioxidant effects
(Kanner et al., 1991
; Yu et al., 1994
). This interplay between RNS and
ROS in the modulation of hERG1 K+
channels seems to not be restricted to conditions of oxidative stress
but also to play a relevant role in resting conditions. In fact, a
reduction in endogenous NO· levels with the synthesis inhibitor
L-NAME increased resting lipid peroxidation
products and potentiated outward of hERG1
K+ currents, whereas the increase of
endogenous NO· levels achieved by the NO· synthesis
precursor L-arginine inhibited both resting lipid
peroxidation and hERG1 K+ channel
activity. Altogether, the present results emphasize the possible
physiological role exerted by NO· and ROS levels in the control
of the activity of this K+ channel. The
antioxidant effects of NO· have also been demonstrated in other
experimental systems; in fact, NO· has been shown to block lipid
peroxidation induced by hypoxantine-xantine oxidase and peroxynitrite
in phosphatidylcholine liposomes (Rubbo et al., 1994
), to inhibit
low-density lipoprotein oxidation (Goss et al., 1999
), and to prevent
superoxide anion production by neutrophils (Clancy et al., 1992
). These
antioxidant properties of NO· have been interpreted as a
consequence of its ability to interact with hydroxyl, alkoxyl, and
peroxyl radicals, thus terminating lipid radical chain propagation
reactions (Rubbo et al., 1994
); in addition, the ability of
physiological concentrations of NO· to inhibit lipid
peroxidation in vivo has been recently proposed (O'Donnell et al.,
1997
). Furthermore, the antioxidant effects of NO· have been
implicated in the reported ability of NO· donors to protect
against cellular damage and cytotoxicity from reactive oxygen species
in V79 Chinese hamster lung fibroblasts (Wink et al., 1993
). Finally,
although NO· has been reported to exert both protective and
destructive effects in pathological events associated with
ischemia/reperfusion, the inhibition of oxidant-related mechanisms
promoted by the stimulation of endogenous NO· production or by
the exogenous administration of NO· has been proposed to explain
the possible neuroprotection afforded by NO· (Iadecola, 1997
).
On the other hand, although the most likely explanation for the
hERG1 K+ channel modulation by
NO· described in the present study seems to involve its ability
to interfere with ROS action, which in turn influences the activity of
the K+ channels, the existence of additional
mechanisms by which NO· directly interferes with the
hERG1 K+ channel protein cannot
be completely ruled out.
The described NO·-dependent modulation of the outward
K+ currents mediated by hERG1 channels
has been presently studied in an amphibian heterologous expression
system, which allows the recording of macroscopic
K+ currents in isolation without perturbing the
intracellular environment. Nevertheless, the present results showing
that the interplay between ROS and RNS is crucial in determining the
amount of outward K+ current flowing through
hERG1 K+ channels may have
considerable relevance for the understanding of the early events
leading to ischemia-related toxicity in excitable tissues, which are
accompanied by characteristic changes in membrane potential mainly
controlled by K+ channels. On the basis of the
present results, further work will be needed to clarify the involvement
of hERG1-encoded K+ channels as
targets of ROS and RNS in the pathophysiology of cardiac and brain
ischemia and to evaluate the possible protective effect exerted by
available drugs that are able to modulate their function.
We are indebted to Dr. M. T. Keating (Salt Lake City,
UT) for hERG1 cDNA; Dr. A. M. Brown (Cleveland,
OH) for rNGK2 cDNA; Dr. A. M. J. VanDongen (Durham, NC) for
rDRK1 cDNA; Dr. A Baumann (Jülich, Germany) for bEAG
cDNA; and Drs. R. Wymore and J. Exton (New York, NY) for
rERG2 and rERG3 cDNA clones.
The study was supported by Telethon Grant 1058 (to M.T.);
National Research Council (CNR) Grants 97.04512.CT04, 97.01230.PF49, and 98.03149.CT04 (to M.T.) and CNR Grants 95.02857.CT04,
98.01048.CT04, and 98.00062.PF31 (PS Biotecnologie 5%) (to L.A.);
MURST 60% and 40% (to L.A.); and grants from the Regione Campania
(P.O.P. and Legge 41) (to L.A.).