Washington University School of Medicine, Department of
Anesthesiology, St. Louis, Missouri (S.M.T., C.J.L.) and Department of
Pharmacology, University of Virginia, Charlottesville, Virginia
(E.P.-R.)
 |
Introduction |
Among
voltage-dependent Ca2+ channels, T-type channels,
by virtue of their activation at relatively negative potentials, are believed to play a crucial role in the control of cell firing rates
(Llinas, 1988
; Huguenard, 1996
). Major proposed roles for T-type
channels in neurons include promotion of
Ca2+-dependent burst firing, low-amplitude
intrinsic neuronal oscillations, promotion of
Ca2+ entry, and boosting of synaptic signals
(Huguenard, 1996
). Furthermore, T-type currents appear to play a role
in seizure susceptibility and initiation (Chung et al., 1993
; Huguenard
and Prince, 1994
; Tsakiridou et al., 1995
).
T currents in different native tissues appear to share a number of
common features that help distinguish them from high-voltage-activated Ca2+ currents. These include relative permeation
by Ca2+ and Ba2+ (Carbone
and Lux, 1987a
,b
), more negative activation voltages (Carbone and Lux, 1984
), similarity in deactivation and inactivation kinetics, and generally a greater sensitivity to blockade by
Ni2+ over Cd2+ (Fox et al.,
1987
). However, despite these similarities, differences in both kinetic
behavior of some native T currents (Huguenard and Prince, 1992
;
Huguenard et al., 1993
) and pharmacological properties (e.g.,
Herrington and Lingle, 1992
; review by Huguenard, 1996
; Todorovic and
Lingle, 1998
) have been observed. Diversity in native T-type
Ca2+ channel function might arise from
tissue-specific expression of the
1G,
1H, and
1I subunits now
known to encode T-type Ca2+ channels (Perez-Reyes
et al., 1998
; Cribbs et al., 1998
). For example, the
1H subunit
appears to be the primary contributor to T-type current in sensory
neurons (Talley et al., 1999
). In addition, T-like
Ca2+ currents in native cells might also arise
from other mechanisms. For example, Meir and Dolphin (1998)
reported
that multiple subunits of high-voltage-activated (HVA) channels
can under certain conditions give rise to T-type currents.
One difficulty in evaluating pharmacological studies of T currents in
native cells is that for some agents the conditions under which a
compound has been investigated have not been identical. Similarly, in
many cases, full concentration-response curves for effects on T
currents have not been defined. As a consequence, it has not been
possible to determine the extent to which different T currents share a
particular pharmacological profile or represent distinct current
variants. Incomplete concentration-response information also makes it
unclear whether effects seen in vitro correlate with the concentrations
of a particular drug in plasma necessary to achieve therapeutic
effects. In those cases where more complete information about the
sensitivity of a T current to particular pharmacological agents is
available, some clear differences in pharmacological properties are
revealed. Two sets of agents for which quite disparate blocking effects
on T currents among different cells have been reported include divalent
cations, including Ni2+ and
Cd2+ (Kaneda and Akaike, 1989
; Herrington and
Lingle, 1992
; Ye and Akaike, 1993
; Todorovic and Lingle, 1998
) and
anticonvulsants (Herrington and Lingle, 1992
; Gross et al., 1997
;
Todorovic and Lingle, 1998
). With the availability of the cloned
1G,
1H, and
1I subunits encoding T-type currents, it is now possible
to assess directly the pharmacological sensitivities of the
subunits.
Toward this end, we examine here the sensitivity of
1G and
1H
currents to anesthetics and anticonvulsants. Where the blocking effect
of a compound is found to differ from previously described effects on T
currents in dorsal root ganglion (DRG) neurons (Todorovic and Lingle,
1998
), we have re-examined the blocking effect of that compound on DRG
T current under identical ionic and recording conditions. We observed
that, for the anesthetics examined, blocking effects are essentially
identical for
1G,
1H, and native DRG T currents. However, for the
anticonvulsants, phenytoin and
-methyl-
-phenylsuccinimide (MPS),
blockade of
1G current differed from blockade of native DRG T
current. Specifically, in contrast to blockade of DRG T current where
block was of higher affinity, but only partial, these agents blocked
1G current completely but with lower affinity. Furthermore, for
1H current, phenytoin produced two different kinds of responses, one
similar to its effects on DRG T current and one similar to the effects
on
1G current. No physiological differences in the
1H currents
underlying these responses were observed. This raises the possibility
that either post-translational modification of
1H subunits or an
additional accessory subunit may contribute to the pharmacological
sensitivity of native T-type currents.
 |
Experimental Procedures |
Cell Preparation.
HEK 293 cells were stably transfected with
either
1G or
1H constructs as described previously (Lee et al.,
1999
). Cells were typically used 1 to 3 days after plating. Average
cell capacitance (Cm) was 20.9 ± 5.7 pF, and the average series resistance (Rs) was 5.29 ± 2.08 (n = 34). For DRG neurons, 100- to 300-g male rats (Sprague-Dawley) were used as we described elsewhere
(Todorovic and Lingle, 1998
). Eight to ten DRG from thoracic and upper
lumbar regions were dissected out and incubated at 36°C for 60 to 90 min in Tyrode's solution (140 mM NaCl, 4 mM KCl, 2 mM
MgCl2, 10 mM glucose, 10 mM HEPES, adjusted to pH
7.4 with NaOH) containing 5 mg/ml collagenase (type I, Sigma Chemical
Co., St. Louis, MO) and 5 mg/ml dispase II (Boehringer-Manheim,
Indianapolis, IN). Single neuronal cell bodies were obtained by
trituration in Tyrode's solution at room temperature. Cells were kept
at room temperature and used for electrophysiology within 4 to 6 h
from dissociation. For recordings, neuronal cell bodies were plated
onto a glass cover-slip and placed in a culture dish that was perfused
with external solution. All data were obtained from smaller diameter DRG neurons (21-27 µm) without visible processes. The average Cm for DRG cells was 14.6 ± 2.5 pF,
and the average Rs was 6.4 ± 1 (n = 12).
Electrophysiological Methods.
Recordings were made with the
standard whole-cell voltage-clamp technique (Hamill et al., 1981
).
Electrodes were prepared from microcapillary tubes (Drummond Scientific
Company, Broomall, PA), coated with Sylgard (Dow Corning, Midland, MI)
and fire-polished. Pipette resistances were 2 to 5 M
. Voltage
commands and digitization of membrane currents were done with Clampex
5.5 of the pClamp software package (Axon Instruments, Foster City, CA)
running on an IBM-compatible computer. Membrane currents were recorded
with an Axopatch 200A patch-clamp amplifier (Axon Instruments).
Typically, cells were held at
90 mV and depolarized to
35 mV every
20 s to evoke inward currents. Data were analyzed using Clampfit
(Axon Instruments). Currents were filtered at 5 kHz. Reported series resistance values were taken from the reading of the amplifier. In all
experiments, series resistance was compensated 60 to 80%. All reported
membrane potentials are nominal values. All experiments were done at
room temperature (20-23°C). In most experiments, leakage subtraction
was achieved with a P/5 on-line subtraction protocol. Error bars
indicate standard deviations of multiple determinations obtained from
at least five different cells.
Analysis of Current Blockade.
The percentage reduction in
peak T current at a given blocker concentration was used to generate
concentration-response curves. For each concentration-response curve,
all points are averages of multiple determinations obtained from at
least five different cells. On all plots, vertical bars indicate
standard deviation. Mean values on concentration-response curves were
fit to the following function:
|
(1)
|
where PBmax is the maximal percent
block of peak T current, the IC50 is the
concentration that produces 50% of maximal inhibition, and
h is the apparent Hill coefficient for blockade. In the case of isoflurane, because each application of blocker involved a separate
determination of anesthetic concentration, all data points were fit
with the above function. Fitted values are typically reported with 95%
linear confidence limits. Fitting was done with Origin 3.7 (Microcal
Software, Northhampton, MA).
Solution Exchange Procedures.
The solution application
system consisted of multiple, independently controlled glass capillary
tubes, whereas solution was removed from the other end of the chamber
with the use of constant suction. Manually controlled valves
accomplished switching between solutions. Test solutions were
maintained in closed, weighted all-glass syringes (to avoid saline
evaporation and loss of volatile drugs) and allowed to fall by gravity.
Changes in Ca2+ current amplitude in response to
rapidly acting drugs or ionic changes were typically complete in 10 to
20 s. Switching between separate perfusion syringes, each
containing control saline, was without effect on
Ca2+ current amplitude. No dependence on the
order of presentation or desensitization with repeated applications was
observed for any of the pharmacological agents.
Solutions and Current Isolation Procedures.
The standard
extracellular saline for recording of Ca2+
current contained (in millimolar): 160 TEA-Cl, 10 HEPES, 2 CaCl2, adjusted to pH 7.4 with TEA-OH, osmolarity
316 mOsm. Cells were generally maintained in a Tyrode's solution until
seal formation, at which time the bath solution was switched to the
Ca2+ saline. Internal solution consisted of (in
millimolar) 110 Cs-methane sulfonate, 14 phosphocreatine, 10 HEPES, 9 EGTA, 5 Mg-ATP, and 0.3 Tris-GTP, pH adjusted to 7.15 to 7.20 with CsOH
(standard osmolarity: 300 mOsm). When this internal saline was used for recording of T current in DRG cells, most of the HVA current in these
cells was blocked by preincubating cells with 1 µM
-CgTx-GVIA, 2 µM
-CgTx-MVIIC and by including 5 µM nifedipine in the external solution to block N, P, Q, and L types of HVA current. Because in
control experiments this effect was irreversible for up to 60 min, we
routinely preincubated every slide with these toxins and recorded
within this time frame. In most cells included in this study, blockade
of L-, N-, P-, and Q-type currents was sufficient to allow
investigation of T current in virtual isolation. Because of the
possibility of some residual HVA current contamination, all
measurements of T current amplitude in DRG cells were made from the
peak of the inward current to the current remaining at the end of a
200-ms test step. Typically, the residual current at 200 ms was
indistinguishable from leak current.
Drugs and Chemicals.
-Conotoxin GVIA
(
-CgTx-GVIA),
-conotoxin MVIIC (
-CgTx-MVIIC) and
tert-butylbicyclo[2.2.2]phosphorothionate (TBPS) were obtained from RBI (Natick, MA), and etomidate powder and isoflurane were obtained from Abbott (Abbott Park, IL). All other chemicals were
obtained from Sigma or Aldrich Chemicals (Milwaukee, WI).
Drug Preparation.
Stock solutions of propofol (50 mM),
etomidate (300 mM), MPS (1 M), TBPS (50 mM), and phenytoin (100 mM)
were prepared in dimethyl sulfoxide (DMSO) and kept at 4°C until use.
0.1% DMSO had no effect when tested alone in DRG cells or HEK cells
with either
1G or
1H constructs.
The maximal DMSO concentration used in experiments with
1G currents
and DRG T currents was 0.6%, and this did not have any effect on
inward currents in these cells (n = 4). In HEK cells with
1H constructs, 0.3% DMSO reduced current amplitude by 8 ± 3.3% (n = 11), and 0.6% DMSO reduced current
amplitudes by 16.8 ± 8% (n = 9). Therefore, we
did not use concentrations higher than 0.3% DMSO in our experiments
with
1H currents. Ethosuximide (ES) and octanol were prepared in
extracellular solutions and sonicated. All barbiturates were prepared
in stock solutions in 0.1 N TEA-OH; the pH of the final extracellular
solution was adjusted with HCl to 7.4. Isoflurane solutions were
prepared from saturated saline solutions, and the final concentration
in the bath was determined with gas chromatography for each experiment
(Evers et al., 1986
). Stocks of other drugs were made by dissolving the compound in either the extracellular saline or distilled water. All
test solutions were prepared the day of the experiment by diluting the
stock solutions with the appropriate amount of extracellular saline. ES
was added to the extracellular saline without osmotic adjustments. In
separate control experiments, application of extracellular saline with
additional sucrose (100 mM) had no effect on
1G-based current
amplitude (4.3 ± 1.5% block; mean ± S.D., three cells).
 |
Results |
Here, we have studied the effects of anesthetic and anticonvulsant
compounds on
1G and
1H currents in HEK cells. All of the
compounds have been previously systematically examined for effects on
native T currents in adult rat DRG neurons (Todorovic and Lingle, 1998
)
and, to some extent, on T current in GH3 cells (Herrington and Lingle,
1992
). Some information on the blocking effects of these agents on
high-voltage-activated Ca2+ currents is also
available, in particular, for blockade of
1E current (Nakashima et
al., 1998
). For MPS and phenytoin, we describe differences between
effects on
1G current and previous results on DRG cells (Todorovic
and Lingle, 1998
). Because we were concerned that the observed
differences could be due to the different charge carriers used (10 mM
Ba2+ versus 2 mM Ca2+ in
this study), we have also repeated pharmacological experiments on DRG
neurons under ionic conditions identical with those used to study
1G
and
1H currents.
Effects of Anticonvulsants on
1G and
1H Current.
A
number of studies have indicated that various anticonvulsants,
including succinimides (Coulter et al., 1989
, 1990
) and phenytoin (Twombly et al., 1988
) have blocking effects on T-type
Ca2+ current. Work on thalamic relay neurons
(Coulter et al., 1989
, 1990
) suggested that the anticonvulsant drug,
ES, was a blocker of T current within clinically effective
concentrations. This effect was believed to contribute to its efficacy
in petit mal seizures. More recent work now suggests that T current in
thalamic neurons is not blocked by ES (Leresche et al., 1998
), and
other studies have shown that effects of ES on various T currents only occur at concentrations well beyond those obtained clinically (Herrington and Lingle, 1992
; Todorovic and Lingle, 1998
). However, the
anticonvulsants, phenytoin and MPS, do have some blocking effects on
DRG T currents at clinically relevant concentrations (Todorovic and
Lingle, 1998
). Furthermore, because of the proposed role of thalamic T
currents in the initiation of epileptic activity (Chung et al., 1993
;
Huguenard and Prince, 1994
; Tsakiridou et al., 1995
), the effects of
possible effects of anticonvulsants on T current variants remains of
interest. Here, we have therefore examined the effects of phenytoin,
MPS, and ES on
1G and
1H currents.
Phenytoin Differentially Affects Native DRG T Current and
1G and
1H Current.
The effect of phenytoin on
1G current is
illustrated in Fig. 1. 10 µM phenytoin
produced a small reduction in
1G current (left traces in Fig. 1A),
whereas 300 µM phenytoin produced a more complete blockade (right
traces in Fig. 1A). The effects of three different phenytoin
concentrations on peak
1G current are illustrated in Fig. 1B. The
concentration dependence of phenytoin block of
1G current is
summarized in Fig. 1E, indicating that with sufficiently high
concentrations of phenytoin a nearly complete block of
1G current
can be achieved.

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Fig. 1.
The anticonvulsant phenytoin has differential effects
on 1G current in HEK cells and T currents in native DRG cells. A,
traces show block by 10 µM phenytoin (left) and 300 µM phenytoin
(right) of 1G current in HEK293 cells. B, plot of a temporal record
of the reduction of peak 1G current by multiple applications of
phenytoin, indicating the substantial difference in block produced by
100 and 300 µM phenytoin. Note that 300 µM phenytoin almost
completely blocks the 1G currents. C, traces show block of T
currents in DRG currents under ionic conditions identical with those
used in A. Left traces show effect of 10 µM phenytoin, whereas right
trace shows blocking effect of 300 µM phenytoin from the same cell.
Note that 10 µM phenytoin blocked a larger percentage of DRG T
current, and 300 µM phenytoin blocked less, in comparison to the
1G current. D, peak T current amplitude during the course of an
experiment on a DRG neuron shows that 300 and 600 µM phenytoin
produce a similar and partial block. Horizontal bars indicate time of
application. E, the concentration dependencies of phenytoin inhibition
of DRG T current (filled symbols) and 1G current (open symbols) are
displayed. Vertical lines indicate SE and solid lines are best fits of
eq. 1. For DRG T current, the fitted maximal block is 58% with little
difference observed between 30 and 600 µM phenytoin. For 1G
current, nearly 100% block is achieved with 600 µM phenytoin with an
IC50 of 124.2 ± 9.1 µM (h = 1.4; 7 cells). However, the IC50 for block of DRG T current
(IC50 of 8.0 ± 2.9 µM; h =1.9; 8 neurons) is more than 10-fold less than for block of 1G current.
|
|
The ability of higher phenytoin concentrations to produce nearly
complete block of
1G current (Fig. 1E) differs from the effect of
phenytoin on DRG currents described in our recent work (Todorovic and
Lingle, 1998
). In the earlier study 10 mM Ba2+
was used as the extracellular permeant ion, whereas here we have used 2 mM Ca2+ to study
1G current. Therefore, we
re-examined the blocking effects of phenytoin on DRG T current using 2 mM extracellular Ca2+. We found that the effects
of phenytoin on DRG T current with 2 mM Ca2+ as
the extracellular permeant cation are essentially identical with
previous results with 10 mM Ba2+ (Todorovic and
Lingle, 1998
). The effect of 10 and 300 µM phenytoin on DRG T current
is shown in Fig. 1C. 10 µM phenytoin produces a larger fractional
reduction of DRG T current than of
1G current. However, 300 µM
phenytoin is less effective at blocking DRG T current than
1G
current (compare Fig. 1C with 1A). The similarity in the blocking
effect of 300 and 600 µM phenytoin on DRG T current is shown in Fig.
1D. The concentration dependence of the blocking effect of phenytoin on
either DRG T current or
1G current is shown in Fig. 1E. The DRG T
current clearly differs from the
1G current in its sensitivity to
phenytoin: the DRG T current is inhibited at lower concentrations but
is incompletely blocked at the highest concentrations. For DRG T
current, the IC50 was 7.8 ± 1.4 µM with a
Hill coefficient (h) of 1.9 ± 0.5 and maximal block of
58 ± 3%. For
1G current, the IC50 was
140 ± 65 µM (h = 1.2 ± 0.4) with a fitted
maximal block of 100 ± 18%. The higher affinity, partial block
by phenytoin is similar to its effect on N1E-115 neuroblastoma cells
(Twombly et al., 1988
).
Because the
1H subunit appears to be the primary T-type current
subunit in sensory ganglia (Talley et al., 1999
), we were interested in
whether the observed discrepancy in pharmacological sensitivities
between DRG T currents and
1G currents might reflect the
predominance of
1H current in DRG cells. Surprisingly, when we
examined the effects of phenytoin on
1H current in the stably transfected HEK293 cells, phenytoin produced two distinct types of
blocking effects on
1H current.
Figure 2A shows an example of the effect
of 10 and 300 µM phenytoin on
1H currents in a cell (13 of 23 cells) in which increases in phenytoin concentration from 100 to 300 µM produced an increase in block (Fig. 2B), whereas 10 µM phenytoin
had negligible blocking effects. In contrast, in 10 of 23 cells 10 µM
phenytoin produced a distinct blocking effect on
1H current (Fig.
2C), whereas blockade by phenytoin appeared to reach a limiting value
over the range of 30 to 300 µM (Fig. 2D).

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Fig. 2.
1H currents in HEK293 cells exhibit either of two
types of sensitivities to phenytoin. A, traces show effects of 10 µM
(left) and 300 µM (right) phenytoin on 1H current in a cell in
which blockade by phenytoin increased substantially over the range of
100 to 300 µM. B, the temporal record of the inhibition of peak 1H
current by phenytoin illustrates the progressive increase in block with
increasing concentrations. Horizontal bars indicate time of drug
application. C, current traces show effects of 10 (left) and 300 (right) µM phenytoin, respectively, on inward 1H current in
another HEK cell. Note that 10 µM phenytoin produced more block
(about 25%) and 300 µM phenytoin blocked less block (only about
40%) than for the cell in A. D, the temporal record of the effects of
phenytoin on peak current for the cell in C shows that for this cell
there is little difference in inhibition by phenytoin over the range of
30 to 300 µM with maximal block occurring at less than 50%. E,
concentration dependencies for block by phenytoin is displayed for the
two categories of cells: those in which phenytoin produces a partial,
but higher affinity, block (IC50 = 8.3 µM;
maximum = 44.8%; n = 10 cells) and those in
which phenytoin produces a complete, but lower affinity, block
(IC50 = 192 µM; n = 13 cells).
F, concentration dependencies of block of 1H current by phenytoin
are compared with block of DRG current and 1G current by phenytoin
(from Fig. 1E).
|
|
Because phenytoin qualitatively appeared to produce different types of
blockade in the two types of cells, we sought criteria that might
justify separation of the cells into groups. In one set of experiments,
the blocking effects of 10, 30, 100, and 300 µM phenytoin were
examined. In a subsequent set of experiments, we tested 100, 300, and
600 µM. For the first set of cells, for each cell we determined the
fold increase in block resulting from increasing the phenytoin
concentration from 30 to 300 µM. In five of these cells, the increase
to 300 µM resulted in an increase of 1.2- ± 0.3-fold (mean ± S.D.; maximum increase in any cell: 1.5-fold). In eight other cells,
the increase to 300 µM resulted in a fold increase of 4.0 ± 1.9 (minimum increase in any cell: 2.7-fold). In a second set of cells, the
fold increase block that resulted from raising the phenytoin
concentration from 100 to 600 µM was determined. For five cells, the
fold increase was 1.1 ± 0.3 (maximum increase: 1.6-fold), whereas
for another five cells the fold increase was 4.3- ± 1.2-fold (minimum
increase: 3.1-fold). Although we cannot completely exclude that, in
individual cells, there may be mixtures of pharmacological
sensitivities, the groupings just outlined strongly suggest that the
1H current in HEK cells exhibits either of two types of sensitivity
to phenytoin.
The concentration-response curves for phenytoin for both types of block
are shown in Fig. 2E. For the lower affinity, but complete, block
produced by phenytoin (open symbols), the IC50 was 192.2 ± 47 µM (h = 1.3 ± 0.3). For
the partial block of higher affinity, the IC50
was 8.3 ± 0.4 µM (h = 1.1 ± 0.1) with a
fitted maximal block of only 44.8 ± 0.5%. The lower affinity,
but complete block, by phenytoin closely mirrors the results obtained
for block of
1G current by phenytoin, whereas the higher affinity,
but partial block, is similar to results obtained from native DRG T
currents (Fig. 2F).
Both types of response to phenytoin were observed in the same culture
dishes with the same test solutions, and no obvious differences in
current properties were noted. For seven cells with a partial block by
phenytoin, peak current density (
35 mV from a holding potential of
90 mV) was 44.5 ± 8.6 pA/pF (mean ± S.D.), whereas for
seven cells with complete block by phenytoin peak current density was
47.5 ± 13 pA/pF. Similarly, there was no difference in the 10 to
90% activation time (7.7 ± 2.5 ms for five cells with partial
block, and 7.7 ± 2.7 for five cells exhibiting complete block) or
inactivation time constant at
35 mV (25.4 ± 8.7 ms for five
cells with partial phenytoin block and 23.3 ± 4.5 ms for five
cells with complete block). Because a different amount of maximal block
was observed in the two cases, the results can not be explained as a
simple shift in the concentration-response curve due to inadequate
exchange of solutions. These results minimally suggest that there is
something different about the molecular composition of the T current
channels among different
1H cells. Given the pharmacological
similarity of one subset of
1H cells to the DRG neurons and the
other
1H subset to
1G cells, it is suggestive that there is some
regulatory factor or additional type of accessory subunit that can
associate with
1H channels that may be present in DRG cells and also
some, but not all, HEK cells.
Effects of Succinimides on
1G and
1H Current.
MPS is
another anticonvulsant reported to have only partial blocking effects
on DRG T current (Todorovic and Lingle, 1998
), although it has been
reported to produce complete block of thalamic neuron T current
(Coulter et al., 1990
). The effects of 300 µM and 3 mM MPS on
1G
current are shown in Fig. 3A, whereas the effects of four different MPS concentrations on peak
1G current are
summarized in Fig. 3B. MPS, like phenytoin, appears able to produce a
nearly complete block of
1G current with sufficiently high
concentrations. The IC50 for block of
1G
current by MPS was 1.7 ± 0.3 mM (n = 1.7 ± 0.3) with maximal block near 100%.

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Fig. 3.
MPS produces a low affinity, complete block of 1G
and 1H current, which differs from blockade of DRG T current. A,
left and right panels display 1G currents blocked by 0.3 and 3 mM
MPS, respectively. B, temporal record of the peak current amplitude
over the course of an experiment illustrates the concentration
dependence of MPS inhibition of 1G current. 6 mM MPS produces an
almost complete block of 1G current. C, left and right panels show
examples of the inhibition of DRG T current by 0.3 and 3 mM MPS,
respectively. Note that 3 mM MPS produces little additional inhibition
over that achieved with 0.3 mM MPS. D, a temporal record of the
inhibition of peak DRG T current by 1 and 3 mM MPS shows that MPS
maximally blocks only about 30% of the peak current in this case. E,
blockade of 1H current by 6 mM MPS is illustrated. F, the
concentration dependencies of MPS block of DRG T current (filled
circles), 1G current (open circles), and 1H current (diamonds)
are displayed. Vertical lines represent S.D. Solid lines are best fits
of eq. 1. For MPS inhibition of DRG T current (n = 6 cells), the IC50 was 0.14 ± 0.1 mM
(h = 1.2) with a maximal block of 33%. For
inhibition of 1G current (n = 5 cells), the
IC50 was 1.7 ± 0.3 mM (h = 1.6)
with maximal block constrained to 100%. For 1H current
(n = 19 cells), the IC50 was 2.3 ± 0.4 mM (h = 1.5) with maximal block constrained
to 100%.
|
|
The effect of MPS on
1G current just described using 2 mM
Ca2+ as the permeant ion differs from our
previous results with MPS on DRG neurons in which 10 mM
Ba2+ was employed (Todorovic and Lingle, 1998
).
Therefore, we re-examined the effects of MPS on DRG T current using 2 mM extracellular Ca2+. In contrast to the effects
of MPS on
1G current, there was little difference in the blocking
effect of 300 µM and 3 mM MPS on DRG T current. The similarity in
blocking effectiveness of 1 mM and 3 mM MPS on DRG T current is also
summarized in Fig. 3D. For DRG T current, the
IC50 was 190 ± 20 µM (h = 1.2 ± 0.5) with a maximal block of only 37 ± 4% similar to
our previous measurements (170 µM with a maximum of 26%).
We next tested the effects of MPS on
1H current. In a set of 19 cells in which the effects of up to 6 mM MPS were examined (Fig. 3E),
MPS produced an almost complete block in all cells with an
IC50 of 2.3 ± 0.4 mM (h = 1.5 ± 0.3). This complete block by MPS was observed both in cells
in which phenytoin produced only a partial block and in cells in which
phenytoin produced a complete block. A comparison of the concentration
dependence of MPS block of the three currents (Fig. 3F) indicates that
MPS produces a higher affinity, partial block of DRG T current. This is
similar to our previous observations with 10 mM
Ba2+ (Todorovic and Lingle, 1998
), whereas MPS
produces a weaker, more complete block of both
1G and
1H current.
We also examined the effects of ES. As shown in Fig.
4A, concentrations of ES well
in excess of 1 mM are necessary to produce blockade of
1G current,
with sufficiently high concentrations of ES producing complete block.
Blockade does not result from the osmotic effects of such high
concentrations, because equivalent osmotic additions of sucrose have no
effects on
1G current (not shown). Blockade by ES was readily
reversible (Fig. 4B); the concentration dependence of the block (Fig.
8E) yielded an IC50 of 14 ± 3.7 mM
(h = 0.9 ± 0.2). ES produced very similar effects
on
1H current (Fig. 4C, D) with an IC50 of
22.4 + 3.0 mM (h = 1.5 ± 0.3). Thus, both
1G
and
1H currents are relatively insensitive to ES, similar to other
reports of a lack of ES on T current in DRG neurons (Gross et al.,
1997
; Todorovic and Lingle, 1998
) and in thalamic neurons (Leresche et
al., 1998
).

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Fig. 4.
The anticonvulsant, ES, blocks 1G and 1H
current similarly. A, traces show block of 1G current produced by
either 10 and 100 mM ES. B, peak inward current activated every 20 s from the experiment shown in A is plotted as a function of elapsed
time. C, traces show block of 1H current produced by 100 mM ES. D,
peak inward current activated every 20 s from the experiment shown
in C is plotted as a function of elapsed time. E, the concentration
dependence of 1G and 1H current reduction by ES is plotted. Each
point is the average of the block produced by ES applications to at
least five different cells, with vertical lines indicating S.D. Solid
lines are best fit of eq. 1, yielding for 1G current, an
IC50 of 14 ± 3.7 mM (h = 0.9)
with the fit constrained to a maximal block of 100% and, for 1H
current, an IC50 = 22.4 ± 3.0 mM
(h = 1.5) with maximal block constrained to
100%.
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Valproic acid (VPA) is an anticonvulsant that produced a 17% reduction
of DRG T current at 3 mM in a previous study (see Table 1 of Todorovic
and Lingle, 1998
). On
1G
currents, 1 mM VPA had no effect, and 3 mM VPA blocked only 4.3 ± 3.2% (n = 4 cells). On
1H currents, 1 mM VPA
reduced peak current by 8.6 ± 2% (n = 3 cells).
Lack of Effect of Convulsants on
1G Current.
Because
thalamic T currents have been proposed to play an important role in the
initiation of epileptic activity (Chung et al., 1993
; Huguenard and
Prince, 1994
; Tsakiridou et al., 1995
), we tested two convulsant
compounds on
1G current. Pentylenetetrazol at 1 mM had no effect on
1G current in five cells (4.4 ± 6% inhibition). This was
similar to the reported insensitivity to this agent of T current in DRG
cells (Todorovic and Lingle, 1998
) and thalamic cells (Coulter et al.,
1990
). TBPS is a potent GABAA receptor antagonist
(Casida et al., 1985
). In four HEK cells, 50 µM TBPS had no effect on
1G current.
Blockade of
1G Current by Parenteral Anesthetics and Related
Compounds.
Various anesthetics have also been reported to inhibit
T-type currents in various cells, in some cases at concentrations that overlap their clinical usage. All parental anesthetics used in this
study did produce complete block of
1G currents and, when tested,
complete block of
1H currents. Blocking potency was, in general,
quite comparable with previous results on T current in DRG neurons.
Octanol is an anesthetic-like agent of interest primarily because of
early reports that it potently blocks T currents in inferior olivary
neurons (Llinas 1988
) and neonatal DRG cells (Scott et al.,
1990
). Later reports indicated weaker blocking effects on T
currents in GH3 cells (Herrington and Lingle, 1992
) and DRG neurons
(Todorovic and Lingle, 1998
). Figure 5A
shows examples of
1G currents elicited by voltage steps to
35 mV
before and during application of 0.3 and 1 mM octanol. The peak inward
current amplitude during one experiment in which four different
concentrations of octanol were applied to a cell is plotted in Fig.
6B, showing the rapid onset of block and
complete recovery from block. A characteristic of blockade by octanol
was an increase in the apparent rate of current inactivation (Fig. 5C).
Octanol blocked
1G current completely with 50% inhibition
(IC50) at 160 ± 13 µM (h = 1.3 ± 0.1) (Fig. 4C).

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Fig. 5.
Parenteral general anesthetics block 1G currents
in HEK cells. A, traces display inward currents activated by a 200-ms
voltage step from 90 mV to 35 mV before, during, and after
application of 0.3 and 1 mM octanol. Note the faster rate of
inactivation in the presence of 300 µM octanol. B, peak inward
current over the course of the experiment for the cell shown in A is
displayed to illustrate the concentration dependence and reversible
nature of block by octanol. Currents were activated every 20 s.
Horizontal bars indicate time of application of the indicated
concentrations of octanol. C, the decay phase of normalized currents
before, during, and after application of 300 µM octanol are shown to
illustrate the effect of octanol on current inactivation rate.
Inactivation time constants were 10.7, 5.5, and 10.4 ms before, during,
and after octanol application, respectively, from single exponential
fits to the current decay phase. D, average concentration-response
curves for blockade of peak 1G current by propofol, etomidate,
ketamine, and octanol. All points are averages of at least five
different cells. Vertical bars indicate S.D. of multiple
determinations, and solid lines are best fits of the Hill equation (eq.
1, Materials and Methods). Fits were constrained to
100% block with IC50 values of 20.0 ± 2.0 µM
(h = 1.3), 158.9 ± 25.5 µM
(h = 1.6), 152.3 ± 29.7 µM
(h = 1.4), and 1.14 ± 0.17 mM
(h = 1.4), for propofol, etomidate, octanol, and
ketamine, respectively.
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Fig. 6.
Octanol and propofol block 1H and 1G current
similarly. A, traces display 1H currents activated by 200-ms voltage
steps from 90 mV to 35 mV before, during, and after application of
0.3 and 1 mM octanol. Note the faster rate of inactivation in the
presence of 300 µM octanol. B, peak inward current over the course of
the experiment for the cell shown in A is displayed to illustrate the
concentration dependence and reversible nature of block by octanol. C,
traces show the effects of 6 and 60 µM propofol on 1H current
activated as in A. D, average concentration-response curves are shown
for blockade of peak 1H current by propofol and octanol. All points
are averages of at least five different cells. Solid lines are best
fits of the Hill equation (eq. 1, Materials and
Methods). Fits were constrained to 100% block with an
IC50 for propofol of 27 ± 3 µM
(h = 1.2) and an IC50 for octanol of
218.6 ± 44.5 µM (h = 1.4). Lines with
smaller symbols are the fitted concentration-response curves for block
of 1G current by propofol (filled circles) and octanol (open
circles) from Fig. 5.
|
|
Very similar effects of octanol were observed on
1H current (Fig.
6A, B), including the increase in apparent current inactivation rate in
the presence of octanol (Fig. 6A). Figure 6D compares the effects of
octanol on both
1G and
1H current. For inhibition of
1H
current, the IC50 for blockade by octanol was
218.6 ± 44 µM (h = 1.4 ± 0.3).
Propofol (2,6-diisopropylphenol) is a frequently used i.v. anesthetic.
It blocked
1G currents completely with an IC50
at 20.5 ± 2.0 µM (h = 1.4 ± 0.2) (Fig.
5D). Similarly, propofol blocked
1H currents in a reversible fashion
(Fig. 6C) with the IC50 for block of
1H
current being 27 ± 3 µM (h = 1.2 ± 0.2)
(Fig. 6D). Propofol produced no effect on the rate of current inactivation.
Etomidate is also an i.v. general anesthetic. It was also able to
inhibit
1G currents completely with an IC50 of
161 ± 46 µM (h = 1.7 ± 0.5). Finally,
ketamine, an i.v. anesthetic and N-methyl-D-aspartate antagonist, was
least potent in blocking
1G currents with an
IC50 of 1.2 ± 0.1 mM (h = 1.4 ± 0.1). Effects of etomidate and ketamine on
1H current
were not determined.
Concentration-response curves for effects of these anesthetics on
1G
current are summarized in Fig. 5D. The IC50
values for block of both
1G and
1H currents are comparable (e.g.,
Fig. 6D) and similar to previously reported values for blockade of DRG
T currents as presented in Table 1.
Effects of Isoflurane on
1G Current.
Volatile anesthetics,
like isoflurane and halothane, are reported to block T currents in DRG
cells in clinically relevant concentrations (Todorovic and Lingle
1998
). Of the volatile anesthetics that have been tested on T currents,
isoflurane appears to have the most pronounced blocking effects at
concentrations likely to occur during clinical use (Todorovic and
Lingle, 1998
). Examples of the effects of isoflurane on
1G current
are shown in Fig. 7A. Blockade was rapid
and readily reversible (Fig. 7B). At sufficiently high concentrations,
isoflurane blocked
1G current essentially completely. In all
experiments, actual concentrations of isoflurane in the bath were
measured using gas chromatographic analysis. Like octanol, but not
propofol, isoflurane increased the apparent rate of inactivation of
1G current (Fig. 7C). The concentration-response curve for blockade
of
1G current by isoflurane is shown in Fig. 7D, yielding an
IC50 of 277 ± 24 µM and h of
2.2 ± 0.4. This compares to an IC50 for
blockade of DRG T current by isoflurane of 303 µM (Todorovic and
Lingle, 1998
).

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Fig. 7.
Isoflurane blocks 1G currents at concentrations
likely to occur in clinical usage. A, traces show currents activated by
voltage steps to 35 mV in the presence and absence of isoflurane.
Concentrations were determined by gas chromatography (Evers et al.,
1986 ). Similar to octanol, isoflurane increased the current
inactivation rate. B, a temporal record of the effects of three
concentrations of isoflurane on peak 1G current for the cell shown
in A is plotted. Open circles represent peak current evoked every
20 s. C, the effect of 410 µM isoflurane on the normalized time
course of current inactivation is shown. i was 17.7, 8.2, and 15.2 ms for control, 410 µM isoflurane, and following wash.
D, percent blockade of peak 1G current is plotted as a function of
isoflurane concentration for isoflurane applications to six cells. All
isoflurane values were determined by gas chromatography. The solid line
is the best fit of eq. 1 yielding an IC50 of 262 ± 16.6 µM and h of 2.3 ± 0.3 with maximal block
constrained to 100%.
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Blockade of
1G and
1H Current by Barbiturates.
Barbiturates are interesting compounds, because they are both general
anesthetics and antiepileptics. Pentobarbital, methohexital, thiopental, and phenobarbital block DRG T currents in adult rats, although at concentrations higher than those achieved during clinical use (Todorovic and Lingle, 1998
).
Examples of the blocking effects of thiopental and phenobarbital on
1G currents are shown in Figs. 8A and
8B, respectively, whereas Fig. 8C shows the temporal summary of the
effects of multiple barbiturate applications on peak
1G current
amplitude. Of the barbiturates, thiopental and pentobarbital blocked
with similar potency with phenobarbital being less effective. For
pentobarbital, blockade occurred with an IC50 of
310 ± 40 µM (h = 1.4 ± 0.2). For
thiopental, the IC50 was 280 ± 40 µM
(h = 1.2 ± 0.2). For phenobarbital, the
IC50 was 1.54 ± 0.2 mM (h = 1.2 ± 0.2). The concentration-response curves for these three
compounds are displayed in Fig. 8D. These values are similar to those
previously reported for blockade of DRG T current (see Table 1). The
barbiturates had no effect on the time constant of inactivation of
1G current.

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Fig. 8.
Blockade of 1G current by barbiturates. A, traces
show 1G currents activated by voltage steps to 35 mV in the
presence and absence of thiopental applied at the concentrations
indicated on the figure. B, traces show 1G currents activated as in
A before, during, and after the application of the indicated
concentrations of phenobarbital. In contrast to the effects of octanol
and isoflurane shown in Figs. 5 and 6, the barbiturates did not affect
the time course of current inactivation. In A, in control saline,
i = 14.4 ms; with 1 mM thiopental,
i = 15.5 ms. In B, in control saline,
i = 12.0 ms, whereas with 5 mM phenobarbital,
i = 12.2 ms. C, the time course of block for
multiple concentrations of phenobarbital and thiopental is plotted from
the same cell as in A and B. Bars indicate time of application. D,
concentration-response curves for three barbiturates are shown, with
each point being the average of at least five different cells. Vertical
lines are the S.D. The solid lines are best fits of eq. 1.
IC50 values for block of 1G current were 263 ± 31 µM (h = 1.3) for thiopental, 311 ± 31 µM
(h = 1.3) for pentobarbital, and 1.5 ± 0.2 mM
(h = 1.4) for phenobarbital. E, traces show 1H
currents activated as in A in the presence and absence of the indicated
concentrations of pentobarbital. F, the concentration dependence for
block of both 1H and 1G current by pentobarbital is compared. The
IC50 for block of 1H current was 345 ± 94 µM
(h = 1.1).
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To evaluate the sensitivity of
1H current to barbiturates, the
ability of pentobarbital to inhibit
1H current was examined. Pentobarbital blocked
1H current in a manner similar to its effects on
1G current (Fig. 8E) with an IC50 of
345 ± 94 µM (h = 1.1 ± 0.2). As with
1G current, pentobarbital had no effect on the time constant of
1H current inactivation. The similarity of the blocking effect of
pentobarbital on both
1G and
1H current is summarized in Fig. 8F.
It must be noted that, for most compounds, we did not test for voltage
or use dependence of block. Substantial voltage or use dependence of
block can affect estimated IC50 values. However, there was no indication of slow block by any of the anesthetic-like compounds we examined.
 |
Discussion |
The low threshold for activation of T type
Ca2+ currents allows them to play a critical role
in the regulation of cellular excitability, both in neurons and other
cell types (Huguenard, 1996
). Despite general similarity among various
T-type currents in different cells, some differences in kinetic
behaviors and pharmacological sensitivities have been observed
(Huguenard, 1996
). With the availability of cloned T-type current
variants (Cribbs et al., 1998
; Perez-Reyes et al., 1998
; Lee et al.,
1999a
), it is now possible to examine physiological and pharmacological
properties of T currents of defined molecular components. Here, we have
examined the sensitivity of cloned T-type current variants to
anticonvulsants and anesthetics. The results suggest that, although
anesthetic sensitivity does not vary among DRG,
1H, and
1G
currents, blocking effects of some anticonvulsants may depend on
specific subunits contributing to the T channel.
Blockade of T Current by Anticonvulsants.
Interest in the
possible role of T current inhibition in the action of anticonvulsants
arose from reports that ES and MPS may inhibit T current in thalamic
relay neurons (Coulter et al., 1989
, 1990
). These succinimide compounds
belong to a class of anticonvulsants used to treat petit
mal-generalized absence seizures (Macdonald and McLean, 1986
). However,
although some results support a potential contributory role of T
current in experimental models of epilepsy (Chung et al., 1993
;
Tsakiridou at el., 1995
), more recent work indicates that 1 mM ES does
not inhibit T current on thalamic cells (Leresche et al., 1998
). The
lack of effect of ES on thalamic T currents is comparable with the
relative insensitivity (IC50 values greater than
10 mM) of native T currents (Herrington and Lingle, 1992
; Todorovic and
Lingle, 1998
) and
1G and
1H current that we observe. The results
would suggest that the anticonvulsant action of ES is unlikely to arise
from effects on T-type currents.
In contrast to ES, some blockade by MPS of both native and cloned
T-type channels is expected at therapeutically relevant concentrations
[~50-200 µM: Strong et al. (1974)
]. Studies in thalamic neurons
reported that MPS blocked T currents completely with an
IC50 of 1.1 mM (Coulter et al., 1990
). In
agreement with these results, we find that MPS blocked
1G currents
completely with similar potency, consistent with the view that
1G is
the predominant isoform expressed in thalamic relay nuclei (Talley et
al., 1999
).
The most interesting aspect of our results is the selectivity of
phenytoin among different T current variants and the selectivity of
MPS between the cloned T current variants and the native DRG T current.
Specifically, DRG T current exhibits a higher affinity, partial block
by both phenytoin and MPS, whereas
1G current is completely blocked
by both anticonvulsants, although with lower affinity. Thus, DRG T
current is pharmacologically distinct from
1G current. Furthermore,
1H current exhibits a mixed sensitivity to phenytoin with both
partial, higher affinity block in some cells, and complete, lower
affinity block in others.
Because the
1H channel variant is thought to be more abundant in
sensory ganglia than either the
1G or
1I variants (Lee et al.,
1999a
), a difference in the pharmacological sensitivities of
1G and
native DRG T currents might be attributable to a greater abundance of
the
1H channel in DRG cells. In support of this hypothesis,
Ni2+ was found to block cloned
1H currents
(Lee et al., 1999b
) at similar concentrations as it blocks DRG T
currents (Todorovic and Lingle, 1998
), whereas 40-fold higher
concentrations are required to block
1G and
1I currents. However,
the present results show that the pharmacological properties of neither
1G nor
1H currents correspond fully with the properties of DRG T
current. Specifically, blockade of DRG T current by MPS differs from
block of both
1G and
1H current. Similarly, the results with
phenytoin do not demonstrate a simple equivalence of either the
1G or
1H currents with the DRG currents. Thus, our results lead
us to suggest that DRG neurons may contain either additional regulatory
subunits that alter the pharmacological properties of
1G or
1H
channels or that native
1G or
1H subunits may undergo
post-translational modifications that distinguish them from their
properties in expression systems.
The pharmacological heterogeneity of
1H currents to phenytoin may
also be most easily explained by this hypothesis. The correspondence of
the DRG T current to one type of
1H subtype and the correspondence of the
1G current to the other
1H subtype might result from some
additional molecular component, perhaps an accessory subunit, present
in DRG cells and some HEK293 cells. The pharmacological uniformity of
the
1G currents, in contrast to that of the
1H currents, would
suggest that any such accessory subunit may selectively influence only
the
1H subunit.
Although the subunit composition of native T-type channels has not been
determined, studies with cloned subunits indicate that
2
-1 can
increase the expression of
1G in COS cells and Xenopus
oocytes (Dolphin et al., 1999
). The effect of
2
-1 was to increase
the expression of
1G immunoreactivity at the plasma membrane and to
increase the
1G-mediated currents. No effect was observed on the
biophysical properties of the currents. Many studies with HVA channels
have also reported that
2
simply scales the expressed current,
although in some cases it appears to affect inactivation kinetics
(reviewed in Walker and De Waard, 1998
). In addition,
2
has been
shown to modulate the pharmacology of cloned
L-type Ca2+ channels (Wei
et al., 1995
). Therefore, it is possible that endogenous
2
subunits modulate the apparent pharmacological properties of
1H in a
subpopulation of the stably transfected cell line. Recent work with the
1I subunit indicates that physiological properties of this T-type
channel differ markedly dependent on whether the subunit is expressed
in HEK293 cells or Xenopus oocytes (Lee et al., 1999a
). This
result was used to argue for the possible existence of an unknown
accessory subunit, present in one or the other of the two expression
systems, which affects the gating properties of the
1I subunit. A
similar phenomenon may account for the differences in sensitivity
of
1H currents to phenytoin.
The ability of anticonvulsants to differentiate among T current
variants may have important clinical implications. Phenytoin is used
for treatment of generalized tonic-clonic seizures (Macdonald and
McLean, 1986
) and for treatment of neuropathic pain (McQuay et al.,
1995
). The higher affinity, partial blockade of DRG, and
1H T
current occurs within clinically relevant concentrations (Todorovic and
Lingle, 1998
). In contrast, the lower affinity effect of phenytoin on
1G current suggests that some native T currents may be unaffected by
this compound during clinical usage. The clinical consequences of
phenytoin may, in part, involve an ability to selectively affect
particular T current subtypes. Similar arguments apply to MPS.
Blockade of T currents Arising from
1G and
1H Subunits by
General Anesthetics.
Anesthetics and anesthetic-like compounds
blocked all three T-type currents similarly and are of limited utility
in distinguishing among T-type currents. Table 1 shows the sensitivity
of cloned
1E currents to these same compounds (Nakashima et al.,
1998
), indicating that anesthetics are relatively ineffective in
distinguishing between T-type current and at least one type of HVA
Ca2+ current.
Some general anesthetics, e.g., isoflurane and, to a lesser extent,
halothane, block native DRG T currents at concentrations that probably
occur during anesthesia (Todorovic and Lingle, 1998
). Similar to its
effects on DRG T current, isoflurane could completely block
1G
current with an IC50 of 271 µM. This
concentration is less than the reported MAC (minimum alveolar
concentration producing anesthesia in 50% of subjects) value of 400 µM for this anesthetic (Franks and Lieb, 1994
). This argues that some
inhibition of DRG T current and also any T current-containing
1G
subunits will certainly occur during isoflurane-induced anesthesia.
However, except for isoflurane, it appears unlikely that blockade of
native T-type currents participates in the clinical effects of other anesthetic agents examined here.
An interesting feature of the anesthetic-like compounds is that two
categories of blocking mechanism may occur. Isoflurane and octanol
share an ability to alter the rate of
1G or
1H current inactivation. Halothane and octanol produce similar increases in
current inactivation rate on native GH3 T currents (Herrington et al.,
1991
; Herrington and Lingle, 1992
). In contrast, other anesthetics,
including the barbiturates and propofol, produce no alteration in the
time course of
1G,
1H, or DRG T current. This suggests that
blockade of T current by the anesthetic compounds can occur by either
of two types of mechanism, either of which can produce complete
inhibition of T current.
In summary, we have examined the sensitivity of
1G and
1H T-type
currents to a number of anesthetic and anticonvulsant agents. The
results indicate that blockade of some T currents may participate in
the clinical actions of some agents (isoflurane, MPS, phenytoin). The
differential blocking effects of phenytoin and MPS between
1G
current and native DRG T current, which for phenytoin was also mirrored
between subsets of
1H-expressing HEK293 cells, argue that some
additional factor, perhaps an unknown accessory subunit, may influence
the sensitivity of T-type channels to pharmacological agents.