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Protein expression of Ca-SR in isolated rat cardiac myocytes To confirm that Ca-SR was expressed in cardiac myocytes, rather than neuronal or other types of cell in heart tissue, ventricu

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Calcium and polyamine regulated calcium-sensing receptors

in cardiac tissues

Rui Wang1, Changqing Xu2, Weimin Zhao1, Jing Zhang1, Kun Cao1, Baofeng Yang2and Lingyun Wu3 1

Department of Physiology, University of Saskatchewan, Saskatoon, SK, Canada;2Department of Pathophysiology, Harbin Medical University, Harbin, P.R China;3Department of Pharmacology, University of Saskatchewan, Saskatoon, SK, Canada

Activation of a calcium-sensing receptor (Ca-SR) leads to

increased intracellular calcium concentration and altered

cellular activities The expression of Ca-SR has been

iden-tified in both nonexcitable and excitable cells, including

neurons and smooth muscle cells Whether Ca-SR was

expressed and functioning in cardiac myocytes remained

unclear In the present study, the transcripts of Ca-SR were

identified in rat heart tissues using RT-PCR that was further

confirmed by sequence analysis Ca-SR proteins were

detected in rat ventricular and atrial tissues as well as in

isolated cardiac myocytes Anti-(Ca-SR) Ig did not detect

any specific bands after preadsorption with standard Ca-SR

antigens An immunohistochemistry study revealed the

presence of Ca-SR in rat cardiac as well as other tissues An

increase in extracellular calcium or gadolinium induced a

concentration-dependent sustained increase in [Ca2+]i in

isolated ventricular myocytes from adult rats Spermine (1–10 mM) also increased [Ca2+]i Pre-treatment of cardiac myocytes with thapsigargin or U73122 abolished the extra-cellular calcium, gadolinium or spermine-induced increase in [Ca2+]i The blockade of Na+/Ca2+exchanger or voltage-dependent calcium channels did not alter the extracellular calcium-induced increase in [Ca2+]i Finally, extracellular calcium, gadolinium and spermine all increased intracellular inositol 1,4,5-triphosphate (IP3) levels Our results demon-strated that Ca-SR was expressed in cardiac tissue and car-diomyocytes and its function was regulated by extracellular calcium and spermine

Keywords: calcium-sensing receptor; heart; IP3; RT-PCR; spermine

Calcium ions were the first identified endogenous substance

to function as both a first and second messenger via the

stimulation of an extracellular calcium sensing receptor

(Ca-SR) The binding of extracellular calcium (first messenger) to

Ca-SR in plasma membrane activates Gqproteins, stimulates

phospholipase C (PLC)-b activity, and increases intracellular

IP3 levels, leading to intracellular calcium release (second

messenger) [1,2] The expression of Ca-SR has been identified

in parathyroid [2], thyroid [3], kidney [4], bone [5] and GI

tract [6], the organs involved in systemic calcium

home-ostasis Defective Ca-SRs are involved in genetic diseases

linked to calcium homeostasis Ca-SR and its isoforms or

homologous receptors may represent novel clinical targets

for treatment of these diseases and others like osteoporosis

Calcium handling is essential for the homeostatic control

of cardiovascular functions, which may not couple directly

to systemic calcium homeostasis Whether Ca-SR has a

functional role to play in the cardiovascular system is

unclear Ca-SR proteins were detected, but not the

corres-ponding transcripts, in mesenteric resistant artery tissues [7]

This observation led to the conclusion that Ca-SR was actually expressed in perivascular nerves with the corres-ponding mRNA residing in the neuronal soma away from the isolated blood vessel wall Interestingly, a recent study claimed that Ca-SR was present in smooth muscle cells

of spiral modiolar artery of gerbils [8] The functions of Ca-SR in these smooth muscle cells were not studied Cardiac tissue is very sensitive to calcium homeostasis

An increased intracellular calcium concentration, either due

to the increased extracellular calcium entry through voltage-gated calcium channels or the increased intracellular calcium release, would trigger the contraction of myocytes Overloading of cellular calcium, on the other hand, leads to cell death and heart injury To date, the expression of Ca-SR

in cardiomyocytes had not been reported, less alone the function of these receptors Several lines of evidence are presented in this communication that demonstrate the existence of Ca-SR in rat heart by identifying the mRNA and proteins of Ca-SR in cardiac tissues and by delineating the functional regulation of Ca-SR in cardiac myocytes Ca-SR may present itself as a novel target by which the cardiac functions can be modulated

Materials and methods

RT-PCR analysis of the Ca-SR Male Sprague–Dawley rats (10–12 weeks old) were used with an approved protocol (University Committee on Animal Care and Supply of University of Saskatchewan)

Correspondence to: R Wang, Department of Physiology,

University of Saskatchewan, Saskatoon, SK, Canada S7N 5E5.

Fax: + 1 306 966 6532, Tel.: + 1 306 966 6592,

E-mail: wangrui@duke.usask.ca

Abbreviations: Ca-SR, calcium-sensing receptor; IP 3 , inositol

1,4,5-triphosphate; TG, Thapsigargin.

(Received 9 March 2003, revised 10 April 2003,

accepted 30 April 2003)

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Total RNA was extracted from isolated tissue with an

RNeasy Total RNA Kit (Qiagen) and treated with

RNase-free DNase I (Ambion) First-strand cDNA was made by

reverse transcribing 2 lg of DNase I-treated total RNA

with MMuLV reverse transcriptase (Perkin-Elmer) using

random hexamers in a total volume of 20 lL The RT

reaction was carried out at room temperature for 15 min

followed by incubation at 42C for 1 h Five microliters of

RT reaction mixture were used for PCR amplification in a

volume of 50 lL using Advanced PCR II mixer (Clontech)

with gene specific primers designed on reported sequences of

rat Ca-SR (GenBank accession number U20289) Portions

of the Ca-SR cDNA were amplified using the primer pairs

that were Ca-SR (forward), 5¢-ttcggcatcagctttgtg-3¢; and

Ca-SR (reverse), 5¢-tgaagatgatttcgtcttcc-3¢ PCR

amplifica-tion consisted of 35 cycles of denaturaamplifica-tion at 94C for 20 s,

annealing at 60C for 20 s, and polymerization at 68 C for

30 s Aliquots (5 lL) of PCR reactions were

electropho-resed through ethidium bromide-stained 1.2% agarose gels

Nucleotide sequence analysis

Gel purified PCR-amplified Ca-SR products were cloned

into the pCR2.1 TA cloning vector (Invitrogen) The

automated sequence analysis was performed on three

independent clones using an ABI-373A (Applied

Biosys-tems Inc.) sequencer

Western blot analysis

Membrane proteins were prepared as described previously

[9] Briefly, tissues were homogenized with a Polytron

homogenizer in 1 mL Tris-buffered saline (10 mM Tris,

0.3M sucrose and 1 mM EDTA) containing protease

inhibitor mixture [9] The homogenate was centrifuged at

6000 g for 15 min at 4C to remove nuclei and undisrupted

cells The supernatant was further centrifuged at 40 000 g

for 1 h at 4C Resulting pellets were then washed and

resuspended with the same Tris-buffered saline without

sucrose Protein concentration was determined using a

Bio-Rad protein assay solution with BSA as standard

Membrane proteins (20 lg) were electrophoresed through

standard 10% SDS-PAGE in Tris-glycine electrophoresis

buffer [125 mM Tris, 959 mMglycine (pH 8.3), and 0.5%

SDS] and blotted onto nitrocellulose membrane in

transfer-ring buffer [39 mMglycine, 48 mMTris (pH 8.3) and 20%

methanol] at 80 mA for 1.5 h in a water-cooled transfer

apparatus The membrane was blocked in a blocking buffer

NaCl/Picontaining 3% skimmed milk at room temperature

for 2 h The membrane was then incubated overnight at 4C

with 1 : 500 diluted affinity-purified polyclonal antibody

against Ca-SR in blocking buffer Unless otherwise specified,

anti-(Ca-SR) Igs were from Alpha Diagnostic International

Inc (San Antonio, TX, USA)

After the membrane was washed five times in NaCl/Pi, it

was incubated with goat anti-(rabbit IgG) Ig conjugated

with horseradish peroxidase diluted to 1 : 5000 in the

blocking buffer for 2 h at room temperature Antibody–

antigen complexes were detected by chemiluminescence

using chemiluminescent substrate kit (NEN Life Sciences)

As a control, immunoblotting was carried out as described

above without anti-(Ca-SR) Ig Anti-actin Ig (Chemicon

International) was used at a dilution of 1 : 400 to detect the expression level of a-actin in the isolated tissues as the house-keeping internal control

Immunohistochemistry study Sprague–Dawley rats were anasthetized by intraperitoneal injection of sodium pentobarbital (60 mgÆkg)1 body weight) The rats were perfused through the left ventricle with ice cold NaCl/Pi(pH 7.4) for 1 min and ice cold 4% paraformaldehyde in NaCl/Pifor 2 min The tissues were removed and fixed in 4% paraformaldehyde in NaCl/Piat

4C overnight Specimens were dehydrated with 20% sucrose in NaCl/Pifor 24 h Cryostat sections (5 lm) were cut on a Micron cryostat at)20 C and thaw-mounted onto ethanol-cleaned slides coated with 1% gelatin Sections were postfixed in 4% paraformaldehyde for 20 min, followed by

15 min incubation in 5 lgÆmL)1proteinase K (Ambion) for antigen retrieval at 37C After washing with NaCl/Pi, the sections were blocked with 5% normal horse serum in NaCl/Pifor 1 h at room temperature and then incubated with 1 : 500 polyclonal Ig against Ca-SR (Alpha Diagnostic International) in NaCl/Pi containing 2.5% normal horse serum and 0.1% Triton X-100 overnight at 4C After rinsing with NaCl/Pi, staining was performed with the Vectastain Universal Elite ABC Kit (Vector Laboratories, Burlington) according to manufacturer’s instructions Briefly, after washing three times in NaCl/Pi, sections were incubated for 30 min with diluted biotinylated universal secondary IgG After washing with NaCl/Pi, the sections were exposed to Vector ABC reagent (avidin coupled to biotinylated horseradish peroxidase) for 30 min Sections were washed again in NaCl/Piand visualized by incubating with horseradish peroxidase substrate containing 0.02% diaminobenzidine, 0.3% nickel ammonium sulfate and 0.002% hydrogen peroxide (Vector Laboratories) The appearance of reaction product was monitored and photo-graphed under bright-field illumination As a control, some sections were not incubated with primary antibody Adult rat myocyte isolation

Adult (6–8 weeks old) male Sprague–Dawley rats were anesthetized with pentobarbital sodium (50 mgÆkg)1, i.p.) The heart was removed and firstly perfused via the aorta at

37C with standard Tyrode’s solution for about 5 min until the effluent was clear Standard Tyrode’s solution was composed of (in mM): NaCl, 136; KCl, 5.4; NaH2PO4, 0.33; MgCl2, 1.0; CaCl2, 2.0; dextrose, 10 and Hepes, 10 (pH adjusted to 7.4 with NaOH), and was maintained at room temperature and equilibrated with 95% O2and 5% CO2 Then the heart was perfused with Ca2+-free Tyrode’s solution for 5 min and Ca2+-free Tyrode’s solution con-taining 120 UÆmL)1collagenase for 70 min Ventricular tissues (2–3 mm in diameter) were excised and placed in a high [K+] solution composed of (in mM): glutamic acid, 70; taurin, 15; KCl, 30; KH2PO4, 10; Hepes, 10; MgCl2, 0.5; EDTA, 0.5 and glucose, 10 (pH adjusted to 7.3–7.4 with KOH) Myocytes were isolated by trituration with a Pasture pipette and collected by centrifuging at 600 r.p.m for 1 min

at room temperature Cells were re-suspended in the high [K+] solution and kept at room temperature [10]

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Fura-2 measurements of [Ca2+]i

Single ventricular myocytes attached to the glass bottom of

Petri dishes coated with laminin (10 lgÆmL)1, 500 lL per

dish, with blow-drying) Cells were loaded with 2 lMfura

2-AM (Sigma) for 60 min at room temperature in a Hepes

buffer composed of (in mM): NaCl, 125; KCl, 3.0; MgSO4,

1.2; Na2PO4, 2.0; CaCl2, 1.8; dextrose, 10.5; Hepes, 32 and

0.1% BSA (pH 7.4) Thereafter, myocytes were rinsed with

normal Hepes buffer twice to remove the remaining dye and

then equilibrated for 30 min at room temperature The

tested compounds were added directly to petri dishes to

reach the desired final concentrations The fura-2 loaded

myocytes were alternatively excited at 340 and 380 nm from

a monochromator (SpectraMASTER, Olympus America,

Melville, NY, USA) Fluorescent images of ventricular

myocytes were observed through an inverted phase-contrast

microscope (Olympus IX70, Tokyo) and video images of

fluorescence at 510 nm emission were collected at 2 Hz

using an intensified CCD camera system (AstroCam,

Olympus Life Science resources, Cambridge, UK) with

the output digitized at 768· 512 pixels The ratio of the

fluorescence intensities at 340 : 380 nm excitations was

monitored and processed with computer software (

ULTRA-VIEW, PerkinElmer Life Sciences Inc., Boston, MA, USA)

Measurement of IP3formation

Isolated rat ventricular myocytes were incubated for 4 h in

serum-free and inositol-free DMEM, to which 5 lCiÆmL)1

myo-2-[3H]inositol (Du Pont Canada Inc.) were added The

cells were subjected to different stimuli for 60 mins, and the

reaction was terminated by adding 0.9 mL methanol/

chloroform/HCl (40 : 20 : 1, v/v/v) The initial

inositol-phosphate (IP) pool of the aqueous phase composed of

inositol 4-phosphate, inositol 4,5-biphosphate and IP3was

eluted consecutively by ion-exchange chromatography

(AG1-X8 resin, Bio-Rad Laboratories) The lipid phase

was counted to measure the phosphatidylinositol phosphate

(PIP) lipid pool IP3 was expressed as a relative value of

(IP3/PIP)· 103(arbitrary units) to correct for the variation

in the labeling of the lipid pool

Chemicals and data analysis

Thapsigargin (TG) was purchased from Calbiochem

U73122, U73343, spermine, nifedipine, CdCl2 and other

chemicals were from Sigma Data were expressed as

means ± SEM Differences between treatments in the

same cells were evaluated by paired Student’s t-test or in

conjunction with Newman–Keuls test A significant level

of difference was determined when P < 0.05

Results

Transcriptional expression ofCa-SR in rat cardiac tissues

Expression of Ca-SR mRNA was examined using

RT-PCR A cDNA fragment of 234 bp corresponding to the

selected Ca-SR mRNA sequence was detected in both rat

atrium and ventricle (Fig 1A) In the absence of reverse

transcriptase, no PCR-amplified fragment could be

detec-ted, indicating the tested RNA samples were free of genomic DNA contamination This 234 bp PCR fragment was gel-purified, subcloned into plasmid vectors, and sequenced The derived sequences from three independent clones were identical to the Ca-SR cDNAs from rat parathyroid, kidney [4] and brain [11] The expression level of Ca-SR mRNA in thyroid appears to be much greater than that in cardiac tissues However, these results were derived from RT-PCR, which is a qualitative rather than quantitative mRNA assay Therefore, it would be inappropriate to predict the protein levels based on RT-PCR results shown in Fig 1A

Protein expression of Ca-SR in rat cardiac tissues The expression of Ca-SR protein was examined using Western blotting on whole-tissue extract Ca-SR proteins with a relative molecular mass between 120 and 140 kDa were detected in rat atrium and ventricle (Fig 1B) or in whole heart tissues (Fig 1C) The same 120–140 kDa band was also detected in thyroid, liver, parathyroid and kidney tissues, which serve as positive control While the band of PCR product for atrium was faint (Fig 1A), the expression levels of Ca-SR proteins were similar between atrium and ventricular tissues (Fig 1B), which may indicate a relative instability of Ca-SR mRNA in rat atrium In the absence of antibody, no positive band was identified (Fig 1B) Fur-thermore, preadsorption of anti-Ca-SR antibody with standard Ca-SR antigen eliminated the 140 kDa band (Fig 1C) Together, these results indicate the specificity of the anti-(Ca-SR) Ig

Immunohistochemistry study on the expression

of Ca-SR protein in different tissues Strong immunostaining was observed in liver cells (Fig 2A and B) as reported by Canaff et al [12] In heart, deep brown immunostaining was present throughout all cardio-myocytes (Fig 2D,E), indicating the expression of Ca-SR at protein level in rat heart Lack of specific staining was demonstrated in control sections in the absence of anti-Ca-SR antibody (Fig 2C,F)

Protein expression of Ca-SR in isolated rat cardiac myocytes

To confirm that Ca-SR was expressed in cardiac myocytes, rather than neuronal or other types of cell in heart tissue, ventricular and atrial myocytes were isolated separately and the expression of Ca-SR proteins in these cells was examined Similar to the observations on whole heart tissue, Ca-SR proteins were identified in the isolated myocytes (Fig 3) Compared to ventricular and atrial membrane preparations, membrane preparation from liver cells had a low protein content as evidenced by low actin level (Figs 1 and 3) Preadsorption of the anti-Ca-SR Igs with standard Ca-SR antigen completely eliminated the

140 kDa band (Fig 3B) In these experiments, the anti-(Ca-SR) Ig was from Affinity BioRegents, Inc (Golden,

CO, USA) at dilution of 1 : 400 In all other Western blot and immnunostaining studies, anti-(Ca-SR) Ig from Alpha Diagnostic International were used The same results using

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the anti-(Ca-SR) Igs from different suppliers further validate

the specificity of Ca-SR proteins detected in rat

cardio-myocytes

Extracellular calcium, gadolinium and spermine induced

changes in intracellular calcium concentration

Elevating [Ca2+]o from 0 mM to > 1.5 mM evoked an

increase in intracellular calcium concentration in more than

90% of isolated ventricular myocytes in a given observation

field (Fig 4A) The maximal increase in intracellular

calcium concentrations was obtained with 5–10 mM

extra-cellular calcium (Fig 4B) After changing extraextra-cellular

calcium concentration back to 0 mM, the increased

intra-cellular calcium concentration declined gradually (Fig 4C)

Consecutive exposure of freshly isolated rat ventricular

myocytes to extracellular gadolinium also induced a

concentration-dependent increase in intracellular calcium

(Fig 4D)

With 1 mM Ca2+in the bath solution, spermine from

1–10 mM induced a time- and concentration-dependent

increase in intracellular calcium (Fig 5) At 10 mM,

sper-mine produced a calcium burst in a total of 27 cells from

five dishes (P < 0.05) In less than 1 min after spermine

application, all cells in the observation field contracted and quickly exploded (Fig 5A and B) This calcium burst, however, was not observed after calcium was removed completely from the bath solution As shown in Fig 5C,D, spermine still increased intracellular calcium but in a less dramatic way and all cells survived from this spermine treatment

The role of intracellular calcium release and the phospholipase C (PLC) pathway in the extracellular calcium-induced increase in [Ca2+]i

Isolated myocytes were pretreated for 10 min with 10 lM

TG that inhibits the refilling of the IP3-sensitive calcium release pools [12,13] Subsequently, extracellular calcium was changed from 0–1.5 mM, which failed to elicit any increase in [Ca2+]i This effect was observed in a total of 25 cells from six Petri dishes (n¼ 6, P < 0.05) (Fig 6A) Preincubation of myocytes with TG also abolished 0.3 mM

Gd3+-induced (n¼ 8) or 5 mMspermine-induced (n¼ 6) increase in the [Ca2+]i level (not shown) U73122 is a phosphatidylinositol-specific PLC blocker [3,14] Pretreat-ment with U73122 for 10 min eliminated the effect of extracellular calcium-induced intracellular calcium release

Fig 1 Expression of Ca-SR in rat cardiac

tissues (A) Detection of Ca-SR mRNA by

RT-PCR in rat heart in the presence or

absence of reverse transcriptase (RT) M,

DNA marker; bp, base pairs Similar results

were obtained in four other experiments (B)

Detection of Ca-SR proteins by Western blot

in various rat tissues using anti-(Ca-SR) Ig

(left) or in the absence of anti-(Ca-SR) Ig

(right) (C) Detection of Ca-SR proteins by

Western blot in various rat tissues using

anti-(Ca-SR) Ig without preadsorption (left) or

after incubation with excess Ca-SR antigens

overnight at 4 C (right).

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(n¼ 4) (Fig 6B) This treatment also abolished 0.3 mM

Gd3+-induced (n¼ 4) or 5 mMspermine-induced (n¼ 4)

increase in intracellular calcium (not shown) Under the

same condition but without TG or U73122 pretreatment,

extracellular calcium induced significant increase in [Ca2+]i

(Fig 4C) On the other hand, pretreatment of cells with

U73334 at 10 lM, an inactivated analogue of U73122 [8],

for 10 min did not prevent the increase in [Ca2+]iinduced

by extracellular calcium (n¼ 5, P < 0.05) (Fig 6C) These

results suggest that activation of Ca-SR resulted in

stimu-lation of PLC pathway, and the subsequent production of

IP3 stimulated the TG-sensitive IP3 receptors, leading to

intracellular calcium increase

Involvement of extracellular calcium entry in the

extracellular calcium-induced increase in [Ca2+]i

To examine whether the increased [Ca2+]iwas related to the

activity of Na+/Ca2+ exchanger, NiCl2 (10 mM) was

applied to the isolated myocytes [15] Under this condition,

increasing [Ca2+]o from 0–1.5 mM significantly increased

[Ca2+]i(data not shown) Thus, the activity of Na+/Ca2+

exchanger in plasma membrane could not explain the

increase in [Ca2+] upon the stimulation of Ca-SR In

another series of experiments, myocytes were pretreated with 200 lMCdCl2for 10 min CdCl2treatment alone did not alter [Ca2+]i With CdCl2pretreatment, an increase in [Ca2+]iinduced by extracellular calcium was again observed (Fig 7A) Furthermore, increasing [Ca2+]ofrom 0–1.5 mM still significantly increased intracellular calcium in 30 cells from five Petri dishes in the presence of nifedipine (10 lM) (not shown)

Changes in intracellular IP3levels in response

to different Ca-SR stimuli

An increased IP3formation in rat ventricular myocytes was observed after incubation with 3 mM calcium, 0.3 mM gadolinium, or 1 mM spermine (Fig 7B) The largest IP3 response was induced by extracellular calcium when com-pared with the effects of gadolinium and spermine

Discussion

Expression of Ca-SR in cells with functions unrelated to systemic calcium homeostasis has been demonstrated in many cases For instance, expression of Ca-SR in neurons suggests the coupling of [Ca2+] to neuronal activities [11]

Fig 2 Immunohistochemical detection of Ca-SR in rat cardiac tissues Tissue sections of rat liver (A–C) and rat heart (D–F) were processed in the presence (A,B,D,E) or absence of anti-Ca-SR Ig (C and F) Magnification was · 95 (A,D,F); · 190 (B,C); · 380 (E) Representative results were shown from three different experiments.

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Identification of Ca-SR in spiral modiolar artery, located

between the eighth cranial nerve and the bond of the

cochlear modiolus, also indicates that the changes in

[Ca2+]o may somehow affect smooth muscle functions

The involvement of Ca-SR in diverse cellular functions

implies broad physiological functions beyond the regulation

of systemic calcium homeostasis Our present study for the

first time demonstrated the existence of Ca-SR in cardiac

myocytes This conclusion is based on several lines of

evidence: (a) transcripts of Ca-SR were clearly detected in

cardiac tissue and the sequences of these transcripts were

confirmed as identical to the known sequence of Ca-SR; (b)

Ca-SR proteins were identified in cardiac tissue as well as in

isolated atrial and ventricular myocytes; (c)

Immunohisto-logical staining clearly located Ca-SR proteins in cardiac

tissues; (d) increase in [Ca2+]o increased intracellular free

calcium levels, which was not mediated by extracellular

calcium entry through either voltage-gated Ca2+channels

or a Na+/Ca2+exchanger Release of intracellular calcium from thapsigargin-sensitive calcium pools after activation of PLC pathway was responsible for the extracellular calcium-induced [Ca2+]i; (e) [Ca2+]iincrease in isolated ventricular myocytes was induced by spermine at concentrations between 1–10 mM, which was the concentration range used

in many other studies to elucidate the presence of Ca-SR in different preparations [6,12,16]

Ca-SR in cardiac cells senses the changes

in extracellular calcium concentrations

An increase from 0–1.5 mMin [Ca2+]otriggered an increase

in intracellular calcium and this effect was maximal at

Fig 4 Extracellular calcium-induced intracellular calcium increase in freshly isolated rat ventricular myocytes (A) The same groups of ven-tricular myocytes were exposed consecutively to different [Ca2+] o Changes in the density of pseudo-greyscale indicate different levels of intracellular calcium concentrations with the black representing lower [Ca2+] (B) Concentration dependent effects of extracellular calcium

on [Ca2+] i in ventricular myocytes Changes in 4–6 cells in each culture dish were analysed and a total of four culture dishes were used at each calcium concentration *P < 0.05 vs data obtained at 0 m M of extracellular calcium (C) Reversibility of the extracellular calcium-induced [Ca 2+ ] o change (D) The same groups of ventricular myocytes were exposed consecutively to different [Gd 3+ ] o

Fig 3 Detection of Ca-SR receptor in isolated rat atrial and ventricular

myocytes using the anti-(SR) Igs (Affinity BioRegents, Inc.) (A)

Ca-SR proteins were detected in ventricular and atrial myocytes as well as

in liver (B) Anti-(Ca-SR) Igs were incubated with excess Ca-SR

antigens overnight at 4 C before being used in Western blot

experi-ments.

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 5 mMextracellular calcium The physiological relevance

of this narrow range of [Ca2+]oin cardiac myocytes should

be commented on Under what circumstances would the

extracellular calcium be in the range of 0–1.5 mMin heart?

Intracellular calcium changes have been observed in

para-thyroid hormone-releasing and calcitonin cells in response

to [Ca2+]o changes from 0.75– 3 mM [17] Brown et al

described a steep dose–response relationship of the

activa-tion of Ca-SR by extracellular calcium in parathyroid cells

[2] The plasma levels of ionized Ca2+ are between 1.0–

1.3 mM[6] The [Ca2+]ocan be significantly lowered within

the interstitial fluid of the beating heart [18], especially

within the T-tubular system of heart This system is a

restricted plasma membrane invagination and the calcium

content therein is limited The sustained membrane

depo-larization of heart membrane has been reported to lead to

calcium depletion in T-tubular system [19] The lowering of

[Ca2+]o would reduce the activity of Ca-SR in cardio-myocytes, lowering [Ca2+]iand protecting cardiac muscles from sustained contraction Upon repolarization, [Ca2+]o can be restored to a physiological level around 1.5 mM The consequent re-activation of Ca-SR would then restore normal contractility of cardiac muscles by normalizing [Ca2+]i Can [Ca2+]obe further elevated from 1.5–5 mMin cardiac muscle? Similar to our results in cardiac myocytes, Ca-SR in human antral gastrin cells has been reported to

be sensitive to extracellular calcium concentrations ranged from 1.8–5.4 mM[6] Under certain in vivo conditions, the luminal surface of the gastrin cells can be exposed to 15 mM extracellular calcium [20] As high as 40 mMof extracellular calcium in the direct vicinity of bone-osteoclasts has been observed [8] There are several scenarios for which [Ca2+]o

in the vicinity of cardiac myocytes, especially in T-tubule system, may temporarily increase, such as the extrusion of intracellular calcium from the excited myocytes and the

Fig 5 Extracellular spermine-induced [Ca2+] i in freshlyisolated rat

ventricular myocytes Changes in the density of pseudo-greyscale

indicate different levels of [Ca2+] i with black representing lower

cal-cium levels (A) A sudden exposure of ventricular myocytes to 10 m M

spermine triggered an intracellular calcium burst and cell death with

1 m M calcium in the bath solution (B) Time course of the increase in

[Ca2+] i induced by a sudden exposure to 10 m M spermine with 1 m M

calcium in the bath solution (C) Spermine induced a gradual increase

in [Ca 2+ ] i with 0 m M calcium in the bath solution All cells survived

under this gradual spermine exposure condition (D) Time course of

the increase in [Ca 2+ ] i induced by various concentrations of spermine

with 0 m M calcium in the bath solution (total 10 cells from three

dif-ferent Petri dishes).

Fig 6 Signal transduction pathways involved in the extracellular cal-cium-induced increase in [Ca 2+ ] i in isolated rat ventricular myocytes (A) Thapsigargin blocked the effect of extracellular calcium-induced increase in [Ca 2+ ] i (B) Pretreatment of cells with 10 l M U73122 eliminated the effect of extracellular calcium-induced intracellular calcium release (C) Pretreatment of cells with 10 l M U73343 did not prevent the increase in [Ca 2+ ] i induced by extracellular calcium.

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release of calcium from necrotic myocytes The healthy

myocyte in the neighborhood of necrotic myocytes would

face relatively high [Ca2+]o and increase their Ca-SR

activity Thus, the contractility of these healthy myocytes

would be increased to maintain the pump function

by increasing their intracellular calcium levels Contrary

to the conventional thought of a static extracellular calcium

level, [Ca2+]o in heart tissues may undergo fluctuations

depending on the activity of the heart The presence of

Ca-SR in cardiac myocytes may co-ordinate cellular

activities with the dynamic changes in [Ca2+]o in the

vicinity of cardiomyocytes [1]

The naturally occurring polyamines, including spermine,

spermidine and putrescine, are involved in the synthesis of

nucleic acids and proteins in eukaryotic and prokaryotic

cells They play an important role in the regulation of

cellular proliferation and differentiation [21] For the

regulation of cardiac function, polyamines are also

import-ant Previous studies have provided evidence that

polyam-ines promote cardiac hypertrophy [22,23] In spontaneously

hypertensive rats, an increased left ventricular mass [24] or

cardiac hypertrophy [25] was associated with increased

spermine and spermidine contents The molecular

mecha-nisms underlying the cellular actions of polyamines include

the activation of different plasmalemmal ion channels [26–28] as well as the stimulation of Ca-SR [29] In our study, spermine elicited an extracellular calcium-dependent intracellular calcium response in isolated cardiomyocytes In the absence of extracellular calcium, the spermine-induced [Ca2+]i increase was less dramatic than that in the presence

of 1 mM extracellular calcium and no calcium burst and cellular destruction were observed Similar extracellular calcium dependency of the effects of spermine on Ca-SR has been noticed in other previous studies [6,29]

The physiological concentration of plasma spermine is in the low micromolar range [29,30] In the study by Quinn

et al [29], spermine was used at concentrations from 0.1–1 mMto test the Ca-SR-mediated intracellular calcium response in Ca-SR-expressing HEK cells Ray et al [6] reported the effect of spermine on Ca-SR at concentrations between 0.1–1 mM In hepatocytes, spermine-induced [Ca2+]iincrease was manifested at spermine concentrations from 1.25–10 mM[12] Similarly, in our study, a spermine response was observed at concentrations between 1–10 mM

No effect was observed when spermine concentration was lower than 1 mM Nevertheless, the physiological signifi-cance of this spermine effect at these concentrations can still

be appreciated Polyamine secretion from some neurons has been indicated [31], presenting the possibility that local concentration of spermine can be much higher than the circulating concentration Moreover, the tissue spermine content of ventricular tissues was increased from

68 pmolÆmg)1 in normotensive Wistar–Kyoto rats to

376 pmolÆmg)1 in spontaneously hypertensive rats [24] This observation may also shed light on the pathophysio-logical significance of the effect of spermine at relatively high concentrations on Ca-SR in hearts The spermin-induced increase in [Ca2+]i alone may not suffice to demonstrate conclusively the involvement of Ca-SR but when taken in conjunction with the effects of extracellular calcium and gadolinium on [Ca2+]i, as well as the detection

of Ca-SR at mRNA and protein levels, does provide a line

of evidence for the presence and function of Ca-SR in cardiac myocytes The physiological importance of Ca-SR

in cardiomyocytes can be better understood by comparing the structure and function of hearts with or without Ca-SR deficiency Ca-SR knock-out mice provide an avenue for this kind of study However, cardiovascular functions of Ca-SR knock-out mice have not been reported to our knowledge Loss of Ca-SR in parathyroid gland in knock-out mice results in hyperparathyroidism, hypercalcemia, and growth retardation [32] These alterations may also significantly and indirectly affect cardiac function, mingled with any potential direct cardiac outcome due to the lack of cardiac Ca-SR Therefore, organ-selective or heart-selective inactivation or activation of Ca-SR in living animals should

be engineered, which may help to better determine the direct cardiac outcome of cardiac Ca-SR deficiency

In summary, Ca-SR may play an important physiological role in the modulation of cardiac functions under both physiological and pathophysiological conditions Increased local calcium concentration is sensed by myocytes via Ca-SR and lead to increased cardiac activity Increased extracellular polyamine concentration in heart, on the other hand, may stimulate Ca-SR on cardiomyocytes to promote cardiac hypertrophy Due to the limited access to specific

Fig 7 Changes in intracellular calcium and IP 3 levels (A) Effect of

CdCl 2 on the extracellular calcium-induced increase in [Ca2+] i in

isolated rat ventricular myocytes (total of 32 cells from five Petri

dishes) [Ca 2+ ] i was determined when the changes reached the

maxi-mum levels (B) IP 3 formation in isolated rat ventricular myocytes.

n ¼ 5 for each group *P < 0.05 compared with control group.

Trang 9

blockers of Ca-SR, whether polyamine-induced cardiac

hypertrophy is mediated by Ca-SR cannot be readily tested

at the moment Nevertheless, delineation of the interaction

among extracellular calcium levels, polyamine

concentra-tions, functional status of Ca-SR, and myocyte apoptosis

and proliferation would help better understand the

mech-anisms of cardiac hypertrophy as well as its management

Acknowledgements

This study was supported by an operating grant from Canadian

Institutes of Health Research (CIHR) R Wang is an Investigator of

CIHR L Wu is a New Investigator of CIHR.

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