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The Journal of Neuroscience, May 1, 2001, 21(9):3135-3143
Mobilization of Calcium from Intracellular Stores, Potentiation
of Neurotransmitter-Induced Calcium Transients, and Capacitative
Calcium Entry by 4-Aminopyridine
Maurizio
Grimaldi1,
Marco
Atzori2,
Pulak
Ray1, and
Daniel L.
Alkon3
1 Laboratory of Adaptive Systems, National Institute
for Neurological Disorders and Stroke and 2 National
Institute of Deafness and other Communicative Disorders, National
Institutes of Health, Bethesda, Maryland 20892, and
3 Blanchette Rockefeller Neurosciences Institute,
Rockville, Maryland 20850
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ABSTRACT |
In this study we analyzed the effect of 4-aminopyridine (4-AP) on
free cytosolic calcium concentration
([Ca2+]i) in basal conditions,
after stimulation with neurotransmitters, and during capacitative
calcium entry.
Using fura-2 ratiometric calcium imaging, we found that 4-AP increased
[Ca2+]i in type I astrocytes, neurons,
and in skeletal muscle cells. The
[Ca2+]i elevation induced by 4-AP was
concentration-dependent and consisted of two phases: the first was
dependent on intracellular calcium mobilization, and the second was
dependent on extracellular calcium influx. 4-AP also increased the
second messenger inositol trisphosphate in both neurons and astrocytes.
In astrocytes, 4-AP treatment potentiated the sustained phase of the
[Ca2+]i elevation induced by ATP and
bradykinin. In addition, capacitative calcium entry was potentiated
severalfold by 4-AP, in astrocytes and muscle cells but not in neurons.
These effects of 4-AP were completely and promptly reversible. 4-AP
blocked voltage-sensitive K+ currents in astrocytes.
However, voltage-sensitive K+ channel blockers
inhibiting these currents did not affect agonist-induced calcium
transients or capacitative calcium entry, indicating that 4-AP effects
on [Ca2+]i were not caused by the
blockade of voltage-gated K+ channels.
We conclude that 4-AP is able to affect calcium homeostasis at multiple
levels, from increasing basal [Ca2+]i
to potentiating capacitative calcium entry. The potentiation of
capacitative calcium entry in astrocytes or muscle cells may explain
some of the therapeutic activities of 4-AP as a neurotransmission enhancer.
Key words:
neuron; astrocytes; muscle cell; capacitative calcium
entry; intracellular calcium stores; voltage-sensitive
K+ potassium channels
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INTRODUCTION |
4-aminopyridine (4-AP) and related
molecules have been widely recognized for their ability to block
voltage-sensitive K+ channels (Aronson,
1992 ). 4-AP has also been used as a therapeutic agent in many
neurological and neuromuscular junction disorders. A number of reports
address the beneficial role of 4-AP and related compounds in multiple
sclerosis (Schwid et al., 1997 ; Fujihara and
Miyoshi, 1998 ), myasthenia gravis (Li and Zhang,
1994 ), and in the canine model of motoneuron disease
(Pinter et al., 1997 ). Clinical applications of 4-AP
have been extended to traumatic spinal cord injury (Segal et
al., 1999 ) and to neurodegenerative disorders such as
Alzheimer's disease (Andreani et al., 2000 ). In all
these instances, 4-AP has been thought to improve symptomatology through the blockade of voltage-activated K+
channels, in turn, causing neuronal depolarization and potentiation of
neurotransmission (Smith et al., 2000 ).
There are, however, a number of reports addressing a possible direct
effect of 4-AP on calcium homeostatic mechanisms (Glover, 1981 ; Agoston et al., 1983 ; Furukawa et
al., 1985 ; Fu et al., 1987 ; Gibson and
Manger, 1988 ; Gobet et al., 1995 ; Fryer
and Glover, 1997 ). In this study, we analyzed how 4-AP may
affect calcium homeostasis. To this end, we analyzed the effect of 4-AP
on intracellular calcium homeostasis in cortical type I astrocytes,
primary cortical neurons, and skeletal muscle cells using fura-2
ratiometric calcium imaging. We provide evidence here for three novel
actions of 4-AP, unrelated to its ability to block voltage-sensitive
K+ channels. We show that 4-AP regulates calcium
homeostasis by elevating inositol trisphosphate levels and therefore
causing calcium release from intracellular calcium stores (ICS),
by potentiating capacitative calcium entry (CCE) and therefore
agonist-evoked calcium transients.
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MATERIALS AND METHODS |
Preparation of primary cultures of cortical type I
astrocytes. Embryonic type I astrocyte cultures were obtained from
embryonic day 17 rat fetuses, according to a published protocol, with
slight modifications (Grimaldi et al., 1994 ). Briefly,
fetuses were obtained by means of C-section from a 17 d pregnant
Wistar rat and quickly decapitated. The heads were placed in PBS
(Life Technologies, Gaithersburg, MD) containing 4.5 gm/l of
glucose. Cerebral cortices were dissected, minced, and enzymatically
digested with papain (Worthington, Freehold, NJ). The tissue fragments
were then mechanically dissociated. The cells in suspension were
counted and plated in 25 cm2 flasks
(106 cells per flask). Medium was changed after 6-8
hr, to wash away unattached cells. Subsequently, the medium was changed
every 2 d. This yielded cultures consisting of 95% or more type I
astrocytes, as characterized by glial fibrillary acidic protein (GFAP)
immunoreactivity (Grimaldi et al., 1999 ).
Primary cultures of cortical neurons. Neuronal cultures were
prepared as described above, with some modifications (Grimaldi and Cavallaro, 1999 ). Briefly, after obtaining the cell
suspension, we counted and tested the cells for viability using the
trypan blue exclusion test (viability was >97%). Cells were then
plated on poly-L-lysine and collagen-coated glass
coverslips in 12 multiwell plates. After 96 hr, 10 µM of
fluorodeoxyuridine was added to the medium to inhibit glial cell
division, while the medium was supplemented with 10 µM
uridine to allow mRNA synthesis.
L6 rat skeletal muscle cell line. L6 cells were purchased
from the American Tissue Culture Collection (Rockville, MD). On arrival, cells were cultured, expanded, and frozen. Cell aliquots were
thawed and used between passage 1 and 5. Cells were maintained in DMEM
with 10% fetal bovine serum (HyClone, Logan, UT) and Pen/Strep (Life Technologies).
Total inositol phosphate accumulation assay. Inositol
phosphate (InsPt) accumulation was assayed in
astrocytes and neurons as previously described (Grimaldi and
Cavallaro, 1999 ; Grimaldi et al., 1999 ).
Briefly, near-confluent astrocyte cultures were switched to serum-free,
myo-inositol-free DMEM containing 2 µCi/ml of
myo-[2-3H]-inositol (30 Ci/mmol) (American Radiolabeled
Chemicals, St. Louis, MO). After 36 hr, cells were rinsed twice in a
saline solution (KRB) containing (in mM): NaCl 125, KCl 5, Na2HPO4 1, MgSO4 1, CaCl2 1, glucose 5.5, and HEPES 20, pH 7.2. Cells
were incubated with KRB containing 20 mM LiCl for 20 min to
block InsP1 degradation. Cells were then exposed to testing
substances for 90 min, at which time the reaction was stopped with 6%
ice-cold perchloric acid. Supernatants were transferred to test tubes,
and acidity was neutralized with a solution containing 9 mM
sodium tetraborate and 0.5 M potassium hydroxide. Five
hundred microliters of the neutralized solution were transferred to a
new test tube, to which 750 µl of anionic exchange resin (Dowex AG
1X-8; 100-200 mesh; mixed 1:3 in water) (Bio-Rad, Hercules, CA) was
added. The resin was centrifuged and washed with 1 ml of water.
InsPt were eluted with 500 µl of a solution containing
1.2 M ammonium formate and 0.1 M formic acid solution. Finally, 200 µl of the eluant was transferred to
scintillation vials, mixed with 4 ml of scintillation liquid (Biosafe
II; RPI, IL) and counted for 4 min. Results were
expressed as DPM/well. Each experiment was repeated at least
three times, and each data point was run in quadruplicate.
Single cell [Ca2+]i
measurements. Astrocytes, L6, or neurons were seeded on glass
coverslips (Assistent, Germany). Before each experiment, the
cells were washed once in KRB and loaded with 2 µM fura-2
AM (Molecular Probes, Eugene, OR) for 22 min at room temperature, to
minimize probe compartimentalization (Roe et al., 1990 ),
under continuous gentle shaking. After loading, the cells were washed
once with KRB and then incubated for 22 min in fura-2 AM-free KRB at
room temperature (to minimize the compartmentalization of the probe;
Roe et al., 1990 ), to allow washout of the unesterified probe (Grimaldi et al., 1999 ). Finally, the coverslips
were mounted in a low-volume, self-built 150 µl perfusion chamber.
Preparations were perfused with calcium or calcium-free KRB saline
solution at a speed of 1 ml/min. Experiments were imaged using an
inverted microscope equipped with an intensified CCD camera
(Videoscope, VA) and a 40× lens (Zeiss fluar series).
Calcium-free KRB contained no added calcium and 100 µM EGTA.
Image pairs obtained every 2 sec by exciting the preparations at 340 and 380 nm were used to obtain ratio images. Excitation wavelengths
were changed using a filter wheel (Metaltek), and the emission
wavelength was set to 510 nm. Captured images were processed with a
Matrox-LC acquisition board and analyzed by using the software
MetaFluor (Universal Imaging, West Chester, PA). Regions of interest
were obtained by delimiting the profile of the cells and averaging the
fluorescence intensity within the delimited area. Intensity values were
converted to [Ca2+]i using different
methods for neurons, muscle cells, and astrocytes. Ratio values were
calibrated to [Ca2+]i for neurons and
muscle cells obtaining Fmax and
Rmax and Fmin and
Rmin by exposing the cells to 10 µM ionomycin in presence of 10 mM calcium.
After the maximal signal was obtained, cells were perfused with
calcium-free KRB containing 10 mM EGTA.
[Ca2+]i in neurons and muscle cells
was then calculated using the equation developed by Grynkiewicz
et al. (1985) . Ratio values were calibrated to
[Ca2+]i in astrocytes with a titration
method. The titration calibration curve was obtained in living cells
exposed to known extracellular calcium concentration in the presence of
5 µM ionomycin (containing 5.2% calcium) as previously
published (the following are the ratio values measured in astrocytes:
760 nM Caext R340/380 = 18;
1260 µM Caext R340/380 = 32;
R340/380 at 0 Caext = 0.29;
R340/380 at 10 mM Caext = 60)
(Grimaldi et al., 1999 ). Compartmentalization of fura-2
after loading of the cells in the above specified conditions was
assessed to exclude any significant trapping of the probe in
organelles. We perfused fura 2-loaded cells with digitonin at 12.5 µg/ml and monitored residual fluorescence in the cells with the
excitation set at 360 and emission at 510 nm, the isosbestic point for fura 2. As a result of cell membrane permeabilization, fura-2
freely diffused from the cytosol to the extracellular space. No
significant residual fluorescence was detected inside the cells, indicating negligible probe compartmentalization (data not shown).
Patch-clamp recording. Astrocytes seeded on glass coverslips
were washed in KRB, placed in a perfusion chamber, and then perfused continuously. Glass pipettes were pulled (2-3 M ) and filled with a
solution containing (in mM): 130 K+Gluconate, 10 HEPES, 5 BAPTA, 2 ATP, 0.3 GTP, and
1.0 MgCl2. Cells were voltage-clamped in the whole-cell
configuration using an Axopatch-1D amplifier driven by a personal
computer running the pClamp acquisition software (Axon Instruments,
Foster City, CA). Data were analyzed off-line using the same software.
Fast and transient currents were measured at the peak, whereas
steady-state currents were measured at the end of the voltage pulse, at
a delay 150 msec. In a second set of experiments, voltage changes
before and after drug application were measured in the current-clamp
configuration, after waiting several minutes for membrane voltage
stabilization and after adjusting the resting voltage to 75 mV with a
steady current injection. A fixed current pulse inducing a voltage step
of ~5 mV was delivered every 8 sec to continuously monitor the cell
input resistance. Only cells with stable holding currents before drug
application were considered in the analysis.
Materials. All materials were purchased from Sigma (St.
Louis, MO), unless otherwise specified in the text.
Use of laboratory animals. Adequate measures were taken to
minimize unnecessary pain and discomfort to the animal and to minimize animal use, according to National Institutes of Health regulations on
animal handling and care (Guide for the Care and use of
Laboratory Animals; National Academy Press, 1996).
Pregnant animals were killed by exposure to
CO2.
Statistical analyses. Experiments were performed at least
three times using different cell preparations. For
[Ca2+]i measurements, digital images
were converted to analog data and imported to a spreadsheet. Numeric
values, representing the [Ca2+]i
determined every 2 sec, were averaged, and the SE was calculated. Data
are displayed as averages ± SE. When statistical validation was
required, data were analyzed by ANOVA followed by a t test and shown as a bar inset in the corresponding figure. Differences were
considered statistically significant when the p 0.05.
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RESULTS |
Effect of 4-AP on [Ca2+]i
4-AP moderately increased [Ca2+]i
in cortical type I astrocytes (Figs. 1,
2A),
cortical neurons (Fig. 3A),
and L6 cells (see Fig. 7B, inset). In astrocytes,
increasing concentrations of 4-AP between 1 and 20 mM
caused a linear elevation of
[Ca2+]i, with an apparent
plateau at 20 mM (Fig. 1, inset). The calculated EC50 was between 5 and 10 mM of the drug (Fig.
1, inset). The elevation of
[Ca2+]i induced by 4-AP had a slow
onset and reached a steady-state level that was maintained as long as
the drug was applied (Figs. 1, 2A). After washing,
calcium concentration returned promptly to baseline values (Figs. 1,
2A). The 4-AP-induced
[Ca2+]i elevation did not show
desensitization (Fig. 1). Similar results were found in neurons (Fig.
3A) and in muscle cells (see Fig. 8B,
inset).

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Figure 1.
Effect of 4-AP on
[Ca2+]i. Near-confluent cultured type
I astrocytes were loaded with fura-2. Cells were perfused with
increasing 4-AP concentrations applied at the times indicated by the
top broken line arrows and washed at the times indicated by
the solid line arrows below the trace. Increasing
concentrations of 4-AP caused proportional
[Ca2+]i elevation that reached an
apparent plateau at 20 mM 4-AP, as shown in the
inset. Removal of 4-AP caused a prompt return to baseline
[Ca2+]i. The EC50 of 4-AP
was ~10 mM.
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Figure 2.
Characterization of 4-AP-induced calcium response
in type I astrocytes. A, Treatment with 10 mM
4-AP caused a slow-onset long-lasting
[Ca2+]i elevation, which was promptly
reversed by washout. B, When extracellular calcium was
removed, 4-AP was still able to increase
[Ca2+]i. However, the shape of the
response was modified to a transient peak with a quick return to
baseline. C, The effect of 4-AP was tested in the absence of
extracellular calcium and after depletion of intracellular calcium
stores with thapsigargin (Thap). D, A 10 mM concentration of 4-AP was applied to astrocytes in
calcium-free KRB. Subsequently calcium was reintroduced, and
[Ca2+]i was monitored. Perfusion of
the testing substances is indicated by the horizontal
bars.
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Figure 3.
Characterization of 4-AP-induced
[Ca2+]i rise in cultured cortical
neurons. A, A 10 mM concentration of 4-AP was
applied to cortical neurons plated on glass coverslips. The compound
caused a slow-onset long-lasting
[Ca2+]i elevation. The
[Ca2+]i elevation was promptly
reversed by washing out the compound. B, When extracellular
calcium was removed, 4-AP (10 mM) was still able to
increase [Ca2+]i. However, the
response was transient, and [Ca2+]i
returned promptly to baseline values. C, ICS were depleted
in the absence of extracellular calcium with thapsigargin and CCE after
reintroduction of calcium was measured. D, ICS were depleted
with 4-AP in calcium-free medium. The neurons were subsequently exposed
to thapsigargin, and 60 sec later calcium was reintroduced in the
extracellular solution to elicit CCE. Perfusion of the testing
substances is indicated by the horizontal bars.
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We analyzed the role of ICS and extracellular calcium in 4-AP-induced
[Ca2+]i elevation in astrocytes and in
neurons. In the absence of extracellular calcium, 4-AP was still able
to elevate [Ca2+]i in both astrocytes
and neurons (Figs. 2B, 3B). However, the prolonged sustained phase of [Ca2+]i
elevation was absent (Figs. 2B, 3B).
Muscle cells displayed a similar behavior (see Fig.
8B, inset). These data suggest that this
property of 4-AP is general rather than cell type-specific. In the
absence of extracellular calcium, treatment with thapsigargin prevented
4-AP-induced calcium mobilization in astrocytes and neurons (Fig.
2C). The latter evidence suggests that 4-AP-induced calcium
elevation is caused by release of calcium from thapsigargin-sensitive ICS.
4-AP increases InsPt production
To test whether the effect of 4-AP on
[Ca2+]i was caused by the activation
of the phospholipase C (PLC)/InsP3 pathway, we measured InsPt production, an index of PLC activation, in astrocytes
(Fig. 4A) and neurons (Fig.
4B) after exposure to
4-AP. In both cell types, after 4-AP treatment a
concentration-dependent increase of InsP production was detected (Fig.
4). Sensitivity of neurons and astrocytes to 4-AP was almost identical.
Stimulation of the InsPt production caused by 4-AP (10 mM, the EC50 for 4-AP) was not very large,
compared with the effectiveness of a less than half-maximal
concentration of ATP (Grimaldi et al., 1999 ) (Fig. 4A, inset).

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Figure 4.
Effect of 4-AP on InsPt accumulation
in astrocytes and neurons. A, 4-AP causes a
concentration-dependent elevation of InsPt accumulation in
type I astrocytes. Compared with the stimulation obtained with a 10 µM ATP (EC50, 30 µM), 10 mM 4-AP (EC50) was 50% less powerful
(inset). B, 4-AP increased InsPt
production in cortical neurons. Basal values are indicated by the
open triangle and the dashed line.
*p 0.05 versus basal value.
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4-AP potentiates CCE in astrocytes and muscle cells
Astrocytes exposed to 10 mM 4-AP in calcium-free
buffer released calcium from ICS. The subsequent reintroduction of
calcium in the perfusion buffer was followed by elevation of
[Ca2+]i, indicating the
activation of CCE (Fig. 2D). If the latter finding is
compared with CCE evoked by an agonist such as ATP or bradykinin, it is
clear that CCE in the presence of 4-AP is potentiated (see Figs.
6A, C). This finding suggested that 4-AP interfered with CCE. To test whether CCE potentiation by 4-AP could
modulate agonist-evoked calcium responses, we analyzed calcium transients after exposure to InsP3-linked agonists known to
mobilize calcium from ICS. Astrocytes pre-exposed to 4-AP and then
challenged with ATP or bradykinin displayed markedly changed calcium
transient dynamics. In particular, the amplitude of the sustained phase of the calcium transient, an indicator of CCE, became larger and was
significantly prolonged.
In the case of 10 µM ATP, the pattern of
[Ca2+]i elevation in control cells was
characterized by a spike followed by a lower but prolonged phase of
[Ca2+]i elevation (Fig.
5A). When astrocytes were
pre-exposed to 10 mM 4-AP and then challenged with 10 µM ATP, the calcium transient induced by ATP lacked the
initial spike but had a very high and prolonged plateau phase, which
was promptly reversed by removing 4-AP from the perfusion medium (Fig.
5B; statistical validation is displayed in Fig.
5E, values were taken 2 sec before 4-AP removal).

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Figure 5.
Effect of 4-AP on neurotransmitter-evoked calcium
transients in astrocytes. Astrocytes were challenged with 10 µM ATP (A) or 100 nM
bradykinin (C). The calcium response to both agonists
was characterized by a fast and sharp
[Ca2+]i elevation and a rapid return
to a much lower but prolonged [Ca2+]i
value. Astrocytes pre-exposed to 10 mM 4-AP and challenged
with ATP (B) or bradykinin (D)
showed a long-lasting large [Ca2+]i
elevation. E and F show statistical analysis of
the data extrapolated from the experiments in A and
C 2 sec after agonist stimulation, and in B and
D 2 sec before 4-AP washout. *p 0.05 versus value in control cells. Perfusion of the testing substances
is indicated by the horizontal bars.
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Bradykinin responses were similarly affected by 4-AP. The typical
spike-plateau response to bradykinin in control astrocytes (Fig.
5C) was, after treatment with 10 mM 4-AP,
modified to a persistent high [Ca2+]i
elevation, which was promptly reversed after washing out the 4-AP (Fig.
5D; statistical validation in Fig. 5F, values
extracted 2 sec before 4-AP washout).
To further prove that 4-AP potentiates CCE, we designed a group of
experiments in which CCE was measured. Control experiments were
conducted to determine [Ca2+]i
elevation in response to ICS depletion induced by three different paradigms. First, when ICS were depleted by ATP stimulation in the
calcium-free KRB, the reintroduction of calcium induced a very small
[Ca2+]i elevation (Fig.
6A). ICS were
completely emptied by the ATP pulse, as shown by the lack of response
to a second stimulation with ATP (Fig. 6A) or
bradykinin (Fig. 6C). When the same experiments were
performed in the presence of 10 mM 4-AP, CCE was greatly potentiated, when compared to ATP or 4-AP alone (Fig.
2D). In 4-AP-pretreated astrocytes, ATP-induced
emptying of ICS triggered a large CCE after reintroduction of calcium
in the extracellular medium. [Ca2+]i
rapidly rose to an extremely high plateau, which was maintained as long
as 4-AP was present and promptly decreased to baseline, once the
compound was washed out (Fig. 6B; see statistical
validation in Fig. 6E, values extracted 2 sec before
4-AP washout). A similar CCE potentiation by 4-AP was seen after ICS
depletion with bradykinin (Fig. 6D; statistical
validation displayed in Fig. 6F, values extracted 2 sec before 4-AP washout). The effect of 4-AP on CCE was
concentration-dependent. A 5 mM concentration of 4-AP
caused a smaller potentiation than 10 mM 4-AP of CCE
induced by ICS depletion with either ATP (control, 173 ± 5 nM; 5 mmM 4-AP, 765 ± 10 nM; 10 mM 4-AP, 1489 ± 75 nM) or bradykinin
(control, 182 + 8 nM; 5 mM 4-AP,
488 ± 16 nM; 10 mM 4-AP, 1084 ± 68 nM).

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Figure 6.
Effect of 4-AP on CCE triggered by agonist-induced
ICS depletion in astrocytes. ICS were depleted with ATP
(A) or bradykinin in the absence of extracellular
calcium. ICS emptying was controlled with a second ATP
(A) or bradykinin (C) stimulation.
When calcium was reintroduced, a weak
[Ca2+]i elevation was generated
because of CCE activation. B, ICS were depleted with 10 µM ATP in the presence of 4-AP. When calcium was
reintroduced, [Ca2+]i elevation was
very high and lasted until 4-AP was removed from the cells. The same
effect was recorded when stores were depleted with bradykinin in the
presence of 4-AP (D). E and F
show the statistical validation of the data presented in
A-D, respectively. Values were extrapolated from the
experiments 2 sec before removal of 4-AP. *p value 0.05 versus control cells. Perfusion of the testing substances is
indicated by the horizontal bars.
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In a second set of experiments, we analyzed CCE after depletion of ICS
with thapsigargin, an irreversible blocker of the smooth endoplasmic
reticulum calcium ATPase (SERCA), to exclude that the 4-AP
potentiation of CCE observed after ATP- and bradykinin-induced ICS
emptying was not caused by interaction with secondary
signal-transducing mechanisms activated by the two agonists. Exposure
to a maximal concentration of thapsigargin (10 µM) would
also allow us assess the role of SERCA blockade in CCE potentiation by
4-AP (Fig. 7A). Thapsigargin,
at 10 µM, applied with calcium-free KRB, completely discharged ICS. When calcium was reintroduced in the extracellular environment, a transient [Ca2+]i
elevation was triggered, which decreased to a lower steady-state [Ca2+]i (Fig. 7A). When
this experiment was conducted in the presence of 4-AP, CCE triggered by
thapsigargin was powerfully potentiated (Fig. 7B;
statistical validation presented in Fig. 7C, values were
extrapolated at the peak of the response). We tested whether a similar
phenomenon occurred in muscle cells and neurons. A strong potentiation
of CCE induced by 4-AP was also observed in muscle cells (Fig.
8A, B;
statistical validation is displayed in Fig. 8C, values were
extracted 2 sec before 4-AP washout). On the contrary, potentiation of
CCE by 4-AP was not observed in neurons (Fig. 3, compare D,
C).

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Figure 7.
4-AP potentiates thapsigargin-induced CCE
in astrocytes. A, Calcium stores were depleted with a
maximal concentration of thapsigargin (10 µM).
B, Thapsigargin exposure in cells pretreated with 4-AP
resulted in a large increase of CCE. C, Statistical
validation of the data presented in A and B. Peak
values were analyzed. *p value 0.05 versus control
cells. Perfusion of the testing substances is indicated by the
horizontal bars.
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Figure 8.
4-AP potentiates CCE in L6 cells.
A, Application of 10 µM thapsigargin in
calcium-free KRB caused an elevation of
[Ca2+]i, (see inset
to A). Reintroduction of calcium in the extracellular buffer
was followed by CCE. The effect of thapsigargin alone it is highlighted
in the inset. B, In the presence of 10 mM 4-AP, CCE was increased approximately ninefold.
C, Statistical validation of the data extracted from control
at peak and from 4-AP-exposed cells 2 sec before 4-AP washout.
*p value 0.05 versus control cells. Perfusion of the
testing substances is indicated by the horizontal
bars.
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4-AP inhibits voltage-dependent K+ currents
in astrocytes
Astrocytes were voltage-clamped at a membrane voltage of 60 mV.
Fifty millisecond current pulses were delivered at 10 mV intervals from
80 mV up to +50 mV. Positive currents were recorded, and the
resultant I-V profile is shown in Fig.
9A. Currents measured 40 msec
after the start of each pulse were reversibly blocked by bath-applied
4-AP (10 mM) (Fig. 9A; sample traces displayed in Fig. 9B). The early, fast inactivating component,
measured as the difference between the current 5 and 40 msec after the beginning of the pulse, did not recover from 4-AP blockade even after a
10 min washout (Fig. 9C). In addition, application of 4-AP
did not significantly affect resting membrane potential of astrocytes
held in current clamp (data not shown). Moreover, the contribution of
other conductances at resting potential was negligible, because input
resistance, measured with 100 pA current injections, did not change
after application of 4-AP (Iin = 32 M + 12 before and after 4-AP application). The
voltage-dependent K+ channels blocker TEA (20 mM) reduced K+ currents in a similar
manner (Fig. 9D).

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Figure 9.
4-AP inhibits voltage-gated
K+ currents in astrocytes. A, Astrocytes
were voltage-clamped at a membrane voltage of 60 mV.
Fifty-millisecond-long pulses were delivered at increasing voltages
from 80 mV up to +50 mV, at 10 mV intervals. The I-V
profile was generated with a positive current that was recorded up to
~2 nA amplitude. The steady-state current was measured 40 msec after
the start of the pulse. B, Example traces recorded in
astrocytes before, after exposure to 10 mM 4-AP and after
washout. C, 4-AP application reversibly blocked the late
component (40 msec), whereas the early, fast inactivating component did
not recover from blockage after 10 min washout (open bars
are the normalized control current; black bars represent the
currents after 4-AP application; hatched bars represent the
amplitude of the current after 10 min washout). The fast component was
calculated as the difference between the current at 5 and 40 msec after
the beginning of the pulse. D displays the inhibitory effect
of 20 mM TEA on potassium current in type I astrocytes.
Control current was ~1.38 + 0.63 pA and used as 100% in the
open bar. D, The effect of 20 mM TEA is
represented by the black bar. Cells were washed out, and the
recovery of K+ current is summarized in the
hatched bar.
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Voltage-sensitive K+ channel blockers have no
effect on CCE
To assess whether the effects of 4-AP on CCE resulted from
blockade of voltage-sensitive K+ channels, we
analyzed the effect of specific blockers on CCE. We studied ATP-evoked
[Ca2+]i transients in astrocytes
pretreated with -dendrotoxin (DTx), an inhibitor of the fast
inactivating K+ current (Ransom and
Sontheimer, 1995 ; Rowan and Harvey, 1996 ; Frizzo and Barbeito, 1997 ). DTx did not potentiate CCE,
although peak responses to ATP were affected (Fig.
10). The voltage-gated K+ channel blocker TEA up to 120 mM, did
not affect CCE (data not shown). Simultaneous treatment of astrocytes
with low concentrations of 4-AP (500 µM) in combination
with 50 mM TEA were not able to mimic the effect of 10 mM 4-AP on CCE (data not shown).

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Figure 10.
Effect of DTx on CCE in astrocytes. We tested
whether voltage-gated K+ channel blocker
-dendrotoxin potentiatied CCE evoked by ATP-induced ICS depletion.
A, Response to 10 µM ATP in control cells.
B, Cells were challenged with 10 µM ATP after
a 3 min exposure to 100 nM DTx. C and
D were the same experiments as shown in A and
B, respectively, and they were performed in the absence of
extracellular calcium. Calcium was reintroduced in the perfusion
buffer, and CCE was monitored. Perfusion of the testing substances is
indicated by the horizontal bar.
|
|
Because we found that 10 mM 4-AP caused a slight
alkalization of KRB (pH 7.8), we conducted experiments to
determinewhether changes in extracellular pH might have been involved
in CCE potentiation. Increasing the pH of KRB up to 8.4 was not able to
reproduce the effect of 4-AP on CCE (data not shown).
 |
DISCUSSION |
4-AP and its analogs have numerous clinical applications,
including treatment of neuromuscular and neurodegenerative disorders and traumatic injuries of the CNS (Li and Zhang,
1994 ; Pinter et al., 1997 ; Fujihara and
Miyoshi, 1998 ; Gruner and Yee, 1999 ; Segal et al., 1999 ; Andreani et al.,
2000 ). All of the therapeutic activities of 4-AP are currently
explained by blockade of voltage-activated K+
channels (Vislobokoe et al., 1983 ; Davies et al.,
1991 ; Choquet and Korn, 1992 ; Kirsch and
Drewe, 1993 ; Castle et al., 1994 ). However,
effects of 4-AP on calcium homeostasis have also been reported
(Agoston et al., 1983 ; Pant et al., 1983 ;
Tapia et al., 1985 ; Gibson and Manger,
1988 ; Campbell et al., 1993 ). Here, we show that
4-AP causes a complex change of calcium homeostasis, which includes
mobilization of calcium from ICS, likely caused by InsP3
elevation, modulation of InsP3-linked calcium transients, and potentiation of CCE activated by ICS depletion. 4-AP modulation of
calcium homeostasis may represent an additional molecular mechanism for
the therapeutic actions of 4-AP and could be useful in the study of
store-operated calcium channels.
The data we present show a weak and concentration-dependent increase of
total InsPt production in astrocytes and neurons after exposure to 4-AP. We hypothesize that this effect of 4-AP might be
ascribed to an increase of PLC activity. Activation of PLC and
subsequent production of InsP3 may be responsible for
4-AP-evoked calcium mobilization from ICS.
In addition, 4-AP appears to play a significant role in the regulation
of calcium entering the cells after ICS depletion, a phenomenon known
as CCE. CCE contributes to the magnitude and duration of agonist-evoked
[Ca2+]i transients, to calcium
oscillation, and is the principal mechanism through which ICS are
refilled (Putney, 1986 ). CCE is caused by the opening of
the calcium release-activated calcium channel (CRAC) or store-operated
calcium channel (SOCC). This channel has been identified as homologous
to the transient receptor potential channels in Drosophilae
(Petersen et al., 1995 ). Here, we report that 4-AP potentiates CCE in astrocytes and muscle cells, but not in neurons. Other have already shown that 4-AP can inhibit SERCA (Ishida and Honda, 1993 ). The fact that in neurons 4-AP does not potentiate CCE, although it increases resting
[Ca2+]i, strongly suggests that
the target of 4-AP is not present in neurons. Because SERCA is present
in astrocytes as well as in muscle cells and in neurons, this strongly
suggests that 4-AP potentiation of CCE does not involve SERCA.
Furthermore, we show that blockade of SERCA with the irreversible
inhibitor thapsigargin used at maximal concentrations (Thastrup
et al., 1990 ) evoked CCE to a lesser degree than in the
presence of 4-AP. When thapsigargin and 4-AP were added together, the
resultant effect on CCE was synergistic. This would not be possible if
the target of 4-AP action was only the SERCA. Therefore, we hypothesize
that 4-AP may be acting on targets different than SERCA.
We also have demonstrated that 4-AP can potently prolong and increase
[Ca2+]i elevations caused by
neurotransmitters such as ATP and bradykinin, which are linked to the
intracellular messenger InsP3. This latter evidence
suggests that the physiology of the response to neurotransmitters can
be modified when cells are exposed to 4-AP. This indicates that an
interaction in vivo is likely to happen and will result in a
longer duration of calcium transients. Because the effect of 4-AP alone
on CCE is not so large as when it is triggered by a large calcium
mobilization, we believe that other mechanisms must be activated to
uncover the potentiation of CCE that we observed. When ICS are depleted
either using an agonist able to cause a large production of
InsP3, such as ATP or bradykinin, or an agent able
to completely discharge ICS, such as thapsigargin, a robust signal is
generated that triggers the opening of CRAC. Such a signal has not been
definitively identified and characterized. However, in cortical type I
astrocytes a soluble factor, probably belonging to the family of the
eicosanoid derivatives (Rzigalinski et al., 1999 ), may
be responsible for the opening of CRAC channel. Alternatively, a
physical association between SOC/CRAC and the InsP3
receptor, may be involved in the opening of the CRAC channel after the
emptying of ICS (Boulay et al., 1999 ). Regardless of the
signal used to trigger the opening of the CRAC channels, the presence
of 4-AP causes a considerably larger influx of calcium from the
extracellular space than in control cells. CRAC and voltage-sensitive K+ channels have some similarity in the amino acid
sequence (Harteneck et al., 2000 ), therefore, it is
conceivable that 4-AP interacts with the open CRAC channels, in a
similar manner to K+ channels, and thereby increases
CCE. The increased calcium influx coupled with the inability of the
endoplasmic reticulum to sequestrate it, because 4-AP is
blocking SERCA, would ultimately result in the great potentiation of
CCE demonstrated in our experiments.
That 4-AP may interact with other targets cannot be excluded. In
particular, ligand-gated calcium channels may participate in the
calcium transient evoked by ATP (for review, see Burnashev, 1998 ). However, the fact that 4-AP potentiates CCE when the ICS are depleted by thapsigargin suggests that these alternative mechanisms may participate but are not required.
Regardless of the mechanisms underlying CCE potentiation, the
prolongation and potentiation of agonist-induced
[Ca2+]i elevation may enhance
excitation-contraction coupling of the muscle cells with a consequent
improvement of neuromuscular function. Moreover, in the CNS such a
potentiation of calcium responses may cause astrocytes to change their
state of activation and to secrete trophic factors, which could play an
important role in repairing mechanisms and in survival of surrounding neurons.
We have also shown that the effects of 4-AP are not attributable to
blockade of voltage-sensitive K+ channels. All
experiments with different types of compounds affecting voltage-sensitive K+ channels were not able to
reproduce the effect of 4-AP on CCE.
In conclusion, we report novel effects of 4-AP, namely mobilization of
calcium from ICS, PLC activation, and the potentiation of agonists
responses through a large potentiation of CCE. These actions may
explain some of the therapeutic effects of 4-AP in disorders in which
impairment of neurotransmission is involved. Moreover, changes in
calcium homeostasis induced by 4-AP in astrocytes might cause the
release of trophic factors that would likely support regrowth of
neuronal extensions. Finally, we hypothesize that 4-AP potentiates CCE
by interfering with SOC/CRAC channels and may thus be a useful tool to
study this channel for which specific agonists and antagonists are not
yet developed.
 |
FOOTNOTES |
Received Nov. 28, 2000; revised Jan. 18, 2001; accepted Jan. 30, 2001.
Correspondence should be addressed to Dr. Maurizio Grimaldi, Department
of Neurology, Uniformed Services of the Health Sciences, 4301 Jones
Bridge Road, Bethesda, MD 20814-4799. E-mail:
mgrimaldi{at}usuhs.mil.
 |
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