Abstract
Background and purpose:
Thromboxane A2 and endothelial dysfunction are implicated in the development of pulmonary hypertension. The receptor-transduction pathway for U46619 (9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α)-induced contraction was examined in endothelium-intact (E+) and denuded (E−) rat pulmonary artery rings.
Experimental approach:
Artery rings were mounted on a wire myograph under a tension of 7–7.5 mN at 37°C and gassed with 95% O2/5% CO2. Isometric recording was made by using Powerlab data collection and Chart 5 software.
Key results:
Both E+ and E− contractile responses were sensitive to Rho-kinase inhibition and the chloride channel blocker NPPB [5-nitro-2-(3-phenylpropylamino)benzoic acid]. The E+ response was sensitive to the store-operated calcium channel blockers SKF-96365 {1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride} and 2-APB (2-amino ethoxy diphenylborate) (75–100 µmol·L−1). The E− response was sensitive to 2-APB (10–30 µmol·L−1), a putative IP3 receptor antagonist, and the calcium and chloride channel blockers nifedipine, DIDS (4,4′-diisothiocyanostilbene-2,2′-disulphonic acid) and niflumic acid but was insensitive to SKF-96365. Inhibiting KV with 4-AP in E+ rings exposed a contraction sensitive to nifedipine, DIDS and niflumic acid, whereas inhibiting BKCa exposed a contraction sensitive to mibefradil, DIDS and niflumic acid. This indicates that removal of the endothelium allows the TP receptor to inhibit KV, which may involve coupling to phospholipase C, because inhibition of phospholipase C with U73122 (1-[6-[[(17β)-3-methoxyestra-1,3,5(10)-trien-17-y]amino]hexyl]– 1H-pyrrole-2,5-dione) switched the E− pathway to the E+ pathway.
Conclusions and implications:
The results from this study indicate that distinct transduction pathways can be employed by the TP receptor to produce contraction and that the endothelium is able to influence the coupling of the TP receptor.
British Journal of Pharmacology (2009) 157, 581–596; doi:10.1111/j.1476-5381.2008.00084.x; published online 22 April 2009
This article is part of a themed section on Endothelium in Pharmacology. For a list of all articles in this section see the end of this paper, or visit: http://www3.interscience.wiley.com/journal/121548564/issueyear?year=2009
Keywords: thromboxane A2, U46619, rat pulmonary arteries, endothelium, chloride channels, store-operated calcium channels, Rho-kinase, voltage-operated calcium channels, potassium channels
Introduction
Thromboxane A2 (TXA2) has been implicated in the pathogenesis of many cardiovascular diseases (Fitzgerald et al., 1987) including pulmonary hypertension (Christman et al., 1992). It contracts vascular smooth muscle by binding to specific G-protein-coupled receptors (TP receptors) that may increase cytosolic free Ca2+ ([Ca2+]i) by releasing stored calcium, mainly from the sarcoplasmic reticulum (SR), or by causing entry of extracellular calcium through activation of channels in the plasma membrane. These include channels that are closely associated with the receptor, so called receptor-operated calcium channels, store-operated calcium channels (SOCCs), also known as capacitative calcium entry channels and store-depletion-activated channels, whose activation is triggered by depletion of the SR store following receptor-mediated calcium release and voltage-operated calcium channels (VOCCs) whose activation follows receptor-mediated membrane depolarization (Berridge, 1995; Parekh and Penner, 1997; Catterall, 2000; Putney, 2001; McFadzean and Gibson, 2002). In addition to elevating [Ca2+]i TP receptor activation of the small GTPase RhoA via the G12/13 family of heterotrimeric G-proteins leads to activation of Rho-kinase, which phosphorylates and inhibits myosin light chain phosphatase. This enhances the effect of the calcium-activated myosin light chain kinase by maintaining myosin in a phosphorylated state (Somlyo and Somlyo, 2000; Fukata et al., 2001).
Membrane depolarization and VOCC activation in smooth muscle can be achieved through regulation of K+ and Cl− conductance (Nelson and Quayle, 1995; Large and Wang, 1996; Chipperfield and Harper, 2000). This is because K+ is the predominant conductance in the resting cell and the K+ equilibrium potential (EK) is more negative (around −89 mV) than the resting membrane potential (around −60 mV). Receptor-linked inhibition of the resting K+ conductance would therefore increase the membrane potential. In contrast, because chloride conductance is low in the resting cell and the equilibrium potential (ECl) is more positive than the resting membrane potential, agonists that increase the plasma membrane chloride conductance produce an inward depolarizing current. Hence, membrane depolarization may be achieved by increased ICl and/or decreased IK.
The plasma membrane chloride channels that have been characterized in arteries appear to be calcium-activated and sensitive to the chloride channel blocker niflumic acid (NFA) (Criddle et al., 1996; 1997; Wang et al., 1997; Yuan, 1997). As well as regulating membrane potential and calcium entry through VOCCs chloride channels in the SR membrane may be important in calcium movement across the SR (Kasai and Kometani, 1979; Clark et al., 1997; Kourie et al., 1997; Jentsch et al., 2001; Nilius and Droogmans, 2003). This has been demonstrated mainly in skeletal muscle SR, but more recently calcium uptake into the SR of permeabilized smooth muscle was found to be inhibited by the chloride channel blockers NPPB [5-nitro-2-(3-phenylpropylamino)benzoic acid] and IAA-94 but not NFA (Pollock et al., 1998).
In rat pulmonary arteries, Cogolludo et al. (2003) showed that the TXA2 mimetic U46619 (9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α)-induced tone was insensitive to Rho-kinase inhibition but sensitive to the VOCC blocker nifedipine and that inhibition of KV, via a PKC-dependent mechanism sensitive to phospholipase C (PLC) and diglyceride, mediates membrane depolarization. Also in rat pulmonary arteries Snetkov et al. (2006) have demonstrated that U46619-induced tone is sensitive to the VOCC blocker diltiazem and this inhibitory effect is much greater when diltiazem was combined with 2-APB (2-amino ethoxy diphenylborate) (30 µmol·L−1). In contrast, Alapati et al. (2007), using bovine pulmonary arteries, found that U46619-induced tone was sensitive to Rho-kinase inhibition but insensitive to VOCC blockade and although the response was sensitive to 2-APB at high concentrations (100 µmol·L−1) as well as SKF-96365 {1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride}, which are used to inhibit SOCC, the response was insensitive to low concentrations of 2-APB (30 µmol·L−1) that are commonly used to inhibit the IP3 receptor. This study, in addition to suggesting a role for SR calcium release coupled with entry of calcium through SOCC and Rho-kinase, also indicated an important role for chloride in the contractile response to U46619.
In addition to species differences, the experimental procedures performed in the bovine arteries were conducted with an intact endothelium, unlike the rat pulmonary arteries used by Cogolludo et al. (2003). Therefore, in the present study the involvement of Rho-kinase, chloride channels, potassium channels, calcium release, SOCC and VOCC in the U46619-induced contractile response of rat pulmonary artery was investigated in the presence and absence of the endothelium.
Methods
Tissue preparation
Male Wistar rats weighing 200–250 g were stunned and killed by cervical dislocation. Ring segments of 2–3 mm in external diameter and 3–4 mm in length were dissected mainly from the second and some third arterial generations. In endothelium-denuded preparations the endothelium was removed by gentle abrasion of the intimal surface. Successful removal of the endothelium was determined by the absence of endothelium-dependent relaxation to bradykinin.
Myograph studies
Endothelium-intact or denuded arterial rings were mounted on a small vessel wire myograph for isometric recording in Krebs physiological saline solution consisting of (in mmol·L−1): NaCl 119, KCl 4.7, NaHCO3 24.8, MgSO4 1.2, KH2PO4 1.2, CaCl2 2.5 and glucose 11. In some experiments 5.4 mmol·L−1 glucose was used. Tissues were maintained at 37°C under a tension of 7–7.5 mN and gassed with a mixture of 95% O2/5% CO2. Changes in isometric tension were recorded by using Powerlab data collection and Chart 5 software.
Experimental protocols
The tissues were allowed to equilibrate for 60 min before each experiment. Rings were initially contracted with KCl (60 mmol·L−1). Agonists were added to the myograph chambers cumulatively in 0.5 log units to construct cumulative concentration–response curves.
The role of chloride in the contractile response to U46619
The involvement of chloride in the contractile response to U46619 was investigated by using the chloride channel blockers NPPB (10–100 µmol·L−1), NFA (30 µmol·L−1) and DIDS (4,4′-diisothiocyanostilbene-2,2′-disulphonic acid) (100 µmol·L−1) (Large and Wang, 1996; Jentsch et al., 2001).
Experiments examining the role of voltage-operated calcium channels on the contractile response to U46619
The involvement of the L-type and T-type VOCCs in the contractile response to U46619 was examined by using the Cav 1.1 and 1.2 channel blocker nifedipine (1 µmol·L−1) and the Cav 3.1–3.3 channel blocker mibefradil (10 µmol·L−1, Alexander et al., 2008). In these experiments and all subsequent experiments involving nifedipine, darkened conditions were employed where myograph chambers were wrapped in foil and overhead lights switched off.
Experiments investigating the effect of IP3 receptor antagonism and SOCC blockade on the contractile response to U46619
The involvement of IP3-mediated calcium release and Ca2+ influx through SOCCs was examined by using the putative IP3 receptor antagonist and SOCC blocker 2-APB at a range (1–100 µmol·L−1) of concentrations (Putney, 2001; Bootman et al., 2002). In addition the effect of SKF-96365 (10 µmol·L−1) was also used as a putative SOCC blocker (Putney, 2001).
Experiments examining the involvement of Rho-kinase in the contractile response to U46619
In these studies, tissues were pre-incubated with the Rho-kinase inhibitor Y-27632 [(-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride] (Ishizaki et al., 2000). In most experiments Y-27632 was used at a supra-maximal concentration (30 µmol·L−1), which was determined from initial studies examining a range of concentrations. In some experiments Rho-kinase inhibition was combined with 2-APB (30 µmol·L−1 or 100 µmol·L−1), NPPB, NFA, DIDS, SKF-96365 or nifedipine.
Experiments examining the effect of IP3 receptor antagonism, SOCC blockade and chloride channel blockade on the contractile response to the sarco(endo)-plasmic reticulum Ca2+-ATPase (SERCA) inhibitor cyclopiazonic acid
Arterial rings were constricted with cyclopiazonic acid (CPA) (10 µmol·L−1) in the absence and presence of NPPB, NFA, DIDS, SKF-96365 and 2-APB (30 µmol·L−1 or 100 µmol·L−1). All drugs were pre-incubated for 45 min before the addition of CPA.
Experiments examining the effect of potassium channel blockade on the contractile response to U46619
The effect of the K+ channel blockers 4-AP (4-aminopyridine) (1 mmol·L−1, KV), charybdotoxin (ChTx, 100 nM, BKCa and IKCa), TRAM 34 (1-[(2-chlorophenyl)diphenylmethyl]-1H pyrazole) (10 µmol·L−1, IKCa) (Félétou and Vanhoutte, 2006) and PNU37883 (N-cyclohexyl-N'-tricyclo[3.3.1.13,7]dec-1-yl-4-morpholi necarboximidamine hydrochloride) (KATP, 10 µmol·L−1, Cui et al., 2003) was investigated on endothelium-intact rings. The effects of nifedipine, mibefradil, NFA and DIDS on the U46619-induced concentration–response curve in the presence of 4-AP or ChTx were also examined.
Experiments examining the effect of nitric oxide and prostaglandin inhibition on the contractile response to U46619
The influence of endogenous nitric oxide and prostaglandins on the response to U46619 in endothelium-intact tissue was investigated by using the combination of nitric oxide synthase inhibitor, L-NAME (100 µmol·L−1) with the nitric oxide chelator, hydroxycobolamine (200 µmol·L−1; Danser et al., 2000). Indomethacin (10 µmol·L−1) was also included to inhibit cyclooxygenase and endogenous prostanoids. The sensitivity of the response in the absence of nitric oxide and prostanoids to nifedipine and 2-APB (30 µmol·L−1) was also investigated.
Experiments examining the involvement of PLC in the contractile response to U46619
The role of PLC on the TP receptor transduction was investigated by examining the effect of the PLC inhibitor U73122 (1-[6-[[(17β)-3-methoxyestra-1,3,5(10)-trien-17-y]amino]hexyl]– 1H-pyrrole-2,5-dione) (1 µmol·L−1, Smith et al., 1990) on the sensitivity of the U46619-induced contractile response in E− (endothelium-denuded) to 2-APB (30 µmol·L−1) and nifedipine or 2-APB (100 µmol·L−1) and SKF-96365. The effect of 2-APB (100 µmol·L−1) was also examined in E+ (endothelium-intact) in the absence and presence of U73122.
Effect of the chloride channel blocker NFA and DIDS on tone induced by KCl or U46619
To establish whether NFA and DIDS have a direct inhibitory action on the L-type VOCC their effect on KCl-induced contraction was compared with that of nifedipine. To establish whether NFA or DIDS increase IBK their effect on U46619-induced tone in endothelium-denuded vessels in the presence of nifedipine was compared with that of the BKCa activator NS1619 [(1,3-dihydro-1-[2-hydroxy-5-(trifluoromethyl)phenyl]-5-9trifluoromethyl)-2H-benzyimidazol-2-one] (Edwards et al., 1994).
Drug incubation
Unless otherwise stated all drugs, or an equal volume of the drug vehicle in control tissues, were incubated for approximately 40 min before the addition of U46619.
Data analysis
All data were collected by using chart for Windows (ADInstruments).
Maximum contractile responses to agonists were calculated as a percentage of the contraction produced by KCl (60 mmol·L−1) and are expressed as the means ± s.e.mean. Experiments involving CPA-induced contraction are expressed as a percentage of the maximum response. The mean log concentration–response curves to agonists were analysed by fitting to a four-parameter logistic equation (given below) using non-linear regression (Graph Pad Prism):
Where X is the logarithm of the molar concentration of agonist, Y is the response and nH is the Hill slope. Top is the maximum contraction (Emax), and log EC50 is the agonist concentration that produces 50% of the maximum response. Bottom is the resting tone in the absence of any contractile agonist. Comparisons between mean sensitivity (pEC50) or maximum contraction (Rmax) were carried out by using Student's unpaired t-test and Bonferroni post test. P < 0.05 was considered significant.
Chemicals and materials
U46619 was purchased from Biomol Research Laboratories Inc. Nifedipine, mibefradil dihydrochloride, CPA, Nω-nitro-L-arginine methyl ester hydrochloride (L-NAME), U73122, SKF-96365, DIDS, NS1619, NFA, indomethacin and hydroxocobalamin (acetate salt) were purchased from Sigma-RBI. NPPB, Y-27632, TRAM 34, 4-AP, ChTx, PNU37883 and 2-APB were purchased from Tocris Bioscience.
Stock concentrations of nifedipine, NPPB, U73122 and CPA were dissolved in dimethyl sulphoxide while U46619, PNU37883, NS1619, indomethacin, TRAM 34 and NFA were dissolved in ethanol. DIDS was dissolved in 0.1 M potassium bicarbonate. All other drugs were dissolved in deionized water at room temperature except hydroxycobalamin, which was dissolved at 90°C for 5 min on the day of the experiment.
The small vessel wire myograph was from Danish Myotech (Denmark).
Results
Effect of the Rho-kinase inhibitor Y-27632, the VOCC blocker nifedipine, the IP3 receptor/SOCC blocker 2-APB and the SOCC blocker SKF-96365 on the concentration–response curve for U46619 in endothelium-intact rings (E+)
Y-27632 (1–30 µmol·L−1) produced a concentration-dependent inhibition of the U46619-induced concentration–response curve with 10 µmol·L−1 and 30 µmol·L−1 producing similar inhibition (Figure 1A, Table 1). Nifedipine (1 µmol·L−1) and 2-APB (30 µmol·L−1) had no effect on the concentration–response curve for U46619; however, 75 µmol·L−1 and 100 µmol·L−1 2-APB as well as SKF-96365 (10 µmol·L−1) produced a similar inhibition, and the inhibition produced by the combination of 2-APB (100 µmol·L−1) and SKF-96365 was no greater than either drug alone (Figure 1B, Table 1).
Figure 1.

Effect of the Rho-kinase inhibitor Y-27632, the VOCC blocker nifedipine, the SOCC blocker SKF-96365 and the SOCC blocker/IP3 receptor antagonist 2-APB on the concentration–response curve for U46619-induced contraction of endothelium-intact (E+) rat pulmonary arteries. (A) Response to U46619 in the absence and presence of Y-27632 at 1 µmol·L−1, 10 µmol·L−1 and 30 µmol·L−1; (B) response to U46619 alone and in the presence of nifedipine (1 µmol·L−1), 2-APB at 30 µmol·L−1, 75 µmol·L−1 and 100 µmol·L−1, SKF-96365 (10 µmol·L−1) and SKF-96365 at 10 µmol·L−1 combined with 2-APB at 100 µmol·L−1. Results are the means, with vertical lines showing s.e.mean, from five to seven experiments. 2-APB, 2-amino ethoxy diphenylborate; SKF-96365, 1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride; SOCC, store-operated calcium channel; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; VOCC, voltage-operated calcium channel; Y-27632, (-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride.
Table 1.
The effects of the chloride channel blocker NPPB, the SOCC/IP3 blocker 2-APB and putative SOCC blocker SKF-96365 and the Rho-kinase inhibitor Y-27632 on the concentration–response curve for U46619 in endothelium-intact arterial rings
| pEC50 | Rmax % | n | |
|---|---|---|---|
| Control | 7.84 ± 0.04 | 119.6 ± 4.3 | 8 |
| +NPPB (50 µmol·L−1) | 6.39 ± 0.11 | 63.8 ± 5.5 | 5# |
| Control | 7.97 ± 0.04 | 121.6 ± 2.3 | 5 |
| +2-APB (75 µmol·L−1) | 7.5 ± 0.17 | 97 ± 8.6 | 5#,γ |
| +2-APB (100 µmol·L−1) | 7.34 ± 0.17 | 84 ± 7 | 5#,γ |
| +SKF-96365 | 7.5 ± 0.17 | 72.5 ± 1 | 5# |
| +2-APB (100 µmol·L−1) + SKF-96365 | 7.42 ± 0.08 | 76.9 ± 3 | 5 |
| Control | 7.67 ± 0.05 | 130 ± 3.4 | 5 |
| +Y-27632 (10 µmol·L−1) | 6.62 ± 0.27 | 68 ± 14 | 5#,∗ |
| +Y-27632 (30 µmol·L−1) | 6.48 ± 0.18 | 58.6 ± 8 | 5#,∗ |
| Control | 7.84 ± 0.04 | 121.7 ± 2.3 | 6 |
| +Y-27632 (30 µmol·L−1) + 2-APB (100 µmol·L−1) | 6.5 ± 0.06 | 26.5 ± 1.5 | 5# |
| +Y-27632 (30 µmol·L−1) + SKF-96365 | 6.53 ± 0.13 | 21.2 ± 2.3 | 5# |
2-APB, 2-amino ethoxy diphenylborate; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; SKF-96365, 1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride; SOCC, store-operated calcium channel; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; Y-27632, (-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride.
#Significantly different from control (P < 001).
γ, *, no significant difference (P > 0.05) between concentrations (Bonferroni post test).
Effect of the chloride channel blockers NPPB, NFA and DIDS on the concentration–response curve for U46619 in E+ rings
NPPB (10–100 µmol·L−1) shifted the concentration–response curve for U46619 to the right and reduced the maximum response (Figure 2A, Table 1). This effect was concentration-dependent with a maximum inhibition at 30 µmol·L−1. NFA (30 µmol·L−1) and DIDS (100 µmol·L−1) had no effect on the U46619-induced response (Figure 2B).
Figure 2.

Effect of the chloride channel blockers NPPB, NFA and DIDS on the concentration–response curve for U46619-induced contraction of (E+) rat pulmonary arteries. (A) Response to U46619 in the absence and presence of NPPB at 10 µmol·L−1, 30 µmol·L−1, 50 µmol·L−1 and 100 µmol·L−1; (B) response to U46619 in the absence and presence of NFA (30 µmol·L−1) or DIDS (100 µmol·L−1). Results are the means, with vertical lines showing s.e.mean, from four to five experiments. NFA, niflumic acid; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α.
Effect of NPPB, 2-APB (100 µmol·L−1) and SKF-96365 on the concentration–response curve for U46619 in E+ rings in the presence of Rho-kinase inhibition
The contractile response to U46619 in the presence of Y-27632 (30 µmol·L−1) was reduced to a similar extent by 2-APB (100 µmol·L−1) and SKF-96365 (10 µmol·L−1) and abolished by NPPB (50 µmol·L−1) (Figure 3, Table 1).
Figure 3.

Effect of Rho-kinase inhibition on the concentration–response curve for U46619 in (E+) rat pulmonary arteries in the absence and presence of the chloride channel blocker NPPB or the SOCC blockers 2-APB and SKF-96365. Responses to U46619 are shown in the absence and presence of Y-27632 (30 µmol·L−1) alone or combined with NPPB (30 µmol·L−1), SKF-96365 (10 µmol·L−1) or 2-APB (100 µmol·L−1). Results are the means, with vertical lines showing s.e.mean, from five experiments. 2-APB, 2-amino ethoxy diphenylborate; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; SKF-96365, 1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride; SOCC, store-operated calcium channel; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; Y-27632, (-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride.
Effect of 2-APB, SKF-96365, NPPB, DIDS and NFA on the contractile response induced by the SERCA inhibitor CPA
Cyclopiazonic acid (10 µmol·L−1)-induced contractions were abolished by NPPB (50 µmol·L−1), SKF-96365 (10 µmol·L−1) and 2-APB (100 µmol·L−1) but were unaffected by NFA (30 µmol·L−1), DIDS (100 µmol·L−1) and 2-APB (30 µmol·L−1) (Figure 4).
Figure 4.

The contractile response to the SERCA inhibitor CPA (10 µmol·L−1) alone in (E+) rat pulmonary arteries and in the presence of NPPB (30 µmol·L−1), NFA (30 µmol·L−1), DIDS (100 µmol·L−1), SKF-96365 (10 µmol·L−1) and 2-APB at 30 µmol·L−1 and 100 µmol·L−1. Results are the means, with vertical lines showing s.e.mean, from five experiments. 2-APB, 2-amino ethoxy diphenylborate; CPA, cyclopiazonic acid; DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; NFA, niflumic acid; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; SKF-96365, 1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride.
The concentration–response curve for U46619 in the absence of endothelium (E−) and the effects of Y-27632, nifedipine and 2-APB on this response. For comparison the effect of 2-APB and/or nifedipine was examined on the concentration–response curve for U46619 in E+ vessels in the presence of the nitric oxide synthase inhibitor L-NAME, the nitric oxide scavenger hydroxycobalamin and the cyclooxygenase inhibitor indomethacin
L-NAME (100 µmol·L−1), hydroxycobalamin (200 µmol·L−1) and indomethacin (10 µmol·L−1) or removal of the endothelium increased the tissue sensitivity and maximum response to U46619 (Figure 5A,D, Tables 1 and 2).
Figure 5.

The concentration–response curve for U46619 in the presence and absence of the endothelium and in E− the effect of low concentrations of 2-APB alone (IP3 receptor blockade) and in combination with the VOCC blocker nifedipine in the absence and presence of Rho-kinase inhibition. For comparison the effect of nifedipine and 2-APB on the concentration–response curve to U46619 in E+, in the absence of endogenous nitric oxide and prostanoids, is shown. (A) Response to U46619 in E+ and E−. (B) Response to U46619 in E− in the absence and presence of nifedipine (1 µmol·L−1), 2-APB at 1 µmol·L−1, 10 µmol·L−1 and 30 µmol·L−1, and nifedipine (1 µmol·L−1) combined with 2-APB (30 µmol·L−1). (C) Response to U46619 in E− in the absence and presence of Y-27632 (30 µmol·L−1) and Y-27632 with both nifedipine and 2-APB (30 µmol·L−1). (D) Response to U46619 in E+ in the absence and presence of L-NAME (100 µmol·L−1), indomethacin (10 µmol·L−1) and hydroxycobalamine (200 µmol·L−1) together or in combination with nifedipine (1 µmol·L−1). Results are the means, with vertical lines showing s.e.mean, from five experiments. 2-APB, 2-amino ethoxy diphenylborate; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; VOCC, voltage-operated calcium channel; Y-27632, (-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride.
Table 2.
The effects of the Rho-kinase inhibitor Y-27632, the chloride channel blockers NPPB, NFA and DIDS, the VOCC blocker nifedipine, the SOCC/IP3 blocker 2-APB and the SOCC blocker SKF-96365 alone or in combination on the concentration–response curve for U46619 in endothelium-denuded arterial rings
| E− | pEC50 | Rmax % | n |
|---|---|---|---|
| Control | 8.4 ± 0.05 | 128 ± 3.9 | 5 |
| +Y-27632 (30 µmol·L−1) | 7.12 ± 0.03 | 88.4 ± 1.8 | 4# |
| Control | 8.19 ± 0.06 | 125 ± 3.6 | 6 |
| +NFA | 7.3 ± 0.04 | 99.8 ± 2.0 | 5# |
| +DIDS | 7.2 ± 0.04 | 100 ± 2.5 | 5 |
| +Nifedipine | 7.23 ± 0.04 | 102.7 ± 2.4 | 5# |
| +Nifedipine + NFA | 7.28 ± 0.04 | 100 ± 2.3 | 4# |
| +Nifedipine + DIDS | 7.14 ± 0.07 | 103.1 ± 4.3 | 4 |
| +DIDS + NFA | 7.3 ± 0.05 | 99 ± 3.1 | 5 |
| Control | 8.28 ± 0.06 | 128.4 ± 3 | 6 |
| +NPPB (50 µmol·L−1) | 6.56 ± 0.15 | 56.7 ± 5.6 | 5# |
| Control | 8.3 ± 0.06 | 123 ± 2.8 | 8 |
| +2-APB (10 µmol·L−1) | 8.08 ± 0.04 | 108 ± 2.0 | 5#,∗ |
| +2-APB (30 µmol·L−1) | 7.97 ± 0.07 | 101.1 ± 3.4 | 5#,∗ |
| +Nifedipine + 2-APB (30 µmol·L−1) | 6.82 ± 0.07 | 57.3 ± 3 | 5# |
2-APB, 2-amino ethoxy diphenylborate; DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; NFA, niflumic acid; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; SKF-96365, 1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride; SOCC, store-operated calcium channel; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; VOCC, voltage-operated calcium channel; Y-27632, (-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride.
#Significantly different from control (P > 0.001).
∗no significant difference between concentrations (Bonferroni post test).
In E− nifedipine (1 µmol·L−1) shifted the curve to the right and reduced the maximum response (Figure 5B, Table 2). The response was unaffected by 2-APB at 1 µmol·L−1 but 10 µmol·L−1 and 30 µmol·L−1 produced similar inhibition (Figure 5B, Table 2). The combination of nifedipine and 2-APB (30 µmol·L−1) produced a marked inhibition of the concentration–response curve (Figure 5B, Table 2).
In E− Y-27632 (30 µmol·L−1) shifted the concentration–response curve to the right and reduced the maximum response (Figure 5C, Table 2) and Y-27632 together with nifedipine and 2-APB (30 µmol·L−1) abolished the contractile response to U46619 (Figure 5C).
In E+ in the presence of L-NAME, hydroxycobalamin and indomethacin, neither nifedipine (1 µmol·L−1) nor 2-APB (30 µmol·L−1) alone or in combination had any effect on the concentration–response curve (Figure 5D).
The effect of the PLC inhibitor U73122 on the concentration–response curve to U46619 in E+ and E− vessels and the effect of nifedipine, 2-APB and SKF-96365 on these responses
U73122 (1 µmol·L−1) had no affect on the concentration–response curve to U46619 in either E+ (Figure 6A) or E− (Figure 6B). In E− the response in the presence of U73122 was unaffected by nifedipine and 2-APB (30 µmol·L−1) (Figure 6B), but both 2-APB (100 µmol·L−1) and SKF-96365 (10 µmol·L−1) produced a similar rightward shift and reduction in the maximum response (Figure 6C), and in E+ the inhibitory effect of 2-APB (100 µmol·L−1) and SKF-96365 was unaffected by U73122 (Figure 6A).
Figure 6.

Effect of phospholipase C inhibition with U73122 on the concentration–response curve for U46619 in E+ and E− and its effect on the sensitivity of the response in E− to nifedipine (VOCC blockade) and low concentrations of 2-APB (IP3 receptor blockade) or to SOCC blockade with SKF-96365 or high concentrations of 2-APB. (A) Response to U46619 in E+ in the absence and presence of U73122 (1 µmol·L−1) alone or in combination with SKF-96365 (10 µmol·L−1) or with 2-APB (100 µmol·L−1). (B) Response to U46619 in E− in the absence and presence of U73122 (1 µmol·L−1) alone or combined with nifedipine (1 µmol·L−1) and 2-APB (30 µmol·L−1). (C) Response to U46619 in E− in the presence of SKF-96365 (10 µmol·L−1) and the response to U46619 with SKF-96365 (1 µmol·L−1) or 2-APB (100 µmol·L−1) in the presence of U73122 (1 µmol·L−1). Results are the means, with vertical lines showing s.e.mean, from five experiments. 2-APB, 2-amino ethoxy diphenylborate; SKF-96365, 1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride; SOCC, store-operated calcium channel; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; U73122, 1-[6-[[(17β)-3-methoxyestra-1,3,5(10)-trien-17-y]amino]hexyl]– 1H-pyrrole-2,5-dione; VOCC, voltage-operated calcium channel.
Effect of NPPB, NFA and DIDS on the concentration–response curve for U46619 in E− rings in the absence and presence of nifedipine, 2-APB and Y-27632
NPPB (50 µmol·L−1) caused a substantial rightward shift of the concentration–response curve for U46619 and a reduction of the maximum response (Figure 7A, Table 2). The response in the presence of NPPB was unaffected by nifedipine (1 µmol·L−1), 2-APB (30 µmol·L−1), NFA (30 µmol·L−1) or DIDS (100 µmol·L−1) but was abolished by the addition of Y-27632 (30 µmol·L−1) (Figure 7A). Both NFA and DIDS produced a similar rightward shift of the concentration–response curve and reduction in the maximum response (Figure 7B,C, Table 2), and in combination the inhibition was no greater than either drug alone (Figure 7C). Both 2-APB and Y-27632, but not nifedipine, caused a further inhibition of the concentration–response curve in the presence of NFA or DIDS (Figure 7B,C, Table 2), and the response in the presence of NFA or DIDS together with 2-APB (30 µmol·L−1) was abolished by the further addition of Y-27632 (Figure 7B,C).
Figure 7.

Effect of VOCC blockade with nifedipine, IP3 receptor antagonism with 2-APB and Rho-kinase inhibition with Y-27632 on the concentration–response curve for U46619 in E− in the presence of the chloride channel blockers NPPB (30 µmol·L−1), NFA (30 µmol·L−1) or DIDS (100 µmol·L−1). (A) Response to U46619 in E− in the absence and presence of NPPB alone (50 µmol·L−1) or in combination with nifedipine (1 µmol·L−1), 2-APB (30 µmol·L−1), Y-27632 (30 µmol·L−1), NFA (30 µmol·L−1) or DIDS (100 µmol·L−1). (B) Response to U46619 in E− in the absence and presence of NFA alone or in combination with nifedipine (1 µmol·L−1), 2-APB (30 µmol·L−1), Y-27632 (30 µmol·L−1) or 2-APB with Y-27632. (C) Response to U46619 in E− in the absence and presence of DIDS (100 µmol·L−1) alone or in combination with nifedipine (1 µmol·L−1), 2-APB (30 µmol·L−1), NFA (10 µmol·L−1), Y-27632 (30 µmol·L−1) or 2-APB with Y-27632. Results are the means, with vertical lines showing s.e.mean, from four to six experiments. 2-APB, 2-amino ethoxy diphenylborate; DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; NFA, niflumic acid; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; VOCC, voltage-operated calcium channel; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; Y-27632, (-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride.
The effect of nifedipine, NFA and DIDS on the contractile response induced by KCl
The KCl (60 mmol·L−1)-induced contraction was abolished by preincubation with nifedipine (1 µmol·L−1) but was unaffected by NFA (30 µmol·L−1) or DIDS (100 µmol·L−1) (Figure 8A).
Figure 8.

(A) The effect of VOCC and chloride channel blockade on KCl-induced constriction and (B) relaxation of U46619-induced tone by the chloride channel blockers DIDS and NFA compared with the BKCa activator NS1619. (A) E+, the effect of nifedipine (1 µmol·L−1), NFA (30 µmol·L−1) or DIDS (100 µmol·L−1) on the KCl (60 mmol·L−1)-induced constriction; (B) E−, the effect of DIDS (100 µmol·L−1), NFA (30 µmol·L−1) or NS1619 (10 µmol·L−1) on U46619 (50 nmol·L−1)-induced tone in the presence of nifedipine (1 µmol·L−1). Results are the means, with vertical lines showing s.e.mean, from four to five experiments. DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; NFA, niflumic acid; NS1619, (1,3-dihydro-1-[2-hydroxy-5-(trifluoromethyl)phenyl]-5-9trifluoromethyl)-2H-benzyimidazol-2-one; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; VOCC, voltage-operated calcium channel.
The effect of NFA, DIDS and the BKCa activator NS1619 on U46619-preconstricted E− rings
In E− rings in the presence of nifedipine and contracted with U46619 (50 nmol·L−1) neither NFA (30 µmol·L−1) nor DIDS (100 µmol·L−1) induced relaxation whereas NS1619 (10 µmol·L−1) substantially reduced the contraction (Figure 8B).
The effect of the potassium channel blockers PNU37883 (KATP), ChTx (BKCa and IKCa), TRAM 34 (IKCa) and 4-AP (KV) on basal tone and on the concentration–response curve to U46619 in E+ rings in the absence and presence of the VOCC blockers nifedipine and mibefradil, the chloride channel blockers NFA and DIDS or the putative IP3 receptor antagonist 2-APB
In E+ the concentration–response curve to U46619 was insensitive to the T-type calcium channel blocker mibefradil (10 µmol·L−1) (Figure 9A). Neither ChTx (100 nmol·L−1), TRAM 34 (10 µmol·L−1), 4-AP (1 mmol·L−1) nor PNU37883 (10 µmol·L−1) affected the resting tone of the vessels (data not shown). ChTx and 4-AP but not PNU37883 or TRAM 34 caused a leftward shift of the concentration–response curve and an increase in the maximum response (Figure 9A–D, Table 3). Nifedipine (1 µmol·L−1), NFA (30 µmol·L−1) and DIDS (100 µmol·L−1) but not 2-APB (30 µmol·L−1) or mibefradil, produced a similar inhibition of the concentration–response curve seen in the presence of 4-AP (Figure 9A,B, Table 3), and the inhibitory effect of combining nifedipine with NFA was no greater than either drug alone (data not shown). Mibefradil, NFA and DIDS but not nifedipine produced a similar inhibition of the contractile response in the presence of ChTx (Figure 9C, Table 3). The inhibitory effect of combining mibefradil and NFA was no greater than either drug alone (data not shown). 4-AP did not affect the concentration–response curve for U46619 in E− (data not shown).
Figure 9.

The effect of the potassium channel blockers 4-AP (1 mmol·L−1, KV), charybdotoxin (BKCa and IKCa, 100 nmol·L−1), TRAM 34 (IKCa,10 µmol·L−1) and PNU37883 (10 µmol·L−1, KATP), on the concentration–response curve for U46619 in E+. (A) Response to U46619 in E+ in the absence and presence of 4-AP alone or combined with nifedipine (1 µmol·L−1), mibefradil (10 µmol·L−1) or mibefradil alone. (B) Response to U46619 in E+ in the absence and presence of 4-AP alone or in combination with 2-APB (30 µmol·L−1), NFA (30 µmol·L−1) or DIDS (100 µmol·L−1). (C) Response to U46619 in E+ in the absence and presence of charybdotoxin alone or combined with mibefradil, NFA, DIDS, nifedipine, TRAM 34 alone. (D) Response to U46619 in E+ in the absence and presence of PNU37883. Results are the means, with vertical lines showing s.e.mean, from five experiments. 4-AP, 4-aminopyridine; 2-APB, 2-amino ethoxy diphenylborate; DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; NFA, niflumic acid; PNU37883, N-cyclohexyl-N'-tricyclo[3.3.1.13,7]dec-1-yl-4-morpholi necarboximidamine hydrochloride; TRAM 34, 1-[(2-chlorophenyl)diphenylmethyl]-1H pyrazole; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α.
Table 3.
The effects of the potassium channel blockers 4-AP (KV) and charybdotoxin (BKCa) alone and in the presence of the VOCC blockers nifedipine or mibefradil or the chloride channel blocker niflumic acid on the concentration–response curve to U46619 in endothelium-intact rings
| pEC50 | Rmax % | n | |
|---|---|---|---|
| Control | 7.58 ± 0.07 | 107.5 ± 4 | 5 |
| +4-AP | 8.26 ± 0.47 | 123 ± 2.6 | 5# |
| +4-AP + Nifedipine | 7.35 ± 0.07 | 98.6 ± 3.3 | 5 |
| +4-AP + Mibefradil | 8.33 ± 0.04 | 126 ± 2 | 5# |
| Control | 7.41 ± 0.08 | 107.7 ± 5 | 5 |
| +4-AP + NFA | 7.45 ± 0.1 | 102 ± 6 | 5 |
| +4-AP + DIDS | 7.53 ± 0.04 | 104.5 ± 2.3 | 4 |
| +4-AP + 2-APB | 8.26 ± 0.05 | 120.2 ± 5 | 5# |
| Control | 7.68 ± 0.05 | 104.9 ± 3 | 6 |
| +Charybdotoxin | 8.37 ± 0.06 | 142 ± 3.6 | 6# |
| +Charybdotoxin + Nifedipine | 8.33 ± 0.05 | 145 ± 3 | 5# |
| +Charybdotoxin + Mibefradil | 7.74 ± 0.05 | 105 ± 3 | 6 |
| +Charybdotoxin + NFA | 7.44 ± 0.09 | 109.6 ± 6 | 5 |
| +Charybdotoxin + DIDS | 7.56 ± 0.03 | 102 ± 2 | 6 |
4-AP, 4-aminopyridine; 2-APB, 2-amino ethoxy diphenylborate; DIDS, 4,4′-diisothiocyanostilbene-2,2′-disulphonic acid; NFA, niflumic acid; U46619, 9,11-dideoxy-9α, 11α-methanoepoxy prostaglandin F2α; VOCC, voltage-operated calcium channel.
#Significantly different from control (P < 0.001).
Effect of lowering the glucose concentration from 11 mmol·L−1 to 5.4 mmol·L−1 on the concentration–response curve to U46619 and the sensitivity of rings to nifedipine in the absence and presence of endothelium
In E+ the concentration–response curve to U46619 in 5.4 mmol·L−1 glucose was not different from that in 11 mmol·L−1 and was equally insensitive to nifedipine. Removal of the endothelium produced a nifedipine-sensitive leftward shift of the curve that was no different from that seen in 11 mmol·L−1 (Figure S1A,B).
Discussion
Conflicting observations reported for the transduction pathway for the TP receptor in pulmonary arteries led us to investigate differences between endothelium-intact and denuded arteries. In the present study the involvement of Rho-kinase, chloride channels, SOCC and VOCC in U46619-induced contractile response of rat pulmonary artery was investigated in the presence and absence of the endothelium. The data described herein indicate that distinct receptor-transduction pathways mediate the contractile response in endothelium-intact and denuded arteries.
Endothelium-intact arteries
In E+ rings nifedipine did not affect the U46619-induced response, which indicates that calcium entry via a nifedipine-sensitive L-type VOCC is not involved in the contraction to U46619.
2-amino ethoxy diphenylborate has been shown to act as both an IP3 receptor antagonist and SOCC blocker (Bootman et al., 2002; Peppiatt et al., 2003). The concentration–response curve in E+ was unaffected by low concentrations of 2-APB (30 µmol·L−1) but was inhibited by high concentrations (75 and 100 µmol·L−1). Because the inhibitory effect of 2-APB (at high concentrations) occurred in the presence of PLC inhibition it seems unlikely that its action is due to antagonism of the IP3 receptor. Moreover SKF-96365, a putative SOCC blocker, produced a similar inhibition to 2-APB, and both SKF-96365 and 2-APB (100 µmol·L−1) abolished the contraction induced by the SERCA inhibitor CPA. By inhibiting calcium accumulation by the SR, CPA, in the presence of passive calcium release, causes depletion and calcium entry via SOCCs and in some smooth muscle this produces a contractile response (McFadzean and Gibson, 2002). These observations indicate that the inhibitory action of 2-APB (100 µmol·L−1) and SKF-96365 is due to blockade of calcium entry via SOCC. That the contractile response was also sensitive to Rho-kinase inhibition suggests that calcium sensitization, together with calcium release, store-depletion and calcium entry via SOCC, is important in the TP-mediated contractile response in E+ vessels.
In E+ the contractile response to U46619 was also inhibited by the chloride channel blocker NPPB but not by NFA or DIDS. This observation is similar to that obtained for bovine pulmonary arteries (Alapati et al., 2007), where inhibition of the U46619-induced contraction by NPPB was similar to that produced by chloride depletion/chloride-free conditions, suggesting that an NPPB-sensitive NFA/DIDS-insensitive chloride conductance may play an important role in the contraction to U46619 in both bovine and rat pulmonary arteries. We have suggested that NPPB inhibits calcium release from the SR, which in turn would prevent store-depletion and calcium entry through SOCC (see Alapati et al., 2007). This was based on the observation that chloride appears to be important in calcium movement across the SR (Al-Awqati, 1995; Kourie et al., 1997) and that NPPB but not NFA prevents calcium accumulation in smooth muscle SR (Pollock et al., 1998). This view is supported by the observation in bovine pulmonary arteries that both NPPB and chloride depletion as well as the putative SOCC blockers SKF-96365 and 2-APB (100 µmol·L−1) abolish tone induced by the SERCA inhibitor CPA (Alapati et al., 2007). That NPPB, 2-APB and SKF-96365 also inhibit CPA-induced tone in the rat would suggest that it has a similar action in the rodent. Thus NPPB would be expected to prevent calcium release, SR depletion and calcium entry through SOCC, which could explain the observation that in the presence of Rho-kinase inhibition it abolished the contractile response.
Endothelium-denuded arteries
Removal of the endothelium increased the sensitivity and the maximum contractile tension to U46619 and, as this response was insensitive to SKF-96365 but was inhibited by nifedipine, this suggests that the TP receptor couples to a nifedipine-sensitive VOCC but not SOCC when the endothelium is removed. Cogolludo et al. (2003) also demonstrated a nifedipine-sensitive response in endothelium-denuded rat pulmonary arteries. Because the contractile response in E− was sensitive to low concentrations of 2-APB (10 µmol·L−1 and 30 µmol·L−1) that had no effect in the endothelium-intact vessels and did not inhibit the CPA-induced contraction and, because the inhibitory effect of low concentrations of 2-APB was not seen in the presence of PLC inhibition, this suggests that the action of 2-APB in E− vessels could be related to inhibition of the IP3 receptor. This indicates that in E− TP receptor stimulation activates a transduction pathway that causes calcium release via IP3 receptor-linked channels.
The observation that nifedipine and 2-APB (30 µmol·L−1) substantially reduced the contraction is similar to the findings obtained by Snetkov et al. (2006). The finding that the additional inhibition of Rho-kinase abolished the contraction indicates that in E− vessels TP receptor-mediated contraction involves calcium entry via a nifedipine-sensitive VOCC, possibly an IP3-mediated calcium release and calcium sensitization via Rho-kinase. The involvement of Rho-kinase is in contrast to the conclusion reached in the study by Cogolludo et al. (2003). The present study shows that 10 µmol·L−1 Y-27632 produced a maximal effect in these arteries and that even 1 µmol·L−1, the concentration used by Cogolludo et al. (2003), produced a significant reduction of the contractile response.
The finding that removal of endogenous nitric oxide and prostanoids also increased the tissue sensitivity and maximum response indicates that endogenous nitric oxide and prostanoids normally attenuate the contractile response to U46619. As this response was unaffected by nifedipine or low concentrations of 2-APB, it is unlikely that the switch to the nifedipine- and 2-APB-sensitive pathway induced by removal of the endothelium is mediated by the loss of nitric oxide or prostanoids.
Endothelial cell function has been shown to be sensitive to the concentration of D-glucose (Graier et al., 1996). It is possible that the pathway exposed by removal of the endothelium is suppressed by 11 mmol·L−1 D-glucose, the concentration used in this study. Because the concentration–response curve for U46619 was unchanged and removal of the endothelium still exposed the nifedipine-sensitive pathway when D-glucose was reduced to 5.4 mmol·L−1, then the finding that the nifedipine-sensitive pathway was not seen in E+ is unrelated to the glucose concentration.
When the endothelium was absent the contractile response was sensitive to NFA and DIDS as well as NPPB. This suggests that an additional chloride conductance sensitive to NFA and DIDS is associated with the contractile response in E−. A calcium-activated chloride conductance (ClCa) sensitive to NFA has been characterized in the plasma membrane in a number of blood vessels including rat pulmonary artery (Criddle et al., 1996; 1997; Wang et al., 1997; Yuan, 1997), and because the chloride equilibrium potential is more positive than the resting membrane potential (Chipperfield and Harper, 2000), activation of ClCa would result in an inward depolarizing current. Because the inhibition of the U46619-induced contraction produced by nifedipine, DIDS or NFA was similar and no additional inhibition was observed when these compounds were added together, it is likely that TP receptors activate a NFA and DIDS-sensitive chloride conductance to produce a depolarization that is important in the activation of the high voltage-activated L-type channels.
This interpretation of the data is clouded by more recent studies showing that although NFA is a potent inhibitor of ClCa it can also directly inhibit the L-type VOCC, and both NFA and DIDS have been found to increase IK(Ca) (reviewed in Greenwood and Leblanc, 2007). Such actions could account for the inhibitory effect of NFA in the present study. At the concentrations used in the present study direct inhibition of the L-type VOCC seems unlikely, because KCl-induced contractions were abolished by nifedipine but not NFA or DIDS. Also, the finding that neither NFA nor DIDS were inhibitory in E+, suggests they do not increase IK(Ca) to evoke a hyperpolarizing event. However, because the action of NFA (against ClCa) is voltage-dependent (Hogg et al., 1994a), it could be argued that its effects may only be exposed with membrane depolarization. This may well be the case for NFA; however, in contrast to the BKCa activator NS1619, neither NFA nor DIDS, whose inhibitory effect (on ClCa) is voltage-independent (Hogg et al., 1994b), induced relaxation of E− vessels contracted with U46619 in the presence of nifedipine. In addition NFA has also been shown to activate ClCa (Greenwood and Leblanc, 2007), perhaps by increasing [Ca2+]i (Cruickshank et al., 2003). It is difficult however, to see how such an action could account for the inhibitory effects observed in the present study. Consequently, the effects of NFA and DIDS in the present study appear to be consistent with inhibition of ClCa.
In E− vessels the inhibition produced by NPPB was greater than that produced by NFA or DIDS but was similar to the inhibition produced by the combined action of 2-APB (30 µmol·L−1) and nifedipine and, in the presence of NPPB, neither 2-APB nor nifedipine altered the response. In the presence of NFA or DIDS, 2-APB but not nifedipine produced a further inhibition of the U46619-induced contraction. This supports the view that NFA and DIDS inhibit a chloride conductance in the plasma membrane (ClCa) preventing an inward depolarizing current and subsequent VOCC activation leaving IP3-mediated calcium release, which could explain the further inhibition by 2-ABP in the presence of NFA or DIDS. If NPPB also inhibits the NFA/DIDS-sensitive chloride conductance in the plasma membrane it would prevent the nifedipine-sensitive component, and if it additionally inhibits calcium movement across the SR it would also be expected to prevent calcium release via IP3. This could explain the similar inhibition by NPPB and the combination of nifedipine and 2-APB. This view is further supported by the finding that, when Rho-kinase was inhibited, the response was abolished by either NPPB alone or the combinations of nifedipine and 2-APB, NFA and 2-APB or DIDS and 2-APB.
While an increased chloride conductance will lead to an inward depolarizing current, the extent of depolarization may be limited by the presence of voltage-sensitive potassium channels or potassium channels activated by voltage and calcium (Nelson and Quayle, 1995). Voltage-sensitive (KV), voltage- and calcium-sensitive (BKCa) and ATP-sensitive (KATP) K+ channels have been characterized in pulmonary artery smooth muscle cells (see Yuan et al., 1998), and of these a low threshold non-inactivating KV (Evans et al., 1996; Yuan et al., 1998) has been shown to be the main potassium conductance influencing the resting membrane potential. Pharmacological inhibition of KV with 4-AP produces membrane depolarization (Nelson and Quayle, 1995; Shimoda et al., 1998), and pulmonary vasoconstrictors, including endothelin (Shimoda et al., 1998), TXA2 (Cogolludo et al., 2003) and 5-HT (Cogolludo et al., 2006), inhibit a KV, hence, it has been suggested that agonist-induced inhibition of KV underlies VOCC activation.
In the present study the potassium channel blockers 4-AP (KV), ChTx (BKCa and IKCa) and PNU37883 (KATP) did not alter the basal tone, indicating that inhibition of KV, BKCa or KATP alone is not sufficient to activate a VOCC.
In E+ vessels both the KV inhibitor 4-AP and the BKCa inhibitor ChTx, but not the selective IKCa inhibitor TRAM 34 or the KATP inhibitor PNU37883, produced an increased tissue sensitivity and maximum contractile tension to U46619, indicating that K+ conductance through KV and BKCa produce outward hyperpolarizing currents that normally attenuate the U46619-induced constriction.
The finding that the contractile response to U46619, in the presence of 4-AP, was sensitive to nifedipine indicates that pharmacological inhibition of KV, in the presence of TP receptor activation, may produce a depolarization that will activate a nifedipine-sensitive VOCC. Because nifedipine blocks the high voltage-activated L-type channels (Alexander et al., 2008) it is possible that the depolarization arising from inhibition of KV could activate this VOCC. However, as 4-AP did not affect the response to U46619 in the presence of NFA or DIDS, this could indicate that a chloride conductance in addition to inhibition of KV is required for activation of the nifedipine-sensitive VOCC. Chloride conductance in resting smooth muscle is low (Chipperfield and Harper, 2000), which is also likely to be the case in the pulmonary artery, because the predominant chloride conductance is calcium-activated (Salter and Kozlowski, 1995; Wang et al., 1997; Yuan, 1997). Also, the finding that 4-AP did not alter the basal tone suggests that TP receptor activation in E+ vessels couples to activation of a NFA-sensitive chloride conductance. This view is consistent with previous observations in isolated pulmonary artery smooth muscle cells showing that histamine and noradrenaline in rabbit (Wang and Large, 1992) and endothelin and noradrenaline in rat (Salter and Kozlowski, 1995; Wang et al., 1997) induce a simultaneous inward chloride and outward potassium current with little net change in membrane potential. Because both currents are calcium-activated, with the outward current sensitive to ChTx (Salter and Kozlowski, 1995), it seems likely that TP receptor activation, similar to other agonists, activates ClCa and BKCa.
Conductance through BKCa is also suggested by the observation that ChTx produces a similar increase in sensitivity to 4-AP. As this response is insensitive to nifedipine but sensitive to the T-type VOCC blocker mibefradil, this indicates that inhibition of BKCa is associated with activation of the T-type VOCC. The mibefradil-sensitive response was also abolished in the presence of NFA or DIDS. As far as we are aware the effect of NFA and DIDS on the T-type channel has not been studied. However, it seems unlikely that NFA directly inhibits this channel because the 5-HT-induced contraction in bovine pulmonary artery is mediated, in part, by a mibefradil-sensitive mechanism and this contraction, which does not appear to involve chloride, is insensitive to NFA (Alapati et al., 2007). This suggests that, in addition to inhibition of BKCa, activation of a ClCa conductance is required to activate the T-type VOCC.
These observations suggest that in rat pulmonary arteries sensitization of the TP-mediated contraction by inhibition of BKCa or KV in the presence of stimulated ClCa is associated with activation of the T-type and L-type VOCC respectively. Because the L-type channels that are sensitive to nifedipine (CaV1.1–CaV1.2) are high voltage-activated and the mibefradil-sensitive T-type channels are low voltage-activated (Alexander et al., 2008), it is possible that the depolarization arising from inhibition of KV in the presence of BKCa conductance is greater than that caused by inhibition of BKCa in the presence of KV.
The above discussion supports the view that activation of the nifedipine-sensitive VOCC requires inhibition of KV together with activation of ClCa. Because NFA, DIDS and nifedipine did not affect the concentration–response curve for U46619 in endothelium-intact vessels but inhibited the response in the presence 4-AP, it is likely that under in vitro experimental conditions TP receptor activation in the E+ vessel does not normally inhibit KV. However, removal of the endothelium permits inhibition of KV by TP receptor activation, as in vessels with no endothelium the response was insensitive to 4-AP but sensitive to nifedipine and NFA.
In E− vessels the transduction pathway is clearly sensitive to nifedipine, low concentrations of 2-APB and Rho-kinase. However, when PLC is inhibited, the pathway reverts to that of the E+ vessel, sensitive to SKF-96365, high concentrations of 2-APB and Rho-kinase inhibition. This indicates that removal of the endothelium allows the TP receptor to couple to PLC to expose the nifedipine/2-APB-sensitive pathway. This view is consistent with the results of several other studies in endothelium-denuded vessels or isolated cells demonstrating that inhibition of KV can be mediated through activation of PLC and PKC (Beech 1997; Quayle et al., 1997; Shimoda et al., 1998; Cogolludo et al., 2003).
Conclusions
The results of the present study suggest that TP receptor activation can produce a contractile response by coupling to two distinct transduction pathways and that the endothelium is able to influence the coupling pathway. One pathway appears to involve calcium release and calcium entry through SOCC. The second involves activation of PLC, possibly IP3-mediated calcium release and calcium entry via a nifedipine-sensitive calcium channel. Inhibition of KV together with activation of a chloride conductance underlies activation of the nifedipine-sensitive VOCC. In both pathways Rho-kinase contributes to the contractile response. These observations may be important when considering strategies for the management of pulmonary hypertension.
![]() |
Glossary
Abbreviations:
- 4-AP
4-aminopyridine
- 2-APB
2-amino ethoxy diphenylborate
- ChTx
charybdotoxin
- CPA
cyclopiazonic acid
- DIDS
4,4′-diisothiocyanostilbene-2,2′-disulphonic acid
- NFA
niflumic acid
- NPPB
5-nitro-2-(3-phenylpropylamino)benzoic acid
- NS1619
(1,3-dihydro-1-[2-hydroxy-5-(trifluoromethyl)phenyl]-5-9trifluoromethyl)-2H-benzyimidazol-2-one
- PNU37883
N-cyclohexyl-N'-tricyclo[3.3.1.13,7]dec-1-yl-4-morpholi necarboximidamine hydrochloride
- SKF-96365
1-[B-[3-(4-methoxyphenyl)propoxy]-4-methoxy-phenethyl]-1H-imidazole hydrochloride
- SOCCs
store-operated calcium channels
- SR
sarcoplasmic reticulum
- TRAM 34
1-[(2-chlorophenyl)diphenylmethyl]-1H pyrazole
- TXA2
thromboxane A2
- U73122
1-[6-[[(17β)-3-methoxyestra-1,3,5(10)-trien-17-y]amino]hexyl]– 1H-pyrrole-2,5-dione
- VOCCs
voltage-operated calcium channels
- Y-27632
(-(R)+)trans-4-(1-aminoethyl)-N-(4-pyridyl)cyclohexanecarboxamide dihydrochloride
Conflict of interest
None.
Supporting Information
Additional Supporting Information may be found in the online version of this article:
Figure S1 The effect of lowering the glucose concentration from 11 mmol·L−1 to 5.4 mmol·L−1. (A) 5.4 mmol·L−1 D-glucose; E+ alone, E− alone, E+ and nifedipine, E− and nifedipine. (B) 11 mmol·L−1 D-glucose; E+ alone, E− alone, E+ and nifedipine, E− and nifedipine. Results are the means, with vertical lines showing s.e.mean, from five experiments.
Please note: Wiley-Blackwell are not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article.
References
- Al-Awqati O. Chloride channels of intracellular organelles. Curr Opin Cell Biol. 1995;7(4):504–508. doi: 10.1016/0955-0674(95)80006-9. [DOI] [PubMed] [Google Scholar]
- Alapati VR, McKenzie C, Blair A, Kenny D, MacDonald A, Shaw AM. Mechanisms of U46619- and -5-HT-indiced contraction of bovine pulmonary arteries: role of chloride ions. Br J Pharmacol. 2007;151:1224–1234. doi: 10.1038/sj.bjp.0707338. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Alexander SP, Mathie A, Peters JA. Guide to receptors and channels, 1st edition. Br J Pharmacol. 2008;153:S115. doi: 10.1038/sj.bjp.0707746. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Beech DJ. Actions of neurotransmitters and other messengers on Ca2+ channels and K+ channels in smooth muscle cells. Pharmacol Ther. 1997;73:91–119. doi: 10.1016/s0163-7258(97)87271-3. [DOI] [PubMed] [Google Scholar]
- Berridge MJ. Capacitative calcium entry. Biochem J. 1995;312(1):1–11. doi: 10.1042/bj3120001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bootman MD, Collins TJ, MacKenzie L, Roderick HL, Berridge MJ, Peppiatt CM. 2-aminoethoxydiphenyl borate (2-APB) is a reliable blocker of store-operated Ca2+ entry but an inconsistent inhibitor of InsP3-induced Ca2+ release. FASEB J. 2002;16:1145–1150. doi: 10.1096/fj.02-0037rev. [DOI] [PubMed] [Google Scholar]
- Catterall WA. Structure and regulation of voltage-gated Ca2+ channels. Annu Rev Cell Dev Biol. 2000;16:521–555. doi: 10.1146/annurev.cellbio.16.1.521. [DOI] [PubMed] [Google Scholar]
- Chipperfield AR, Harper AA. Chloride in smooth muscle. Prog Biophys Mol Biol. 2000;74(3–5):175–221. doi: 10.1016/s0079-6107(00)00024-9. [DOI] [PubMed] [Google Scholar]
- Christman BW, McPherson CD, Newman JH, King GA, Bernard GR, Groves BM, et al. An imbalance between the excretion of thromboxane and prostacyclin metabolites in pulmonary hypertension. N Engl J Med. 1992;327:70–75. doi: 10.1056/NEJM199207093270202. [DOI] [PubMed] [Google Scholar]
- Clark AG, Murray D, Ashley RH. Single-channel properties of a rat brain endoplasmic reticulum anion channel. Biophys J. 1997;73:168–178. doi: 10.1016/S0006-3495(97)78057-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cogolludo A, Moreno L, Bosca L, Tamargo J, Perez-Vizcaino F. Thromboxane A2-induced inhibition of voltage-gated K+ channels and pulmonary vasoconstriction: role of protein kinase C. Circ Res. 2003;93:656–663. doi: 10.1161/01.RES.0000095245.97945.FE. [DOI] [PubMed] [Google Scholar]
- Cogolludo A, Moreno L, Lodi F, Frazziano G, Cobeno L, Tamargo J, et al. Serotonin inhibits voltage-gated K+ currents in pulmonary artery smooth muscle cells: role of 5-HT2A receptors, caveolin-1, and KV1.5 channel internalization. Circ Res. 2006;98:931. doi: 10.1161/01.RES.0000216858.04599.e1. [DOI] [PubMed] [Google Scholar]
- Criddle DN, De Moura RS, Greenwood IA, Large WA. Effect of niflumic acid on noradrenaline-induced contractions of the rat aorta. Br J Pharmacol. 1996;118(4):1065–1071. doi: 10.1111/j.1476-5381.1996.tb15507.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Criddle DN, Soares De Moura R, Greenwood IA, Large WA. Inhibitory action of niflumic acid on noradrenaline- and 5-hydroxytryptamine-induced pressor responses in the isolated mesenteric vascular bed of the rat. Br J Pharmacol. 1997;120:813–818. doi: 10.1038/sj.bjp.0700981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cruickshank SF, Baxter LM, Drummond RM. The Cl− channel blocker niflumic acid releases Ca2+ from an intracellular store in rat pulmonary artery smooth muscle cells. Br J Pharmacol. 2003;140:1442–1450. doi: 10.1038/sj.bjp.0705571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cui Y, Tinker A, Clapp LH. Different molecular sites of action for the KATP channel inhibitors, PNU-99963 and PNU-37883. Br J Pharmacol. 2003;139:122–128. doi: 10.1038/sj.bjp.0705228. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Danser AH, Tom B, De Vries R, Saxena RR. L-NAME-resistant bradykinin-induced relaxation in porcine coronary arteries is NO-dependent: effect of ACE inhibition. Br J Pharmacol. 2000;131:195–202. doi: 10.1038/sj.bjp.0703555. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Edwards G, Niederste-Hollenberg A, Schneider J, Weston EH. Ion channel modulation by NS1619 the putative BKCa channel opener in vascular smooth muscle. Br J Pharmacol. 1994;113:1538–1547. doi: 10.1111/j.1476-5381.1994.tb17171.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Evans AM, Osipenko ON, Gurney AM. Properties of a novel K+ current that is active at resting potential in rabbit pulmonary artery smooth muscle cells. J Physiol. 1996;496:407–420. doi: 10.1113/jphysiol.1996.sp021694. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Félétou M, Vanhoutte PM. EDHF the Complete Story. New York: Taylor & Francis; 2006. [Google Scholar]
- Fitzgerald GA, Healy C, Daugherty J. Thromboxane A2 biosynthesis in human disease. Fed Proc. 1987;46:154–158. [PubMed] [Google Scholar]
- Fukata Y, Amano M, Kaibuchi K. Rho-rho-kinase pathway in smooth muscle contraction and cytoskeletal reorganization of non-muscle cells. Trends Pharmacol Sci. 2001;22(1):32–39. doi: 10.1016/s0165-6147(00)01596-0. [DOI] [PubMed] [Google Scholar]
- Graier WF, Simecek S, Kukovetz WR, Kostner GM. High D-glucose-induced changes in endothelial Ca2+/EDRF signaling are due to generation of superoxide anions. Diabetes. 1996;45(10):1386–1395. doi: 10.2337/diab.45.10.1386. [DOI] [PubMed] [Google Scholar]
- Greenwood IA, Leblanc N. Overlapping pharmacology of Ca2+-activated Cl− and K+ channels. Trends Pharmacol Sci. 2007;28:1–5. doi: 10.1016/j.tips.2006.11.004. [DOI] [PubMed] [Google Scholar]
- Hogg RC, Wang Q, Large WA. Action of niflumic acid on evoked and spontaneous calcium-activated chloride and potassium currents in smooth muscle cells from rabbit portal vein. Br J Pharmacol. 1994a;112:977–984. doi: 10.1111/j.1476-5381.1994.tb13177.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hogg RC, Wang Q, Large WA. Effects of Cl channel blockers on ca-activated chloride and potassium currents in smooth muscle cells from rabbit portal vein. Br J Pharmacol. 1994b;111:1333–1341. doi: 10.1111/j.1476-5381.1994.tb14891.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ishizaki T, Uehata M, Tamechika I, Keel J, Nonomura K, Maekawa M. Pharmacological properties of Y-27632, a specific inhibitor of Rho-associated kinases. Mol Pharmacol. 2000;57:976–983. [PubMed] [Google Scholar]
- Jentsch TJ, Stein V, Weinreich F, Zdebik AA. Molecular structure and physiological function of chloride channels. Physiol Rev. 2001;82(2):503–568. doi: 10.1152/physrev.00029.2001. [DOI] [PubMed] [Google Scholar]
- Kasai M, Kometani T. Inhibition of anion permeability of sarcoplasmic reticulum vesicles by 4-acetoamido-4′-isothiocyanostilbene-2,2′-disulfonate. Biochim Biophys Acta. 1979;557(1):243–247. doi: 10.1016/0005-2736(79)90106-8. [DOI] [PubMed] [Google Scholar]
- Kourie JI, Laver DR, Ahern GP, Dulhunty AF. A calcium-activated chloride channel in sarcoplasmic reticulum vesicles from rabbit skeletal muscle. Am J Physiol. 1997;270:1675–1686. doi: 10.1152/ajpcell.1996.270.6.C1675. [DOI] [PubMed] [Google Scholar]
- Large WA, Wang Q. Characteristics and physiological role of the Ca2+-activated Cl− conductance in smooth muscle. Am J Physiol. 1996;2:435–454. doi: 10.1152/ajpcell.1996.271.2.C435. [DOI] [PubMed] [Google Scholar]
- McFadzean I, Gibson A. The developing relationship between receptor-operated and store-operated calcium channels in smooth muscle. Br J Pharmacol. 2002;135:1–13. doi: 10.1038/sj.bjp.0704468. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nelson MT, Quayle JM. Physiological roles and properties of potassium channels in arterial smooth muscle. Am J Physiol. 1995;268(1):C799–C822. doi: 10.1152/ajpcell.1995.268.4.C799. 4 Pt. [DOI] [PubMed] [Google Scholar]
- Nilius B, Droogmans G. Amazing chloride channels: an overview. Acta Physiol Scand. 2003;177(2):119–147. doi: 10.1046/j.1365-201X.2003.01060.x. [DOI] [PubMed] [Google Scholar]
- Parekh AB, Penner R. Store depletion and calcium influx. Physiol Rev. 1997;77(4):901–930. doi: 10.1152/physrev.1997.77.4.901. [DOI] [PubMed] [Google Scholar]
- Peppiatt CM, Collins TJ, MacKenzie L, Conway SJ, Holmes AB, Bootman MD, et al. 2-Aminoethoxydiphenyl borate (2-APB) antagonises inositol 1,4,5-trisphosphate-induced calcium release, inhibits calcium pumps and has a use-dependent and slowly reversible action on store-operated calcium entry channels. Cell Calcium. 2003;34:97–108. doi: 10.1016/s0143-4160(03)00026-5. [DOI] [PubMed] [Google Scholar]
- Pollock NS, Kargacin ME, Kargacin JG. Chloride channel blockers inhibit Ca2+ uptake by smooth muscle sarcoplasmic reticulum. Biophy J. 1998;75(4):1759–1766. doi: 10.1016/S0006-3495(98)77617-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Putney JW. Pharmacology of capacitative calcium entry. Mol Interv. 2001;1:84–94. [PubMed] [Google Scholar]
- Quayle JM, Nelson MT, Stenden NB. ATP-sensitive and inwardly rectifying potassium channels in smooth muscle. Physiol Rev. 1997;77:1165–1232. doi: 10.1152/physrev.1997.77.4.1165. [DOI] [PubMed] [Google Scholar]
- Salter KJ, Kozlowski RZ. Endothelin receptor coupling to potassium and chloride channels in isolated rat pulmonary arterial myocytes. J Pharmacol Exp Ther. 1995;279:1053–1062. [PubMed] [Google Scholar]
- Shimoda LA, Sylvester JT, Sham JSK. Endothelin-1 inhibits delayed rectifier potassium current in rat intrapulmonary arterial smooth muscle cells. Am J Physiol. 1998;274:L842–L853. doi: 10.1152/ajplung.1998.274.5.L842. [DOI] [PubMed] [Google Scholar]
- Smith RJ, Sam LM, Justen JM. Receptor-coupled signal transduction in human polymorphonuclear neutrophils: effects of a novel inhibitor of phospholipase C-dependent processes on cell responsiveness. J Pharmacol Exp Ther. 1990;253:688–697. [PubMed] [Google Scholar]
- Snetkov VA, Knock GA, Baxter L, Thomas GD, Ward JPT, Aaronson PI. Mechanisms of the prostaglandin F2α-induced rise in [Ca2+]i in rat intrapulmonary arteries. J Physiol. 2006;571:147–163. doi: 10.1113/jphysiol.2005.101394. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Somlyo AP, Somlyo AV. Signal transduction by G-proteins, rho-kinase and protein phosphatase to smooth muscle and non-muscle myosin II. J Physiol. 2000;91:522–527. doi: 10.1111/j.1469-7793.2000.t01-2-00177.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wang Q, Large WA. Action of histamine on single smooth muscle cells dispersed from the rabbit pulmonary artery. J Physiol. 1992;468:125–139. doi: 10.1113/jphysiol.1993.sp019763. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wang Q, Wang Y-X, Yu M, Kotlikoff MI. Ca2+-activated Cl− currents are activated by metabolic inhibition in rat pulmonary artery smooth muscle cells. Am J Physiol. 1997;273:C520–C530. doi: 10.1152/ajpcell.1997.273.2.C520. [DOI] [PubMed] [Google Scholar]
- Yuan X-J. Role of calcium-activated chloride current in regulating pulmonary vasomotor tone. Am J Physiol. 1997;272:L959–L968. doi: 10.1152/ajplung.1997.272.5.L959. [DOI] [PubMed] [Google Scholar]
- Yuan X-J, Wang J, Juhaszova M, Golovina VA, Rubin LJ. Molecular basis and function of voltage-gated K+ channels in pulmonary arterial smooth muscle cells. Am J Physiol. 1998;274:L621–L635. doi: 10.1152/ajplung.1998.274.4.L621. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.

