Abstract
The effects of methylene blue (MB) on cromakalim-induced K+ currents were investigated in follicle-enclosed Xenopus oocytes. In concentrations ranging from 3–300 μM, MB inhibited K+ currents (IC50: 22.4 μM) activated by cromakalim, which activates KATP channels. MB inhibited cromakalim-activated K+ currents in a noncompetitive and voltage-independent manner. The respective EC50 and slope values for cromakalim-activation of K+ currents were 194 ± 21 µM and 0.91 for controls, and 206 ± 24 µM and 0.87 in the presence of 30 μM MB. The inhibition of cromakalim-induced K+ currents by MB was not altered by pretreatment with the Ca2+ chelator BAPTA, which suggests that MB does not influence Ca2+-activated second messenger pathways. K+ currents mediated through a C-terminally deleted form of Kir6.2 (KirΔC26), which does not contain the sulfonylurea receptor, were still inhibited by MB, indicating direct interaction of MB with the channel-forming Kir6.2 subunit. The binding characteristics of the KATP ligand [3H]glibenclamide are not altered by MB in a concentration range between 1 μM-1 mM, as suggested by radioligand binding assay. The presence of a membrane permeable cGMP analogue (8-Br-cGMP, 100 µM) and a guanylate cyclase activator (BAY 58-2667, 3 µM) did not affect the inhibitory effects of MB, suggesting that MB does not inhibit cromakalim-activated K+ currents through guanylate cyclase. Collectively, these results suggest that MB directly inhibits cromakalim-activated K+ currents in follicular cells of Xenopus oocytes.
Keywords: cromakalim, follicular cells, KATP channels, methylene blue, Xenopus oocyte
1. Introduction
Methylene Blue (MB), a cationic dye belonging to the phenothiazine-class, is utilized in several clinical conditions, e.g., treatment of methemoglobinemia and malaria, and has been suggested to have beneficial effects in the management of pain, depression, and neurodegenerative diseases [1,2,3]. One of the most established pharmacological actions of MB is its vasoconstrictive effect in various vascular beds. MB induces vasoconstriction in both preclinical [4,5] and clinical studies [6,7]. Thus, vasoconstrictive actions of MB are utilized currently to elevate blood pressure in numerous critical clinical conditions, e.g., cardiovascular and septic shock, and cardioplegia [8]. However, the mechanisms mediating these therapeutic effects remain largely unknown. It is assumed that inhibition of the cGMP pathway is the main mechanism underlying the vasoconstrictive actions of MB. However, several studies suggest that MB has also cGMP-independent direct actions on ion channels [9,10,11], neurotransmitter receptors [12,13], transporters [14], and enzymes [15,16].
KATP (ATP-sensitive potassium) channels are involved in the regulation of vasoconstriction, heart rhythm and insulin secretion. Low intracellular ATP levels or KATP channel openers, e.g., cromakalim, pinacidil, diazoxide [17,18], activate KATP channels; while glibenclamide and other antidiabetic sulfonylureas suppress their activity [19,20,21]. A broad range of diseases, e.g., diabetes, cardiac arrhythmias, hypertension, is related to their dysfunction [22,23,24]. KATP channels play an important role in controlling vasoconstriction [22,23,25]; it is therefore likely that their modulation may contribute to some of the previously described vasoconstrictive actions of MB.
Xenopus laevis oocytes are surrounded by follicular cells expressing endogenous KATP channels and are connected to oocytes through gap-junctions [26,27,28]. These channels can be utilized to characterize the influence of pharmacological compounds upon KATP channels, even though they may not exhibit exactly the same pharmacological characteristics as those of pancreatic β-cells or of vascular beds. In this manuscript, using two-electrode voltage clamp techniques on follicle-enclosed oocytes, we describe how MB modifies the function of KATP channels.
2. Materials and Methods
Mature female Xenopus laevis frogs (Xenopus I, Ann Arbor, MI, USA) were kept in dechlorinated tap water at 19–21 °C and fed with beef liver at least twice a week. Clusters of oocytes were removed surgically under tricaine (Sigma, St. Louis, MO, USA) anesthesia (0.15%). Individual oocytes were manually dissected in a solution containing (in mM): NaCl, 88; KCl, 1; NaHCO3, 2.4; MgSO4, 0.8; HEPES, 10 (pH 7.5) and stored 2–7 days in modified Barth’s solution containing (in mM): NaCl, 88; KCl, 1; NaHCO3, 2.4; Ca(NO3)2, 0.3; CaCl2, 0.9; MgSO4, 0.8; HEPES, 10 (pH 7.5), supplemented with sodium pyruvate 2 mM, penicillin 10,000 IU/L, streptomycin 10 mg/L, and gentamicin 50 mg/L [29,30]. Oocytes were placed in a 0.2 mL recording chamber and superfused at a constant rate of 5–7 mL/min. The bathing solution consisted of (in mM): NaCl, 95; KCl, 2; CaCl2, 2; and HEPES 5 (pH 7.5). The cells were impaled at the animal pole with two glass microelectrodes filled with 3 M KCl (1–3 MΩ). The oocytes were routinely voltage clamped at a holding potential of −20 mV using a GeneClamp-500 amplifier (Axon Instruments Inc., Burligame, CA, USA). Current responses were digitized by an A/D converter and analyzed using pClamp 6 (Axon Instruments Inc., Burligame, CA, USA) run on an IBM/PC or directly recorded on a Gould 2400 rectilinear pen recorder (Gould Inc., Cleveland, OH, USA). Current-voltage characteristics were studied using 1 s voltage steps (–120 to 20 mV). All chemicals and drugs including glibenclamide, MB HCl, BAPTA-AM, and 8-Br-cAMP were from Sigma (St. Louis, MO, USA). BAY 58-2667 (dissolved in DMSO) was obtained from Tocris-Bio-Techne (Minneapolis, MN, USA). Drugs were applied externally by addition to the superfusate. Procedures for the injections of BAPTA (50–70 nL, 100 mM) were described earlier in detail [31].
For inside-out patch experiments, oocytes were chemically defolliculated by collagenase 1A treatment (Sigma, St. Louis, MO, USA; 2 mg/mL, 2 h) and injected with 2 ng cRNA encoding Kir6.2ΔC26 mutant. After 2 days of incubation in modified Barth’s solution, oocytes were placed in hypertonic solution containing 200 mM K+-aspartate at pH 7.0, and the vitelline layer was removed with sharpened watchmaker’s forceps. The pipette (external) solution contained (in mM) 140 KCl, 1.2 MgCl2, 2.6 CaCl2, and 10 HEPES (pH 7.4). Intracellular (bath) solution contained (in mM) 107 KCl, 10 EGTA, 2 MgCl2, 1 CaCl2, and 10 HEPES (pH 7.2 with KOH; final K+ ≅140). Patch pipettes had a resistance of 250–400 kΩ when filled with the pipette solution. Currents were recorded at 20–22 °C from giant inside-out patches using Axopatch 200B amplifier (Axon Instruments Inc., Burligame, CA, USA) at a holding potential of 0 mV, sampled at a rate of 2 kHz and filtered at 1 kHz. Currents were evoked by 2 s voltage ramps from −100 mV to +100 mV at a pulse frequency of 0.5 Hz. In each inside-out patch, the efficacy of 1 mM K2ATP to block the KATP current was tested before applying MB. Leak currents recorded at 10 mM K2ATP at the end of the experiments were subtracted from recordings. The recording chamber had a volume of 250 μL and the perfusion rate was 2 mL/min. Due to light sensitivity of MB, experiments were conducted in the dark and MB containers and perfusion lines kept in the dark by aluminum foils.
Statistical significance at the level of 0.05 was analyzed using the Student’s t-test, paired t-test or ANOVA. Concentration-response curves were obtained by fitting the data to the logistic equation,
y = Emax/(1 + [x/EC50]n) |
where x and y are concentration and response, respectively, Emax is the maximal response, EC50 is the half-maximal concentration, and n is the slope factor. For data analysis, calculations, and fits of the data, the computer software Origin 8.5 (Microcal Software-OriginLab Corp., Northampton, MA, USA) was used.
For radioligand binding experiments, follicle-enclosed oocytes were suspended in 300 mL of buffer containing 50 mM HEPES, 300 mM sucrose and 1 mM EDTA at 4 °C on ice as described earlier [32,33]. Oocytes were homogenized using a motorized Teflon homogenizer (six strokes, 15 s each at high speed). This was followed by sequential centrifugations at 1000× g (10 min) and 10,000× g (20 min); each time the pellet was discarded and the supernatant was used for the subsequent step. The final centrifugation was at 60,000× g for 25 min. The microsomal pellet, which contains the membranes of follicular cells [34], was resuspended in 50 mM HEPES buffer and used for the binding studies.
The radioligand binding experiments were carried out at room temperature (20–22 °C) for 1 h. Oocyte membranes were incubated in 1 mL of 50 mM HEPES, pH 7.5, at a protein concentration of 200–500 μg/mL. [3H]glibenclamide was dissolved in ethanol/dimethyl sulphoxide (1:1). For each experiment, freshly made glibenclamide solution was used. For the analysis, calculations, nonlinear curve fitting and regression fits of the radioligand binding data, the computer software Origin 8.5 (Microcal Software-OriginLab Corp., Northampton, MA, USA) was used.
3. Results
A bath application of 100 μM cromakalim for 5 min changed the mean value for the resting membrane potential from –38 ± 4 mV (mean ± SE, n = 12) to –85 ± 5 mV (n = 12), which is close to the reversal potential for K+ in oocytes [35]. In line with earlier investigations [26,27,36], bath application of cromakalim activated a slowly developing outward current (Figure 1A) and maximal amplitudes of these currents did not change significantly during consecutive administrations of cromakalim every 10 min for up to 80 min. Glibenclamide (1 μM), a specific blocker of KATP channels, reversibly inhibited cromakalim-activated current (51 ± 4% inhibition; data not shown, n = 7), and the directions of these currents reversed by increasing the external K+ concentration to 100 mM (data not shown, n = 4).
The administration of MB (30 μM) for 20 min caused a significant inhibition of the slow-outward current induced by 100 μM cromakalim with incomplete recovery during the washout period (Figure 1B). Increasing the MB administration time to 30 min (n = 3) did not cause further inhibition, suggesting that the effect of MB reached a steady state within 10 to 20 min. Figure 1C shows concentration-dependent inhibition of cromakalim-induced outward current by MB. The minimum concentration of MB causing a significant inhibition of outward current was 3 μM (11 ± 4% inhibition; n = 4–5; p < 0.05, paired t-test). The IC50 (a fifty percent of maximal MB inhibition) and slope value (n) were 22.4 μM and 1.1, respectively, and the maximum inhibition was reached at the concentrations of 300 μM and above (84 ± 5% inhibition, n = 5–7).
The current-voltage (I-V) relationship of cromakalim-induced currents in the absence and presence of MB (30 µM) is presented in Figure 2A. The effect of MB on the cromakalim-induced net outward current (cromakalim-activated current minus resting current at given voltage) did not show voltage dependence i.e., the extent of MB inhibition was not changed significantly in the voltage range studied (Figure 2B). In addition, in the absence and presence of 30 μM MB, the reversal potentials of the cromakalim-activated currents were –89 ± 4 mV and –92 ± 3 mV, respectively (p > 0.05, paired t-test; n = 5), indicating MB did not alter the ionic selectivity of the KATP channels.
Cell bodies of oocytes are coupled to follicular cells through gap junctions (for reviews, [28,35]), therefore, MB may affect gap junctions and alter the resistance of the ionic pathways. For this reason, the resistances in follicle-enclosed (to investigate the involvement of Ro) and enzymatically defolliculated oocytes (to investigate the involvements of Rj and Rf) in the presence and absence of MB were measured (without involvement of cromakalim-induced conductances in follicular cells). There was no significant change in resistances measured from defolliculated or follicle-enclosed oocytes, in the presence and absence of MB (n = 14–16; Student’s t-test, p > 0.05, Figure 2C).
MB has been demonstrated to cause changes in intracellular Ca2+ homeostasis [37,38,39] and modulate the functions of Ca2+-activated K+ channels [11,40,41,42]. Thus, the effects of MB on Ca2+-dependent second messenger systems or Ca2+-activated K+ and/or Cl− channels may interfere with the effect of MB on cromakalim-induced currents. In order to investigate the involvement of intracellular Ca2+ in the MB effect, follicle-enclosed oocytes were incubated in BAPTA-AM (5 mM) overnight (12-h) and injected with BAPTA (50 nL, 100 mM) 15 min before the recordings to ensure the chelation of intracellular Ca2+ in both follicular cells and oocytes. Percent inhibitions of cromakalim-induced currents by MB were not significantly different between BAPTA-treated oocytes and controls injected with 50 nL distilled-water (Figure 2D, p > 0.05, Student’s t-test; n = 5). In addition, current-voltage relationships in the absence and presence of MB indicated no significant alterations in reversal potentials in BAPTA-treated oocytes (−89 ± 3 versus −91 ± 4; p > 0.05, Student’s t-test; n = 5).
The cromakalim binding site(s) may be involved in MB inhibition of KATP channels. For this reason, we examined concentration-response curves of cromakalim activation in the absence and presence of MB (30 μM). MB did not cause significant changes in the EC50 values but inhibited the maximal cromakalim-activated currents (54 ± 5 % of controls; n = 5–6). Respective EC50 and slope values in the absence and presence of MB (30 μM) were 194 ± 21 µM and 0.91 vs. 206 ± 24 µM and 0.87, suggesting that MB inhibition of cromakalim-induced K+ currents occurs in a noncompetitive manner.
The KATP channel is comprised of four Kir6.2 subunits and each subunit is associated with a larger regulatory sulfonylurea receptor (SUR) subunit (for a review, [43]). Therefore, we investigated the effect of MB on the specific binding of [3H]glibenclamide, a sulfonylurea class drug, in the microsomal fraction of Xenopus oocytes. Figure 3B shows equilibrium curves for the binding of [3H]glibenclamide, in the absence and presence of MB (30 µM). Maximum bindings (Bmax) of [3H]glibenclamide for controls and MB-treated membranes were 5.78 ± 0.39 and 5.54 ± 0.41 pmol/mg, respectively (p > 0.05, Student’s t-test; n = 5). The affinities (Kd) of [3H]glibenclamide for controls and MB-treated membranes were 1.21 ± 0.14 and 1.32 ± 0.22 nM, respectively. Similarly, the specific binding of [3H]glibenclamide was not altered by the incubation of microsomal membranes with increasing concentrations (1 μM to 1 mM) of MB (Figure 3C).
The C-terminally truncated form of Kir6.2 (KirΔC26) lacks the last 26 amino acids but forms functional ATP-sensitive channels in the absence of the SUR subunit [44]. This mutant channel was employed to investigate if MB can act on the channel-forming Kir6.2 subunit in the absence of SUR. The application of MB (30 μM) for 40 s caused a significant inhibition of currents mediated through KirΔC26 subunits in a voltage-independent manner (Figure 4A). The reversal potential was not altered in the presence of MB; reversal potentials were 2 ± 3 mV and 0 ± 2 mV in the presence and absence of MB, respectively. MB caused a 48 ± 5% (n = 4) inhibition of controls (at −100 mV), and recovery was incomplete within the time course of the experiments (Figure 4B).
MB is a known inhibitor of soluble guanylate cyclase [45,46], and KATP channels have been shown to be modulated by cGMP [47,48]. We have tested the involvement of guanylate cyclase activity by investigating the effects of BAY 58-2667 (3 µM), a potent activator of soluble guanylate cyclase [49], and 8-Br-cGMP (100 µM), a membrane-permeable cGMP analogue, on the MB inhibition of cromakalim-activated K+ currents in follicle-enclosed oocytes. Application of BAY 58-2667 alone or 8-Br-cGMP alone for 20 min. caused 14 ± 4% (p < 0.05, n = 5, Student’s t-test) and 16 ± 4% (p < 0.05, n = 6, Student’s t-test) potentiation of cromakalim-activated K+ currents, respectively. However, after 20 min preincubation with BAY 58-2667 or 8-Br-cAMP, the extent of MB inhibition was not significantly different from MB alone (p > 0.05, n = 5–7, Student’s t-test; Figure 4C).
4. Discussion
Our results indicate that cromakalim-activated K+ currents in follicle-enclosed oocytes were inhibited by MB in a non-competitive (with respect to cromakalim and glibenclamide binding sites) and cGMP-independent manner. Follicular cells are electrically coupled to oocytes through gap junctions (for reviews, [28,35]), and, thus, an effect of MB on gap junctions would alter membrane resistance (through oocyte, gap junctions, and follicular cells) and interfere with MB inhibition of K+ currents. MB, however, did not cause a significant alteration in the cell input resistances in either follicle-enclosed or defolliculated oocytes, suggesting that, when cromakalim-activated channels are closed, other ionic conductances are not significantly affected by MB in either defolliculated or follicle-enclosed oocytes.
Changes in the intracellular Ca2+ levels would alter the activities of Ca2+-activated Cl− and K+ channels and, thus, could interfere with the effect of MB on cromakalim-activated K+ currents. MB inhibited the cromakalim-activated K+ currents in BAPTA-treated oocytes to the same extent as in untreated oocytes. Similarly, the reversal potential of the cromakalim-induced current was not changed significantly, suggesting that Ca2+-activated Cl− conductances are not significantly involved in the effect of MB on K+ currents. In addition, since the cromakalim-activated currents were recorded near the reversal potential (−20 mV) for Ca2+-activated Cl− channels in oocytes [50], Cl− currents are not likely to interfere with the effect of MB on KATP channels. In line with earlier investigations [26], the current-voltage relationship for cromakalim-activated currents was linear within the voltage range studied (−120 to 20 mV); neither the linear characteristics nor the reversal potential for cromakalim-activated K+ currents was altered by MB (Figure 2A) and MB inhibition of cromakalim-activated K+ currents was voltage-independent (Figure 2B).
Analysis of cromakalim concentration-response curves in the presence and absence of MB indicated that MB inhibits K+-currents in a non-competitive manner, suggesting that MB does not act by inhibiting the cromakalim binding site on the channel. Similarly, radioligand binding studies with [3H]glibenclamide, a sulfonylurea-class antidiabetic drug, showed that MB does not significantly affect the glibenclamide binding site in follicle-enclosed oocyte membranes either. The pore of the KATP channel is formed from four Kir6.2 subunits, each of which is associated with a larger regulatory sulfonylurea receptor (SUR) subunit, which is the primary target for KATP blockers [43]. Importantly, MB also inhibited ion currents in oocytes expressing the C-terminally deleted mutant of Kir6.2 (KirΔC26), which forms functional channels but does not contain a sulfonylurea binding site (SUR) [44]. Thus, the results of electrophysiological studies on KirΔC26 mutant channel and radioligand binding studies suggest that MB does not suppress the function of KATP channels by inhibiting the known sulfonylurea binding site, but rather by acting at a different site on the KATP channel. Collectively, these results indicate that neither cromakalim nor sulfonylurea binding sites are involved in the inhibition of KATP channels by MB.
Similar to our findings, MB has been suggested to have direct inhibitory effects on the functions of K+ [11,40,41,42] and Na+ [9] channels and α7 nicotinic receptors [13] with IC50 values ranging from 10 to 100 μM (for a review, [3]). MB is a phenothiazine-based molecule, and structurally similar compounds, such as promethazine [51], chlorpromazine [27,52] mefloquine, quinine, quinidine, and quinacrine [53,54], have been shown to directly inhibit KATP channels. Collectively, these earlier results support our findings suggesting that MB directly inhibits the function of KATP channels.
Based on our findings, we speculate that some of the cardiovascular effects of MB are mediated by inhibition of KATP channels. In previous investigations, MB, in concentration ranges used in the present study, was reported to induce depolarizations in various cell types in a cGMP-independent manner [40,55,56,57]. Depolarization by suppression of KATP channels has been demonstrated to cause activation of voltage-gated Ca2+ channels and to increase intracellular Ca2+ levels, and a subsequent vasoconstriction in vascular beds (for reviews, [17,22]). Therefore, the suppression of KATP channels may cause depolarizations of the cell, activate voltage-gated Ca2+ channels, and subsequently contribute to MB-induced vasoconstriction. In conclusion, our results suggest that inhibition of KATP channels by MB may be one of the mechanisms contributing to the vasoconstrictive effects of this compound. However, the elucidation of the mechanisms underlying MB’s vasoconstrictive effects will require further studies analyzing the roles of KATP channels in vasoconstriction of a specific vascular bed.
Acknowledgments
We cordially thank Frances Ashcroft, University Laboratory of Physiology, Oxford, UK, for providing cDNA for KirΔC26.
Author Contributions
Conceptualization, M.O.; Methodology, D.I. and K.-H.S.Y.; Formal analysis, D.I. and K.-H.S.Y.; Investigation, D.I. and K.-H.S.Y.; Resources, G.P., D.E.L. and M.O.; Data curation, D.I. and K.-H.S.Y.; Writing—original draft, D.I., D.E.L. and M.O.; Writing—review & editing, G.P., D.E.L. and M.O.; Funding acquisition, M.O. and K.-H.S.Y. All authors have read and agreed to the published version of the manuscript.
Institutional Review Board Statement
This study was carried out in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health and approved by the Animal Care Committee of Bogomoletz Institute of Physiology of National Academy of Science of Ukraine (142/37BY).
Informed Consent Statement
Not applicable.
Data Availability Statement
Data will be available up on request.
Conflicts of Interest
The authors declare no conflict of interest.
Funding Statement
This research received no external funding.
Footnotes
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.
References
- 1.Wainwright M., Crossley K. Methylene Blue—A Therapeutic Dye for All Seasons? J. Chemother. 2002;14:431–443. doi: 10.1179/joc.2002.14.5.431. [DOI] [PubMed] [Google Scholar]
- 2.Oz M., Lorke D.E., Petroianu G.A. Methylene blue and Alzheimer’s disease. Biochem. Pharmacol. 2009;78:927–932. doi: 10.1016/j.bcp.2009.04.034. [DOI] [PubMed] [Google Scholar]
- 3.Oz M., Lorke D.E., Hasan M., Petroianu G.A. Cellular and molecular actions of Methylene Blue in the nervous system. Med. Res. Rev. 2011;31:93–117. doi: 10.1002/med.20177. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Oktay S., Onat F., Karahan F., Alican I., Ozkutlu U., Yegen B. Effect of Methylene Blue on Blood Pressure in Rats. Pharmacology. 1993;46:206–210. doi: 10.1159/000139047. [DOI] [PubMed] [Google Scholar]
- 5.Cheng X., Pang C.C.Y. Pressor and vasoconstrictor effects of methylene blue in endotoxaemic rats. Naunyn-Schmiedeberg’s Arch. Pharmacol. 1998;357:648–653. doi: 10.1007/PL00005220. [DOI] [PubMed] [Google Scholar]
- 6.Levin R.L., Degrange M.A., Bruno G.F., Del Mazo C.D., Taborda D.J., Griotti J.J., Boullon F.J. Methylene blue reduces mortality and morbidity in vasoplegic patients after cardiac surgery. Ann. Thorac. Surg. 2004;77:496–499. doi: 10.1016/S0003-4975(03)01510-8. [DOI] [PubMed] [Google Scholar]
- 7.Özal E., Kuralay E., Yildirim V., Kilic S., Bolcal C., Kücükarslan N., Günay C., Demirkilic U., Tatar H. Preoperative Methylene Blue Administration in Patients at High Risk for Vasoplegic Syndrome During Cardiac Surgery. Ann. Thorac. Surg. 2005;79:1615–1619. doi: 10.1016/j.athoracsur.2004.10.038. [DOI] [PubMed] [Google Scholar]
- 8.Lavigne D. Vasopressin and Methylene Blue: Alternate Therapies in Vasodilatory Shock. Semin. Cardiothorac. Vasc. Anesthesia. 2010;14:186–189. doi: 10.1177/1089253210379271. [DOI] [PubMed] [Google Scholar]
- 9.Starkus J., Heggeness S., Rayner M. Kinetic analysis of sodium channel block by internal methylene blue in pronased crayfish giant axons. Biophys. J. 1984;46:205–218. doi: 10.1016/S0006-3495(84)84014-X. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Thuneberg L. Methylene blue as a pharmacological probe of intestinal pacemaker activity. Am. J. Physiol. Liver Physiol. 1990;258:G992–G994. doi: 10.1152/ajpgi.1990.258.6.G992. [DOI] [PubMed] [Google Scholar]
- 11.Stockand J.D., Sansom S.C. Activation by methylene blue of large Ca2+-activated K+ channels. Biochim. Biophys. Acta (BBA) Biomembr. 1996;1285:123–126. doi: 10.1016/S0005-2736(96)00194-0. [DOI] [PubMed] [Google Scholar]
- 12.Abi-Gerges N., Eschenhagen T., Hove-Madsen L., Fischmeister R., Mery P.-F. Methylene Blue Is a Muscarinic Antagonist in Cardiac Myocytes. Mol. Pharmacol. 1997;52:482–490. doi: 10.1124/mol.52.3.482. [DOI] [PubMed] [Google Scholar]
- 13.Al Mansouri A.S., Lorke D.E., Nurulain S.M., Ashoor A., Keun-Hang S.Y., Petroianu G., Isaev D., Oz M. Methylene blue inhibits the function of α7-nicotinic acetylcholine receptors. CNS Neurol. Disord. Drug Targets. 2012;11:791–800. doi: 10.2174/187152712803581010. [DOI] [PubMed] [Google Scholar]
- 14.Oz M., Isaev D., E Lorke D., Hasan M., Petroianu G., Shippenberg T.S. Methylene blue inhibits function of the 5-HT transporter. Br. J. Pharmacol. 2012;166:168–176. doi: 10.1111/j.1476-5381.2011.01462.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Küçükkılınç T., Özer I. Multi-site inhibition of human plasma cholinesterase by cationic phenoxazine and phenothiazine dyes. Arch. Biochem. Biophys. 2007;461:294–298. doi: 10.1016/j.abb.2007.02.029. [DOI] [PubMed] [Google Scholar]
- 16.Ramsay R., Dunford C., Gillman K. Methylene blue and serotonin toxicity: Inhibition of monoamine oxidase A (MAO A) confirms a theoretical prediction. Br. J. Pharmacol. 2007;152:946–951. doi: 10.1038/sj.bjp.0707430. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Quast U., Guillon J.-M., Cavero I. Cellular pharmacology of potassium channel openers in vascular smooth muscle. Cardiovasc. Res. 1994;28:805–810. doi: 10.1093/cvr/28.6.805. [DOI] [PubMed] [Google Scholar]
- 18.Mannhold R. KATP channel openers: Structure-activity relationships and therapeutic potential. Med. Res. Rev. 2004;24:213–266. doi: 10.1002/med.10060. [DOI] [PubMed] [Google Scholar]
- 19.Edwards G., Weston A.H. The Pharmacology of ATP-Sensitive Potassium Channels. Annu. Rev. Pharmacol. Toxicol. 1993;33:597–637. doi: 10.1146/annurev.pa.33.040193.003121. [DOI] [PubMed] [Google Scholar]
- 20.Gribble F., Reimann F. Pharmacological modulation of KATP channels. Biochem. Soc. Trans. 2002;30:333–339. doi: 10.1042/bst0300333. [DOI] [PubMed] [Google Scholar]
- 21.Rubaiy H.N. The therapeutic agents that target ATP-sensitive potassium channels. Acta Pharm. 2016;66:23–34. doi: 10.1515/acph-2016-0006. [DOI] [PubMed] [Google Scholar]
- 22.Yokoshiki H., Sunagawa M., Seki T., Sperelakis N. ATP-sensitive K+channels in pancreatic, cardiac, and vascular smooth muscle cells. Am. J. Physiol. 1998;274:C25–C37. doi: 10.1152/ajpcell.1998.274.1.C25. [DOI] [PubMed] [Google Scholar]
- 23.Nichols C.G. Adenosine Triphosphate-Sensitive Potassium Currents in Heart Disease and Cardioprotection. Card. Electrophysiol. Clin. 2016;8:323–335. doi: 10.1016/j.ccep.2016.01.005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Tinker A., Aziz Q., Li Y., Specterman M. ATP-Sensitive Potassium Channels and Their Physiological and Pathophysiological Roles. Compr. Physiol. 2018;8:1463–1511. doi: 10.1002/cphy.c170048. [DOI] [PubMed] [Google Scholar]
- 25.Rosenblum W.I. ATP-Sensitive Potassium Channels in the Cerebral Circulation. Stroke. 2003;34:1547–1552. doi: 10.1161/01.STR.0000070425.98202.B5. [DOI] [PubMed] [Google Scholar]
- 26.Honoré E., Lazdunski M. Hormone-regulated K+ channels in follicle-enclosed oocytes are activated by vasorelaxing K+ channel openers and blocked by antidiabetic sulfonylureas. Proc. Natl. Acad. Sci. USA. 1991;88:5438–5442. doi: 10.1073/pnas.88.12.5438. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Sakuta H., Sekiguchi M., Okamoto K., Sakai Y. Inactivation of glibenclamide-sensitive K+ channels in Xenopus oocytes by various calmodulin antagonists. Eur. J. Pharmacol. Mol. Pharmacol. 1992;226:199–207. doi: 10.1016/0922-4106(92)90062-Z. [DOI] [PubMed] [Google Scholar]
- 28.Arellano R.O., Woodward R.M., Miledi R. ION Channels and Membrane Receptors in Follicle-Enclosed Xenopus Oocytes. Ion Channels. 1996;4:203–259. doi: 10.1007/978-1-4899-1775-1_6. [DOI] [PubMed] [Google Scholar]
- 29.Zhang L., Oz M., Weight F.F. Potentiation of 5-HT3 receptor-mediated responses by protein kinase C activation. Neuroreport. 1995;6:1464–1468. doi: 10.1097/00001756-199507100-00025. [DOI] [PubMed] [Google Scholar]
- 30.Oz M., Zhang L., Spivak C.E. Direct noncompetitive inhibition of 5-HT3 receptor-mediated responses by forskolin and steroids. Arch. Biochem. Biophys. 2002;404:293–301. doi: 10.1016/S0003-9861(02)00279-5. [DOI] [PubMed] [Google Scholar]
- 31.Oz M., Melia M.T., Soldatov N.M., Abernethy D.R., Morad M. Functional Coupling of Human L-Type Ca2+ Channels and Angiotensin AT1A Receptors Coexpressed in Xenopus laevis Oocytes: Involvement of the Carboxyl-Terminal Ca2+ Sensors. Mol. Pharmacol. 1998;54:1106–1112. doi: 10.1124/mol.54.6.1106. [DOI] [PubMed] [Google Scholar]
- 32.Oz M., Zakharova I., Dinc M., Shippenberg T. Cocaine inhibits cromakalim-activated K+ currents in follicle-enclosed Xenopus oocytes. Naunyn-Schmiedeberg’s Arch. Pharmacol. 2004;369:252–259. doi: 10.1007/s00210-003-0838-9. [DOI] [PubMed] [Google Scholar]
- 33.Oz M., Yang K.-H., Dinc M., Shippenberg T.S. The Endogenous Cannabinoid Anandamide Inhibits Cromakalim-Activated K+ Currents in Follicle-Enclosed Xenopus Oocytes. J. Pharmacol. Exp. Ther. 2007;323:547–554. doi: 10.1124/jpet.107.125336. [DOI] [PubMed] [Google Scholar]
- 34.Guillemare E., Honore E., De Weille J., Fosset M., Lazdunski M., Meisheri K. Functional receptors in Xenopus oocytes for U-37883A, a novel ATP-sensitive K+ channel blocker: Comparison with rat insulinoma cells. Mol. Pharmacol. 1994;46:139–145. [PubMed] [Google Scholar]
- 35.Dascal N. The Use of Xenopus Oocytes for the Study of Ion Channel. CRC Crit. Rev. Biochem. 1987;22:317–387. doi: 10.3109/10409238709086960. [DOI] [PubMed] [Google Scholar]
- 36.Oz M., Tchugunova Y., Dinc M. Inhibition of cromakalim-activated K+ current by ethanol in follicle-enclosed Xenopus oocytes. Naunyn-Schmiedeberg’s Arch. Pharmacol. 2003;367:80–85. doi: 10.1007/s00210-002-0643-x. [DOI] [PubMed] [Google Scholar]
- 37.Lee Y.S., Wurster R.D. Methylene blue induces cytotoxicity in human brain tumor cells. Cancer Lett. 1995;88:141–145. doi: 10.1016/0304-3835(94)03629-W. [DOI] [PubMed] [Google Scholar]
- 38.Tretter L., Horvath G., Hölgyesi A., Essek F., Adam-Vizi V. Enhanced hydrogen peroxide generation accompanies the beneficial bioenergetic effects of methylene blue in isolated brain mitochondria. Free Radic. Biol. Med. 2014;77:317–330. doi: 10.1016/j.freeradbiomed.2014.09.024. [DOI] [PubMed] [Google Scholar]
- 39.Berrocal M., Corbacho I., Gutierrez-Merino C., Mata A.M. Methylene blue activates the PMCA activity and cross-interacts with amyloid β-peptide, blocking Aβ-mediated PMCA inhibition. Neuropharmacology. 2018;139:163–172. doi: 10.1016/j.neuropharm.2018.07.012. [DOI] [PubMed] [Google Scholar]
- 40.Nemeth P.R., Daly K., Erde S., Wood J.D. Effects of methylene blue on electrical behavior of myenteric neurons. Experientia. 1985;41:259–261. doi: 10.1007/BF02002626. [DOI] [PubMed] [Google Scholar]
- 41.Saitow F., Nakaoka Y. The photodynamic action of methylene blue on the ion channels of Paramecium causes cell damage. Photochem. Photobiol. 1997;65:902–907. doi: 10.1111/j.1751-1097.1997.tb01941.x. [DOI] [PubMed] [Google Scholar]
- 42.Sakai T. Acetylcholine Induces Ca-Dependent K Currents in Rabbit Endothelial Cells. Jpn. J. Pharmacol. 1990;53:235–246. doi: 10.1254/jjp.53.235. [DOI] [PubMed] [Google Scholar]
- 43.Ashcroft F.M., Gribble F.M. New windows on the mechanism of action of KATP channel openers. Trends Pharmacol. Sci. 2000;21:439–445. doi: 10.1016/S0165-6147(00)01563-7. [DOI] [PubMed] [Google Scholar]
- 44.Tucker S.J., Gribble F.M., Zhao C., Trapp S., Ashcroft F.M. Truncation of Kir6.2 produces ATP-sensitive K+ channels in the absence of the sulphonylurea receptor. Nature. 1997;387:179–183. doi: 10.1038/387179a0. [DOI] [PubMed] [Google Scholar]
- 45.Gruetter C.A., Kadowitz P.J., Ignarro L.J. Methylene blue inhibits coronary arterial relaxation and guanylate cyclase activation by nitroglycerin, sodium nitrite, and amyl nitrite. Can. J. Physiol. Pharmacol. 1981;59:150–156. doi: 10.1139/y81-025. [DOI] [PubMed] [Google Scholar]
- 46.Ignarro L.J., Harbison R.G., Wood K.S., Kadowitz P.J. Dissimilarities between methylene blue and cyanide on relaxation and cyclic GMP formation in endothelium-intact intrapulmonary artery caused by nitrogen oxide-containing vasodilators and acetylcholine. J. Pharmacol. Exp. Ther. 1986;236:30–36. [PubMed] [Google Scholar]
- 47.Sakuta H., Okamoto K., Watanabe Y. Modification by cGMP of Glibenclamide-Sensitive K+ Currents in Xenopus Oocytes. Jpn. J. Pharmacol. 1993;61:259–262. doi: 10.1254/jjp.61.259. [DOI] [PubMed] [Google Scholar]
- 48.Sakuta H., Okamoto K., Tandai M. Atrial natriuretic factor potentiates glibenclamide-sensitive K+ currents via the activation of receptor guanylate cyclase in follicle-enclosed Xenopus oocytes. Eur. J. Pharmacol. Mol. Pharmacol. 1994;267:281–287. doi: 10.1016/0922-4106(94)90152-X. [DOI] [PubMed] [Google Scholar]
- 49.Stasch J.-P., Schmidt P., Alonso-Alija C., Apeler H., Dembowsky K., Haerter M., Heil M., Minuth T., Perzborn E., Pleiss U., et al. NO- and haem-independent activation of soluble guanylyl cyclase: Molecular basis and cardiovascular implications of a new pharmacological principle. Br. J. Pharmacol. 2002;136:773–783. doi: 10.1038/sj.bjp.0704778. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Miledi R., Parker I. Chloride current induced by injection of calcium into Xenopus oocytes. J. Physiol. 1984;357:173–183. doi: 10.1113/jphysiol.1984.sp015495. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Sakuta H. Inhibition by histamine H1 receptor antagonists of endogenous glibenclamide-sensitive K+ channels in follicle-enclosed Xenopus oocytes. Eur. J. Pharmacol. Mol. Pharmacol. 1994;266:99–102. doi: 10.1016/0922-4106(94)90214-3. [DOI] [PubMed] [Google Scholar]
- 52.Müller M., De Weille J.R., Lazdunski M. Chlorpromazine and related phenothiazines inhibit the ATP-sensitive K+ channel. Eur. J. Pharmacol. 1991;198:101–104. doi: 10.1016/0014-2999(91)90569-C. [DOI] [PubMed] [Google Scholar]
- 53.Gribble F.M., E Davis T.M., E Higham C., Clark A., Ashcroft F.M. The antimalarial agent mefloquine inhibits ATP-sensitive K-channels. Br. J. Pharmacol. 2000;131:756–760. doi: 10.1038/sj.bjp.0703638. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Sakuta H., Yoneda I. Inhibition by SKF 525A and quinacrine of endogenous glibenclamide-sensitive K+ channels in follicle-enclosed Xenopus oocytes. Eur. J. Pharmacol. 1994;252:117–121. doi: 10.1016/0014-2999(94)90583-5. [DOI] [PubMed] [Google Scholar]
- 55.Sanders K.M., Burke E.P., Stevens R.J. Effects of methylene blue on rhythmic activity and membrane potential in the canine proximal colon. Am. J. Physiol. Liver Physiol. 1989;256:G779–G784. doi: 10.1152/ajpgi.1989.256.4.G779. [DOI] [PubMed] [Google Scholar]
- 56.Nánási P.P., Dely M. Effects of methylene blue and ascorbate on transmembrane potential in frog skeletal muscle. Gen. Pharmacol. Vasc. Syst. 1995;26:1307–1311. doi: 10.1016/0306-3623(95)00007-N. [DOI] [PubMed] [Google Scholar]
- 57.Kress M., Petersen M., Reeh P.W. Methylene blue induces ongoing activity in rat cutaneous primary afferents and depolarization of DRG neurons via a photosensitive mechanism. Naunyn-Schmiedeberg’s Arch. Pharmacol. 1997;356:619–625. doi: 10.1007/PL00005098. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
Data will be available up on request.