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Originally published In Press as doi:10.1074/jbc.M908836199 on April 13, 2000

J. Biol. Chem., Vol. 275, Issue 29, 22114-22120, July 21, 2000
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Molecular Mechanism of Calcium Channel Block by Isradipine

ROLE OF A DRUG-INDUCED INACTIVATED CHANNEL CONFORMATION*

Stanislav Berjukow, Rainer Marksteiner, Franz Gapp, Martina J. Sinnegger, and Steffen HeringDagger

From the Institut für Biochemische Pharmakologie, Peter-Mayr-Straße 1, A-6020 Innsbruck, Austria

Received for publication, November 1, 1999, and in revised form, April 12, 2000

    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

The role of the inactivated channel conformation in the molecular mechanism of Ca2+ channel block by the 1,4-dihydropyridine (DHP) (+)-isradipine was analyzed in L-type channel constructs (alpha 1Lc; Berjukow, S., Gapp, F., Aczel, S., Sinnegger, M. J., Mitterdorfer, J., Glossmann, H., and Hering, S. (1999) J. Biol. Chem. 274, 6154-6160) and a DHP-sensitive class A Ca2+ channel mutant (alpha 1A-DHP; Sinnegger, M. J., Wang, Z., Grabner, M., Hering, S., Striessnig, J., Glossmann, H., and Mitterdorfer, J. (1997) J. Biol. Chem. 272, 27686-27693) carrying the high affinity determinants of the DHP receptor site but inactivating at different rates. Ca2+ channel inactivation was modulated by coexpressing the alpha 1A-DHP- or alpha 1Lc-subunits in Xenopus oocytes with either the beta 2a- or the beta 1a-subunit and amino acid substitutions in L-type segment IVS6 (I1497A, I1498A, and V1504A). Contrary to a modulated receptor mechanism assuming high affinity DHP binding to the inactivated state we observed no clear correlation between steady state inactivation and Ca2+ channel block by (+)-isradipine: (i) a 3-fold larger fraction of alpha 1A-DHP/beta 1a channels in steady state inactivation at -80 mV (compared with alpha 1A-DHP/beta 2a) did not enhance the block by (+)-isradipine; (ii) different steady state inactivation of alpha 1Lc mutants at -30 mV did not correlate with voltage-dependent channel block; and (iii) the midpoint-voltages of the inactivation curves of slowly inactivating L-type constructs and more rapidly inactivating alpha 1Lc/beta 1a channels were shifted to a comparable extent to more hyperpolarized voltages. A kinetic analysis of (+)-isradipine interaction with different L-type channel constructs revealed a drug-induced inactivated state. Entry and recovery from drug-induced inactivation are modulated by intrinsic inactivation determinants, suggesting a synergism between intrinsic inactivation and DHP block.

    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

Ca2+ channels are hetero-oligomeric protein complexes consisting of a pore-forming alpha 1-subunit, one out of at least four beta -subunits (beta 1-beta 4), an alpha 2/delta -subunit, and in skeletal muscle an additional gamma -subunit (3, 4). The auxiliary channel subunits, in particular the beta -subunits, modulate voltage dependence, expression density, and kinetics of Ca2+ channels (for review see Ref. 4). There is biochemical evidence that multiple beta -subunits are associated with the alpha 1-subunit, suggesting a tissue-specific modulation of Ca2+ channel properties by different beta -subunit expression patterns (5, 6).

The alpha 1-subunits of L-type Ca2+ channels (classes C (formed by alpha 1C-subunits), D (formed by alpha 1D-subunits), and S (formed by alpha 1S-subunits)) possess drug receptors for 1,4-dihydropyridines (DHPs),1 phenylalkylamines, and benzothiazepines (7, 8). Mutational analysis of L-type Ca2+ channel alpha 1-subunits revealed nine amino acid residues in segments IIIS5, IIIS6, and IVS6 that confer high affinity and stereoselective interaction with DHPs (2, 9-13).

According to the modulated receptor hypothesis (14), the interaction of an ion channel blocker with its receptor sites depends on whether the channel is in a resting (closed), open (activated), or inactivated (closed) conformational state. This hypothesis was applied to Ca2+ channel block by organic calcium channel blockers such as phenylalkylamines, benzothiazepines, and DHPs (15, 16). In the frame of a specific version of the modulated receptor model, the more efficient Ca2+ channel inhibition by DHPs at depolarized membrane potentials is interpreted as predominant block of inactivated channels. Accordingly, stronger DHP antagonist action in the depolarized vascular tissue was suggested to reflect a more efficient block of inactivated Ca2+ channels (but see Refs. 17 and 18).

To elucidate the role of the inactivated channel conformation in the molecular mechanism of Ca2+ channel block by DHPs, we have designed Ca2+ channels inactivating at different rates by co-expressing a L-type channel construct alpha 1Lc (1) or the DHP-sensitive class A Ca2+ channel mutant alpha 1A-DHP (2) with either beta 1a- or beta 2a-subunits. Additionally, Ca2+ channel inactivation was modulated by introducing point mutations into segment IVS6 of alpha 1Lc. The consequences of changed inactivation properties for (+)-isradipine-induced block were analyzed by means of the two-microelectrode voltage clamp technique after expression in Xenopus oocytes. We observed no clear correlation between the amount of steady state inactivation and voltage-dependent block by (+)-isradipine. Our data support a hypothesis where the inactivation gating of Ca2+ channels is accelerated in their antagonist DHP-bound form. Channel constructs with impaired fast inactivation displayed faster recovery from block by (+)-isradipine, suggesting a close interdependence between intrinsic inactivation determinants and the (+)-isradipine-induced inactivated state.

    EXPERIMENTAL PROCEDURES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

alpha 1 cDNAs-- Mutations I1497A, I1498A, and V1504A were introduced into cDNA of the L-type channel construct alpha 1Lc (1) by using an EcoRV-BstEII cassette (nucleotides 4542 and 4833). alpha 1Lc is a construct corresponding to rabbit alpha 1C-a cDNA (19) with part of the amino terminus replaced by carp alpha 1S-sequence as described (1, 10). Amino acid and nucleotide numbering of alpha Lc and mutants derived thereof is according to alpha 1C-a cDNA sequence (19). All mutations were introduced by polymerase chain reaction as described previously (10). Fragments amplified by polymerase chain reaction were sequenced entirely to confirm sequence integrity.

Electrophysiology-- Inward barium currents (IBa) were studied with two microelectrode voltage-clamp of Xenopus oocytes 2-7 days after microinjection of approximately equimolar cRNA mixtures of alpha 1Lc or alpha 1A-DHP (2) (0.3 ng/50 nl) together with alpha 2delta (0.2 ng/50 nl) and either beta 1a (0.1 ng/50 nl) or beta 2a (0.1 ng/50 nl) cRNA as described previously (10). The corresponding constructs were named alpha 1Lc/A-DHP/beta 1a or alpha 1Lc/A-DHP/beta 2a channels. Mutant alpha 1Lc-subunits (named herein I1497A, I1498A, and V1504A; see above) were coexpressed with alpha 2delta and the beta 1a-subunit exclusively.

All experiments were carried out at room temperature in a bath solution with the following composition: 40 mM Ba(OH)2, 50 mM NaOH, 5 mM HEPES, 2 mM CsOH (pH adjusted to 7.4 with methanesulfonic acid). Voltage recording and current injecting microelectrodes were filled with 2.8 M CsCl, 0.2 M CsOH, 10 mM EGTA, 10 mM HEPES (pH 7.4) and had resistances of 0.3-2 MOmega . Resting channel block was estimated as peak IBa inhibition during 100-ms test pulses from -80 to 20 mV at a frequency of 0.033 Hz until steady state was reached. The dose response curves of IBa inhibition were fitted using the Hill equation: IBa, drug/IBa, control (as percentages) = (100 - A)/(1 + (C/IC50)nH) + A, where IC50 is the concentration at which IBa inhibition is half-maximal, C is the applied drug concentration, A is the fraction of IBa that is not blocked, and nH is the Hill coefficient.

Recovery from inactivation was studied at a holding potential of -80 mV after depolarizing Ca2+ channels during a 3-s prepulse to 20 mV by applying 30-ms test pulses (to 20 mV) at various time intervals after the conditioning prepulse. Peak IBa values were normalized to the peak current measured during the prepulse, and the time course of IBa recovery from inactivation was fitted to a mono- or biexponential function (IBa, recovery = A × exp(-t/tau fast) + B × exp(-t/tau slow) C).

Voltage dependence of inactivation under quasi-steady state conditions was measured using a multi step protocol to account for run-down (less than 10%). A control test pulse (50 ms to 20 mV) was followed by a 1.5-s step to -100 mV followed by a 30-s conditioning step, a 4-ms step to -100 mV, and a subsequent test pulse to 20 mV (corresponding to the peak potential of the I-V curves).

Inactivation during the 30 s conditioning pulse was calculated as follows.
I<SUB><UP>Ba, inactivation</UP></SUB>=1−I<SUB><UP>Ba,test</UP></SUB>(<UP>20 mV</UP>)/I<SUB><UP>Ba,control</UP></SUB>(<UP>20 mV</UP>) (Eq. 1)
The pulse sequence was applied every 3 min from a holding potential of -100 mV. Inactivation curves were drawn according to the following Boltzmann equation.
I<SUB><UP>Ba, inactivation</UP></SUB>=I<SUB><UP>SS</UP></SUB>+(1−I<SUB><UP>SS</UP></SUB>)(1+<UP>exp</UP>[(V−V<SUB>0.5</SUB>)/k)] (Eq. 2)
where V is the membrane potential, V0.5 is the midpoint voltage, k is the slope factor, and Iss is the fraction of noninactivating current.

Steady state inactivation of alpha 1A-DHP and alpha 1Lc channels at -80 mV was estimated by shifting the membrane holding potential from -80 to -100 mV (alpha 1Lc) or -120 mV (alpha 1A-DHP). Subsequent monitoring of the corresponding changes in IBa amplitudes until steady state revealed the fraction of Ca2+ channels in the inactivated state at -80 mV. Steady state inactivation of different L-type channel constructs at -30 mV was estimated by fitting time course of current inactivation to a biexponential function (see Fig. 4A).

The IBa inactivation time constants were estimated by fitting the IBa decay to a mono or biexponential function. Data are given as the means ± S.E. Statistical significance was calculated according to Student's unpaired t test.

    RESULTS
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

beta -Subunit Regulation of Ca2+ Channel Inactivation and Block by (+)-Isradipine-- To evaluate the role of beta -subunit mediated inactivation in Ca2+ channel block by isradipine, we coexpressed the alpha 1Lc (1) and alpha 1A-DHP-subunits (2) together with either the beta 1a- or the beta 2a-subunit and analyzed peak current inhibition by its high affinity (+)-enantiomer. In line with previous observations (20), alpha 1Lc/beta 2a channels displayed slower inactivation kinetics than alpha 1Lc/beta 1a channels (Fig. 1). At -80 mV alpha 1Lc/beta 1a channels displayed slightly more steady state inactivation than alpha 1Lc/beta 2a channels (p > 0.05; Fig. 1D). Slowly inactivating alpha 1Lc/beta 2a channels were blocked by (+)-isradipine with a half-maximal inhibitory concentration of 198 ± 35 nM (n = 3), which was not statistically different from block of more rapidly inactivating alpha 1Lc/beta 1a channels (IC50 = 327 ± 41 nM, p > 0.05; Fig. 1A).


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Fig. 1.   Inhibition of alpha 1Lc/beta 1a and alpha 1Lc/beta 2a channels by (+)-isradipine. A, concentration-response relationships of peak IBa inhibition of alpha 1Lc/beta 1a (open circle ) and alpha 1Lc/beta 2a channels () by (+)-isradipine. Channel block was estimated as the ratio of peak current in the presence of (+)-isradipine to that in control. Data points represent the mean values from 4-8 experiments. The IC50 and the Hill coefficients (nH) were obtained by best fit of the data points to the general dose response equation (see "Experimental Procedures") yielding: alpha 1Lc/beta 1a (open circle ): IC50 = 327 ± 41 nM, nH = 0.80 ± 0.06; alpha 1Lc/beta 2a (): IC50 = 198 ± 35 nM, nH = 0.87 ± 0.05. B, representative scaled IBa of alpha 1Lc/beta 1a and alpha 1Lc/beta 2a channels during a 10-s depolarizing step from -80 mV to 20 mV illustrate the different inactivation properties. C, IBa decay at the end of a 10 s depolarizing pulse (see B) of alpha 1Lc/beta 1a and alpha 1Lc/beta 2a channels as percentages. D, fraction of alpha 1Lc/beta 1a and alpha 1Lc/beta 2a channels in steady state inactivation at -80 mV as percentages.

The DHP-sensitive class A Ca2+ channel mutant alpha 1A-DHP inactivates at a faster rate than L-type channels and displays an inactivation curve that is, compared with L-type channels, significantly shifted into the hyperpolarizing direction (2). The slightly higher DHP sensitivity of this channel construct compared with L-type channels could therefore reflect a more efficient drug interaction with the inactivated channel state at -80 mV.

To test this hypothesis we coexpressed the alpha 1A-DHP-subunit with different beta -subunits and analyzed the (+)-isradipine sensitivity of the two channel constructs inactivating at different rates. As shown for alpha 1Lc/beta 2a (Fig. 1B), coexpression of the beta 2a-subunit dramatically slowed the inactivation time course of the resulting alpha 1A-DHP/beta 2a channels (Fig. 2B). Furthermore, at -80 mV we observed a 3-fold larger steady state fraction of alpha 1A-DHP/beta 1a channels in inactivation (46 ± 2%, n = 4) than in alpha 1A-DHP/beta 2a (16 ± 2%, n = 5, p < 0.01; Fig. 2D). A modulated receptor mechanism implying high affinity block of inactivated channels would predict a more pronounced inhibition of alpha 1A-DHP/beta 1a channels. The concentration of (+)-isradipine for half-maximal block of IBa in alpha 1A-DHP/beta 1a channels (IC50 = 61 ± 14, n = 4) at -80 mV was, however, not significantly different from alpha 1A-DHP/beta 2a (IC50 = 52 ± 14, p > 0.05; Fig. 2A). These data clearly indicate that enhanced inactivation did not cause stronger IBa inhibition of alpha 1A-DHP/beta 1a channels.


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Fig. 2.   Inhibition of alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels by (+)-isradipine. A, concentration-response relationships of peak IBa inhibition of alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels by (+)-isradipine. Data points were fitted to the general dose response equation (as shown under "Experimental Procedures"): alpha 1A-DHP/beta 1a (): IC50 = 61 ± 14 nM, nH = 0.97 ± 0.05; alpha 1A-DHP/beta 2a (black-square): IC50 = 52 ± 14 nM, nH = 0.87 ± 0.05 (n >=  3). B, representative scaled IBa of alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels during a 3-s depolarizing step from -80 mV to 20 mV. C, IBa decay of alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels at the end of a 3 s pulse (see B) as percentages. D, fraction of alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels in steady state inactivation at -80 mV as percentages. *, statistically significant different with p < 0.01.

Inactivation Determinants in Segment IVS6 Affect Ca2+ Channel Block by (+)-Isradipine-- To evaluate the role of channel inactivation determinants in the pore forming alpha 1Lc-subunit for channel block by (+)-isradipine, we replaced three amino acids in segment IVS6 of alpha 1Lc by alanine (I1497A, I1498A, and V1504A) and analyzed the DHP sensitivity of the resulting mutants.

As shown in Fig. 3A, alanine substitutions of the two putative DHP-binding determinants (I1497A and I1498A; Ref. 7) and mutation V1504A (1) significantly slowed channel inactivation kinetics. None of the point mutations reduced Ca2+ channel inhibition by (+)-isradipine (Fig. 3B). Instead, we observed a significant decrease in the half-maximal inhibitory concentrations for peak IBa inhibition of I1497A (IC50 = 28 ± 10 nM), I1498A (IC50 = 50 ± 11 nM), and V1504A (IC50 = 71 ± 15 nM) compared with alpha 1Lc/beta 1a (IC50 = 327 ± 41 nM, p < 0.05, n >=  4; Fig. 1).


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Fig. 3.   Inactivation determinants in L-type segment IVS6 and Ca2+ channel block by (+)-isradipine. A, comparison of IBa inactivation of alpha 1Lc/beta 1a channels with mutants I1497A, I1498A, V1504A, and alpha 1Lc/beta 2a channels measured as IBa decay during a 3-s test pulse from -80 mV to 20 mV. All constructs displayed statistically significant slower current inactivation compared with alpha 1Lc/beta 1a channels (p < 0.01, n = 5-12). Inset, representative IBa of the indicated Ca2+ channel constructs were scaled to illustrate the different inactivation time courses. B, concentration-response relationship of peak IBa inhibition by (+)-isradipine. Data points represent the mean values from 3-8 experiments. Fitting the data points to the general dose response equation yielded: I1497A (): IC50 = 28 ± 10 nM, nH = 0.81 ± 0.04; I1498A (black-triangle): IC50 = 50 ± 11 nM, nH = 1.17 ± 0.07; I1504A (black-square): IC50 = 71 ± 15 nM, nH = 1.35 ± 0.06. For IC50 and nH of alpha 1Lc/beta 1a (open circle , dashed line) see Fig. 1.

At a holding potential of -80 mV, the fraction of inactivated channels was not significantly different between the various L-type channel constructs (ranging from 5 ± 2% (V1504A, n = 5) to 3 ± 1% (alpha 1Lc/beta 1a, n = 5)). The observed changes in drug sensitivity at -80 mV appear, therefore, to be associated with a more pronounced resting channel block.

Steady state Inactivation and Voltage-dependent L-type Ca2+ Channel Block-- To evaluate the role of the inactivated channel conformation of our L-type constructs as high affinity receptor for (+)-isradipine, we estimated the steady state inactivation at -30 mV (see pulse protocol in inset of Fig. 4A). Different channel constructs displayed significantly different steady state inactivation at -30 mV (ranging in the absence of drug between 9 ± 1% (alpha 1Lc/beta 1a, n = 5) and 21 ± 3% (I1498A, n = 4)) (Fig. 4, C and D).


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Fig. 4.   Isradipine-induced inactivation in resting Ca2+ channels. A and B, effect of prepulses of variable duration (inset) to a subthreshold voltage of -30 mV on the current evoked by a test pulse to 20 mV (holding potential, -80 mV). The currents were normalized to that observed during a test pulse to 20 mV given alone (no prepulse applied). The smooth curves are biexponential functions fitted to the time course of mean IBa inactivation (± S.E.) of alpha 1Lc/beta 1a (n = 4, A) and of alpha 1Lc/beta 2a channels (n = 4, B) in control (open circle ), the presence of (+)-isradipine () (1 µM). The parameters of the fit to time-dependent IBa inactivation during conditioning pulses of different length IBa/normalized = Afast × exp(-t/tau fast) + Aslow × exp(-t/tau slow) + C were in A (alpha 1Lc/beta 1a) (open circle ): Afast = 0.04, tau fast = 0.65 s, Aslow = 0.05, tau slow = 14.0 s, C = 0.91; (): Afast = 0.39, tau fast = 0.57 s, Aslow = 0.23, tau slow = 14 s, C = 0.37; in B (alpha 1Lc/beta 2a) (open circle ): Afast = 0.06, tau fast = 0.92 s, Aslow = 0.12, tau slow = 11.4 s, C = 0.83; (): Afast = 0.28, tau fast = 0.69 s, Aslow = 0.25, tau slow = 12.9 s, C = 0.45. The dashed lines illustrate the steady state inactivation in control and the presence of 1 µM isradipine. The arrows in A and B illustrate the additional drug-induced steady state inactivation. C, additional steady state inactivation in the indicated channel constructs induced by 1 µM (+)-isradipine. Drug-induced fast inactivation (Afast, drug - Afast, control) is illustrated by the black columns. D, steady state inactivation in control plotted versus steady state inactivation in (+)-isradipine at -30 mV.

We did, however, not observe a simple relation between inactivation and voltage-dependent channel block by (+)-isradipine. As illustrated in Fig. 4 (A and B), a higher fraction of steady state inactivation in alpha 1Lc/beta 2a channels did not result in a stronger voltage-dependent channel block compared with alpha 1Lc/beta 1a channels. Compared with its effect on alpha 1Lc/beta 1a channels (56 ± 3% additional current inhibition, n = 4), the drug induced significantly less channel block in alpha 1Lc/beta 2a (40 ± 4%), I1498A (25 ± 2%), and V1504A channels (34 ± 5%, n > 7; Fig. 4C). Plotting the fraction of steady state inactivation of the different L-type channel mutants at -30 mV against the amount of drug-induced inactivation revealed even a reversed correlation (r = 0.94) between these two parameters (Fig. 4D).

The different inactivation properties of constructs alpha 1Lc/beta 1a, alpha 1Lc/beta 2a, I1498A, and V1504A prompted us to analyze the voltage dependence of channel inactivation in control and the presence of (+)-isradipine in more detail. The inactivation curves (measured with 30 s conditioning prepulses) in control and the presence of 10 nM, 100 nM, and 1 µM (+)-isradipine are illustrated in Fig. 5. The midpoint voltages of the inactivation curves of all four L-type constructs were shifted to a comparable extent in the hyperpolarizing direction (Fig. 5 and Table I). A modulated receptor mechanism would predict a correlation between channel inactivation during the conditioning prepulses and voltage-dependent channel block. No such correlation was observed.


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Fig. 5.   Modulation of the inactivation curves of alpha 1Lc/beta 1a, I1497A, I1498A, V1504A, and alpha 1Lc/beta 2a channels by (+)-isradipine. Voltage dependence of Ca2+ channel inactivation during 30-s depolarizing test pulses. Data point were fitted to a Boltzmann function (see "Experimental Procedures"). The mean values for corresponding slope parameters (k) and half-maximal inactivation potential (V0.5) in control (open circle ), 10 nM (), 100 nM (black-square), and 1 µM (black-triangle) (+)-isradipine are shown in Table I.

                              
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Table I
Slope factors (k) and midpoint voltages (V0.5) of the inactivation curves shown in Fig. 5
Corresponding shifts of V0.5 in the presence of 1 µM: 24 ± 3 (alpha 1Lc/beta 1a), 21 ± 4 (alpha 1Lc/beta 2a), 21 ± 3 (I1498A), and 19 ± 3 (V1504A) were not significantly different (p > 0.1).

Kinetics of Drug-induced Inactivation at -30 mV-- Ca2+ channel inactivation at -30 mV developed with a biexponential time course (Fig. 4). The fast inactivation time constant (tau fast) ranged between 0.42 ± 0.06 s (I1497A) and 0.92 ± 0.07 s (alpha 1Lc/beta 2a), and the slow inactivation time constant (tau slow) ranged between 10.1 ± 2.1 s (I1497A) and 14.0 ± 2.1 s (alpha 1Lc/beta 1a). (+)-Isradipine (1 µM) induced an additional fast component in Ca2+ channel inactivation developing with similar kinetics as fast inactivation in control. The fast inactivation time constant (tau fast, isradipine) ranged in the different constructs between 0.51 ± 0.06 s (I1498A) and 0.89 ± 0.08 s (I1497A). The slow component in channel inactivation at -30 mV was not significantly affected by the drug (Fig. 4, A and B). These findings suggest that (+)-isradipine promotes a channel conformation resembling intrinsic fast inactivation. The fraction of channels in this new drug-induced inactivated state correlated with the drug-induced steady state inactivation (Fig. 4C).

(+)-Isradipine-induced Changes in IBa Kinetics at 20 mV-- (+)-Isradipine-induced changes in IBa kinetics at 20 mV are illustrated in Fig. 6. The drug (1 µM) accelerated the fast component in IBa decay of alpha 1Lc/beta 1a from tau fast, control = 415 ± 52 ms to tau fast, isradipine = 166 ± 9 ms (n = 7). In alpha 1Lc/beta 2a and V1504A channels IBa inactivation developed with slow time constants of 16 ± 2 s (alpha 1Lc/beta 2a) and 12 ± 2 s (V1504A, n = 5), indicating complete absence of intrinsic fast inactivation (see also corresponding recovery experiments in Fig. 7). (+)-Isradipine induced in both channel constructs a transient component in the current decay with similar time constants of tau fast, isradipine(V1504A) = 215 ± 35 ms and tau fast, isradipine (alpha 1Lc/beta 2a) = 210 ± 30 ms (n = 5). The slow inactivation time constants of the IBa decay were not significantly affected by the drug (see right column of Fig. 6 and inset in Fig. 6A).


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Fig. 6.   Modulation of current decay by (+)-isradipine. Representative IBa through the indicated channel constructs during 3-s depolarizations from -80 to 20 mV in control (open circle ) and the presence of 1 µM (+)-isradipine () (left panels). IBa were scaled to illustrate (+)-isradipine-induced changes in the current decay. The inset in A illustrates representative IBa of alpha 1Lc/beta 1a channels during 30-s depolarizations under the same conditions. The time constants of fast (tau fast, middle panels) and slow (tau slow, right panels) IBa decay in control (white columns) and 1 µM (+)-isradipine (black columns) were estimated by fitting biexponential functions to the current traces evoked by 30-s depolarizing pulses from -80 to 20 mV. Data from 6-12 experiments are shown. No fast component in inactivation was observed for alpha 1Lc/beta 2a and V1504A. In alpha 1Lc/beta 1a the relative amplitudes changed from Afast, control = 0.50 ± 0.08 to Afast, drug = 0.75 ± 0.03 and in and I1498A from Afast, control = 0.11 ± 0.03 to Afast, drug = 0.41 ± 0.07.


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Fig. 7.   Recovery from isradipine-induced inactivation. Time course of IBa recovery from inactivation, after a 3-s conditioning prepulse to 20 mV (holding potential, -80 mV). Test pulses to 20 mV were applied at various time intervals after the conditioning pulses. Peak IBa during the test pulses were normalized to peak IBa measured during the conditioning prepulse. Smooth curves in A-D represent mono- or biexponential functions fitted to IBa recovery (means ± S.E., n = 4-7) of alpha 1Lc/beta 1, I1498A, alpha 1Lc/beta 2, and V1504A channels in control (open circle ) and in 1 µM (+)-isradipine (). The parameters of fit were as follows. A, (open circle ): A = 0.32, tau  = 0.63 s, C = -1; (): A = 0.68, tau  = 2.85 s, C = -0.98; B, (open circle ): Afast = 0.13, tau fast = 0.50 s, Aslow = 0.21, tau slow = 12 s, C = -0.99; (): Afast = 0.46, tau fast = 0.47 s, Aslow = 0.20, tau slow = 12 s, C = 0.97; C, (open circle ): A = 0.09, tau  = 6.1 s, C = -0.99; (): A = 0.42, tau  = 2.26 s, C = -0.98; D, (open circle ): A = 0.10, tau  = 11.7 s, C = -0.98; (): Afast = 0.36, tau fast = 1.48 s, Aslow = 0.20, tau slow = 14.5 s, C = 0.98. E, time constants of recovery from fast inactivation in control (white columns) and 1 µM (+)-isradipine (black columns). alpha 1Lc/beta 2a, I1498A, and V1504A channels recover at a significantly faster rate from (+)-isradipine-induced inactivation than alpha 1Lc/beta 1 channels (# with p < 0.01). F, drug-induced fast inactivation (Afast, drug - Afast, control) determined from recovery experiments (see A-D). The fraction of drug-inactivated channels was neither affected by single point mutations in segment IVS6 nor by expression of different beta -subunits.

Mutation I1498A reduced Ca2+ channel inactivation (Fig. 3A) and simultaneously accelerated fast inactivation (tau fast, control = 155 ± 20 ms, p < 0.01 compared with 415 ± 52 alpha 1Lc/beta 1a; see also Fig. 6C). Irrespective of the changes in channel inactivation in I1498A channels, drug-induced acceleration of the current occurred at a similar rate as in alpha 1Lc/beta 1a channels (tau fast, isradipine = 142 ± 18 ms, n = 6, Fig. 6, A and C). Thus, (+)-isradipine-induced acceleration of the current decay occurred in all L-type channel constructs at a comparable rate.

Recovery from Voltage-dependent Block by (+)-Isradipine-- IBa recovery of alpha 1Lc/beta 1a channels at -80 mV was well described by a monoexponential function (tau rec, control = 0.65 ± 0.07 s, n = 6; Fig. 7A). Recovery in the presence of 1 µM (+)-isradipine was about four times slower (tau rec, drug = 2.80 ± 0.14 s, n = 4; Fig. 7, A and E), suggesting that the drug promotes a new (drug-induced) inactivated state.

Regardless of the complete absence of intrinsic "fast inactivation" in alpha 1Lc/beta 2a and V1504A channels (Fig. 6, B and D), (+)-isradipine (1 µM) induced a transient component in IBa decay and a corresponding fast component in recovery with kinetics comparable with drug-modulated alpha 1Lc/beta 1a channels (tau rec, drug [alpha 1Lc/beta 2a] = 2.26 ± 0.26 s, n = 3 and tau rec, drug [V1504A] = 1.48 ± 0.48 s, n = 5; Fig. 7, C-E).

Mutant I1498A recovered with biexponential kinetics in control (Fig. 7B). (+)-Isradipine enhanced the impact of the fast component (Fig. 7F). However, the drug did not slow the time course of IBa recovery in I1498A channels. Neither the recovery time constant from fast inactivation nor recovery from slow inactivation were significantly affected by (+)-isradipine (tau rec, control = 471 ± 50 ms, tau rec, drug = 453 ± 45 ms, n = 4; see also Fig. 7, B and E). Recovery of I1498A channels from inactivation in the presence of (+)-isradipine occurred at a 6-fold faster rate the recovery of alpha 1Lc/beta 1a channels, suggesting a particularly important role of Ile1498 in stabilization of the DHP-induced inactivated state.

    DISCUSSION
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ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

According to a widely accepted hypothesis, DHPs bind with high affinity to the inactivated state of Ca2+ channels (15, 16). We have revisited this concept and analyzed the (+)-isradipine sensitivity of several L-type and DHP-sensitive class A Ca2+ channel constructs with different inactivation properties.

Resting State Block by (+)-Isradipine Is Affected by Mutations in L-type Segment IVS6-- Our data clearly demonstrate that two putative DHP binding determinants in segment IVS6 (Ile1497 and Ile1498; Ref. 11) form part of the L-type channel inactivation mechanism (Fig. 3A). Alanine substitutions of these amino acids slowed IBa inactivation and increased the apparent DHP sensitivity at -80 mV (Fig. 3). Slowing the kinetics of alpha 1Lc channels by coexpression of the beta 2a-subunit had no significant effect on IBa inhibition (Figs. 1 and 3). However, neither co-expression of the different alpha 1Lc mutants with the beta 2a-subunit nor introducing point mutations into segment IVS6 significantly affected the steady state fraction of channels in the inactivated state at -80 mV. Our measurements of drug action at -80 mV therefore primarily provided information about an enhanced resting state affinity of constructs I1497A, I1498A, and V1504A.

Role of Inactivation in alpha 1A-DHP Channel Block by (+)-Isradipine-- As illustrated in Fig. 2, we estimated at -80 mV an about 3-fold larger fraction of alpha 1A-DHP/beta 1a channels in steady state inactivation than in alpha 1A-DHP/beta 2a. Despite this marked difference, alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels were blocked with similar IC50 values (alpha 1A-DHP/beta 1a, 61 ± 14; alpha 1A-DHP/beta 2a, 52 ± 14; p > 0.05).

This result is hard to explain in the frame of a modulated receptor model suggesting high affinity drug binding to the inactivated channel conformation. Instead, our data clearly demonstrate that beta -subunit-induced changes in the steady state fraction of channel inactivation at -80 mV have no significant effect on (+)-isradipine sensitivity of alpha 1A-DHP channels. A higher sensitivity of mutant alpha 1A-DHP/beta 1a (IC50 = 61 ± 14) compared with the L-type construct alpha 1Lc/beta 1a (IC50 = 327 ± 41, p < 0.01) therefore cannot be explained by a high affinity block of a larger fraction of alpha 1A-DHP channels in an inactivated state. A loss in voltage dependence of DHP block caused by the class A sequence environment of the DHP-binding site in alpha 1A-DHP cannot be excluded.

Role of Inactivation in L-type Ca2+ Channel Block by (+)-Isradipine-- Next we exploited the different inactivation properties of our L-type Ca2+ channel constructs to analyze whether a larger steady state fraction of inactivated channels at -30 mV would enhance voltage-dependent channel block. As shown in Fig. 4D, we observed even a reversed correlation between these two parameters.

This apparent discrepancy with a high affinity drug binding mechanism to the inactivated channel state is also illustrated in Fig. 5. Removal of fast inactivation in V1504A and in alpha 1Lc/beta 2a channels substantially reduced the fraction of inactivated channels during the 30-s conditioning pulses compared with alpha 1Lc/beta 1a (Fig. 5, A-C). We observed, however, no correlation between the shifts in the midpoint voltages of the inactivation curves in the presence of 10 nM to 1 µM (+)-isradipine (Table I) and the amount of inactivation during a 30-s conditioning test pulse (more than 90% in alpha 1Lc/beta 1a channels versus about 70% in alpha 1Lc/beta 2a and V1504A channels). These data suggest that drug binding to the inactivated state is less crucial for L-type channel block than previously supposed.

The kinetics of the voltage-dependent channel block by (+)-isradipine at -30 mV support, however, the hypothesis that the drug promotes a conformational state resembling intrinsic fast inactivation (Fig. 4, A and B). As demonstrated in Fig. 4, the formation of this "drug-induced inactivated state" was modulated by intrinsic determinants of fast inactivation in segment IVS6 and alpha 1-beta -subunit interaction.

At 20 mV (+)-isradipine (1 µM) accelerated the IBa decay of all L-type channel constructs to a comparable extent (Fig. 6). At this potential drug-induced acceleration of the current decay could be due to rapid open channel block (21), drug-induced inactivation, or both. It is tempting to speculate that the (+)-isradipine-induced acceleration of the current decay at 20 mV at least partially reflects drug-induced transitions of open channels to an inactivated state that was observed for resting channels at -30 mV (Fig. 4, A and B). However, state transitions of resting channels at -30 mV cannot be extrapolated to 20 mV, where inactivation occurs predominantly from the open state. More detailed studies including an analysis of the dose dependence of (+)-isradipine-induced changes in IBa kinetics at different membrane voltages are required to answer this question.

Intrinsic Inactivation Determinants in Segment IVS6 Affect Recovery from (+)-Isradipine Block-- As shown in Fig. 7, constructs alpha 1Lc/beta 2a (tau rec, drug = 2.26 ± 0.23 s, n = 5) and V1405A (tau rec, drug = 1.48 ± 0.48 s, n = 4) recovered from the drug-induced inactivation with slightly faster time constants than alpha 1Lc/beta 1a (tau rec, drug = 2.80 ± 0.14 s, n = 4, p = 0.05). Most dramatic effects were observed for amino acid substitution I1498A. This mutant recovered in (+)-isradipine much faster from inactivation (tau rec, drug = 0.45 ± 0.05 s, n = 4) than alpha 1Lc/beta 1a and the other constructs (Fig. 7E). This property distinguishes Ile1498 from other IVS6 residues investigated in the present study (Fig. 7B). A simple interpretation of these results is that mutation I1498A and to a lesser extent mutation V1405A and the alpha 1Lc-beta 2a interaction destabilize the drug-induced inactivated state (Fig. 8).


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Fig. 8.   Intrinsic inactivation determinants affect the stability of the (+)-isradipine-induced channel conformation. Slower IBa recovery of L-type Ca2+ channels in the presence of (+)-isradipine suggests that the drug stabilizes a new inactivated channel conformation (Fig. 7A; see also Ref. 26). The scheme illustrates an interdependence between intrinsic inactivation properties and the stability of the (+)-isradipine-induced conformation. Amino acid substitution I1498A induced a 6-fold faster IBa recovery from the drug-induced state, and an about 2-fold faster recovery was observed for mutant V1504A. Faster recovery of alpha 1Lc/beta 2a channels was significant (compared with alpha 1Lc/beta 1a) but less pronounced (Fig. 7; see also Ref. 26).

Implications for the Molecular Mechanism of DHP Action-- A role of channel inactivation determinants in different sequence stretches of L-type and non-L-type alpha 1-subunits in block by DHPs was earlier reported by Zuhlke et al. (22), Lacinova et al. (23), and Bodi et al. (24).

An interesting question about the interaction of DHPs with Ca2+ channels is whether these drugs bind with high affinity to the inactivated state or whether the inactivation gating of the channels in their drug-bound form is changed. In his original work on the modulated receptor hypothesis, Hille (25) stressed both ways of expressing the concept of the modulated receptor hypothesis.

The aim of the present study was to distinguish the impact of drug binding to the inactivated state from drug-induced inactivation by making use of DHP-sensitive Ca2+ channel constructs with different inactivation properties. We report here almost identical (+)-isradipine sensitivity of alpha 1A-DHP/beta 1a and alpha 1A-DHP/beta 2a channels despite the pronounced differences in steady state inactivation (Fig. 2). For our L-type mutants, we observed at -30 mV even a reversed correlation between the different channel fractions in inactivation and voltage-dependent channel block (Fig. 4D). Both findings are inconsistent with a modulated receptor mechanism implying an interdependence between high affinity DHP-binding to Ca2+ channels in an inactivated state and drug-induced inactivation.

We hypothesize that drug-induced changes in the availability curve reflect the formation of a new (+)-isradipine-induced inactivated channel conformation. Recovery from drug-induced inactivation is modulated by intrinsic inactivation determinants, suggesting a synergism between both processes (most prominent for mutation I1498A).

The possible structural implications of our data are hard to interpret. On one hand, this interrelationship may indicate that conformational changes during channel inactivation modulate the orientation of DHP-binding determinants; on the other hand, they may also reflect an overlap between drug binding and inactivation determinants (see Fig. 8 for illustration).

In conclusion, DHP-sensitive Ca2+ channel constructs with different inactivation properties represent valuable tools for studying the role of the inactivated channel conformation in DHP block. The characterization of the drug-induced inactivated conformational state(s) and the identification of further structural links between the DHP-binding sites and intrinsic channel inactivation is an exciting subject for future mutational studies.

    ACKNOWLEDGEMENTS

We thank Prof. H. Glossmann for providing the cDNA of the class A mutant alpha 1A-DHP and Dr. E. N. Timin, D. J. Beech, and S. Sokolov for comments on the manuscript. We thank Dr. A. Schwartz for providing the alpha 1C-a and alpha 2/delta cDNA and B. Kurka and E. Markreiter for expert technical assistance.

    FOOTNOTES

* This work was supported by Fonds zur Förderung der Wissenschaftlichen Forschung Grants 12649-MED (to S. H.) and Grant 12828-MED (to S. H.), a grant of the Else-Kröner-Fresenius Stiftung, and a grant from the Austrian National Bank (to S. H.).The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Dagger To whom correspondence should be addressed. Tel.: 43-512-507-3154; Fax: 43-512-588627; E-mail: Steffen.Hering.@uibk.ac.at.

Published, JBC Papers in Press, April 13, 2000, DOI 10.1074/jbc.M908836199

    ABBREVIATIONS

The abbreviation used is: DHP, dihydropyridine.

    REFERENCES
TOP
ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS
DISCUSSION
REFERENCES

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