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J. Biol. Chem., Vol. 282, Issue 27, 19799-19807, July 6, 2007
An Arrhythmia Susceptibility Gene in Caenorhabditis elegans*From the University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Department of Physiology and Biophysics, Piscataway, New Jersey 08854
Received for publication, February 23, 2007 , and in revised form, April 25, 2007.
kcne are evolutionarily conserved genes that encode accessory subunits of voltage-gated K+ (Kv) channels. Missense mutations in kcne1, kcne2, and kcne3 are linked to congenital and acquired channelopathies in Homo sapiens. Here we show an unique example of conservation of kcne activities at genetic, physiological, functional, and pathophysiological level in Caenorhabditis elegans. Thus, mps-4 is the homologue of kcne1 that operates in human heart and inner ear. Like its KCNE relatives, MPS-4 assembles with a Kv channel, EXP-2, to form a complex that controls pharyngeal muscle contractility. MPS-4 modulates EXP-2 function in a similar fashion as KCNE proteins endow human channels. When defective, MPS-4, can induce abnormal repolarization by mechanisms that resemble the way KCNE proteins are thought to provoke arrhythmia in human heart. Mutation of a conserved aspartate residue associated with human disease (MPS-4-D74N) alters the functional attributes of the C. elegans current. Taken together these data underscore a significant conservation of KCNE activities in different pumps. This implies that C. elegans can develop into a system to study the molecular and genetic basis of KCNE-mediated muscle contractility and disease states.
KCNEs are evolutionary conserved ancillary subunits of voltage-gated potassium (Kv) channels (1, 2). They regulate the function, trafficking, modulation by signaling molecules, and pharmacology of their channel partners in multiple mammalian tissues including heart, stomach, skeletal muscle, auditory epithelium, and the central nervous system (2-9). In human left ventricle, KCNE subunits endow the Kv channels that conduct the repolarizing potassium current. Thus, KCNE1 assembles with KCNQ1 to form IKs, whereas KCNE2 and possibly KCNE1 assemble with HERG to form IKr (4, 10-12). Mutations in kcne1 and kcne2 can decrease the repolarizing K+ current through impairing IKs and/or IKr function, causing congenital and acquired Long QT syndrome (4, 13-20). This disease predisposes to polymorphic tachyarrhythmias, and life threatening ventricular fibrillation (19). An important feature of kcne genes is that they are conserved across phyla (21-23). There are four kcne-related genes in Caenorhabditis elegans termed mps genes that play a prominent role in the nervous system of the animal. The founding member of the family, MPS-1, assembles with the pore-forming subunit KVS-1 in a subset of sensory neurons to form a complex that contributes to both their maintenance and sensitivity (22). Two other members, MPS-2 and MPS-3, appear to form a ternary complex with KVS-1 that regulates taste sensitivity to sodium (23). In contrast, the role and the partner of the fourth member, MPS-4, which is the homolog of human KCNE1 (Fig. 1A) were not known. In an effort to characterize the physiological role of MPS-4, we found that this gene is expressed in the alimentary system of the worm, the pharynx. Notably, the pharynx is a pump that is considered a prototype of the human heart (24). Both organs develop during early embryogenesis and exhibit similar electrical activity characterized by long action potentials with a broad plateau phase. The pharyngeal action potential resembles the ventricular action potential in magnitude ( V 80 mV), duration ( 200 ms), and shape (plateau). This is not coincidental. In fact the type of channels that generate this signal and their functional attributes resemble those of the channels that generate the action potential in human ventricle (25). The pharyngeal action potential is regulated by at least three major voltage-gated currents. A rapidly activating-inactivating calcium current, produced by T-type calcium channels, is responsible for the upstroke of the action potential. A slowly inactivating calcium current, produced by L-type calcium channels, maintains the membrane depolarized during the plateau phase. A potassium outward current that is produced by EXP-2 repolarizes the membrane and terminates the action potential. The molecular correlate of IKp is EXP-2, which was originally identified by Avery and colleagues (26). EXP-2 shares with cardiac IKr the same unique mechanism of conduction. These channels exhibit ultrafast inactivation and conduct during membrane repolarization (27, 28). Thus, when the membrane becomes positive, the channels quickly move into the inactivated state and do not interfere with the development of the plateau phase of the action potential. When the membrane begins to repolarize at the end of the plateau phase these channels conduct large K+ currents that sharply terminate their respective signals. This study starts from the observation that the attributes of the EXP-2 current do not completely recapitulate those of IKp (25) suggesting that EXP-2 might partner with MPS-4 in pharyngeal muscle. We found that the two subunits form a complex in specific parts of the muscle, namely anterior isthmus and terminal bulb. We further show that genetic knockout of mps-4 causes abnormal repolarization by a mechanisms that is reminiscent of the way KCNE proteins are thought to induce arrhythmia in human heart. This remarkable conservation of KCNE activities makes C. elegans a promising system to study the mechanisms underlying KCNE-mediated muscle contractility and disease states.
Molecular Biology—The D74N MPS-4 mutation was produced in wild-type MPS-4 in pCI-neo by plaque-forming unit-based mutagenesis (Stratagene). The construct was confirmed by automated DNA sequencing and quantified with spectroscopy.
RNA Interference—For double-stranded RNA (dsRNA)2 production,
Immunostaining—Immunolabeling was done following a freeze-cracking procedure modified by Shohei Mitani. To expose the pharynx, the head of a worm was chopped under a stereomicroscope using a 25-gauge needle in M9 buffer (22 mM KH2PO4, 22 mM NaH2PO4, 85 mM NaCl, 1 mM MgSO4). The head was then transferred to a microscope slide coated with poly-L-lysine, covered with a coverslip, and immediately frozen at -80 °C for 30 min. The glass slide was put in -20 °C methanol for 5-15 min, washed 2 min with, respectively, 75% methanol, PBS; 50% methanol, PBS; 25% methanol, PBS. Then the pharynx was washed two times with PBS and then incubated in PBS + 2% bovine serum albumin at room temperature for 30 min. The bovine serum albumin/PBS solution was removed without washing and the sample was incubated with anti-MPS-4 + 0.1% Tween 20 at 4 °C overnight. The sample was washed three or more times with PBS and incubated with Cy3-conjugated goat anti-rabbit secondary antibody for 2 h at room temperature and washed three times with PBS. The sample was analyzed and photographed by an Olympus BX61 microscope equipped with a digital camera.
Co-immunoprecipitations—Chinese hamster ovary (CHO) cells were transiently transfected with cDNA using Superfect kit (Qiagen) and harvested 24-36 h after transfection. CHO cells were washed with 10 ml of ice-cold PBS and lysed with 1% Nonidet P-40 buffer, 50 mM Tris, pH 7.4, 150 mM NaCl, 1 mM EDTA, 1% IGEPAL CA-630, phosphatase and protease inhibitors (Calbiochem). Cell lysates were centrifuged for 60 min at 4 °C and the supernatant mixed with HA-conjugated beads (Roche) and rocked at 4 °C for 3 h. Beads were washed three times with ice-cold 1% Nonidet P-40 buffer and then incubated in SDS sample buffer at Electrophysiology—Data were recorded with Axopatch 200B (Axon) PC (Dell) and Clampex software (Axon) and filtered at fc = 1 kHz and sampled at 2.5 kHz. Agar bridges were used throughout this study. Current Clamp Recordings—The heads of the animals were chopped with a needle as described before. Heads were transferred to the recording chamber in the electrophysiological set up, using a Pasteur pipette and held in place with a suction electrode. The pharynx was continuously perfused with a solution containing: 6 mM KCl, 140 mM NaCl, 3 mM CaCl2, 1 mM MgCl2, 5 mM HEPES, pH 7.5, with NaOH and 5 µM 5-HT to stimulate autonomic pharyngeal activity. A second intracellular electrode filled with 2 M KCl was used to record the electrical activity of the pharynx in current clamp.
Continuous recordings of pharyngeal electrical activity were analyzed using the half-threshold method (29). Histograms of the time between two consecutive action potentials and action potential duration were computed using Clampfit 9.2 software (Axon) and fitted to a single (N2) or double Gaussian distribution,
where Ai, are constants, Voltage-Clamp Recordings—CHO cells were transiently transfected with cDNA using the Superfect kit (Qiagen) and studied 24-36 h post-transfection. Bath solution was (in mM): 4 KCl, 100 NaCl, 10 HEPES (pH 7.5 with NaOH), 1.8 CaCl2, and 1.0 MgCl2. Pipette solution was 100 KCl, 10 HEPES (pH 7.5 with KOH), 1.0 MgCl2, 1.0 CaCl2, 10 EGTA (pH 7.5 with KOH).
The time course of deactivation was fitted to a double exponential function,
where I0, I1, and I2 are constants and
Isochronal open probability curves were fitted to the Boltzmann function,
where I/Imax is the normalized current, V is the membrane voltage, V
Dose-response curves were fitted to the Hill function,
where [D] is the dilution of the antibody, d Statistics—Data are indicated as mean ± S.E. The number of determinations is indicated by n. Student's t test was used to evaluate the statistical significance of unpaired means. * and ** indicate p < 0.05 and p < 0.01, respectively.
MPS-4 Is Expressed in Pharyngeal Muscle—To determine MPS-4 expression in the pharynx, we employed immunochemical methods using a custom-made rabbit polyclonal antibody that recognizes an extracellular domain in MPS-4. Fig. 1B shows anti-MPS-4 staining of a permeabilized pharynx of a transgenic nematode expressing a exp-2::gfp reporter gene. The antibody could detect MPS-4 expression in terminal bulb and in anterior, but not in posterior isthmus or corpus (Fig. 1C). When the head of the worm is cut, the corpus remains covered by the cuticle because the body wall muscles contract (Fig. 1B). Thus, the cuticle might have prevented the antibody to stain the corpus even after robust permeabilization. However, in intact worms permeabilized by the same freeze-crack method we detected expression in the terminal bulb and isthmus (albeit less intense) but not in corpus (data not shown). Furthermore, in the cut head preparations such as the one shown in the figure, metacorpus and the region of corpus immediately adjacent to it are usually not covered by the cuticle and yet the antibody failed to detect MPS-4 (n = 3). This suggests that even if MPS-4 is expressed in corpus, the protein level is low. The antibody did not stain the pharynx of mps-4 KO nematodes (Fig. 1F) confirming its specificity. Notably, the expression pattern of MPS-4 partially overlapped with that of EXP-2 indicating that the two proteins colocalize in specific areas of the pharynx (Fig. 1, D and E).
MPS-4 Controls Pharyngeal Activity—We next investigated the physiological role of MPS-4 in the pharynx. In the presence of food for the nematode, bacteria, the pumping of mps-4 KO worms resulted in a slight (9%) but statistically significant decrease in the average number of pharyngeal contractions per minute compared with N2 animals (Fig. 2A). Analysis of the electropharyngeogram, an extracellular measurement of the electrical activity that controls the mechanical activity of the pharynx (30), indicated that the decreased pumping rate in mps-4 KO worms was due to protracted muscle excitation (compare Fig. 2, B and C). It must be emphasized that the electropharyngeograms were recorded in the presence of serotonin (5-HT) to induce autonomic myogenic contractions in the absence of food (30). Therefore pumping activity was more pronounced in these conditions than with bacteria (Fig. 2A). Epigenetic inactivation of exp-2 by RNA interference (RNAi) also decreased pumping frequency to the same extent as mps-4 KO (11%, Fig. 2A). The slowing down was much marked in exp-2 KO animals (40%, Fig. 2A) probably reflecting the limited efficiency of exp-2 RNAi. We next applied the MPS-4 antibody (diluted 1:1,000 from the serum stock) to intact pharynxes in the presence of 1 µM 5-HT. The antibody caused a statistically significant reduction (
mps-4 KO Delays Repolarization—To elucidate the mechanism by which mps-4 KO slowed pharyngeal pumping we recorded the electrical activity of the muscle in the currentclamp configuration of the patch-clamp. Fig. 3A shows a typical wild-type action potential. EXP-2, which is active at the end of the plateau phase, sharply terminates the signal and produces the after hyperpolarization transient (arrow) during which the membrane is electrically refractive. The effect of knocking out mps-4 induced several modifications in the signal (Fig. 3B). First, action potential duration was increased in mps-4 KO animals by 25% compared with N2 animals (Table 1). Second, the after hyperpolarization transient was significantly suppressed. The effects of knocking out exp-2 were qualitatively similar (prolongation of the signal and suppression of the after hyperpolarization transient, Fig. 3C) but more pronounced than in mps-4 KO animals. In contrast, the alterations exerted by exp-2 RNAi were consistent with a partial suppression of exp-2 and thus of IKp (Fig. 3D). Notably exp-2 RNAi caused effects that were qualitatively and quantitatively similar to those caused by mps-4 KO (Table 1) raising the possibility that the lack of MPS-4 produced partial inhibition of IKp.
A representative recording of the activity of a wild-type pharynx is shown in Fig. 4A. The activity of these pharynxes was remarkably regular (n = 6). Conversely, mps-4 KO pharynxes were characterized by action potentials of variable length and by delayed after depolarizations (DAD) (Fig. 4B). DADs, which are abnormal depolarizations that cause a second action potential to be fired before the first is terminated, were probably triggered by the short refractory period in mps-4 KO worms. Application of anti-MPS-4 perturbed the electrical activity of the pharynx in a similar fashion (Fig. 4C). exp-2 KO as well as animals treated with exp-2 RNAi also exhibited long action potentials and multiple DAD events (Fig. 4, D and E). To quantify these alterations we analyzed continuous recordings of activity (5-10 min) using the half-threshold method (29). This approach, which is employed in single-channel analysis, allows to translate original recordings into idealized traces of ion channel openings and closings and to compute all relevant statistical quantities. An example of an idealized trace as well as calculated histograms is illustrated in Fig. 5. We estimated the mean duration of the action potential ( APd ) and the mean duration of the interval separating two consecutive action potentials ( APi ) by formally treating them as dwell open and closed times. These quantities, which are listed in Table 1, reflect the qualitative impression that mps-4 and exp-2 KO led to prolonged action potentials, DADs, and irregular rhythm. Thus, mps-4 KO, exp-2 RNAi, exp-2 KO, or treatment with anti-MPS-4 increased the APd by, respectively, 21, 17, 47, and 21%. The standard deviations (S.D.) were significantly greater than in wild-type animals revealing increased variability in AP duration and the occurrence of DADs. With respect to the interval between action potentials, whereas the means were only slightly increased, the S.D. values were significantly greater in all cases compared with control, as expected. The APd and APi exhibited normal distributions (Fig. 5, B and C). However, whereas the APi histograms of N2 animals always exhibited a single Gaussian distribution, the histograms of mps-4 KO or exp-2 KO animals as well as of animals treated with exp-2 RNAi or anti-MPS4 contained two Gaussians underscoring the occurrence of DADs. The APi histograms were also doublepeaked. A broad Gaussian peaked at around 600-900 ms reflected the irregular rhythm induced by suppression of mps-4 or exp-2. A second Gaussian, peaked at 250 ms corresponded to periods in which firing occurred at high frequency (arrows in Fig. 4) probably representing pre-DAD states. In contrast, the APi distribution in exp-2 KO animals was single peaked but very broad.
MPS-4 and EXP-2 Co-assemble in Pharyngeal Muscle—The findings that mps-4 KO, exp-2 KO, exp-2 RNAi, or treatment with anti-MPS-4 altered the action potential in a similar fashion suggested that the lack of MPS-4 diminished IKp and that therefore MPS-4 and EXP-2 form a complex in the pharynx. To strengthen the notion that the two proteins assemble in the pharynx we assessed the effect that epigenetic inactivation of mps-4 by RNAi had on the expression of EXP-2 tagged by GFP. Generally, KCNE proteins are essential components of their respective complexes that become unstable and/or cannot traffic to the plasma membrane without them (22, 31). As expected, mps-4 RNAi selectively attenuated GFP signals in isthmus and terminal bulb (Fig. 6). We conclude that MPS-4 and EXP-2 form a complex in pharyngeal muscle. Thus, IKp is composed by at least two similar but not identical currents, both produced by the same pore-forming subunit, EXP-2, and differentiated by the KCNE accessory subunit MPS-4 in specific parts of the pharynx.
MPS-4 and EXP-2 Form a Complex in CHO Cells—To characterize how MPS-4 functionally modulates IKp, we expressed EXP-2 alone or with MPS-4 in CHO cells and used biochemistry and electrophysiology to determine complex formation and function. Fig. 7A shows that EXP-2 and MPS-4 co-immunoprecipitated in CHO cells, as expected. Macroscopic currents produced by EXP-2 or EXP-2-MPS-4 channels are shown in Fig. 7B. The voltage protocols used to elicit these currents are illustrated in the insets of the figure. Because of the conduction mechanism of the EXP-2 channel, the membrane must be depolarized by a preconditioning pulse that primes the channel by moving it into the inactivated state. In cells transfected with EXP-2 cDNA, negative membrane voltages evoked large tail currents. Co-transfection with MPS-4 cDNA induced three major modifications in the current: a reduction in its magnitude along with accelerated deactivation and with a left shift in the threshold for steady-state activation (V
Mutation of a Conserved Aspartate Residue Associated with Human Disease Alters the Functional Attributes of the C. elegans Current—A congenital mutation of aspartate to asparagine to yield D76N KCNE1 is linked to cardiac arrhythmia and deafness (9, 15, 32); the analog D74N MPS-4 (Fig. 1A) was studied. Channels formed with EXP-2 and D74N MPS-4 (Fig. 8A) were found to deactivate slower than heteromeric complexes containing wild-type MPS-4 subunits and (slightly) EXP-2 channels alone (Fig. 8B). The V was shifted by 25 mV toward depolarizing potentials (Fig. 8C, V = 1.4 ± 0.4 mV; Vs = 6.1 ± 0.5 mV, n = 11). This means that the mutant channel activates at potentials that are even more positive ( 10 mV) than those of EXP-2 alone. Current density was slightly increased in the mutant compared with wild-type but not in a statistically significant fashion (244 ± 35 pA/pF, p < 0.067, data not shown). These findings further demonstrate that KCNE peptides share common mechanisms (33). Considering the important physiological role of voltage activation and recovery from inactivation these data strongly suggest that genetic mutations associated with arrhythmia in Homo sapiens might similarly affect pharyngeal contractility in C. elegans.
We have analyzed the physiological role of MPS-4, a C. elegans kcne-related gene, by biochemistry, genetics, and electrophysiology. A custom made polyclonal antibody detected MPS-4 in the pharynx. Genetic and biochemical manipulations including knock out of mps-4 or exp-2, treatments with anti-MPS-4 and exp-2 RNAi altered the electrical activity of the pharynx in a fashion consistent with the diminished repolarizing potassium current. Moreover, mps-4 RNAi in exp-2::gfp transgenic animals suppressed GFP signals in the isthmus and terminal bulb. EXP-2 and MPS-4 co-immunoprecipitated in CHO cells. When MPS-4 was co-transfected with EXP-2 it altered multiple attributes of the current. This body of evidence supports the notion that 1) MPS-4 operates in the pharynx of C. elegans and 2) it assembles with EXP-2 to form a complex that controls the repolarization of the muscle.
MPS-4 lowers the threshold for voltage activation and speeds recovery from inactivation (deactivation) thereby increasing the number of available channels at the end of the plateau phase and facilitating their quick reset. This may explain why mps-4 KO causes diminished IKp and DADs. Notably, the functional modifications that MPS-4 exerts on EXP-2 are similar to those that KCNE2 induces in HERG even though the two pore-forming subunits exhibit low sequence homology (4). The only difference is that KCNE2 shifts the V by 10 mV toward more depolarizing potentials and thus delays the time at which IKr channels initiate to repolarize the muscle. This probably underlies local differences in the contractility of the two pumps. Abnormal repolarization is one cause of arrhythmia in vertebrates (19). KCNE1 and KCNE2 are thought to induce congenital and acquired Long QTs by prolonging the duration of the action potential through diminished IKs and/or IKr currents (4, 14-16). For example, functional studies in heterologous expression systems showed that channels formed with D76N KCNE1 and cardiac KCNQ1 exhibited lower unitary conductance, a requirement for larger depolarization to activate and more rapid deactivation (14). Abbott and Goldstein (33) further demonstrated that D76N analogs exert similar effects on their respective partners. The fact that also mps-4 KO delays the duration of the action potential and shortens the refractory period by diminishing IKp and that the conserved D74N mutation in MPS-4 shifts the activation voltage toward depolarizing potentials and slows down recovery from inactivation underscores a remarkable conservation of KCNE activities in different pumps and suggests that kcne arrhythmia susceptibility mutations might act to impair pharyngeal muscle excitability when translated to mps-4. Intriguingly, MPS-4 appears to assemble with EXP-2 only in local areas of the pharynx. Using anti-MPS-4 antibody we found that MPS-4 is expressed in terminal bulb and in anterior isthmus but it is absent in posterior isthmus for instance, where EXP-2 expression is clearly detectable. This qualitative impression was corroborated by the finding that the effect of knocking out mps-4 affected the pharyngeal pumping phenotype to a lesser extent than knocking out exp-2, although one should consider that the terminal bulb is not electrically as active as the corpus (30) therefore the contribution of MPS-4 to the action potential might have been underestimated. The pharynx is a peristaltic pump and as such, different compartments contract and relax at different times. The relaxation of the isthmus and corpus are slightly phase-shifted, for example. Terminal bulb movements are rapid, whereas isthmus contractions are slow and not in synchrony with other compartments. Variations in ion channel expression and regulation may explain some differences in the function of pharyngeal compartments. Thus, it appears that MPS-4 is required to fine-tune pharyngeal muscle excitability by acting to locally differentiate the potassium repolarizing current. One significant implication of the findings presented here is that C. elegans might be employed as a resourceful model system to study the mechanisms underlying KCNE-mediated arrhythmia susceptibility and pharmacology. We are currently characterizing the pharmacology of EXP-2-MPS-4 channels and the response of C. elegans to known proarrhythmic and antiarrhythmic drugs. Preliminary results suggest that the pharmacological profiles of EXP-2-MPS-4 and HERG-KCNE2 are surprisingly similar. Hence, we expect that the unprecedented genetic and molecular tools offered by C. elegans can be used to reveal new insights into the mechanisms of arrhythmia, and to provide new models for pharmaceutical testing. In summary, KCNE proteins, which modulate multiple Kv channels in human tissues, appear to be an essential feature also of invertebrate channels. These results underscore a high degree of functional conservation between mammalian and invertebrate channels and demonstrate that C. elegans is a valuable system for studying physiological aspects of K+ channels and their KCNE partner subunits.
* This work was supported by National Institutes of Health Grant R01GM68581 (to F. S.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 To whom correspondence should be addressed. Tel.: 732-235-4032; Fax: 732-235-5038; E-mail: sestife{at}UMDNJ.EDU.
2 The abbreviations used are: dsRNA, double-stranded RNA; PBS, phosphate-buffered saline; CHO, Chinese hamster ovary; HA, hemagglutinin; RNAi, RNA interference; KO, knock out; DAD, delayed after depolarizations; GFP, green fluorescent protein.
The exp-2::gfp transgenic strain was a gift of Dr. Leon Avery. The mps-4 KO strain was a gift of Dr. Shohei Mitani. The exp-2 KO was a gift of the Caenorhabditis Genetics Center (CGC). We thank Drs. John Lenard, Shi-Qing Cai, Geoffrey Abbott, and Thomas McDonald for critical reading of the manuscript and Fulvio Sesti for help with the graphic.
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