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J. Biol. Chem., Vol. 282, Issue 5, 3325-3336, February 2, 2007
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From the Department of Molecular Cell Biology, Division of Physiology, Laboratory of Ion Channel Research, KU Leuven, B-3000 Leuven, Belgium
Received for publication, May 31, 2006 , and in revised form, November 10, 2006.
| ABSTRACT |
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| INTRODUCTION |
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2000 years ago, menthol is still extensively used as an additive in a wide variety of products ranging from ointments and candies to cigarettes. The soothing, refreshing and invigorating feature of the oil made from the peppermint herb is useful in massage for muscle fatigue. It is also used in the treatment of asthma, colic, exhaustion, fever, flatulence, headache, nausea, scabies, sinusitis, and vertigo (1). Currently the best described molecular target of menthol is TRPM8,2 a member of the melastatin branch of the TRP superfamily of cation channels. TRPM8 was initially identified in a screening procedure aimed at identifying mRNAs that are up-regulated in prostate cancer (2). Subsequently, TRPM8 expression was also demonstrated to be strongly up-regulated in several other primary tumor types including breast, colon, lung, and skin (2). The following studies identified TRPM8 in a subset of dorsal root and trigeminal neurons (3), and found it to function as a plasma membrane Ca2+-permeable cation channel activated by cold temperatures (<28 °C) and by compounds such as menthol, eucalyptol, geraniol, linalool, and icilin (4-6). These findings strongly suggest that TRPM8 is involved in cold sensation by the somatosensory system, and provide a straightforward explanation for the cool sensation evoked by menthol. Yet, the function of TRPM8 in non-sensory cells and particularly its relation to the pathophysiology of cancer cells are currently unknown. Recent studies have suggested that TRPM8, besides its established function as a plasmalemmal channel, can also be found in the ER membrane of the androgenresponsive LNCaP prostate cell line, where it may function as a menthol- and cold-sensitive intracellular Ca2+-release channel (7, 8). In addition, menthol-induced release of Ca2+ from intracellular stores has been reported in other different cell types, including skeletal muscle (9), tracheal epithelial cells (10), and dorsal horn neurons (11). These data raise the possibility that TRPM8 plays a more general role as an intra-cellular Ca2+ release channel. However, in the absence of TRPM8-deficient mice or TRPM8-specific inhibitors, equaling all menthol-induced Ca2+ responses to TRPM8 activation may be premature.
Whereas performing simultaneous whole cell patch clamp recordings and intracellular Ca2+ measurements on HEK293 cells overexpressing human TRPM8, we observed that menthol not only activates plasma membrane TRPM8 currents, but also induces Ca2+ release from intracellular stores. Our results demonstrate that this intracellular Ca2+ release originates from both ER and Golgi compartments, is not related to TRPM8 expression, and is also observed in several other widely used cell types, pointing to a more universal TRPM8-independent menthol-activated release pathway.
| EXPERIMENTAL PROCEDURES |
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African monkey kidney (COS) cells were cultured in Dulbecco's modified Eagle's medium (Invitrogen) supplemented with 10% (v/v) FCS (Sigma), 3.8 mM L-alanyl-L-glutamine (Glutamax, Invitrogen), 85 units/ml penicillin, 85 µg/ml streptomycin, and MEM non-essential amino acids (1 times) (Invitrogen) at 37 °C in a humidity controlled incubator with 9% (v/v) CO2. Chinese hamster ovary cells were grown in Ham's F-12 medium (Invitrogen) containing 10% (v/v) FCS (Sigma), 4 mML-alanyl-L-Glutamine (Glutamax Invitrogen), 85 units/ml penicillin, 85 µg/ml streptomycin, 100 mM sodium pyruvate (Invitrogen) at 37 °C in a humidity controlled incubator with 5% (v/v) CO2.
RNA Extraction, cDNA Synthesis, and Reverse Transcriptase-PCRTotal RNA from cultured HEK293 cells was prepared using the RNeasy MiniKit (Qiagen) according to the protocol provided by the manufacturer. Reverse transcription of 1 µg of total RNA was performed with Ready-to-GoTM You-Prime-First-Strand-Beads (Amersham Biosciences) using random primers. Amplification of specific TRPM8 fragments was performed on a 50-µl PCR, containing Taq DNA polymerase buffer (50 mM KCl, 10 mM Tris-HCl, pH 8.3, 1.5 mM MgCl2, and 0.01% gelatin), 0.2 mM dNTPs, 2.5 units of Taq DNA polymerase (New England Biolabs), 0.5 pmol of each of the specific TRPM8 or actin primers (see Table 1) and the cDNA. The cycling protocol comprised denaturation for 1 min at 95 °C, annealing for 1 min at 61 °C, and extension also for 1 min at 72 °C, for a total of 32 cycles. Each reaction product was run on a 1% agarose gel and visualized by ethidium bromide coloration.
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Anti-TRPM8 Antibody Generation and Immunodetection For immunodetection, two different anti-TRPM8 antibodies were used: we compared commercially available antiTRPM8 (Novus) to a newly generated anti-TRPM8 antibody designed in our laboratory. To generate the latter, rabbits were immunized with a synthetic peptide corresponding to a highly conserved region in the TRPM8 C terminus (C + 1078MRHRFRQLDTKLNDL1092) coupled to the keyhole limpet hemocyanin (Eurogentec). TRPM8 antibodies were purified from serum by peptide chromatography (Eurogentec). For characterizing the distribution of TRPM8 in different membrane fractions, nitrocellulose (Schleicher & Schuell) or polyvinylidene fluoride (Bio-Rad) membranes with separated proteins were probed with purified polyclonal rabbit anti-TRPM8 (1:2000 dilution), anti-plasma membrane Ca2+-ATPase (1:2000 dilution), or monoclonal mouse antiinositol trisphosphate receptor (IP3R) isoform 3 (1:1000 dilution) antibodies (BD Biosciences) for 1 h at room temperature. Immunoreactive complexes were visualized by chemiluminescence and exposure to a Hyperfilm ECL (Amersham Biosciences), using either anti-rabbit or antimouse IgG antibodies conjugated to horseradish peroxidase (1:4000 dilution; Amersham Biosciences). When required, the bound antibodies were removed using Re-Blot Plus mild antibodies stripping solution according to the manufacturer's instructions (Chemicon International, Inc.). Immunocytochemistry on TRPM8-transfected HEK293 cells and LNCaP cells was performed as described previously (12). Briefly, cells were fixed in 3.7% fresh formaldehyde for 10 min and permeabilized in 0.2% Triton X-100 for 10 min (all incubation and washing steps throughout the experiments were in phosphate-buffered saline with the indicated supplementation). After 2 h blocking with 3% bovine serum albumin, coverslips were incubated with anti-TRPM8 antibodies (1:1000 dilution) overnight at 4 °C. Secondary Alexa Fluor® 594-labeled goat anti-rabbit antibodies (Molecular Probes, Inc.) were used in a 1:1000 dilution and incubated for 1 h. Stained samples were treated with VectaShield® mounting medium containing 4', 6-diamidino-2-phenylindole (Vector Laboratories, Inc.) to retard photobleaching and visualize nuclei.
ElectrophysiologyPatch clamp experiments were performed in the whole cell configuration using an EPC-9 amplifier and Pulse software (HEKA Elektronik). Electrode resistance was between 2 and 5 M
and 60% of the series resistance was compensated. All experiments were performed at 33 °C and carried out between 16 and 24 h after transfection. The internal (pipette) solution contained (in mM) 140 CsCl, 10 HEPES, and 0.2 Fura-2, buffered at pH 7.2 with CsOH. The extracellular solution consisted of (in mM) 150 NaCl, 5 MgCl2, 1 EGTA, and 10 HEPES, buffered at pH 7.4 with NaOH. Stimulation of TRPM8 currents was realized by application of 1 mM menthol (Sigma) to the bath solution. Current-voltage relationships were measured from linear 400-ms voltage ramps from -100 to +100 mV, which were applied every 5 s from a holding potential of +20 mV with a sampling interval of 0.8 ms.
Intracellular Ca2+ MeasurementsIntracellular Ca2+ was measured using a monochromator based system consisting of a Polychrome IV monochromator (TILL Photonics) with an additional TILL photonics photomultiplier, both controlled by Pulse software (HEKA Elektronik). Cells were loaded with Fura-2 by incubating them in the culture medium with 2 µM Fura-2/AM (TefLabs) for 20 min at 37 °C. Fluorescence was measured at alternating wavelengths between 350 and 380 nm, corrected by subtraction of the background fluorescence, and expressed as the ratio R (F350/F380).
The relationship between the fluorescence ratio R and the [Ca2+] was computed according to the Grynkiewicz equation (15). Additional correction on the KD of Fura-2 was performed for the different temperatures as described before (16). A SC-20 dual in-line heater/cooler (Warner Instruments) was used to control the temperature of the perfusate. A TA-29 thermistor (Thermometrics) positioned in close vicinity of the cell was used to monitor the bath temperature, which was recorded together with the fluorescent signal. The Ca2+-containing extracellular solution consisted of (in mM) 150 NaCl, 5 MgCl2, 1.5 mM CaCl2, and 10 HEPES, buffered at pH 7.4 with NaOH. For the nominally Ca2+-free solution, CaCl2 was omitted. Different concentrations of menthol, linalool, geraniol, eucalyptol, or icilin were applied in this solution. Acetylcholine chloride (ACh) and 2,5-di-(tert-butyl)-1,4-benzohydroquinone (BHQ) were applied at concentrations of 100 and 50 µM, respectively. Pertussis toxin, U73122 [GenBank] , and caffeine were used at concentrations of 500 ng/ml, 10 µM, and 10 mM, respectively. All reagents were obtained from Sigma. A stock solution of menthol and icilin was first made in ethanol resulting in a final concentration of the solvent not exceeding 0.3%. Ethanol itself does not evoke any intracellular Ca2+ release at the concentrations used.
Aequorin MeasurementsHEK293 cells, seeded on 13-mm gelatin-coated coverslips, were transfected with the bioluminescent protein aequorin constructs, targeted for the ER, Golgi, or cytosol (erAEQ, goAEQ, and cytAEQ, respectively) using GeneJuice® transfection reagent following the manufacturer's protocol (Novagen). Experiments were performed at 37 °C 1 day after transfection on a confluent cell layer (17).
Prior to measuring ER- or Golgi-aequorin signals, the culture medium was replaced with Krebs-Ringer buffer (KRB) ((in mM) 135 NaCl, 5 KCl, 1 MgSO4, 20 KH2PO4, 20 HEPES, and 5.5 glucose buffered at pH 7.4 with NaOH), containing 600 µM EGTA. Cells were incubated during 1 h with 5 µM ionomycin (Sigma) for Ca2+ depletion and with 5 µM coelenterazine for reconstitution of the active aequorin. The cells were then washed extensively with KRB supplemented with 2% bovine serum albumin (Sigma) and 1 mM EGTA. After superfusion of the cells with KRB supplemented with 100 µM EGTA, the stores were loaded by superfusion with a KRB solution containing 1 mM CaCl2. Finally, the cells were stimulated with 2 mM menthol diluted in the same solution.
HEK293 cells transfected with cytAEQ were incubated during1hina5%CO2 incubator at 37 °C with 5 µM coelenterazine (wild type) diluted in Dulbecco's modified Eagle's medium supplemented with 1% FCS. Measurements were performed in KRB supplemented with 1 mM CaCl2 and cells were stimulated with 2 mM menthol in the same solution. The light signal was collected by a low-noise photomultiplier tube (Hamamatsu H7360-1, Hamamatsu Photonics K.K.) with a built-in amplifier-discriminator. The photomultiplier output was collected using a photon PCI-6601 counting board (National Instruments).
Statistical AnalysisGroup data are expressed as mean ± S.E. Overall statistical significance was determined by analysis of variance. In the case of significance (p < 0.05), individual groups were compared by Student's unpaired t test. Statistics was performed with Origin 7.0 software (OriginLab Corp.).
| RESULTS |
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However, whereas whole cell TRPM8 currents can be repetitively activated by menthol in Ca2+-free solution (data not shown; see also Refs. 4 and 5), a rise in [Ca2+]i was only observed during the first menthol application (Fig. 2A, for second application of 1 mM menthol at 33 °C,
[Ca2+]i = 5 ± 2.3 nM, n = 6). This indicates that either the menthol-sensitive Ca2+ stores are fully depleted by a single application of 1 mM menthol, or alternatively that the menthol-sensitive intracellular Ca2+-release pathway becomes fully desensitized to menthol.
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[Ca2+]i = 77 ± 12 nM; TRPM8,
[Ca2+]i = 53 ± 14 nM; p = 0.22) and the time course (control, t
= 255 ± 50 s; TRPM8, t
= 165 ± 24 s; p = 0.17) were not significantly different between nontransfected and TRPM8-overexpressing HEK293 cells (Fig. 2B). Thus, overexpression of TRPM8 had no significant influence on the menthol-induced Ca2+ release, suggesting that overexpressed TRPM8 does not function as a Ca2+-release pathway in HEK293 cells.
TRPM8 is not only activated by menthol but also by cooling, and the effects of cold and menthol on TRPM8 are known to reinforce each other. This is illustrated in the experiment shown in Fig. 2C, where a TRPM8-transfected cell bathed in Ca2+-containing solution was repeatedly stimulated with 10 µM menthol. At this low dose, menthol evokes a robust increase in [Ca2+]i at 23 °C, whereas very little response is observed at 33 °C. To compare the temperature sensitivity of TRPM8 with that of the menthol-induced Ca2+-release pathway, we measured menthol responses in both TRPM8-transfected and non-transfected HEK293 cells in Ca2+-containing solution at 23 and 33 °C (Fig. 2, C and D), and observed two striking differences. First, the menthol responses in non-transfected cells were of smaller amplitude and required higher menthol concentrations. No responses were detectable to concentrations <100 µM menthol (data not shown). Second, we found that the menthol response in non-transfected cells was strongly counteracted by lowering the bath temperature to 23 °C (Fig. 2D), opposite to what we observed for a low dose of menthol in the TRPM8-transfected cells (Fig. 2C). In TRPM8-transfected cells, the concentration for half-maximal response (EC50) increased from 33 ± 7 µM at 23 °C to 97 ± 2 µM at 33 °C. In addition, the maximal amplitude of the menthol response dropped from 3.5 µM at 23 °C to 2 µM at 33 °C (n = 4-7 for each data point) (Fig. 2E). We were unable to obtain EC50 values for the menthol response in non-transfected cells, as the responses did not saturate at the maximal menthol concentration that can be kept in solution (
5 mM). Nevertheless, raising the temperature to 33 °C resulted in a 4-5-fold increase in the response to supramillimolar menthol concentrations, and induced significant responses at submicromolar menthol concentrations, which were not observed at 23 °C (n = 4-7 for each datapoint) (Fig. 2F). It should also be noted here that cooling down to 15 °C did not evoke a Ca2+ transient in non-transfected HEK293 cells (data not shown).
TRPM8 Expression and Localization in HEK293 and LNCaP CellsThis opposite temperature dependence indicates that the endogenous menthol-sensitive Ca2+-release pathway differs from expressed TRPM8 at the thermodynamic level. However, solely based on these data we cannot fully exclude that HEK293 cells endogenously express TRPM8 protein on intracellular membranes with different temperature sensitivity than exogenous, overexpressed TRPM8. To rule out this possibility, we investigated the expression of TRPM8 in HEK293 cells at both the protein and mRNA levels.
First, we performed Western blotting using a commercially available anti-TRPM8 antibody (Novus) to probe the presence of TRPM8 protein in whole cell extracts from non-transfected and TRPM8-transfected HEK293 cells. Despite long exposures and the use of two different batches of antibody, we were unable to detect a clear band of the expected size in extracts from both non-transfected cells and TRPM8-transfected cells (Fig. 3A). As these results cast doubts about the applicability of the commercial anti-TRPM8 antibody in Western blotting, we produced and purified new anti-TRPM8 antibodies raised against a C-terminal epitope of TRPM8, 1078MRHRFRQLDTKLNDL1092. In whole cell extracts isolated from TRPM8-transfected HEK293 cells, these anti-TRPM8 antibodies recognized a band of
120-125 kDa, which corresponds to the expected molecular mass of TRPM8 (Fig. 3B). No such band was detected in the whole cell extract isolated from non-transfected HEK293 cells (Fig. 3B). Similarly, non-transfected cells also did not display the TRPM8-specific immunodetection in low- and high-speed pellet membrane fractions obtained by differential centrifugation (Fig. 3C). In contrast, we found that more than 95% of TRPM8 was present in the low-speed pellet membranes obtained from TRPM8-transfected HEK293 cells (Fig. 3C). This fraction also contained the majority of the marker plasma membrane Ca2+-ATPase 1 and a part of the ER membranes, indicated by IP3R detection. These data clearly demonstrate that our new antibody detects overexpressed TRPM8 in Western blots and that the overexpressed TRPM8 is present to a large extent in a plasma membrane-enriched fraction, indicating that a significant part of the exogenously expressed TRPM8 protein is localized in the plasma membrane, although it may also be present in intracellular membrane fractions.
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Pharmacological Properties of Menthol-induced Ca2+ Release To investigate the nature of the menthol-sensitive Ca2+ stores in HEK293 cells in more detail, we tested whether stimulation with agents known to release Ca2+ from intracellular stores affected a subsequent response to menthol. HEK293 endogenously express muscarinic acetylcholine receptors (18), whose activation leads to phospholipase C-dependent IP3 production and subsequent Ca2+ release from IP3-sensitive stores. In line herewith, application of 100 µM ACh in Ca2+-free medium led to a fast and transient increase in [Ca2+]i (Fig. 5A). When 1 mM menthol was applied at 33 °C after stimulation with ACh, we recorded a significantly reduced menthol response (control,
[Ca2+]i = 106 ± 8nM; Ach,
[Ca2+]i = 35 ± 13 nM, p = 0.04) (Fig. 5, A and F). A similarly reduced menthol response was observed after preincubation for 30 min with BHQ, an inhibitor of the sarcoplasmic/endoplasmic reticulum Ca2+-ATPase (BHQ,
[Ca2+]i = 22 ± 5, p = 0.005) (Fig. 5, B and F). From these data we conclude that at least part of the menthol-sensitive stores contain IP3 receptors and sarcoplasmic/endoplasmic reticulum Ca2+-ATPase pumps.
To investigate more in depth the nature of the menthol-induced Ca2+-release pathway, we tested the effects of U73122
[GenBank]
and pertussis toxin. U73122
[GenBank]
is known to inhibit phospholipase C activation, and as such it is inhibiting the hydrolysis of PIP2 into IP3 and diacylglycerol. Simultaneous application of 10 µM U73122
[GenBank]
with 1 mM menthol at 33 °C did not affect the amplitude or time course of the rise in intracellular Ca2+ (Fig. 5, C and F). Likewise, the menthol-induced Ca2+ release was unaffected after preincubation for 16 h with 500 ng/ml pertussis toxin, a potent inhibitor of the
subunit of Gi, Go, and Gt type trimeric G proteins (Fig. 5, D and F).
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Next, we tested whether other known TRPM8 agonists besides menthol can induce Ca2+ release in HEK293 cell: 1) icilin, a synthetic compound and currently the most potent TRPM8 agonist; 2) geraniol, a monoterpenoid and an alcohol present in many essential oils; 3) eucalyptol, a cyclic ether and monoterpene derived from the eucalyptus tree; and 4) linalool, a naturally occurring terpene alcohol with a pleasant floral scent. Published EC50 values for activation of TRPM8 are, in order of potency, 0.2 ± 0.1 µM (icilin) > 5.9 ± 1.6 mM (geraniol) > 6.7 ± 2 mM (linalool) > 7.7 ± 2 mM (eucalyptol) (6). No response was observed upon application of icilin (20 µM) or eucalyptol (3 mM)at 33 °C (Fig. 6, A and B). In contrast, application of linalool or geraniol caused a rise similar to that observed upon menthol application (Fig. 6, C and D). Importantly, the responses to both linalool and geraniol were significantly more pronounced at 33 °C than at 23 °C, very similar to what we observed with menthol (Fig. 6, E and F). It is also interesting to note that linalool and geraniol, which both have structural similarity to menthol, induce Ca2+ release, whereas the structurally unrelated TRPM8 agonists are without effect.
Menthol-induced Ca2+ Release Originates from ER and GolgiTo directly investigate whether calcium is released from intracellular stores in HEK293 cells, we used the calcium-sensitive bioluminescent protein aequorin targeted to either ER or Golgi or the cytosol as described earlier (17) (erAEQ, goAEQ, or cytAEQ respectively). After aequorin reconstitution in calcium-depleting conditions, the ER or Golgi compartments or cytosol were refilled by superfusing the cells with a solution containing 1 mM CaCl2. The refilling of the stores can be monitored as an increase in aequorin chemiluminescence, which reaches a maximum after
100 s. After 100 s, the solution was switched to the same solution containing 2 mM menthol. Average curves (n = 8-12, measured on different days) representing chemiluminescence are plotted as a function of time (Fig. 7, A, ER, and C, Golgi). Time constants for exponential decay (
) were calculated with a monoexponential fit for each trace (Fig. 7, B and D). In control conditions an artifactual decrease of the signal corresponded to a time constant
of 136 ± 23s(n = 8) or 132 ± 10.2 s (n = 10) for ER and Golgi, respectively, due to aequorin consumption as described earlier (20). In menthol-treated cells,
was significantly smaller (
= 46 ± 2.6 s, n = 9, and
= 44 ± 1.7 s, n = 12) for ER and Golgi, respectively (for both ER and Golgi measurements, p < 0.001). These data confirm that menthol is evoking a Ca2+ release from the ER as well as from the Golgi compartment.
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Menthol-induced Ca2+ Release in Different Cell LinesFinally, to investigate whether the menthol-induced Ca2+ release is restricted to HEK293 cells or rather a more ubiquitous phenomenon we tested menthol response in three other widely used cell lines, namely LNCaP, COS, and Chinese hamster ovary. In all three cell types we found that application of 3 mM menthol at 33 °C in the absence of extracellular Ca2+ led to a distinct increase in [Ca2+]i. The amplitudes and time courses of the menthol responses in these three cell lines were comparable what we observed in HEK293 cells (Fig. 8, A-C). Moreover, both the dose dependence and the temperature sensitivity of the menthol response was similar to that in HEK293 cells (Fig. 8, D-F), indicating that a similar menthol-induced Ca2+-release pathway is present in cell lines derived from different tissues and species.
| DISCUSSION |
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The sensory effects of menthol have been known for ages. Its minty taste, fresh smell, cooling effect, and analgesic properties have laid the foundations of its widespread use in the food industry and medicine. However, the molecular targets responsible for these menthol effects are only poorly understood. It is now generally believed that activation of TRPM8 in cold-sensitive neurons of trigeminal and dorsal root ganglia underlies the cooling effect of the menthol (3, 4), although characterization of a TRPM8-deficient mouse would be needed to fully prove this point. Moreover, menthol has been shown to inhibit voltage-dependent Na+ and Ca2+ channels, which may contribute to the antinociceptive and local anesthetic effects of menthol (21). Interestingly, the sensory impact of menthol on mucosa or skin is clearly biphasic: whereas low doses evoke a cooling sensation, higher concentrations of menthol lead to irritation and even induce a burning feeling (1). Menthol-containing lotions and shampoos typically contain up to 0.25% (w/w) menthol (1), which corresponds to concentrations of >15 mM.Itis tempting to speculate that a menthol-induced Ca2+-release pathway like the one described here, may contribute to the irritating effects that can be observed at such high menthol doses.
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Our present results also indicate that caution should be taken when using intracellular Ca2+ measurements to monitor the activity and menthol sensitivity of WT and mutant TRPM8. Indeed, Ca2+ responses at higher doses of menthol may be significantly contaminated by TRPM8-independent Ca2+ release from intracellular stores. In such cases, the opposite temperature sensitivity and differential sensitivity to icilin and eucalyptol can be employed to discriminate between TRPM8 and the TRPM8-independent menthol-sensitive release pathway.
| FOOTNOTES |
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1 To whom correspondence should be addressed: Div. of Physiology, Campus Gasthuisberg, KU Leuven, Herestraat 49, B-3000 Leuven, Belgium. Tel.: 32-16-330217; Fax: 32-16-345991; E-mail: thomas.voets{at}med.kuleuven.be.
2 The abbreviations used are: TRPM8, transient receptor potential melastatin family member 8; ER, endoplasmic reticulum; menthol, 2-(2-propyl)-5-methyl-1-cyclohexanol; HEK293, human embryonic kidney cells; LNCaP, lymph node carcinoma of the prostate; FCS, fetal calf serum; IP3R, inositol trisphosphate receptor; ACh, acetylcholine chloride; BHQ, 2,5-di-(tert-)-butyl-1,4-benzohydroquinone; AEQ, aequorin; KRB, Krebs-Ringer buffer. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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