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Departments of Anesthesia and Internal Medicine, Mayo Clinic and Foundation, Rochester, Minnesota 55905
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ABSTRACT |
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Volatile anesthetics have multiple actions on intracellular Ca2+ homeostasis, including activation of the ryanodine channel (RyR) and sensitization of this channel to agonists such as caffeine and ryanodine. Recently it has been described that the nucleotide cADP-ribose (cADPR) is the endogenous regulator of the RyR in many mammalian cells, and cADPR has been proposed to be a second messenger in many signaling pathways. I investigated the effect of volatile anesthetics on the cADPR signaling system, using sea urchin egg homogenates as a model of intracellular Ca2+ stores. Ca2+ uptake and release were monitored in sea urchin egg homogenates by using the fluo-3 fluorescence technique. Activity of the ADP-ribosyl cyclase was monitored by using a fluorometric method using nicotinamide guanine dinucleotide as a substrate. Halothane in concentrations up to 800 µM did not induce Ca2+ release by itself in sea urchin egg homogenates. However, halothane potentiates the Ca2+ release mediated by agonists of the ryanodine channel, such as ryanodine. Furthermore, other volatile anesthetics such as isoflurane and sevoflurane had no effect. Halothane also potentiated the activation of the ryanodine channel mediated by the endogenous nucleotide cADPR. The half-maximal concentration for cADPR-induced Ca2+ release was decreased about three times by addition of 800 µM halothane. The reverse was also true: addition of subthreshold concentrations of cADPR sensitized the homogenates to halothane. In contrast, all the volatile anesthetics used had no effect on the activity of the enzyme that synthesizes cADPR. I propose that the complex effect of volatile anesthetics on intracellular Ca2+ homeostasis may involve modulation of the cADPR signaling system.
cADP-ribose; ryanodine channel; halothane; intracellular calcium
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INTRODUCTION |
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RELEASE OF CA2+
from intracellular stores is a widespread component in several
signaling pathways (3). It is well known that inositol-1,4,5-tris-phosphate (IP3) triggers
Ca2+ release from intracellular stores (3);
however, cells possess other intracellular Ca2+ releasing
systems, including the so-called Ca2+-induced
Ca2+ release system, mediated by the ryanodine
receptor/channel (RyR) (13). Recently it was found that
the endogenous nucleotide cADP-ribose (cADPR) is a potent activator of
the RyR (15, 19). Current experimental evidence indicates
that cADPR binds on its specific receptor, which is associated with the
RyR, and triggers Ca2+ release through the RyR
(15). Biosynthesis of cADPR from
-NAD is catalyzed by
ADP-ribosyl cyclase, and cADPR is hydrolyzed by the cADPR hydrolyzed to
ADP-ribose (ADPR) (15, 19). Enzymes of cADPR metabolism
are ubiquitous in mammalian cells and tissues (14, 15, 19,
23). Recently, cADPR has been proposed to be the second
messenger in several intracellular signaling pathways (15, 19,
20).
Volatile anesthetics have multiple actions on intracellular Ca2+ homeostasis (1, 4, 29), including activation of the RyR and sensitization of this channel to pharmacological agonists such as caffeine and ryanodine (1, 26, 27). Indeed, dysfunction of the skeletal muscle RyR in response to volatile anesthetics is a key point in the pathogenesis of malignant hyperthermia (MH) (24). In addition to its role in the pathogenesis of MH, the RyR appears to be widespread and may have important roles in several cellular processes including neural function, cardiac muscle contraction, and insulin secretion (13, 15, 19). Furthermore, volatile anesthetics have complex effects on RyR function even in cells from animals not susceptible to MH (2, 11, 12, 16, 17). However, the effect of volatile anesthetics on the newly discovered cADPR signaling system has not been described to the present. I explored the effect of volatile anesthetics on cADPR-induced Ca2+ release in the sea urchin egg homogenate bioassay. The sea urchin egg homogenate is a very well-established model for the study of intracellular Ca2+ homeostasis (5-9, 22, 28). In addition, halothane-induced intracellular Ca2+ release, inhibited by dantrolene, has been described in this model (18). Furthermore, the cADPR-induced Ca2+ release system has been very well characterized in this preparation and has several similarities with mammalian models (5-9, 22, 28).
In this work I found that halothane can potentiate the cADPR-induced Ca2+ release through the RyR. In contrast, isoflurane and sevoflurane had no effect on cADPR-modulated Ca2+ release. I propose that modulation of the cADPR signaling system by halothane may be an important component of the complex effect of this volatile anesthetic on intracellular Ca2+ homeostasis.
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MATERIALS AND METHODS |
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Tissue extracts. Tissues were harvested from adult male Sprague-Dawley rats (200-250 g body wt) killed under pentobarbital sodium anesthesia. Heart, liver, spleen, and lung were quickly dissected, chilled, and minced in ice-cold solution containing 0.25 M sucrose, 20 mM Tris-HCl (pH 7.2), and 20 µg/ml leupeptin. Tissues were homogenized (1:4 wt/vol) in a Dounce homogenizer using four to five strokes and centrifuged at 4,000 rpm for 10 min at 4°C. The supernatants, denoted further as extract, were collected and used for determination of the ADPR cyclase activity.
Sea urchin egg homogenates.
Homogenates from Lytechinus pictus egg were prepared as
described previously with minor modifications (6). Eggs
were obtained by injection of 0.5 M KCl into the coelomic cavity and
shed in artificial seawater. The jelly coats were washed from the eggs by several passages through 80-µm mesh silk. The eggs were then washed once in artificial seawater, twice in Ca2+-free
seawater containing 1 mM EGTA, twice in Ca2+-free water
without EGTA, and once in a homogenizing buffer containing 250 mM
N-methyl glucamine, 250 mM potassium gluconate, 20 mM HEPES buffer (pH 7.2), 1 mM MgCl2, 2 U/ml creatine kinase, 4 mM
phosphocreatine, 1 mM ATP, 25 µg/ml leupeptin, 20 µg/ml aprotinin,
and 100 µg/ml soybean trypsin inhibitor. A 25% suspension was
prepared by homogenization with four to five strokes in a Dounce
homogenizer with a type A pestle, and the homogenate was then
centrifuged for 10-12 s at 13,000 g at 4°C. The
supernatant was collected and stored in 1-ml aliquots at
70°C.
Frozen homogenates were thawed in a 17°C water bath and diluted to
1.25% with an intracellular media (IM) solution containing 250 mM
N-methyl glucamine, 250 mM potassium gluconate, 20 mM
HEPES buffer (pH 7.2), 1 mM MgCl2, 2 U/ml creatine kinase,
4 mM phosphocreatine, 1 mM ATP, 3 µg/ml oligomycin, and 3 µg/ml
antimycin. After incubation at 17°C for 3 h, 3 µM fluo-3 was
added. Fluo-3 fluorescence was monitored at 490 nm excitation and 535 nm emission in a 250-µl cuvette at 17°C with a circulation water
bath and continuously mixed with a magnetic stirring bar, using a
Hitachi spectrofluorometer (F-2000). The addition of stock solutions of
various substances did not exceed 2% of the homogenate volume in the cuvette.
Ca2+ release assay. For the Ca2+-release experiments, sea urchin egg homogenates were loaded with Ca2+ for 3 h as described above.
Binding of cADPR. Binding of cADPR was performed as described previously (7), using [3H]cADPR. Sea urchin egg homogenates (2 mg/ml) were diluted in IM with addition of 1 mM EGTA and were incubated with different concentrations of [3H]cADPR (100 dpm/fmol) for 10 min on ice. After incubation, the mixture (100 µg of protein) was filtered through prewashed fiberglass (GFB, Whatman) under vacuum and rapidly washed twice with 2 ml of ice-cold IM. Radioactivity retained on the filter was determined by use of standard scintillation-counting techniques.
Preparation of nucleotides. cADPR was synthesized by Aplysia ADP-ribosyl cyclase, using homogenized Aplysia ovotestes as described previously (6). The reaction was stopped by acetone precipitation as described above for synthesis of cADPR. Neither the spontaneous hydrolysis of cADPR nor the hydrolysis catalyzed by the sea urchin egg homogenate was changed by halothane (data not shown). After acetone precipitation, the nucleotides were purified by HPLC anion exchange chromatography using AG MP-1 (Bio-Rad) resin packed into a 1 × 10 cm column. The nucleotides were eluted with a nonlinear gradient of 150 mM trifluoroacetic acid and water and were monitored by ultraviolet absorption at 250 nm. Purified cADPR was evaporated to dryness in a SpeedVac concentrator. cADPR used in all experiments was at least 99% pure as determined by HPLC.
ADPR cyclase activity. ADPR cyclase activity was determined by conversion of NAD analog nicotinamide guanine dinucleotide to the fluorescent product cGDP ribose (cGDPR) (14, 23). Tissue extracts or purified Aplysia ADP-ribosyl cyclase were incubated in a thermostated 250-µl cuvette, the contents of which were continuously mixed with a magnetic stirring bar at 30°C with 0.4 mM nicotinamide guanine dinucleotide, and generation of cGDPR was continuously monitored by using a Hitachi spectrofluorometer (F-2000) at 310 nm excitation and 410 nm emission. The ADPR cyclase activity was then calculated by using a standard curve of authentic cGDPR, and the specific activity was expressed as nanomoles of cGDPR per milligram of protein per minute.
Materials. L. pictus and Aplysia california were obtained from Marinus (Long Beach, CA). Fluo-3 was purchased from Molecular Probes; IP3, ryanodine, oligomycin, and antimycin were from Calbiochem. All other reagents, of the highest purity grade available, were supplied from Sigma Chemical (St. Louis, MO).
The reported experiments were repeated at least three to six times. When appropriate, data are expressed as means ± SD. The unpaired t-test was used to evaluate statistical significance; P values <0.05 were considered significant.| |
RESULTS |
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Activation of RyR by cADPR. Sea urchin egg homogenates supplemented with an ATP-regenerative system sequester added Ca2+ into vesicular stores in an ATP-dependent manner and release Ca2+ in response to nanomolar concentrations of either cADPR or IP3 (data not shown). Such homogenates display homologous desensitization to sequential additions of saturating concentrations of agents that induce Ca2+ release through the same channel (5-9, 28). Indeed, Ca2+ release induced by cADPR causes homologous desensitization of the homogenate to ryanodine but not to IP3 (5-9, 28); furthermore, the reverse was also true: Ca2+ release induced by ryanodine caused homologous desensitization to cADPR but had no effect on IP3-induced Ca2+ release (5-9, 28). In addition, cADPR-induced Ca2+ release was inhibited by several inhibitors of the RyR such as spermine, ruthenium red, and the specific cADPR inhibitor 8-Br-cADPR (5-9, 28). However, Ca2+ release induced by cADPR was not inhibited by 1 mg/ml heparin, a specific antagonist of the IP3 channel (6). These observations confirmed the evidence that cADPR activates Ca2+ release through the RyR (5-9, 28).
Effect of halothane on RyR.
I investigated the effect of halothane on the ryanodine channel by
using pharmacological agonists of this channel. Fig.
1 demonstrates the effect of halothane on
ryanodine-induced Ca2+ release. Addition of 800 µM
halothane did not produce any significant Ca2+ release by
itself; however, it sensitized the Ca2+ release system to
ryanodine (Fig. 1) and caffeine (data not shown). As shown in Fig. 1,
preincubation of the sea urchin egg homogenates with halothane
decreases the half-maximal concentration of ryanodine needed to induce
Ca2+ release about three times.
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Effect of volatile anesthetics on cADPR induced
Ca2+ release.
As shown in Figs. 2 and
3, cADPR-induced Ca2+
release was potentiated by halothane. As observed with Ca2+
release induced by ryanodine, the half-maximal concentration of cADPR
was decreased more than threefold by pretreatment of the homogenates
with 800 µM halothane (Fig. 3), although the maximum Ca2+
release response to cADPR was not enhanced by halothane. Thus halothane
increased the apparent affinity of the Ca2+-induced
Ca2+ release to stimulation by cADPR. However, I also
observed that halothane had no effect on [3H]cADPR
binding (Fig. 4), which suggests that
halothane does not interact directly with the cADPR receptor. As
previously discussed, 800 µM halothane did not produce
Ca2+ release by itself (Fig. 2); however, when homogenates
were pretreated with subthreshold concentrations of cADPR, halothane
could promote a significant amount of Ca2+ release (Fig.
2). The Ca2+ release induced by halothane in the presence
of subthreshold concentrations of cADPR was abolished by treatment of
the homogenate with ruthenium red, Mg2+, and 8-Br-cADPR
(Table 1). On the other hand, the
Ca2+ release induced by halothane was not inhibited by 1 mg/ml heparin, an IP3 antagonist (Table 1). I also observed
that 800 µM halothane had no effect on uptake rate and steady-state
Ca2+ levels in the sea urchin egg homogenates; the rate of
Ca2+ uptake in the absence and in the presence of 800 µM
halothane was 2.7 ± 0.2 and 2.5 ± 0.17 nmol/min,
respectively. Furthermore, the endoplasmic reticulum
Ca2+-ATPase inhibitor thapsigargin was not able to
potentiate Ca2+ induced by agonists of the RyR (data not
shown) (22). These observations further support the
hypothesis that halothane at the concentration tested sensitizes the
RyR.
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Effect of volatile anesthetics on ADPR cyclase
activity.
cADPR is biosynthesized by the reaction catalyzed by ADPR cyclase
(14, 15, 19, 20, 23). Several types of ADPR cyclases were
isolated and characterized in detail (20). In
invertebrates, this includes a 29-kDa soluble cyclase from the
ovotestis of the mollusk Aplysia that has very high
metabolic activity (15, 19). In vertebrate tissue, the
most extensively studied ADPR cyclase is the so-called membrane-bound
CD38 cyclase (20). I tested the effect of volatile
anesthetics on the ADPR cyclase from Aplysia and several
mammalian tissues including heart, lung, spleen, and liver. I found no
effect of volatile anesthetics on the activity of these enzymes (Fig.
6 and data not shown). In contrast, as previously described, the activity of the cyclase was completely inhibited by addition of nicotinamide.
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DISCUSSION |
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Oscillation of intracellular Ca2+ release has been shown to be associated with addition of volatile anesthetics (1, 4, 29). However, the precise mechanism by which volatile anesthetics regulate intracellular Ca2+ is not completely understood. Effects of these compounds over the RyR and IP3 channel have been proposed before (1, 4, 24, 26, 27, 29). It was shown that halothane could increase the open state of the RyR (1, 4, 26, 27). Furthermore, it was demonstrated that halothane could induce Ca2+ release from intracellular sarcoplasmic reticulum via the RyR (1, 4, 24, 26, 27, 29). All these observations are consistent with the effect of halothane on the RyR observed in the present work.
The major finding of the present study is the interaction of halothane with cADPR. Recently, cADPR has been proposed to be the endogenous regulator of the RyR and to serve as a second messenger in several signaling pathways (15, 19, 20). This observation led me to explore the effect of volatile anesthetics on the cADPR system. I used sea urchin egg homogenate as a model to study intracellular Ca2+ release. This experimental model has been extensively studied, and the RyR receptor found in this system resembles the mammalian RyR (5-9, 14, 15, 19, 20, 22, 23, 28).
The effect of halothane on the RyR appears to be mediated by sensitization of the Ca2+ channel to its agonists. First, halothane by itself did not release Ca2+ in my experiments. However, it could sensitize the RyR to several nonphysiological and physiological agonists including cADPR. The effect of halothane is not mediated by inhibition of the Ca2+ uptake, because halothane had no effect on the rate of Ca2+ uptake in my preparation. Furthermore, thapsigargin, a potent inhibitor of the Ca2+-ATPase, had no effect on the Ca2+ release induced by agonists of the RyR (data not shown) (8, 22).
Halothane had no effect on the binding of cADPR, indicating that this volatile anesthetic does not interact with the cADPR binding protein. Indeed, it has been previously proposed that cADPR does not bind directly to the RyR but to an accessory protein that interacts with the RyR (15, 19, 20). In mammalian cells, the FK506 binding protein (FKBP) has been proposed to be the cADPR binding protein (25). Noguchi et al. (25) showed that cADPR binding to FKBP induces dissociation of this protein from the RyR, increasing the channel open probability. I have previously shown that dissociation of the FKBP from the RyR increases the sensitivity of the channel to halothane (10). These observations taken together may indicate that cADPR increases the halothane-induced Ca2+ release by promoting dissociation of the FKBP from the RyR.
I also explored the effect of volatile anesthetics on the activity of the enzymes that synthesize cADPR. I found no effect of halothane, isoflurane, and sevoflurane on the activity of the ADPR-cyclase from several tissues. It has been previously observed that the activity of the ADPR cyclase can be activated by interaction with the trimeric G proteins (21). It is possible that in vivo volatile anesthetics may modulate the synthesis of cADPR by regulating the interaction between cyclase and G proteins. In analogy, it has been described that halothane can inhibit carbachol-induced synthesis of IP3 by its effect on G proteins (29).
In conclusion, I present for the first time evidence that halothane can interact with the new second messenger system modulated by cADPR. It is possible that the effect of halothane on cADPR may play an important role in the complex effect of volatile anesthetics on intracellular Ca2+ homeostasis.
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ACKNOWLEDGEMENTS |
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I thank Claudia C. S. Chini for critical reading of the manuscript.
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FOOTNOTES |
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This research was supported in part by the American Heart Association (Minnesota affiliate) Grant-in-Aid to E. N. Chini and by the Mayo Foundation.
Address for reprint requests and other correspondence: E. N. Chini, 911 Guggenheim Bldg., Mayo Clinic, Rochester, MN 55905 (E-mail: chini.eduardo{at}mayo.edu).
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.
Received 25 January 2001; accepted in final form 15 April 2001.
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