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1 Dipartimento di Fisiologia e Biochimica Generali, Laboratorio di Fisiologia Molecolare e Neurobiologia and
2 Istituto Nazionale per la Fisica della Materia, Unità Milano Universita, 20133 Milano, Italy; and
3 School of Kinesiology, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada
| Abstract |
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| Introduction |
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Autonomic stimulation alters the voltage dependence of f channel activation but not the fully activated current, leading to changes in the slope of the diastolic depolarization and heart rate. Figure 1A
shows the effects of low concentrations of autonomic agonists, which clearly affect If (Fig. 1B
), on spontaneous action potentials. The slope of the diastolic depolarization is altered with little effect on the shape or duration of the action potential, resulting in changes in heart rate. ß-Adrenergic agonists increase If at diastolic potentials by shifting the activation curve to more positive voltages (Fig. 1C
). This shift provides more inward current at diastolic potentials, increasing the slope of the diastolic depolarization and accelerating heart rate. Muscarinic agonists have opposite effects on If and shift the activation curve to more negative voltages (7). Thus less inward current is available at diastolic potentials, causing a decreased slope of this phase and decelerating heart rate. The shift in the activation curve, in response to isoproterenol and acetylcholine, is demonstrated in Fig. 1C
. The actions of catecholamines and acetylcholine on If thus play a key role in underlying cardiac rate modulation by autonomic stimuli (7).
How do autonomic transmitters modulate If? ß-Adrenergic agonists are known to increase intracellular cAMP levels by activating adenylate cyclase, and the idea that cAMP acts as a second messenger in the modulation of the pacemaker current was proposed in early studies, when this current was still wrongly interpreted as a pure K+ current. Following the finding of If in the SAN and its reinterpretation in Purkinje fibers, this problem was best addressed by inside-out experiments in which the intracellular sides of f channels were exposed to the perfusing solution. Application of cAMP to the inner membrane side of macropatches excised from SAN myocytes shifted the activation curve of If to more positive voltages due to a direct interaction of intracellular cAMP with f channels, according to a phosphorylation-independent mechanism (7). The direct effect of cAMP, like the action of autonomic neurotransmitters, did not modify the If fully activated conductance. The cAMP-induced shift ranges from ~11 to 14 mV in the SAN, accounting for most of the additive shift of ~18 mV produced by maximal stimulation with ß-adrenergic and muscarinic agonists (1) (Fig. 1C
). A half-maximal shift is obtained with a cAMP concentration of 0.2 µM.
The f channels were the first described example of channels that could be modified simultaneously by voltage, as for voltage-gated channels, and by the binding of cAMP, as for cyclic nucleotide-gated channels. Modulation by cAMP can be interpreted according to a cyclic allosteric channel activation model, whereby cAMP binds preferentially to open channels and locks them in an open state (6). The allosteric hypothesis readily accounts for the cAMP dependence of the shift in channel activation by assuming a nearly sixfold higher affinity of the molecule for open than for closed channel configurations.
Recent experiments have investigated the contribution of intracellular regions to channel properties. The application of pronase to excised patches from SAN myocytes shifts the activation curve of If to more depolarized potentials by ~57 mV without affecting the fully activated relation (3). In addition, the effects of cAMP on the current are completely abolished. These findings suggest that an inhibitory mechanism located at the COOH terminus, where cAMP binding occurs, is involved in channel gating and that this mechanism is removed partly by cAMP binding and completely by pronase-induced cleavage of the COOH terminus. This leads to the hypothesis that the COOH terminus of f channels contributes to gating by inhibiting channel opening and that the shifting action of cAMP is due to attenuation of the inhibitory process (Fig. 2
).
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| Hyperpolarization-activated cyclic nucleotide-gated channel subunits |
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HCN channels have a structure and proposed topology typical of voltage-gated K+ channels (Fig. 3A
). The primary structure indicates six transmembrane segments, a positively charged S4 segment, and the GYG pore sequence found in most known K+-selective channels. HCN channels also exhibit a high similarity to cyclic nucleotide-gated channels in the cyclic nucleotide-binding domain located in the COOH terminus.
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| HCN channel kinetics |
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cAMP modulates HCN channels by the same mechanism operating with f channels, i.e., by a shift of the voltage dependence of activation resulting from a direct interaction with the channel. The presence of a cyclic nucleotide-binding domain in the sequence of HCN channels confirms at a molecular level the "direct" versus the "phosphorylation-dependent" activation mechanism proposed for native f channels (7).
Concerning the molecular basis for the cAMP-dependent gating, the concept of a COOH terminus-mediated inhibitory mechanism relieved partially by cAMP, as represented in the model scheme of Fig. 2
for native If, has been confirmed by site-directed mutagenesis of the COOH linker of HCN1 and HCN2 isoforms (19).
Although the basic channel activation mechanism is likely to be the same, the efficacy of cAMP action has been found to differ between isoforms, with HCN1 being far less responsive than HCN2 and HCN4. Maximal shifts of the activation curve obtained in either whole cell or inside-out recordings vary in the following ranges: 26.7 mV (HCN1); 1215 mV (HCN2); and 15.223 mV (HCN4) (8,9,10,11,13,14).2
The half-activation concentration of cAMP on mHCN2 was 0.5 µM (9), a value close to that of 0.2 µM found in the rabbit SAN (7). These results support the idea that the effect of cAMP on HCN2 and HCN4, more than that on HCN1, is similar to the effect on If in the SAN. Interestingly, however, HCN1 is expressed in cardiac sinoatrial but not atrial or atrioventricular cells (11). Finally, mHCN2 is ~10 times less sensitive to cGMP compared with cAMP (9). This is similar to the relative sensitivity of If in the SAN to cGMP and cAMP (7).
As in voltage-gated K+ channels, the S4 domain of HCN channels may act as a voltage sensor and may be linked to the "intrinsic" gating mechanism of If as proposed in experiments using pronase (3). The involvement of S4 domains in sensing voltage has been shown by experiments in which nine basic residues and a single serine in the S4 segment were mutated individually, or in combination, to glutamine (4). Individual mutations of Lys291, Arg294, Arg297, and Arg300, located in the outermost portion of the S4 domain, to glutamine produced a shift in the voltage dependence of opening to more hyperpolarized potentials. Combining all mutations produced a cumulative effect on the position of the activation curve. Similar results were obtained in other studies (17) in which hyperpolarizing shifts in the activation curve were produced by neutralizing mutations of Lys291 and Arg300. They further showed that a substitution of Lys291 with a negatively charged amino acid more than doubled the hyperpolarizing shift. Strangely, there were no effects of these mutations on the slope of the activation curve, which, according to Boltzmann distribution analysis, should represent the net gating charge moved across an electric field during channel opening.
Recently, the allosteric hypothesis, first introduced to explain the cAMP dependence of gating in native channels, has been extended to include voltage-dependent gating of HCN channels (Fig. 4
). This model suggests that voltage and cAMP use a common mechanism to increase the channel open probability (2). According to the allosteric model, channel opening is the combination of two processes: 1) displacement of voltage sensors (one for each of the four subunits of a tetrameric channel) from "reluctant" to "willing" states and 2) allosteric closed-to-open transitions involving "concerted" rearrangements of all four subunits. The probability of channel opening increases every time one voltage sensor switches to the "willing" state. The presence of two steps in channel gating, a "priming" process involving the movement of voltage sensors and a proper closed-to-open transition, accounts for several kinetic features, including the "delay" in current activation and its removal by preconditioning short, high hyperpolarizing steps and the delay in current deactivation during depolarization, which cannot be explained by simple Hodgkin-Huxley mechanisms. Interestingly, the allosteric hypothesis also accounts for the lack of change in the slope of the activation curve in the S4 mutation experiments discussed above, since change of gating charge of sensor displacements does not directly affect the closed-to-open transitions. The model also provides a physical explanation for the different kinetic features of the different isoforms. For example, the faster kinetics of HCN1 activation may be explained by a faster activation of the voltage sensor as well as a looser interaction between the subunits in the closed-to-open transition.
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| Ionic properties of HCN channels |
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HCN channels are blocked in a voltage-dependent way by external Cs+. The voltage dependence can be interpreted by assuming that Cs+ blocks after crossing ~66% of the electrical field to reach its binding site. This fraction is similar to that of 71% found for Cs+ block of If measured in Purkinje fibers (10). On the other hand, the concentration of Cs+ required to block 50% of current was 15 mM for HCN2 channels, compared with 2.2 mM in Purkinje fibers, implying that channels in this tissue are unlikely to be composed of HCN2 subunits only. However, in the SAN, even 5 mM Cs+ leaves a large fraction of current unblocked at diastolic potentials, suggesting some variation between tissues, perhaps related to isoform expression (see Refs. 7 and 10 for further discussion and references).
| Heteromultimeric assembly of HCN channels |
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More recent data suggest the possibility that native pacemaker channels include ß-subunits as well as HCN subunits (20). Coinjection of mink-related peptide 1 (MIRP1) with HCN1 or HCN2 isoforms increased the magnitude of expressed currents, suggesting that MIRP1 provides targeting and/or stabilization of the channel complex. Since coexpression with MIRP1 modifies activation/deactivation kinetics of HCN isoforms, the presence of a ß-subunit contributes to kinetic variability of pacemaker channels.
| The relationship of isoform distribution with the presence of If-like currents |
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Recent studies describing the cloning and expression of rabbit HCN1 have found that this protein is present in individual myocytes of the rabbit SAN (11). This represents the first direct confirmation of HCN channel protein in cardiac myocytes. These findings indicate that different parts of the heart may express multiple HCN isoforms and produce currents that differ from those produced by heterologous expression of individual isoforms. The presence of HCN1 protein in SAN myocytes may appear perplexing, since If in the SAN resembles currents produced by expression of HCN2 and HCN4 currents more closely than those produced by HCN1 (8,10). It is, however, interesting to note that heteromultimers formed by assembly of HCN1 with HCN2 channels have faster kinetics than homomeric HCN2 channels (5,16). If a similar situation applies to heteromultimerization of HCN1 and HCN4, this might for example serve to provide "central" node cells with a slightly faster pacemaker current. Hence these cells will have a beating rate slightly faster than that of more peripheral cells, an essential feature of the true "pacemaker" cardiac region. Ruling in favor of the heteromeric hypothesis is evidence that the activation kinetics of native If current in the SAN are intermediate between those of HCN1 and HCN4, the two isoforms with a significant degree of expression in this tissue (11).
Clearly, the relative amounts of protein for each isoform making up individual channels, the presence of ß-subunits, and the total number of homomeric and heteromeric channels expressing each isoform must be determined for each tissue. The consequences of heteromultimerization on all properties of channels made up of different isoforms present in varying proportions must also be determined. This may include the potential for unique sets of posttranslational modifications of channel structure and/or for unique channel trafficking, in addition to distinct biophysical properties.
| Conclusions and perspectives |
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The evidence that different isoforms, along with ß-subunits, can assemble to form heteromultimeric channels with modified properties (5,16,20) may provide a key to understanding why the properties of native channels often differ from channels made up of individual isoforms. Since channels consisting of individual isoforms have quantitatively different features that may be further influenced by ß-subunits, coassembly of different
- and ß-subunits may represent a way to modulate such properties as the rate of current activation on hyperpolarization and cAMP sensitivity in the various tissues where HCN channels are coexpressed.
Structure-function information will also be important for understanding how naturally occurring mutations in the primary sequence of these channels may affect the function of the channel. Since f/h channels serve several different functionally relevant roles in many excitable cells, this approach will help provide the molecular basis for physiological and potential pathological roles.
| Acknowledgments |
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| References |
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