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Coordinated contractile activation of the heart and resistance to ischemic injury depend, in part, on the intercellular communication mediated by Cx43-composed gap junctions. The function of these junctions is regulated at multiple levels (assembly to degradation) through phosphorylation at specific sites in the carboxyl terminus (CT) of the Cx43 protein. We show here that the selective permeability of Cx43 junctions is regulated through PKC-dependent phosphorylation at serine 368 (S368). Selective permeability was measured in several Cx43-expressing cell lines as the rate constant for intercellular dye diffusion relative to junctional conductance. The selective permeability of Cx43 junctions under control conditions was quite variable, as was the open state behavior of the comprising channels. Co-expression of the CT of Cx43 as a distinct protein, treatment with a PKC inhibitor, or mutation of S368 to alanine all reduced (or eliminated) phosphorylation at S368, reduced the incidence of 55–70pS channels, and reduced by ten fold the selective permeability of the junctions for a small cationic dye. Since PKC activation during pre-ischemic conditioning is cardio-protective during subsequent ischemic episodes, we examined no-flow, ischemic hearts for Cx43 phosphorylated at S368 (pS368). Consistent with early activation of PKC, pS368-Cx43 was increased in ischemic hearts; despite extensive lateralization of total Cx43, pS368-Cx43 remained predominantly at intercalated disks. Our data suggest that the selectivity of gap junction channels at intercalated disks is increased early in ischemia.
Gap junctions are clusters of intercellular channels that mediate electrical and chemical signaling throughout the cardiovascular system.1;2 Gap junction channels are formed when hemichannels (connexons) in the membranes of neighboring cells dock. Each hemichannel is a hexamer of connexin subunits; in cells of the cardiovascular system four members of the connexin gene family are commonly expressed - Cx45, Cx43, Cx40, and Cx37. The predominant connexin expressed in ventricular cells is Cx43, the focus of the current study. In the normally functioning ventricle, Cx43 is localized to intercalated disks where it supports the longitudinal and zigzag transverse spread of the action potential, such that coordinated contractile activation of the heart occurs. The contractile failure and arrhythmias occurring during ischemia reflect, in addition to compromised metabolism, altered excitability and reduced electrical coupling.3
Exposure of the heart to a brief period of ischemia and reperfusion (termed ischemic preconditioning) prior to a prolonged ischemic period protects the heart against necrosis and fatal arrhythmias.4 During the ischemic preconditioning period receptor mediated activation of protein kinase C (PKC) occurs and appears to be necessary for protection against injury during the subsequent prolonged ischemic period. Thus, PKC activation (and translocation to the particulate fraction) is the initial step in a complex cascade of intracellular events that constitute an intrinsic defense strategy.5 The immediate consequences of PKC activation are unclear but ultimately, during the subsequent prolonged ischemic period, apoptosis is reduced, the cytoskeleton stabilized, and mitochondrial function preserved. Some of these effects may well be mediated by kinases such as MAPK and Src, which are activated in parallel with or downstream from PKC activation.
PKC, MAPK and Src directly phosphorylate Cx43, effecting an acute (within minutes) reduction of channel conductance and/or open probability.6–10 Over a somewhat longer time frame (tens of minutes to multiple hours) activation of these kinases leads to compromised Cx43 targeting/retention at intercalated disks and ultimately Cx43 gene expression.11;12 In the heart, these phosphorylation-dependent changes in gap junction function likely contribute to an overall reduction in conduction velocity and increased dispersion of action potential duration and refractory properties, which combine to form the substrate for potentially lethal arrhythmias.13 Consequently, these phosphorylation events appear to be counter-productive to continued coordinated activation of the heart and yet are ultimately protective to the heart and to other tissues in injury settings.14–16 These apparently contradictory observations suggest that phosphorylation modulates an as yet unidentified parameter of channel function (e.g. selectivity) in a manner that is ultimately beneficial to tissue survival. We showed previously that S368 is required for a PKC-mediated reduction in channel conductance.8 We show here that this site is involved in regulating the selective permeability of the junction. We further show that following 30 minutes of flow-deprivation at 37°C, Cx43 phosphorylated at this site was increased (despite ongoing gap junction remodeling) and remained predominantly localized at the intercalated disks.
Normal rat kidney epithelial (NRK) cells, transfected (or not) with the CT of Cx43 (NRK-CT)17; Rin43 cells, a rat insulinoma cell line stably transfected with rCx43 (CMV promoter)18; Re43 and Re43-S368A cells, derived from Cx43−/− cells stably transfected with rCx43 (22C-3 or MC:Re43)19;20 or rCx43-S368A (pI8),18 and Chinese Hamster Ovary (CHO) cells transfected with hOCT2, were all grown and maintained as appropriate (see Online Methods).
21Cells were visualized on an upright microscope equipped for epifluorescence and differential interference contrast (DIC) observation. The donor cell was accessed with a patch-type microelectrode containing our standard solution,21;22 0.1 mg/mL of rhodamine-labeled dextran (~3000Da) and either 0.25 mmol/L NBD-M-TMA (N,N,N-trimethyl-2-[methyl(7-nitro-2,1,3-benzoxadiazol-4-yl)amino]ethanamimium, charge 1+, MW 280 Da23) or 1 mmol/L LY (Lucifer Yellow CH, charge 2−, 443 Da,). Multiple images of NBD-M-TMA or LY fluorescence were acquired;21 after 10–20 minutes the recipient cell was accessed and both cells voltage clamped (0mV holding potential) to assess macroscopic (Vj=10mV) and single channel (Vj=40mV, following application of halothane) conductances using standard techniques but with discontinuous single electrode voltage clamp amplifiers.21 Rhodamine-dextran fluorescence was typically imaged after measurements of junctional conductance. (See Online Methods for more details).
Junctional permeability to a specific dye was quantified as the rate constant for intercellular diffusion of that dye (k2) according to the procedures described by Ek-Vitorin & Burt21. The selective permeability for a specific dye was calculated as k2-dye/gj. Junctional conductance (gj) and channel conductances were calculated from Ohm’s law as customary (see Online Methods). Single channel conductances were binned in 5pS bins.
All mouse studies were conducted under Institutional Animal Care and Use Committee approval (FHCRC). Inbred mice (11 months of age in a FVB/N:C57BL6 background) were anaesthetized (avertin, 0.83mg/g body weight), hearts excised and placed either in cold PBS (with or without 1.8 mmol/L calcium, glucose free) for 30–60 seconds (control group) or incubated without coronary perfusion in warm (37°C), non-oxygenated PBS for 30 minutes (“ischemic group”). Although not thoroughly characterized,24 this treatment reproduces the effects of ischemia on Cx43 electrophoretic mobility and gap junction remodeling (see results) demonstrated in better characterized models of ischemia.25;26 Hearts in both groups were next longitudinally bisected and either immediately sonicated in Laemmli sample buffer (for Western analysis) or fixed overnight at 4°C in 10% formalin (for immunohistochemistry).
(see Online Methods) After blotting, protein was detected with rabbit primary antibodies against pS368-Cx43 (1:1000, Cell Signaling, Inc), GAPDH (Ambion), or vinculin (Sigma) and mouse anti-Cx43NT.27 Primary antibodies were visualized with either AlexaFluor 680 goat anti-rabbit (Molecular Probes) or IRDye800-conjugated donkey anti-mouse IgG (Rockland Immunochemicals), and directly quantified using the LI-COR Biosciences Odyssey infrared imaging system and associated software (inverted images are shown).
Formalin-fixed tissue was paraffin embedded, sectioned (4μm), immuno- and counter-stained (H&E), and microscopically analyzed as previously described.28 (See Online Methods)
The rate constant (k2) for intercellular diffusion of either LY (k2-LY) or NBD-M-TMA (k2-NBD) was determined and related to the junction’s conductance (gj)21 in NRK (endogenous expression of rCx43),29;30 Rin4331;32 and Re4320 cells. Figure 1 illustrates our strategy for determining k2. Panels A & B show DIC, LY or NBD fluorescence, and rhodamine-dextran fluorescence images of pairs of NRK cells. Fluorescence intensity as a function of time is plotted for both donor and recipient cells in panels C (LY) & D (NBD-M-TMA), and the recipient cell’s fluorescence was fit to determine k2 for each junction.21 Although gj was nearly two fold larger in the LY cell pair, the rate constant for intercellular diffusion of LY vs. NBD-M-TMA was nearly 10 fold less. k2-NBD vs. gj data from 25 NRK pairs, 26 Rin43 pairs, 7 Re43 pairs, and k2-LY vs. gj data for 10 NRK pairs (gj>1nS for all pairs) are plotted in Figure 1E. Neither k2-NBD or k2-LY was linearly related to gj (R2NBD=0.07; R2LY=0.133). On average k2-LY was nearly ten fold lower than k2-NBD (NBD-M-TMA: 1.07±0.20 sec−1, n=25; LY: 0.13±0.04 sec−1, n=10; p<0.0001).
NBD-M-TMA was designed as a fluorescent substrate for organic cationic transporters (e.g. OCT-1 & OCT-2),23 and was later recognized as a superb junctional permeant. 21 To rule out a possible contribution of OCTs to the lack of linear relationship between k2 and gj, we cocultured Rin43 or NRK cells with hOCT2-transfected CHO cells, exposed the co-cultures to 250 μM NBD-M-TMA for 10 minutes under conditions that support OCT-mediated facilitated diffusion, and examined the cells for dye uptake. Neither the NRK or Rin43 cells expressed functional OCT-mediated uptake (Figure 2); however, when these cells formed contacts with the hOCT2-CHO cells they were sometimes observed to contain dye. These results indicate that OCT mediated transport played no role in the variable relationship between k2 and gj and further indicate that heterocellular junctions capable of supporting intercellular dye diffusion can form between OCT2-CHO and other Cx43 expressing cells.
If the selective permeability of all channels comprising Cx43 junctions were identical, then k2 and gj would be expected to increase in a related fashion as the number of junctional channels increased. A linear relationship between ostensibly comparable parameters was previously reported33 for LY permeation of Cx43 junctions as formed by HeLa cells; thus the result shown in Figure 1E was unexpected. Because multiple open states are commonly observed in many Cx43-expressing cells but not in HeLa cells,33–35 we hypothesized that the lack of linear correlation between k2 and gj observed in our experiments reflected differential phosphorylation of Cx43, one indicator of which is variable channel open state behavior.8 To evaluate this possibility, we studied channel behavior;. figure 3 shows multiple segments of single channel records and associated all-points histograms derived from Rin43 (A–C) and NRK (D–F) cell pairs. Successive traces from the same cell pair as well as from different pairs demonstrated that not all channels in the junctions formed by these cells opened to the same conductance level. Figure 4 shows amplitude histograms compiled from multiple Rin43 (A) or NRK (B) cell pairs; for both cell types multiple open states were evident but their relative frequencies differed. Shown in Figure 4C (Rin43) & D (NRK) are amplitude histograms derived from cell pairs with high vs. low selective permeability for NBD-M-TMA (k2-NBD/gj). The data show that high selective permeability for NBD-M-TMA occurred in pairs with a high incidence of 55–70pS channels, whereas low selective permeability for NBD-M-TMA was observed in pairs where such events were rare.
We hypothesized that phosphorylation of Cx43 at S368 was necessary for high junctional NBD-M-TMA selective permeability. We used three strategies to reduce the contribution of pS368 to total Cx43 protein: the Rin43 cells were treated with the PKC inhibitor BIM (bisindolylmaleimide); the parental fibroblast line used to create the Re43 cells8 was stably transfected with Cx43-S368A; and the NRK cells were transfected such that expression of the CT of Cx43 as a separate entity could be induced.17 To demonstrate that over-expression of the CT was effective at reducing the contribution of pS368, we immunoblotted total protein from NRK and NRK-CT cells for total and pS368-Cx43 content. The NRK cells endogenously expressed Cx43 in P and P0 forms (Figure 5). Induced expression of the CT did not significantly change total Cx43 expression; however, pS368-Cx43 content was decreased by 30% (p<0.015).
Figure 6 shows single channel records with all points histograms for BIM treated Rin43 (A,B) and NRK-CT (C,D) cells. In both groups, 55–70pS events like those in C were rarely observed. Figure 7 shows amplitude histograms compiled from multiple pairs of BIM treated Rin43 (B) and NRK-CT (C) cells. The contribution of 55–70pS events to the total population of events was drastically reduced in both groups.
The k2-NBD vs. gj plots for the three pS368-reduction strategies revealed that k2-NBD was significantly reduced (control: 0.83±0.12 min−1 (n=51); pS368-reduced: 0.20±0.05 min−1 (n=32), p<0.0001) particularly at lower gj values (compare k2 vs gj plot in Figure 7A to that in 1E, graphed with comparable axis scaling). These data strongly suggest that phosphorylation at S368 is necessary for high selective permeability for NBD-M-TMA as well as the 55–70pS open state. The overall effect of such channels on selective permeability was evident in the significant reduction in k2-NBD/gj resulting from BIM treatment of Rin43 cells (k2-NBD/gj in Rin43: 0.12 ± 0.04 min−1nS−1, n=26 vs. Rin43+BIM: 0.02 ± 0.007 min−1nS−1, n=6; p<0.02) or CT expression in NRK cells (k2-NBD/gj in NRK: 0.33±0.10 min−1nS−1, n=25 vs. NRK-CT: 0.05±0.02 min−1nS−1, n=13; p<0.014). Low k2-NBD/gj values were also obtained for cells expressing the Cx43-S368A mutant (0.02 ± 0.009 min−1nS−1, n=8).
The data presented above suggest that permeability and conductance are parameters of Cx43 channel function regulated by PKC-dependent phosphorylation of Cx43 at S368. PKC activation during ischemic preconditioning treatments is cardioprotective during subsequent ischemic events; consequently, we asked whether phosphorylation at this residue increased early during no-flow ischemia. Previous studies showed that the electrophoretic mobility of Cx43 isolated from ischemic heart is increased, such that most of the protein travels in a band that co-migrates with dephosphorylated Cx43, the P0 band.25 The P0 band can, however, contain Cx43 phosphorylated at S368.29 Consequently, we evaluated total protein isolated from three control and three ischemic hearts for total Cx43 and pS368-Cx43. Consistent with previous observations the electrophoretic mobility of Cx43 isolated from our no-flow ischemic hearts was increased compared to normal (Figure 8A, each lane represents a separate heart). In addition, a decrease of total Cx43, possibly due to some loss of the protein during ischemia or, alternatively, to lower avidity of the antibody for less phosphorylated forms of Cx43, was observed. Figure 8A further shows that pS368-Cx43 content increased ~5 fold (p<0.02) relative to total Cx43 in the ischemic hearts, and that nearly all of this pS368-Cx43 co-migrated with the “dephosphorylated” Cx43 (P0 band). Identical results were obtained whether the PBS contained 1.8 mmol/L CaCl2 or was calcium-free; moreover, the described changes in electrophoretic mobility of Cx43 were evident, though less prominently, after only 5 minutes of no-flow ischemia (not shown).
The distribution of pS368-Cx43 vs. total Cx43 in ischemic vs. control tissue was quite distinct. Figure 8B shows that in control hearts virtually all Cx43 was localized to intercalated disks. As shown previously for the ischemic heart,25 a considerable increase in Cx43 localized at the lateral borders of myocytes was observed in the ischemic group hearts. Cx43 phosphorylated at S368 was largely absent in control hearts but significantly increased in the ischemic group hearts; despite obvious gap junction remodeling most of the pS368-Cx43 remained localized at intercalated disks in these hearts.
Receptor mediated PKC activation occurs in most tissues in response to growth and injury stimuli - settings where functional gap junctions are crucial to normal tissue response.1;4 In Cx43 expressing cells, including ventricular myocytes, PKC activation results in reduced dye coupling (LY, 6-carboxyfluorescein), which could reflect the combined effects of reduced channel number, open probability or permeability.6;11;36;37 Using quantitative methods we show here that permeation of Cx43 gap junctions by NBD-M-TMA varies widely and without a linear correlation with their own gj values under control conditions. This variability was reduced nearly ten fold (to a level comparable to LY) when phosphorylation at S368 was reduced, blocked or eliminated. The data indicate that the selectivity of Cx43 gap junction channels is regulated via phosphorylation-dependent mechanisms, and suggest that phosphorylation at S368 leads to reduced permeation by current carrying ions (predominantly K and Cl) but enhanced permeation by some larger molecules (e.g. NBD-M-TMA).
Successful permeation of gap junction channels depends on the size, charge, shape and molecular constituents of candidate permeants.38 Connexin-specific selectivity differences can be as large as 300 fold,27;39 and discrimination between extremely similar solutes by any homotypic channel can be profound.40 Nevertheless, Valiunas et al33 concluded from Cx43-expressing HeLa cells studied with LY that junctional permeability and conductance were linearly related, a result strikingly different from that reported here and elsewhere.21;41;42 It is tempting to suggest that the differing results could reflect differences in methodology, sample size, cell-specific regulation of Cx43 and/or dye selection. The fully open state of Cx43 is heavily favored in HeLa cells (long-lived substate behavior is infrequent), suggesting that the impact of phosphorylation on channel permeability and substate behavior is low. Further, the PKC-induced channel conformation(s) may not be as readily permeated by Lucifer Yellow as NBD-M-TMA (as the data herein suggest), in which case its presence would be poorly detected with LY. Thus, the conditions of the Valiunas study33 may not have been favorable for observation of variable permeability.
Previously reported estimates of per channel flux rates for Cx43 differed by 400 fold: ~750 molecules/s for LY33 vs. ~300,000 molecules/s for Alexa488,38 a range comparable to that recently reported by Eckert.42 Although the methodology used in these studies differed, two method-independent explanations were advanced to explain the differing per channel flux rates. First, permeant-pore interactions were suggested to limit the diffusion of LY through the pore to a far greater extent than Alexa 488 (despite their similar size and charge); second, the permeation state of the Cx43 channels formed in oocytes38 vs. HeLa33 cells differed, possibly due to cell-specific differential phosphorylation. The range of per channel flux rates for NBD-M-TMA (calculated from k2 and junctional conductance, assuming a cell volume of 1pL, dye concentration of 1 mmol/L, and channel conductance of 105pS) observed under control conditions in our study was 6,600 to 2,000,000 molecules/sec, an ~300 fold difference for the same permeant. Treatments aimed at decreasing or eliminating pS368 reduced the range (as much as 80 fold) and mean (as much as 7 fold) observed k2-NBD (see Online Supplemental Data), but notably, none of the pS368 reduction strategies resulted in a uniform population of fully open (100–120pS) channels and none resulted in a linear k2-NBD vs. gj relationship. Thus, our results indicate that, indeed, selective permeability is a regulated parameter of junctional function that involves changes in the relative contribution to the junction of channels with high vs. intermediate or low selectivity and is, in part, determined by phosphorylation of the channel proteins at S368.
Despite the wide variability and sometimes very high k2-NBD and k2-NBD/gj values, the per channel flux rate for dye was always less than that for K+, basically because the mobility of K+ in solution is ~10 fold greater than that of the dye. For a sensible estimation of NBD-M-TMA:K flux ratio, a comparison of flux due to a concentration gradient (according to Fick’s law) vs. an electrical gradient (according to Ohms Law) was done (see Online Supplemental Data). The results show that NBD-M-TMA:K flux was 1:4.5 (0.22) for channels in junctions with the highest selective NBD-M-TMA permeability; however, for most channels the NBD-M-TMA:K flux ratio of 0.011 was comparable to that reported for LY:K (0.025).33
Our data suggest that phosphorylation of the Cx43 at S368 increases the permeability of the channel by as much as 300 fold yet either has no effect on or reduces the conductance of the channel by only 2 fold. One model of channel function that accommodates a stable or decreased conductance but increased large molecule permeation involves phosphorylation-induced stabilization of the fluid movements of the CT such that random interference with pore entry by large molecules is reduced (permeation increased). Testing this model (and others) will clearly require additional work, but it represents a plausible starting point for such investigations.
The possible significance of regulated selectivity is suggested by our data showing a significant increase in pS368-Cx43 early during no-flow ischemia as well as by its timely appearance in wound healing.43 The latter study showed that pS368-Cx43 was uniformly distributed in unwounded human epidermal layers; however, at 24 but not 6h post-wounding pS368-Cx43 levels were substantially increased in basal keratinocytes and virtually eliminated from the suprabasal layers in the region of the wound. These alterations in Cx43 phosphorylation and localization were suggested to result in the formation of communication compartments in the region of the wound that might facilitate repair and delay differentiation in suprabasal cells until appropriate.
Relative to the heart, the data presented herein indicate that early in no-flow ischemia phosphorylation of Cx43 at S368 increases significantly, despite dephosphorylation and relocation of substantial amounts of Cx43 to lateral borders. Given the enhanced permselectivity of Cx43 channels and junctions containing pS368-Cx43, the localization of pS368-Cx43 to intercalated disks suggests that intercellular signaling along the longitudinal vs. transverse axes might differ in the ischemic vs. normal heart. Reduced longitudinal conduction velocity is expected (and observed) consequent to the reduction at intercalated disks of channel number and conductance (due to pS368). Transverse conduction is not, however, expected to increase in parallel with the redistribution of Cx43 to the lateral borders, as dephosphorylated Cx43 does not assemble channels efficiently.30;44 Due to the complexity of impulse propagation in the heart, it is not entirely clear that these (combined) effects of Cx43 phosphorylation/dephosphorylation and relocation are antiarrhythmic; however, PKC activation occurs during ischemic preconditioning, is required for the protection (against arrhythmias and cell injury) conferred by preconditioning, and is sufficient to protect the ischemic heart against ischemic injury.45–47 We therefore suggest that in addition to any electrical benefits that phosphorylation at S368 might confer on the ischemic heart, the metabolic and signaling consequences of altered selective permeability on tissue survival and repair might be more profound.43 For instance, by facilitating or preventing the intercellular movement (between non-ischemic and ischemic cells) of metabolites and signaling molecules, altered junctional selective permeability might be crucial for cell survival and tissue function during and following ischemic insults.
These studies were supported by Grants from the National Institutes of Health: HL058732, HL076260-02 (JMB), GM055632 (PDL), and the American Heart Association, Pacific Mountain Affiliate (JMB), #0550258z.
Janis M. Burt, Ph.D., Jose Ek Vitorin, M.D., Ph.D., Nathanael Heyman, Department of Physiology, PO Box 245051, Tucson, Arizona 85724, USA, Voice: (520) 626-6833, FAX: (520) 626-2383, ude.anozira.u@trubj ude.anozira.u@irotivke ude.anozira.liame@namyehn
Paul A. Lampe, Ph.D. Timothy, J. King, Ph.D.,Fred Hutchinson Cancer Research Center, Mail stop M5C800, 1100 Fairview Ave, Seattle, WA 98109, USA, Voice: (206) 667-4123 FAX: (206) 667-2537 gro.crchf@epmalp moc.hcetoibih@gnikt