Functional Evidence for an Inward Rectifier Potassium Current in Rat Renal Afferent Arterioles
G protein-independent activation of an inward Na(+) current by muscarinic receptors in mouse...
Transcript of G protein-independent activation of an inward Na(+) current by muscarinic receptors in mouse...
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G-PROTEIN-INDEPENDENT ACTIVATION OF AN INWARD Na+ CURRENT
BY MUSCARINIC RECEPTORS IN MOUSE PANCREATIC ββββ-CELLS
Jean-François Rolland, Jean-Claude Henquin and Patrick Gilon
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Short running title: Muscarinic activation of Na+ current in β-cells.
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From the Unité d’Endocrinologie et Métabolisme, University of Louvain, Faculty of
Medicine, UCL 55.30, Av. Hippocrate 55, B-1200 Brussels, Belgium
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Abbreviations: ACh, acetylcholine; K+-ATP channels, ATP-sensitive potassium channels;
[Ca2+]c, free cytosolic calcium concentration; DIDS, 4,4'-diisothiocyanostilbene-2,2'-
disulfonic acid; INa-ACh, Na+ current activated by ACh; IP3, inositol 1,4,5-trisphosphate;
[Na+]c, free cytosolic sodium concentration; PTX, pertussis toxin.
Address all correspondence toDr P. GilonUnité d’Endocrinologie et Métabolisme, University of Louvain Faculty of Medicine,UCL 55.30, Av. Hippocrate 55,B-1200 Brussels, Belgium.Tel: + 32-2-764.94.33.Fax: + 32-2-764.55.32.E.mail: [email protected]
Copyright 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
JBC Papers in Press. Published on August 2, 2002 as Manuscript M203888200 by guest on M
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ABSTRACT
Depolarization of pancreatic β-cells is critical for stimulation of insulin secretion by
acetylcholine, but remains unexplained. Using voltage-clamped β-cells, we identified a small
inward current produced by acetylcholine, which was suppressed by atropine or external Na+
omission, but was not mimicked by nicotine and was insensitive to nicotinic antagonists,
tetrodotoxin, DIDS, thapsigargin-pretreatment and external Ca2+ and K+ removal. This
suggests that muscarinic receptor stimulation activates voltage-insensitive Na+ channels
distinct from store-operated channels. No outward Na+ current was produced by acetylcholine
when the electrochemical Na+ gradient was reversed, indicating that the channels are inward-
rectifiers. No outward K+ current occurred either, and the reversal potential of the current
activated by acetylcholine in the presence of Na+ and K+ was close to that expected for a Na+-
selective membrane, suggesting that the channels opened by acetylcholine are specific for
Na+. Overnight pretreatement with pertussis toxin, or addition of GTP-γ-S or GDP-β-S
instead of GTP to the pipette solution did not alter this current, excluding involvement of
G-proteins. Injection of a current of a similar amplitude to that induced by acetylcholine elicited
electrical activity in β-cells perifused with a subthreshold glucose concentration. These results
demonstrate that muscarinic receptor activation in pancreatic β-cells triggers, by a G-protein
independent mechanism, a selective Na+ current that explains the plasma membrane
depolarization.
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INTRODUCTION
During the feeding periods, the increase in glycemia is limited in time and amplitude by the
hypoglycemic action of insulin. Blood glucose itself is the main stimulator of insulin secretion
by pancreatic β-cells. This stimulation involves two complementary pathways. Glucose
generates a triggering signal, a rise in cytosolic Ca2+ concentration ([Ca2+]c)1, through the
following sequence of events: the acceleration of cell metabolism increases the ATP/ADP
ratio, which closes ATP-sensitive K+ (K+-ATP) channels in the plasma membrane; the
resulting decrease in K+ conductance leads to membrane depolarization, opening of voltage-
dependent Ca2+ channels and Ca2+ influx (1-5). Glucose also produces amplifying signals that
increase the efficacy of Ca2+ on exocytosis (6, 7).
Besides glucose, physiological agents such as hormones and neurotransmitters also
modulate insulin secretion. A rich parasympathethic and sympathethic innervation enters the
islets and ends close to the endocrine cells, allowing a fine neural tuning of the islet function
(8, 9). Acetylcholine (ACh) is released by parasympathethic nerve endings, during the
preabsorptive phase of feeding to enhance insulin secretion prior to the rise in plasma glucose,
and during the absorptive phase (10). By binding to muscarinic receptors of the M3 type, ACh
triggers changes in phospholipid metabolism leading to formation of diacylglycerol which
activates protein kinase C, and inositol 1,4,5-trisphosphate (IP3) which mobilizes Ca2+ from
intracellular Ca2+ stores. The resulting fall of the Ca2+ concentration in the endoplasmic
reticulum activates a modest Ca2+ influx, through voltage-independent Ca2+ channels, which
is commonly referred to as a capacitative Ca2+ entry. In addition, ACh depolarizes the plasma
membrane of β-cells. This depolarization is small and does not cause Ca2+ influx in
unstimulated β-cells. However, in the presence of stimulatory (depolarizing) concentrations of
glucose, this additional depolarization by ACh enhances Ca2+ influx through voltage-
dependent Ca2+ channels, leading to a sustained [Ca2+]c elevation (10).
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Although central for the increase in insulin secretion by ACh (10, 11), the
depolarization has never been conclusively explained. Several observations suggest that a Na+
current is involved. Thus, the depolarization of β-cells by ACh is abrogated by omission of
extracellular Na+ (12) and accompanied by increases in total Na+ content (13), 22Na+ uptake
(12, 14) and free cytosolic Na+ concentration ([Na+]c) (15). These arguments, however,
remain indirect and conflict with the general concept that nicotinic rather than muscarinic
receptors mediate cholinergic effects on Na+ conductance. In the present study, we used
membrane potential recordings with microelectrode and both conventional and perforated
whole-cell modes of the patch-clamp technique to identify and characterize the current by
which ACh depolarizes the plasma membrane of mouse β-cells. Our study provides the first
direct electrophysiological evidence for a muscarinic, G-protein-independent, stimulation of
an inward Na+ current in pancreatic β-cells.
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EXPERIMENTAL PROCEDURES
Preparation of cells
The pancreas from NMRI mice killed by cervical dislocation was aseptically digested with
collagenase in a bicarbonate-buffered solution containing (in mmol/l) 120 NaCl, 4.8 KCl, 2.5
CaCl2, 1.2 MgCl2, 24 NaHCO3, 5 Hepes, 10 glucose, 1 mg/ml bovine serum albumin (BSA;
fraction V; Roche Molecular Biochemicals, Mannheim, Germany), and gassed with O2/CO2
(94:6 %) to have a pH of 7.4. Islets were handpicked under a stereomicroscope. Single cells
were obtained by incubating the islets for 5 min in a Ca2+-free medium containing (in mmol/l)
138 NaCl, 5.6 KCl, 1.2 MgCl2, 5 Hepes, 3 glucose and 1 mmol/l EGTA (pH 7.4). After a
brief centrifugation, this solution was replaced by culture medium, and the islets were
disrupted by gentle pipetting through a siliconized glass pipette. The cells were plated on 22
mm-diameter glass coverslips. Intact islets and single islet cells were cultured for,
respectively, 1 and 1-3 days in RPMI 1640 culture medium (GIBCO, Paisley, U.K.)
containing 10 % heat-inactivated fetal calf serum and 10 mmol/l glucose. All solutions for
tissue preparation and culture medium were supplemented with 100 IU/ml penicillin and 100
µg/ml streptomycin.
Electrophysiological recordings
The membrane potential of a single β-cell within an islet was continuously recorded at 37°C
with a high resistance (~200 MΩ) intracellular microelectrode (16). β-cells were identified by
the typical electrical activity that they display in the presence of 10 mmol/l glucose.
Two criteria defined previously (17) were used to identify single β-cells: a cell
capacitance above 5 pF and the presence of a voltage-dependent Na+ current that is
inactivated at a holding potential of -70 mV but can be activated after a hyperpolarizing pulse
to -140 mV. Patch-clamp measurements were carried out in both conventional and perforated
whole-cell modes, using an EPC-9 patch-clamp amplifier (Heka Electronics,
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Lambrecht/Pfalz, Germany) and the software Pulsefit, or an Axopatch 200 B patch-clamp
amplifier (Axon Instruments, Foster City, CA, USA) and the software pClamp 8. Patch
pipettes were pulled from borosilicate glass capillaries (World Precision Instruments, Inc.,
Hertfordshire, UK) to give a resistance of 4-5 MΩ. Except for the experiments performed to
obtain the I-V curve, INa-ACh was measured in cells kept hyperpolarized at -80 mV. ICa was
measured by applying 25 ms-depolarizations from -80 mV to +10 mV every 5 s. Voltage-
clamp experiments were performed at room temperature (22-25°C), whereas current-clamp
experiments were carried out at 34-36°C.
Solutions for electrophysiological recordings
The standard extracellular solution used for membrane potential recordings with intracellular
microelectrodes contained (in mmol/l): 122 NaCl, 4.7 KCl, 2.6 CaCl2, 1.2 MgCl2, 20
NaHCO3, and glucose as indicated in the legend. When necessary, a K+-free solution was
prepared by substituting NaCl for KCl. These solutions were gassed with O2/CO2 (95:5 %) to
maintain pH at 7.4.
Various solutions were used for patch-clamp recordings. In perforated mode, the
pipette solution contained (in mmol/l): 70 K2SO4, 10 NaCl, 10 KCl, 3.7 MgCl2 and 5 Hepes
(pH 7.1) (Int Sol A). The electrical contact was established by adding a pore-forming
antibiotic, amphotericin B or nystatin, to the pipette solution. Amphotericin (stock solution of
60 mg/ml in DMSO) was used at a final concentration of 300 µg/ml. Nystatin (stock solution
of 10 mg/ml in DMSO) was used at a final concentration of 200 µg/ml. The tip of the pipette
was back-filled with antibiotic-free solution and the pipette was then filled with the
amphotericin or nystatin-containing solution. The voltage clamp was considered satisfactory
when the series conductance was >35-40 nS.
In conventional whole-cell recordings of INa-ACh, the pipette solution contained (in
mmol/l): 112 KCl, 5 KOH, 1 MgCl2, 3 MgATP, 0.1 Na2GTP and 10 HEPES (pH adjusted to
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7.15 with 1 mmol/l HCl) (Int Sol B). When needed, 10 mmol/l EGTA was added to internal
solution B (Int Sol C). Na+-rich/K+-free solution was prepared by substituting NaCl for KCl,
and NaOH for KOH of internal solution B (Int Sol D). Na+-free/K+-rich solution was
prepared by increasing KCl and KOH concentrations of internal solution B to 125 and 30,
respectively (pH adjusted to 7.15 with 18 mmol/l HCl) (Int Sol E). For experiments during
which the equilibrium potential for Na+ was fixed at -60 mV or –20 mV, the pipette solution
contained (in mmol/l): 107 NaCl, 10 NaOH, 3 MgATP, 0.1 Na2GTP, 1 MgCl2 and 10 HEPES
(pH adjusted to 7.15 with 7 mmol/l HCl) (Int Sol F). For conventional whole-cell recordings
of ICa, the pipette solution contained (in mmol/l): 125 CsCl, 30 KOH, 1 MgCl2, 10 EGTA, 3
MgATP, 0.1 Na2GTP, and 5 HEPES (pH 7.15) (Int Sol G). When specified, GTP-γ-S or
GDP-β-S was substituted for GTP in the pipette solution. When the conventional whole-cell
mode was used, ACh was applied 5 minutes after rupture of the plasma membrane.
The standard extracellular solution used to monitor INa-ACh contained (in mmol/l): 120
NaCl, 4.8 KCl, 2.5 CaCl2, 1.2 MgCl2, 24 NaHCO3, 5 HEPES (pH 7.4) and 10 glucose (Ext
Sol A). Ca2+-free solution was prepared by substituting MgCl2 for CaCl2 of external solution
A, and was supplemented with 2 mmol/l EGTA (Ext Sol B). When needed, Na+ 145/K+-free
solution was prepared by substituting NaCl for KCl of external solution A (Ext Sol C). Na+-
free/K+ 4.8 solution contained (in mmol/l): 135 N-methyl-D-glucamine (NMDG), 4.8 KCl,
2.5 CaCl2, 1.2 MgCl2, 5 HEPES (pH adjusted to 7.4 with 131 mmol/l HCl) and 10 glucose
(Ext Sol D). When needed, Na+-K+-free solution was prepared by substituting N-methyl-D-
glucamine for KCl of external solution D (pH adjusted to 7.4 with 136 mmol/l HCl) (Ext Sol
E). For experiments during which the equilibrium potential for Na+ was fixed at -60 mV, the
external solution contained (in mmol/l): 11 NaCl, 10 KCl, 180 NMDG, 2.5 CaCl2, 1.2 MgCl2,
5 HEPES (pH 7.4), 0.1 CdCl2, 0.25 tolbutamide (pH adjusted to 7.4 with 172 mmol/l HCl)
and 10 glucose (Ext Sol F). For experiments during which the equilibrium potential for Na+
was fixed at -20 mV, the external solution contained (in mmol/l): 53 NaCl, 10 KCl, 100
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NMDG, 2.5 CaCl2, 1.2 MgCl2, 5 HEPES (pH 7.4), 0.1 CdCl2, 0.25 tolbutamide (pH adjusted
to 7.4 with 96 mmol/l HCl) and 10 glucose (Ext Sol G). For recordings of ICa, the external
solution contained (in mmol/l): 125 NaCl, 4.8 KCl, 10 CaCl2, 1.2 MgCl2, 10
tetraethylammonium-Cl, 5 HEPES (pH 7.4) and 10 glucose (Ext Sol H).
Thapsigargin was obtained from Alomone Labs (Jerusalem, Israel). Unless otherwise
stated, all other chemicals were from Sigma (St. Louis, MO).
Presentation of results
The experiments are illustrated by means or representative traces of results obtained with the
indicated number of cells from at least three different cultures. The statistical significance of
differences between means was assessed by unpaired Student's t test. Differences were
considered significant at P < 0.05.
RESULTS
Effects of ACh on the membrane potential of mouse pancreatic ββββ-cells
In the presence of 10 mmol/l glucose, β-cells within an islet display a rhythmic electrical
activity characterized by the alternance of polarized silent phases and depolarized phases with
bursts of action potentials (Fig. 1A). Addition of 1 µmol/l ACh induced a sustained and
persistent depolarization with continuous spike activity in 2/6 islets. In the other islets, the
initial period of sustained activity was followed by rapid oscillations of the membrane
potential (Fig. 1A). Similar effects of ACh on the β-cell electrical activity have previously
been observed in non-cultured islets, and are blocked by atropine (12, 18).
Muscarinic receptor activation induces an inward current in ββββ-cells
The effect of ACh on the whole-cell current was first studied in single β-cells held
hyperpolarized at -80 mV by the conventional whole-cell configuration of the patch-clamp
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technique. Addition of ACh induced a sustained and reversible inward current the amplitude
of which increased with the concentration of the neurotransmitter (Fig. 2A-D) to reach a
maximum of 0.77 ± 0.15 pA/pF (n = 5) at 100 µmol/l ACh. The half-maximal effective
concentration (EC50) estimated after fitting the data to a sigmoidal function was at 2.5 µmol/l
ACh (Fig. 2D). The kinetics of activation of the current by ACh could not be established
reliably because the characteristics of our perifusion system (chamber volume of ~0.8 ml and
flow rate of ~0.5 ml/min) preclude fast solution exchange. However, it was repeatedly noted
that the current activated by ACh developped rapidly, within ~1 sec (Figs. 2B, 3G), in cells
that were located very close to the inflow of solution, and more slowly (Fig. 3B, D) in cells
that were located at some distance of this inflow.
The current elicited by ACh was completely suppressed or prevented by the
muscarinic receptor antagonist, atropine (Fig. 2A-C), but was not mimicked by 10 µmol/l
nicotine (n = 5, not shown), and was insensitive to nicotine or nicotinic antagonists. Thus, in
the presence of 10 µmol/l nicotine, 0.1 µmol/l α-bungarotoxine or 100 µmol/l
hexamethonium, 100 µmol/l ACh elicited a current which was, respectively, 90 ± 8 % (n =
11), 111 ± 11 % (n = 6) or 107 ± 6 % (n = 7) of the current activated by ACh in the absence of
nicotinic agents. These experiments show that the ACh-induced inward current in β-cells
results from activation of muscarinic, but not nicotinic, receptors.
In another series of experiments, β-cells were voltage-clamped in the perforated
whole-cell mode and treated with 1 µmol/l thapsigargin, which completely emptied the
endoplasmic reticulum in Ca2+, as indicated by the suppression of Ca2+ mobilization by ACh
(n = 5; not shown). Subsequent application of ACh elicited a current of the same amplitude
(0.77 ± 0.09 pA/pF , n = 11) as that measured in the whole-cell configuration (Fig. 2E). The
ACh-induced inward current, therefore, is not a store-operated current.
Characteristics of the current activated by ACh in ββββ-cells
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The ionic specificity of the current was first evaluated in the standard whole-cell mode by
removing Ca2+, Na+ or K+ from the bath or pipette solutions. Addition of ACh to a Ca2+-free
medium elicited an inward current indicating that the latter was not carried by Ca2+ (Fig. 3A).
Omission of K+ from the perifusion medium did not prevent the current elicited by ACh
indicating that the current does not involve changes in Na+ pump activity (Fig. 3B). By
contrast, omission of extracellular Na+ abrogated the current, which suggests that it is carried
by Na+ (Fig. 3C). The current was nevertheless insensitive to tetrodotoxin indicating that
voltage-gated Na+ channels are not involved (Fig. 3D). When the electrochemical gradient for
Na+ was reversed (Na+-rich pipette solution and Na+-free bath medium) to permit an outward
current, ACh was ineffective (Fig. 3E) suggesting that Na+ flows only in the inward direction.
A non-specific cationic current carrying both Na+ and K+ could also depolarize the
plasma membrane because it usually has a reversal potential close to 0 mV. The experiments
performed above did not allow us to exclude the possibility that ACh activates such a current
because either the membrane was clamped close to the equilibrium potential of K+ (Fig. 3C)
or no K+ was present in the pipette and bath solutions (Fig. 3E). To address that question, two
series of experiments were thus performed. In the first series, Na+ was omitted from both
pipette and bath solutions, whereas K+ was present at a high concentration in the pipette
solution only (Fig. 3F). Under these conditions where the equilibrium potential for K+ was
infinitely negative and no Na+ current could occur, ACh did not activate any outward current.
In the second series of experiments, the Na+ versus K+ specificity of the current activated by
ACh was evaluated by measuring its reversal potential with pipette and external solutions
selected to have very different equilibrium potentials for Na+ and K+, i.e. -60 or –20 mV for
Na+, and infinitely positive potentials for K+. These experiments were performed in the
presence of Cd2+ to block voltage-dependent Ca2+ channels (and avoid [Ca2+]c overload or
activation of Ca2+-dependent currents), and tolbutamide to block K+-ATP channels (and avoid
a large outward current through these channels). However, even under these conditions, the
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reversal potential could not be reliably estimated by voltage ramp protocols because of the
smallness of the current. Therefore, the effect of ACh was tested in separate β-cells held at
selected fixed potentials between -130 and 0 mV (Fig. 4). Experiments at potentials more
negative than -130 mV or more positive than 0 mV could not be performed because of
instability of the seal. Pipette and external solutions were first selected to have an equilibrium
potential for Na+ at –60 mV. At potentials more negative than -60 mV, the amplitude of the
inward current induced by ACh increased with the driving force for Na+ (larger at -130 than -
100 mV) and displayed a slope conductance of 6.6 pS/pF (Fig. 4: open squares). At the set
equilibrium potential for Na+ (-60 mV), ACh did not induce any current. To test if the reversal
potential of the current activated by ACh strictly followed the equilibrium potential of Na+,
the equilibrium potential of Na+ was then fixed at -20 mV. At this potential, ACh failed to
activate any current. However, at potentials more negative than -20 mV, ACh induced an
inward current with an amplitude proportional to the driving force for Na+ and with a slope
conductance of 5.3 pS/pF (Fig. 4: filled circles). All these results clearly indicate selectivity
for Na+ without contribution of K+. Because of this ionic characteristic, the current will be
referred to as INa-ACh. At potentials less negative than the set equilibrium potential for Na+ (-30
and 0 mV when ENa was fixed at -60 mV; 0 mV when ENa was fixed at -20 mV), ACh did not
activate any outward current (Fig. 4), which, together with the results of Fig. 3E, suggests that
the channels responsible for INa-ACh are inward rectifiers.
An increase in Cl- permeability is expected to depolarize the plasma membrane
because the equilibrium potential for Cl- in β-cells has been estimated to be above the
threshold for activation of voltage-dependent Ca2+ channels (19, 20). Activation of a Cl-
current by ACh has not been directly tested by omitting Cl- from the medium. However, this
possibility can also be discarded for two reasons. First, ACh did not elicit any current when
the membrane was clamped at a potential different from the equilibrium potential of Cl- and
under conditions where no Na+ current occurred (e.g. at holding potentials of -80, -80 and -60
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mV in Fig. 3C, 3F and 4 open squares, when ECl was at, -6, 0 and -14 mV, respectively).
Second, INa-ACh was unaffected by DIDS, a blocker of the volume-activated current (21) that
carries Cl- and possibly other ions in β-cells (22). Thus, in the presence of 100 µmol/l DIDS,
100 µmol/l ACh elicited a current that was 112 ± 10 % (n = 14) of the current activated by
ACh in the absence of the blocker (Fig. 3G).
Activation of INa-ACh does not involve G-proteins
Muscarinic effects of ACh in β-cells are known or assumed to be transduced by a G-protein,
and it has been reported that, in neurones and cardiomyocytes, several muscarinic receptor
subtypes modulate ionic channels, such as Ca2+ and K+ channels, through pertussis toxin-
sensitive G-proteins of the Gi or Go class (10). However, after permanent inactivation of Gi-
or Go-proteins by overnight pretreatment of β-cells with pertussis toxin (250 ng/ml), the
amplitude of INa-ACh was 109 ± 7 % (n = 6) of that observed in non-treated cells. To test the
possible involvement of all kinds of G-proteins in the activation of INa-ACh, GTP in the pipette
solution (control conditions) was replaced by GTP-γ-S or GDP-β-S that are, respectively,
non-hydrolysable activator and inhibitor of G-proteins. Fig. 5 shows the maximum inward
current (INa-ACh) elicited by 1 min application of 100 µmol/l ACh to β-cells voltage-clamped
at -80 mV and dialyzed for 5 min with a solution containing 100 µmol/l GTP, 10 µmol/l GTP-
γ-S or 4 mmol/l GDP-β-S. In all conditions, INa-ACh was reversible upon washout of the
neurotransmitter, and its amplitude was similar with the three nucleotides suggesting that
activation of INa-ACh does not involve G-proteins.
To ascertain that our experimental conditions were adequate to identify the
involvement of a G-protein, we tested the GTP analogues on the ACh-induced inhibition of
voltage-dependent Ca2+ current in pancreatic β-cells (23). Fig. 6A shows representative
whole-cell Ca2+ current traces recorded with a pipette solution containing 100 µmol/l GTP.
The current (ICa) was evoked by 25 ms depolarizing pulses from -80 to 10 mV before
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(control), during (ACh) and after (wash) application of 100 µmol/l ACh to the bath. Fig. 6B
summarizes the changes of the normalized peak Ca2+ current produced by ACh in the
presence of different guanine nucleotides in the pipette solution. With 100 µmol/l GTP in the
pipette solution (control), ACh reversibly inhibited the current. This inhibitory effect was
abolished when the pipette solution contained 4 mmol/l GDP-β-S, and became irreversible
when 10 µmol/l GTP-γ-S was included in the pipette. The spontaneous decrease in current
amplitude recorded with GDP-β-S reflects rundown (23). These control experiments thus
show that the guanine nucleotides were effective in our recording conditions.
Impact of a depolarizing current equivalent to INa-ACh on the ββββ-cell membrane potential
Because INa-ACh is small, it was important to verify that a current of a similar amplitude was
sufficient to elicit electrical activity. These experiments were performed in β-cells perifused at
34-36°C with 6 mmol/l glucose, a concentration that is subthreshold in islets (24). A
depolarizing current corresponding to the average INa-ACh induced by 100 µmol/l ACh (0.77
pA/pF) and adjusted to cell size (0.77 pA x capacitance of the tested cell) was injected in the
current-clamp mode. Such a current elicited an electrical activity in all tested cells, and its
removal was accompanied by an immediate repolarization (Fig. 7A). In other experiments
shown in Fig. 7B, the depolarizing effect of 1 µmol/l ACh was first tested and compared to
that of depolarizing currents corresponding to INa-ACh elicited by 1 (0.23 pA/pF), 10 (0.61
pA/pF) and 100 µmol/l ACh (0.77 pA/pF). Addition of 1 µmol/l ACh triggerred electrical
activity with action potentials that ceased upon washout of the neurotransmitter. Subsequent
injection of a current with an amplitude similar to that of INa-ACh induced by 1 µmol/l ACh (a
in Fig. 7B) elicited electrical activity similar to that produced by 1 µmol/l ACh itself.
Injection of larger currents corresponding to INa-ACh induced by 10 and 100 µmol/l ACh (b and
c, respectively, in Fig. 7B) augmented the frequency of the electrical activity. These results
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indicate that the small INa-ACh is sufficient to depolarize the membrane potential beyond the
threshold for the activation of voltage-dependent Ca2+ channels.
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DISCUSSION
By activating muscarinic receptors, ACh induces a number of effects in pancreatic β-cells,
which culminate in an increase in insulin secretion (10). Among these effects, a glucose-
dependent depolarization of the plasma membrane plays a central role. Experiments using
intracellular microelectrodes and tracer fluxes have led to the suggestion that a Na+ current
underlies the ACh-mediated depolarization (12). This proposal has, however, remained
incompletely convincing because Na+ currents are classically activated by nicotinic rather
than muscarinic receptors, and because the predicted ionic mechanism has not received direct
electrophysiological support. The present study eventually succeeded in identifying an inward
current that is specifically carried by Na+ and is responsible for the muscarinic depolarization
of pancreatic β-cells. It further shows that the activation of the current is not mediated by G-
proteins.
Acetylcholine activates an inward Na+ current in ββββ-cells
Our data demonstrate that ACh activates an inward current that is attributed to Na+ influx
because of it suppression either when Na+ was removed from the extracellular medium or
when the membrane potential of the cell was close to the equilibrium potential of Na+. On the
other hand, no contribution of Ca2+, K+ or Cl- to the current could be obtained. Thus, the ACh-
induced current was not affected by removal of extracellular Ca2+. When no Na+ current could
occur, no inward or outward current was evoked by ACh even when the equilibrium potential
of K+ was infinitely negative or positive, or when the membrane potential was clamped away
from the equilibrium potential of Cl-. The current elicited by ACh was also insensitive to
DIDS, a blocker of the Cl--mediated, volume-activated current in β-cells (22).
Activation of this Na+ current by ACh may explain the increase in total Na+ content
(13), 22Na+ uptake (12, 14) and [Na+]c (15) that the neurotransmitter induces in islet cells, and
the abrogation of all these effects in a Na+-free medium. The amplitude of the Na+ current
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elicited by ACh is small, but sufficient to account for the 15 mmol/l increase in [Na+]c
occurring in β-cells after 15 min of stimulation with 100 µmol/l ACh (15, 25). Indeed, 100
µmol/l ACh activated a mean inward current of 0.77 pA/pF, which corresponds to 6.15 pA for
an average β-cell capacitance of 7.9 ± 0.08 pF (estimated from 644 β-cells tested in the
present study). Assuming that the current remains stable over 15 min, the current charge
amounts to 5537 pCb, which corresponds to ~ 57 fmoles of Na+. For an intracellular space of
620 fl per β-cell (26), this would result in a [Na+]c increase by 92 mmol/l, which is well above
the 15 mmol/l measured. Activation of the Na+ pump obviously tends to correct the [Na+]c
rise. The reverse mechanism, an inhibition of the Na+ pump, has been proposed to explain the
increase in [Na+]c produced by ACh in sheep Purkinje fibers (27). The explanation does not
hold for β-cells in which ACh still increases [Na+]c after blockade of the pump by ouabain
(15). This is fully compatible with the persistence of the ACh-induced inward current in a K+-
free medium, another situation where the Na+ pump is blocked.
Nicotinic receptors, which are non-selective cationic channels (28, 29), classically
mediate cholinergic effects on Na+ currents. Such channels are clearly not responsible for the
ACh-induced inward current in β-cells because the muscarinic antagonist, atropine,
completely prevented the current and the rise in [Na+]c (15), whereas the ACh-activated
current was not mimicked by nicotine, and was insensitive to nicotinic antagonists. Activation
of a Na+ conductance by muscarinic receptors is unusual but has occasionally been reported in
cardiac myocytes (30, 31), smooth muscle cells of the gastro-intestinal tract (32, 33),
chromaffin cells (34), and Chinese hamster ovary (CHO) cells expressing M3 receptors (35).
The channels activated by ACh in β-cells have not been identified but several of their
properties could be established. Voltage-dependent Na+ channels are present in mouse β-cells
but they are inactivated at the holding potential of -80 mV that we used (36). We can discard
the possibility that such channels mediate the effect of ACh because the Na+ current evoked
by the neurotransmitter did not require any voltage change and was insensitive to
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tetrodotoxin, as are the ACh-induced increases in Na+ uptake (12) and [Na+]c (15). Our results
also indicate that the current is not carried by a non-specific cationic channel allowing flow of
both Na+ and K+ or Ca2+. The Na+ channels activated by ACh display inward rectifying
properties as shown by their inability to carry an outward current when the electrochemical
gradient for Na+ was reversed.
Because the inward current activated by ACh is a specific Na+ current, we termed it
INa-ACh.
Mechanisms of activation of INa-ACh
As in other cells (37, 38), lowering the Ca2+ content of the endoplasmic reticulum in β-cells
activates conductances for Ca2+ and perhaps other ionic species including Na+ (25, 39). Even
if such a mechanism slightly contributes to, it is not responsible for INa-ACh, because ACh still
activated the inward current after emptying of the endoplasmic reticulum Ca2+ stores by
thapsigargin. This is consistent with our previous report that thapsigargin and cyclopiazonic
acid, which empty the endoplasmic reticulum in Ca2+ more efficiently than does ACh, did not
mimic or prevent the [Na+]c rise elicited by ACh (25). The fact, that neither pretreatment with
thapsigargin nor inclusion of a high concentration of EGTA in the pipette solution prevented
ACh from inducing an inward current, also excludes the possibility that activation of INa-ACh is
secondary to a rise in [Ca2+]c.
Although it is classically admitted that muscarinic receptors are coupled to G-proteins
(40), activation of INa-ACh was unaffected by inactivation of Gi/Go-proteins by pertussis toxin
pretreatment, or infusing β-cells with GTP-γ-S or GDP-β-S, two guanine nucleotide
analogues that, respectively, activate and inhibit G-proteins. Both analogues were however
effective in our experimental conditions as shown by their modulation of ACh-induced
inhibition of the voltage-dependent Ca2+ current (23). These observations unexpectedly
indicate that activation of INa-ACh does not involve G-proteins in β-cells. There is growing
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evidence that various seven transmembrane metabotropic receptors can also activate
transduction systems without involvement of G-proteins (41, 42). In particular, muscarinic
agonists have been found to activate, in a G-protein-independent way, a Na+ current in
ventricular myocytes (31), a cationic current in CA3 pyramidal cells (43), and a K+ current in
aortic endothelial cells (44, 45). The transduction mechanisms have not been identified but
direct or indirect (via adaptor proteins) interactions between the receptor and effector proteins
have tentatively been proposed. Activation of cationic conductance by a SRC-tyrosine kinase
in CA3 pyramidal neurons (41) and facilitation of the stimulation of IP3 receptors by the
protein Homer (42) are two examples of G-protein-independent event linked to activation of
metabotropic glutamate receptor.
Role of INa-ACh in the control of ββββ-cell membrane potential by ACh
Apart from the increase in Na+ conductance, all plausible mechanisms by which ACh might
depolarize the β-cell membrane can be excluded. First, ACh does not decrease the β-cell
membrane K+ conductance. Unlike glucose and sulfonylureas, ACh does not inhibit the efflux
of 86Rb+ (a tracer of K+) (12, 46) and does not reduce K+-ATP (17) or other K+ currents (this
study). Second, an increase in Cl- permeability, which would depolarize the β-cell membrane
because of the high equilibrium potential for Cl- (19, 20), is not involved. Thus, ACh has no
effect on 86Cl- efflux from mouse islets (14, 47) and its depolarizing effect is not influenced
by omission of extracellular Cl- (47). Third, there is no evidence that ACh directly activates
Ca2+ channels. On the contrary, we confirm here that high concentrations of the
neurotransmitter rather inhibit Ca2+ currents through voltage-dependent Ca2+ channels (23). It
is possible, however, that the small capacitative Ca2+ entry induced by ACh, via a lowering of
intracellular Ca2+ stores, slightly contributes to the depolarization. Fourth, blockade of the
Na+/K+ pump is known to depolarize β-cells (24). However, several arguments suggest that
ACh does not inhibit the Na+/K+ pump. A depolarizing effect of ACh persisted after inhibition
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of the Na+/K+ ATPase by omission of extracellular K+, and reactivation of the Na+/K+ pump
after its blockade (by K+ removal or ouabain) induced a transient repolarization that was not
suppressed by ACh (unpublished data). Moreover, ACh slightly increased initial 86Rb+ uptake
(14), which is opposite to the effect observed after blockade of the pump with ouabain (48,
49).
Activation of INa-ACh is therefore the most plausible mechanism of ACh-induced
depolarization of β-cells. Our proposal is in complete agreement with the observation that this
depolarization is abrogated by extracellular Na+ omission but insensitive to tetrodotoxin (8).
We further show here that the amplitude of INa-ACh is sufficient to explain the effects of ACh
on the membrane potential. Thus, injection of a current with an amplitude similar to that
activated by 1 µmol/l of ACh (i.e. 0.23 ± 0.02 pA/pF) elicited electrical activity in cells
perifused with a subthreshold glucose concentration. Since the effect of a given current
augments with the resistance of the membrane and since the latter increases with the glucose
concentration (closure of K+-ATP channels), it can be anticipated that even smaller currents
could depolarize the plasma membrane in the presence of stimulating glucose concentrations.
The subsequent activation of voltage-dependent Ca2+ channels eventually leads to a sustained
increase in [Ca2+]c that largely contributes to the insulin-releasing action of ACh (10).
Acknowledgments: This work was supported by grant 3.4552.98 from the Fonds de la
Recherche Scientifique Médicale (Brussels), grant 1.5.121.00 from the Fonds National de la
Recherche Scientifique (Brussels), grant 2.4599.01 from the Fonds de la Recherche
Fondamentale Collective (Brussels), grant ARC 00/05-260 from the General Direction of
Scientific Research of the French Community of Belgium, and by the Interuniversity Poles of
Attraction Programme (P5/3-20) - Federal Office for Scientific, Technical and Cultural
Affairs of Belgium. P.G. is Senior Research associate of the Fonds National de la Recherche
Scientifique, Brussels.
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FIGURE LEGENDS
Fig.1. Effects of ACh on the membrane potential of mouse ββββ-cells. Isolated islets were
perifused with a medium containing 10 mmol/l glucose (G) and stimulated with 1 µmol/l ACh
as indicated. This recording is representative of results obtained in 6 islets.
Fig.2: ACh induces an inward current by activating muscarinic receptors in mouse ββββ-
cells. Single β-cells were voltage-clamped at –80 mV using the conventional (A-D) or the
perforated (E) whole-cell mode of the patch-clamp technique. The composition of the external
(Ext Sol) and pipette solutions (Int Sol) used is described in experimental procedures. ACh
and atropine were applied when indicated by the arrows. A-D: ACh induced a concentration-
dependent inward current that was reversed or blocked by atropine. Traces A-C are
representative of 3 (A), 3 (B) and 4 (C) experiments. Panel D shows the concentration-
dependence of ACh-induced inward current. Values are means +/- S.E.M of the amplitude of
the current recorded in 3 to 5 cells for each ACh concentration. Fitting data points to a
sigmoidal function yielded a half-maximal effective concentration (EC50) of 2.5 µmol/l. E:
pretreatment of intact β-cells by thapsigargin (30 min, 1 µmol/l) did not prevent ACh from
activating an inward current. This trace is representative of 5 experiments.
Fig.3: Characteristics of the inward current activated by ACh in mouse ββββ-cells. Single β-
cells were voltage-clamped at -80 mV using the conventional whole-cell mode of the patch-
clamp technique. The composition of the external (Ext Sol) and pipette solutions (Int Sol)
used for these experiments is described in experimental procedures. For the sake of clarity,
their main characteristics are summarized on the left of each panel. ACh (100 µmol/l) was
applied when indicated by the arrows. A-B: ACh induced an inward current in the absence of
Ca2+ in the external and pipette solutions (Caout 0, Cain 0) (A), or when the Na+/K+ pump was
blocked by removal of K+ from the external solution (Kout 0) (B). C-D: The inward current
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activated by ACh was abrogated by Na+ omission fom the medium (Naout 0) (C), but
unaffected by inhibition of voltage-dependent Na+ channels with 2 µmol/l tetrodotoxin (D).
E-F: ACh failed to induce an outward current when the driving force for Na+ was directed
outwardly (Naout 0; Nain-rich) (E), or when the driving force for K+ was directed outwardly
(Kout 0; Kin-rich) and, simultaneously, no Na+ current could occur (Naout 0; Nain 0) (F). F: 100
µmol/l DIDS did not affect the inward current elicited by ACh. The traces are representative
of at least 5 experiments.
Fig.4: The current activated by ACh in mouse ββββ-cells is rectifying inwardly. The reversal
potential for Na+ was fixed at –60 mV (open squares) or –20 mV (closed circles) by using
external (Ext Sol) and pipette solutions (Int Sol) with appropriate concentrations of Na+ (see
experimental procedures for compositions). Single β-cells were voltage-clamped in
conventional whole-cell mode at various potentials (-150, -100, -60, -30 and 0 mV when ENa+
was set at –60 mV, and –100, -60, -20 and 0 mV when ENa+ was set at –20 mV) around the
reversal potential for Na+. Each point shows the mean +/- S.E.M of the current amplitude
elicited by 100 µmol/l of ACh at each potential in 3 to 5 cells.
Fig.5: Activation of INa-ACh in mouse ββββ-cells does not involve G-proteins. Single mouse β-
cells were voltage-clamped at -80 mV and dialysed with a pipette solution (Int Sol B; see
experimental procedures for compositions) containing 100 µmol/l GTP (control), 10 µmol/l
GTP-γ-S or 4 mmol/l GDP-β-S. Each column represents the mean +/- S.E.M of the current
amplitude elicited by 100 µmol/l ACh in 9 (Control), 5 (GTP-γ-S) and 4 (GDP-β-S) cells.
Fig.6: Inhibition of ICa by ACh in mouse ββββ-cells involves G-proteins. Single β-cells were
dialysed with a pipette solution (Int Sol G; see experimental procedures for compositions)
containing 100 µmol/l GTP (control), 10 µmol/l GTP-γ-S or 4 mmol/l GDP-β-S, and
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submitted to a 25 ms-depolarization to +10 mV from a holding potential of -80 mV. A:
Representative voltage-dependent Ca2+ currents recorded with a pipette solution containing
100 µmol/l GTP before (Control), during (ACh 100 µmol/l) and after (Wash) addition of ACh
to the perifusion medium. B: Time-course of the effect of ACh on the peak ICa recorded with
different guanine nucleotides (GTP, open squares; GTP-γ-S, closed triangles; GDP-β-S,
closed circles) in the pipette solution. To facilitate comparisons, ICa was normalized in each
individual experiment by dividing the peak current at each time by the maximum peak current
at time zero. Traces are means ± SE of results obtained in 6 cells for each experimental
condition.
Fig.7: Injection of a depolarizing current mimics the ACh effects on the ββββ-cell
membrane potential. The membrane potential of a single mouse β-cell was monitored in
current-clamp mode of the patch-clamp technique. The concentration of glucose of the
medium was 6 mmol/l throughout. No current (0) was injected into the cell except for the
periods indicated by upward deflections of the traces above each panel. In A, injection of a
current with an amplitude corresponding to that elicited by 100 µmol/l ACh (0.77 pA x 10.4
pF = 8 pA in this cell) elicited an electrical activity characterized by action potentials on top
of a plateau phase. In B, the cell was first stimulated with 1 µmol/l ACh. A current was then
injected, at increasing amplitudes corresponding to those of the inward currents elicited by 1
(0.23 pA x 8.7 pF = 2 pA in this cell; period a), 10 (0.61 x 8.7 pF = 5 pA; period b) and 100
µmol/l ACh (0.77 x 8.7 pF = 7 pA; period c). Injection of the smallest current mimicked the
effect of 1 µmol/l ACh. These traces are representative of 4 (A) and 5 (B) experiments.
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Fig.1
-20
-40
-60
A
Vm (m
V)
G10ACh 1 µmol/l
2 min
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0
0.5
[ACh] (mol/l)E
D
C
20 s
1pA/
pF1p
A/pF
1pA/
pF
20 s
1pA/
pF
B
A
Atrop 10 µmol/lACh 100 µmol/l
ACh 100 µmol/lAtrop 10 µmol/l
ACh 0.1 µmol/l
20 s
20 s
ACh 100 µmol/l
EC50 : 2.5 µmol/lI Na-
ACh (
pA/p
F)
10-8 10-7 10-6 10-5 10-4 10-3
Fig.2
Thapsigargin-Pretreated cell
Ext Sol AInt Sol A
Ext Sol AInt Sol B
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C
F
E
B
A
D
ACh 100 µmol/l
1 pA
/pF
20 s
Caout 0Cain 0
Kout 0
Naout 0
Tetrodotoxin
Naout 0Nain-rich
Kout 0, Naout 0Kin -rich, Nain 0
DIDSG
Ext Sol CInt Sol B
Ext Sol EInt Sol E
Ext Sol DInt Sol D
Ext Sol DInt Sol B
Ext Sol AInt Sol B
Ext Sol BInt Sol C
Ext Sol AInt Sol B
Fig.3
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-150 -100 -50 0
-0.50
-0.25
I Na-
ACh (
pA/p
F)
Vm (mV)
Ext Sol FInt Sol F Ext Sol G
Int Sol F
Fig.4
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0
0.3
0.6
Fig.5
Control GTP-γ-S GDP-β-S
I Na-
ACh (
pA/p
F)Ext Sol AInt Sol B
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-1.0
-0.8
-0.6
Fig.61 min
Control
ACh 100µM
Wash
B
A
-80
+10
Control
100p
A
ACh 100 µmol/l
Vm (m
V)I C
a
GTP-γ-S
GDP-β-SI Ca (
norm
aliz
ed)
Ext Sol HInt Sol G
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0
-40
-80
1 min
0
-25
-50
-75
1 min
Vm (m
V)Vm
(mV)
I (pA/pF)
0.77
0
ACh 1 µmol/l ab
cI (pA/pF)
0
0.77
Fig.7
A
B
Ext Sol AInt Sol A
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Jean-François Rolland, Jean-Claude Henquin and Patrick Gilonreceptors in mouse pancreatic beta-cells
G-protein-independent activation of an inward Na+ current by muscaring
published online August 2, 2002J. Biol. Chem.
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