684 Tutorials in Molecular and Cellular Biology G Protein-Mediated Ion Channel Activation Gerda E. Breitwieser Guanine nucleotide binding proteins couple a wide variety of receptors to ion channels via both "direct" or membrane-delimited and "indirect" second messenger-mediated pathways. This tutorial summarizes current approaches to denning the mechanisms of guanine nucleotide binding protein-mediated ion channel activation. Two well-characterized ion channels in the heart, namely, the 0-adrenergic receptor-activated calcium channel and the muscarinic receptor-activated potassium channel, are used to illustrate the criteria that can distinguish between direct and indirect guanine nucleotide binding protein-transduced pathways. (Hypertension 1991;17:684-692) Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 T he initial characterization of ion channels as voltage-gated pores within biological membranes has crumbled under the new technologies of patch clamp, reconstitution, and molecular cloning. The vast majority of ion channels are now known to be modulated by the intracellular and extracellular environments. The diversity of ion channels contributing to cardiovascular function suggests that a wide range of modulatory mechanisms will prevail. Two broad classes of receptor-regulated ion channels can be distinguished: 1) receptor-gated ion channels that require receptor activation for channel opening under physiological conditions, and 2) receptor-modulated ion channels in which a variety of receptor-mediated pathways may modulate ion channel function but are not responsible for the primary channel gating event. I will restrict discussion in this tutorial to receptorgated ion channels since a basic discussion of the factors regulating the activation of these channels is also applicable to receptor-mediated secondary modulation of ion channel activity. Receptor-gated ion channels may either be receptor channels, such as the nicotinic acetylcholine, GABAA, or NMDA receptor channels in which receptor and ion channel reside within the same oligomeric protein complex, or receptor-coupled ion channels such as the muscarinic acetylcholine receptor-activated K+ channel, the /3-adrenergic receptor-activated L-type Ca2+ channel, or the GABAg channel, where receptor and ion channel are distinct proteins, coupled by a variety of From the Department of Physiology, Johns Hopkins University School of Medicine, Baltimore, Md. Supported by grant HL-41972 from the National Heart, Lung, and Blood Institute. This work was done during the author's tenure as an Established Investigator of the American Heart Association. Address for correspondence: Gerda E. Breitwieser, PhD, Johns Hopkins University, School of Medicine, Department of Physiology, 725 N. Wolfe St., Baltimore, MD 21205. possible transducing elements, including guanine nucleotide binding proteins (G proteins) or cytoplasmic second messengers. G Protein-Mediated Ion Channel Activation The majority of receptor-gated ion channels require coupling between the receptor and ion channel via a transducing element, which usually involves G proteins at some stage in the signal transduction cascade. G proteins consist, in the inactive state, of three subunits: a • GDP, p, and y. Interaction with receptor induces release of GDP by the a subunit, binding of GTP, and dissociation of the complex into an activated a • GTP and the /3-y subunit complex. The a subunit has an intrinsic GTPase activity, which hydrolyzes the bound GTP to GDP. The cycle is completed by reassociation of a • GDP with /3-y. A recent, comprehensive review by Birnbaumer et al1 lists at least 80 receptor types (or subtypes) that couple either directly, via G proteins, or indirectly, via activation of a number of enzymes that produce second messengers, to ion channels. Circumstantial evidence for the involvement of G proteins in the activation of a particular ion channel comes from the nature of the activating receptor, which may be known to couple to other effectors via G proteins and thus may be suspected of coupling to the ion channel via a G protein-transduced pathway. Unequivocal determination of the nature of the G protein involvement requires a variety of experimental approaches. The most commonly used in electrophysiological experiments are 1) modification of the G protein by pertussis or cholera toxin; 2) direct, receptor-independent activation of the G protein by hydrolysis-resistant GTP analogues such as GTP-yS [guanosine-5'-O-(3-thiotriphosphate)] or GppNHp (guanylyl-imidodiphosphate); 3) block of the receptor-mediated effects by GDP£S [guanosine-5'-O-(2-thiodiphosphate)]; and when available, 4) use of G protein subtype-specific antibodies to interfere with the signal transduction Breitwieser Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 process; and 5) activation of the ion channel of interest by application of purified G protein subunits to the cytoplasmic aspect of the patch. The use of pertussis or cholera toxin to ADPribosylate G, and Go or Gs a subunits, respectively, has allowed both demonstration of a functional alteration in the signal transduction pathway via physiological experiments and identification, in some cases, of the particular G protein involved in the signal transduction pathway via biochemical approaches. A lack of toxin effect on receptor-ion channel coupling does not necessarily rule out a G protein-mediated step in the signal transduction pathway. Some G proteins are not sensitive to toxin modification2-3 or are not modified in every cell type in which the pathway is functional.4-5 Biochemical studies of toxin modification reactions suggest that the degree of G protein precoupling to unoccupied receptors may influence the ability of toxin to act.6 In addition, GTP-dependent protein cofactors are required for cholera toxin-mediated ADP-ribosylation of G,.7-8 Although the requirement for protein cofactors has not been demonstrated for pertussis toxinmediated labeling of G; or Go, the extent of labeling can be affected by the presence of /3y subunits.9 Thus, if cholera or pertussis toxin cannot be shown to alter channel activation, other approaches may be needed to demonstrate G protein involvement. Hydrolysis-resistant guanine nucleotide analogues (GXP), such as GTPyS and GppNHp, are able to activate G proteins in the absence of receptor stimulation,10-15 since G proteins release GDP at a finite rate, potentially catalyzed by G protein interaction with unoccupied receptors.116"18 GXP competes with endogenous cellular GTP for the unoccupied nucleotide binding site, resulting in the slow accumulation of activated, GXP-bound G protein. The buildup of activated G protein is reflected in the activation of effectors in the cell, including ion channels. It should be noted that all of the G proteins in the cell will be activated under these conditions and that care must be exerted to isolate the particular pathway of interest. For example, activation of the cardiac muscarinic acetylcholine receptor K+ channel I^AQ] (acetylcholine) by Gk (=G,3) in the presence of high concentrations of GTP-yS is accompanied by activation of all of the other G proteins present in the cell, including G5, Go, Gp, and the other subtypes of Q. This may result in not only activation of IjqACh] via the primary signal transduction pathway but also production of a variety of secondary metabolites. In addition, a large pool of fiy subunits will be generated (contributed by all of the activated G proteins in the cell). If, however, low concentrations of hydrolysis-resistant GTP analogues are included in the pipette solution, it is possible to irreversibly activate I^ACH) only after addition of ACh, since the competition between cellular GTP and hydrolysisresistant analogues precludes significant activation of the G protein in the absence of receptor-en- G Protein-Mediated Ion Channel Activation 685 hanced GDP release.19 Similar approaches can be used to selectively activate other G protein-transduced pathways culminating in ion channel activation. A final caveat to the use of hydrolysis-resistant GTP analogues is that these compounds are not enzymatically inert but are capable of being converted via transphosphorylation into a variety of other compounds with distinct biological effects, either in their own right or as competitors of either GTP or GXP.20-22 Activation of ion channels in the presence of high concentrations of GXP confirms that a G protein resides in the signal transduction pathway. The "uncoupling" of the physiologically relevant receptor, however, presents difficulties in the interpretation of the mechanism of activation, if the primary signal transduction pathway is also modulated by additional receptor-G protein cascades, since these pathways will also be activated by high concentrations of GXP. Several approaches can be taken to sort out the confusion. Although activation of the secondary signal transduction pathways cannot be prevented in the presence of GTPyS, potential second messengers can be eliminated by including in the pipette or bath solutions specific blockers such as protein kinase inhibitors (e.g., Walsh inhibitor,23 protein kinase C inhibitor peptide,24 calmodulin binding domain25), Ca2+ chelators (BAPTA or EGTA), phospholipase A2 (PLA2) inhibitors (bromophenacylbromide, mepacrine)26 or inhibitors of arachidonic acid metabolism (ETYA [eicosatetraynoic acid], NDGA [nordihydroguaiaretic acid], indomethacin, salicylic acid).27 It should be noted that most of the blockers mentioned may have additional specific and nonspecific effects on other cell enzymes, and thus a variety of blockers must be tested before conclusions can be drawn. An alternate approach to the question of whether secondary G protein-mediated pathways modulate the primary receptor-G protein-ion channel pathway is to test the effect of various second messengers under conditions in which only the primary pathway has been activated (e.g., by activation with agonist in the presence of "physiological" pipette solutions). Specific second messengers, such as Ca2+, cyclic AMP (cAMP), inositol triphosphate, diacyl glycerol, and arachidonic acid can be added to either bath or pipette solution. The ability to modify the intracellular milieu of cells with second messengers or blockers will vary greatly depending on the cell type and the agents being introduced.28-30 A variety of approaches providing independent confirmation of a suspected second messenger "modulatory" pathway are usually required. A third criterion for G protein involvement in the signal transduction pathways resulting in ion channel activation is the ability of GDP/3S to block receptormediated activation. Although GDP)3S competes with endogenous GTP for the nucleotide binding site on the relevant G protein,31-33 GDP/3S may also retard production of GTP via a number of GTP synthetic pathways. In addition, as with the use of hydrolysis-resistant GTP analogues, the effects of GDP0S will be mediated via both the primary signal 686 Hypertension Vol 17, No 5 May 1991 Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 transduction pathway as well as any secondary modulatory pathways (as a result of GDP/3S-mediated block of all of the G proteins in the cell). GDP0S conversion to an active triphosphate form, presumably by transphosphorylation, has also been observed.34-35 The last two criteria for establishing that G proteins are intimately involved in the ion channel activation process have proven most powerful but will be considered here only briefly since they will be discussed in greater detail in the examples below. Both the use of G protein subtype-specific antibodies and the patch "reconstitution" of ion channel activation with isolated G protein subunits have been instrumental in denning a "direct" or membranedelimited1 role for G proteins in ion channel activation. The only drawback to such an approach is the obvious requirement for a ready source of either the antibodies or purified subunits. One can only hope that the expansion of research using these approaches will entice commercial suppliers. Direct Versus Indirect G Protein-Mediated Ion Channel Activation The distinction between direct and indirect activation of ion channels by G proteins has evolved as a central issue in the study of G protein-mediated signal transduction.36-37 Definitive proof of direct G protein-ion channel interaction will require co-reconstitution of both cloned G protein subunits and cloned ion channels in a defined membrane. Because this has not yet been demonstrated for any ion channel, certain functional criteria have been used in vivo to distinguish between direct and indirect G protein-mediated activation of ion channels. The operational criteria that have been used to define a direct interaction of activated G protein subunits with ion channels include 1) the speed of current activation on agonist binding to receptor (although this can vary greatly as a function of receptor, G protein, and effector densities, for example, IK|AOI] activation T=650 msec, while 1^ activation 38 T = 1 5 0 msec ); 2) the absence of identifiable second messengers (although this does not rule out second messengers, either soluble or membrane-delimited, which have not yet been characterized); 3) the inability of bath-applied agonist to activate single channels within an on-cell patch (although the production of membrane-delimited, localized second messengers is not ruled out); and 4) most importantly, the ability to reconstitute channel activity by addition of isolated G protein subunits to excised membrane patches (which may also be plagued by the localized, G protein-induced production of membrane-delimited second messengers). Clearly, the assignment of a direct G protein-ion channel interaction must make use of both the above criteria as well as the ultimate purification and reconstitution of the system. Direct interaction of G protein with ion channel would suggest that the G protein interaction sites of the ion channel protein may have structural homology with analogous sites on other G protein effectors, such as adenylyl cyclase and cyclic GMP (cGMP) phosphodiesterase. The cloning of a number of effector molecule types, including ion channels, may result in the localization of a consensus sequence for G protein interaction. Activation of ion channels by indirect G proteinmediated pathways with known second messengers are most easily tested. The ability to activate the ion channel by direct addition of all putative second messengers (under conditions in which activation of the G protein is prevented) presents good evidence that the G protein mediates production of the second messenger. Care must be taken, however, to determine whether all of the properties of the channel activated directly by the second messenger resemble those observed on activation of the channel via agonist binding to the receptor. Our evolving understanding of the roles for G proteins in the activation of two well-characterized ion channels of the cardiovascular system illustrates the complexities of G protein-transduced systems. The £-adrenergic receptor-activated Ca2+ channel in heart is a prototypical example of a mechanism that ascribes an indirect role to G proteins, whereas the muscarinic receptor-activated K+ channel exemplifies a putative direct role for G proteins in channel activation. Recent experiments have suggested that neither classification is exclusive and that both ion channels are activated or modulated by direct and indirect G protein-mediated mechanisms. P-Adrenergic Receptor Activation of Ca2+ Channels in Heart The elucidation of the mechanism of /3-adrenergic receptor-mediated activation of 1^ has evolved from a series of elegant experiments in a number of laboratories. The links between /J-adrenergic receptor activation, increases in cellular cAMP, and alterations in the properties of the cardiac action potential were made before the discovery of the importance of G proteins in the signal transduction process.3940 Developments in the areas of biochemistry, molecular biology, and electrophysiology have combined to provide a detailed understanding of the linkage between the £-adrenergic receptor and the slow inward Ca2+ current 1^. Several features of the 0-adrenergic receptormediated increase in 1^ suggested that the primary response might be mediated by cytoplasmic second messengers: there is a considerable latency (1-3 seconds) between agonist binding to the 0-adrenergic receptor and activation of 1^; direct, receptor-independent perturbations of the cAMP pool result in an increase in 1^, hinting at a role for cAMP-dependent phosphorylation (for review, see Reference 41); and fluoride ions have a positive inotropic effect,42 presaging the involvement of G proteins. Breitwieser G Protein-Mediated Ion Channel Activation 687 AA I PKA Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 FIGURE 1. Schematic drawing of major G protein-mediated pathways for IA activation and inhibition. Stimulation of I^ results from both Grmediated activation of adenyfyl cyclase and by direct interaction of a, with the Ca2+ channel protein. Inhibition is through inhibitory receptor-mediated (e.g., mAChR or adenosine) activation of G,, and inhibition of adenytyl cyclase. It is not yet clear whether aj directly inhibits adenyfyl cyclase, or whether /3y subunits shift the equilibrium of G, activation. Further details are presented in the text. fiR, ^-adrenergic receptor; PKA, cyclic AMP-dependent protein kinase; R, regulatory subunit of PKA; PKA^, catalytic subunit of PKA; mAChR, muscarinic acetylcholine receptor, Iti, calcium current; a, and as, a subunits of stimulatory and inhibitory GTP binding proteins, respectivefy; fiy, complex of ft and y subunits that are interchangeable among a subunit types and combine with the a subunits to form the holo-GTP binding protein; AC, adenyfyl cyclase. The advent of the patch clamp technique as applied to isolated cardiac myocytes allowed a rapid dissection of the steps in the pathway from /J-adrenergic receptor to the calcium channel. Figure 1 illustrates the various receptor-gated pathways for 1^ activation/modulation and the involvement of G proteins in the process. The major pathway for In activation (defined as the pathway producing the largest increase in Iri) is via phosphorylation by cAMP-dependent protein kinase. Iu can be activated under whole cell recording conditions by direct application of the catalytic subunit of cAMP-dependent protein kinase (PKA),43-45 by intracellular application of cAMP or extracellular application of membrane-permeable forms of cAMP (which induce dissociation of PKA into regulatory and catalytic subunits),394446 by phosphodiesterase inhibitors such as isobutylmethylxanthine (which increase cell cAMP),3940'47-48 by forskolin (which directly activates adenylyl cyclase),49-si and by intracellular application of hydrolysis-resistant guanine nucleotide analogues or A1F" (which activate G,),19-53 and by extracellular application of isoproterenol or epinephrine (which activate the entire signal transduction pathway). Cholera toxin activates the entire pathway in an irreversible manner in the absence of /3-adrenergic receptor stimulation by causing irreversible dissociation and activation of G,.54 ATP-yS can irreversibly phosphorylate and hence activate !„ AA metabolites FIGURE 2. Schematic drawing of major G protein-mediated pathways for IKIAOI activation and inhibition. Muscarinic (or adenosine) receptor stimulation produces activation of several G protein types, including Gk (defined as the G protein that activates the K* channel) and Gp (which activates phospholipase C), to produce active OQ, subunits, a common pool of fiy subunits, and active a,,. Further details are presented in the text. mAChR, muscarinic acetylcholine receptor; PLA2, phospholipase A2; AA, arachidonic acid; Gk, pertussis toxinsensitive G protein responsible for IK/ACH/ activation; Gp, G protein responsible for phospholipase C activation; PLC, phospholipase C; DG lipase, diacylgfycerol lipase; Ix/AChf, muscarinic receptor-activated K+ current; OQ,, a subunit ofGk; fiy, complex of fi and y subunits that are interchangeable among a subunit types and combine with the a subunits to form the holo-GTP binding protein; a^ a subunit of Gp. because the resulting thiophosphorylated channel is not susceptible to phosphatase-mediated inactivation.55 Other receptors (e.g., glucagon and histamine), which activate G, and increase cellular cAMP, also activate I^.41 Thus, a great deal of evidence supports the activation of 1^ via G,-mediated increases in cellular cAMP and the ultimate phosphorylation of Ij,. Several results suggest that the story is not, however, complete. First and foremost is the inability to maintain 1^ in excised patches despite inclusion in the bath solution of the activated catalytic subunit of PKA plus ATP.56 In addition, rundown of 1^ under whole cell recording conditions occurs in the presence of both PKA and ATP in the pipette solution.57-58 Other processes are clearly acting to limit I,, activation. Attempts to stabilize 1^ in excised patches led Yatani and coworkers38'56 to suggest a second regulatory role of G proteins in the activation of 1^. GTP-yS, purified G, plus GTP or a* • GTP-yS caused a slowing of the rundown of 1^ above that achieved with PKA catalytic subunit plus ATP, in both excised membrane patches from guinea pig atrial cells and in bovine sarcolemmal vesicles incorporated into phospholipid bilayers. This suggests either that a, • GTP-yS interacts directly with the channel or that it can block a membrane-delimited pathway responsible for la rundown. In support of a role for GTP-yS in directly activating 1^ are experiments performed under whole cell recording conditions in which it was possible to "jump" isoproterenol concentrations rap- 688 Hypertension Vol 17, No 5 May 1991 Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 idly (response time less than 10 msec). Experimental conditions that promoted G, activation resulted in a rapid (r=150 msec) activation of 1^ followed by a slower phase ( T = 3 6 seconds), which corresponded to the cAMP-dependent phosphorylation pathway. Conditions that bypassed G, (such as forskolin or dibutyryl-cAMP) induced only the slow phase of activation. Shuba et al59 have demonstrated whole cell Iti activation by hydrolysis-resistant GTP analogues in the presence of phosphorylation inhibitors, also suggesting that direct activation of Ifi by a, • GTP-yS is likely. Further experiments are required to distinguish the relative importance of the membrane-delimited and cytoplasmic pathways for Iri activation, as well as the effects of the two pathways on the single channel properties of Lj. Isoproterenol-induced increases in I5i can be blocked by41: intracellular application of GDP/JS (which blocks G, activation60), RpCAMPS (Rp-adenosine 3',5'-monothionophosphate, which inhibits PKA activation6061), the Walsh inhibitor (which blocks the PKA catalytic subunit23), and by AppNHp (adenylylimidodiphosphate, which competes with ATP to inhibit phosphorylation44). Inhibition of Lj is also mediated by G proteins. A variety of receptors, such as muscarinic and adenosine, inhibit 1^ by interaction with two systems that decrease cellular cAMP: direct Gj-mediated inhibition of adenylyl cyclase62 and activation of a cGMP-stimulated cyclic nucleotide phosphodiesterase.48-63"65 The G,-mediated pathways predominate under conditions in which all of the G proteins in the cell are activated by hydrolysis-resistant GTP analogues, although under some experimental conditions, GTPyS-dependent activation of Lj can be observed.19-41 A full synthesis of the biochemical modulation of In activation in cardiac cells has yet to be achieved. Roles for both membrane-delimited direct and indirect second messenger-mediated G protein pathways have been demonstrated, although stable recording of Lj in excised membrane patches from cardiac sarcolemma have not yet been reported. Since biochemically purified L-type Ca2+ channels produce stable currents in bilayers,66-67 several additional regulatory pathways that do not use G proteins may also be operating. It has been demonstrated that a Ca2+-activated protease, calpain, promotes Ca2+ channel inactivation in vivo, suggesting that conditions which promote Lj activation (and thus increase intracellular Ca2+) are also those which promote Lj rundown.41 •57-58 Application of cytosol to excised patches or addition of calpstatin inhibits the action of calpain and prolongs Ca2+ channel activity.57 Thus, activation of G,, phosphorylation of the Ca2+ channel, and inhibition of calpain, may all be required before stable L-type Ca2+ channel activity may be achieved in excised patches. The amino acid sequence of the cloned dihydropyridine receptor68-69 has consensus sequences for phosphorylation sites for protein kinase C, cGMP-dependent protein kinase, and the Ca2+ calmodulin-dependent protein kinase, although functional modulation of 1^ by some of these kinases has yet to be demonstrated. Protein kinase C activation by phorbol esters has been shown to have a transient, voltage-dependent stimulatory effect on Lj.70 The physiological role of this mechanism is unclear since protein kinase C activation can be one of the results of muscarinic receptor stimulation,71 which also has an inhibitory effect on Lj through adenylyl cyclase inhibition (as discussed above). Whatever their specific role in modulating Lj activity, the activation of these kinases is probably also triggered by G protein-transduced receptor pathways. Muscarinic Receptor-Mediated Activation of K+ Channels in Heart The muscarinic receptor-activated K+ channel was initially assumed to be a receptor-gated channel, in direct analogy with the nicotinic acetylcholine receptor channel.72 A significant difference, however, was the slow time course of IKJAOI] activation, suggesting a rate-limiting step beyond acetylcholine binding, compatible with activation by a soluble second messenger.73-75 Various attempts to demonstrate modulation or receptor-independent activation of IKJAOII by a host of potential second messengers were, however, consistently unsuccessful. The involvement of pertussis toxin-sensitive G proteins in the coupling of muscarinic receptors to adenylyl cyclase inhibition prompted experiments designed to test whether G proteins were also involved in the coupling of muscarinic receptors to K+ channels. Reductions in cellular GTP levels76 or incubation with pertussis toxin76"79 blocked muscarinic receptor-mediated I(qACh] activation, while hydrolysis-resistant GTP analogues produced a persistently activated I^ACS] that was uncoupled from further interventions at the muscarinic receptor.19 These results strongly implicated a pertussis toxin-sensitive G protein in the coupling between muscarinic receptor and IKJAQIThe notion of a direct interaction of activated G protein with the I^AQ] channel protein developed from two key observations. First, single channel IiqACb] could only be elicited in on-cell patches by acetylcholine in the patch pipette solution, and not by acetylcholine applied to the cell via the bath.80 This argued against production of a cytoplasmic second messenger that would activate all of the channels in the cell. This is in contrast to the activation of Lj, which does occur in the on-cell patch configuration when isoproterenol is added to the bath.81 Second, also in contrast to IB (which runs down rapidly in excised patches55), I^ACD] can be stably activated in inside-out excised patches by a number of conditions, including agonist (pipette) plus GTP (bath), bath-applied GTP-yS, or activated subunits of Gi.82-84 A significant controversy developed from the excised patch reconstitution experiments with purified G, subunits: both o^ • GTPyS85-87 and /3-y subunits83 were found to activate single channel IKJAOI]- Although the controversy has yet to be completely resolved, it is clear that activation of the a subunit is Breitwieser G Protein-Mediated Ion Channel Activation Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 a prerequisite for IKJAQ] activation. IKJAQ] can be activated in excised patches by carbachol plus GTP or by GTP-yS, which liberates equal amounts of a and /3-y subunits.1-83-84 Exogenously applied holo G protein (afiy • GDP) 84 or biochemically purified Oj • GTPyS,85-87 or bacterially cloned a, subunits1-88-89 are all capable of activating I^ACH] when applied to excised patches. Activation of IKJACU] can be inhibited by a-subunit-specific antibodies.90 Although there are three distinct oj genes, producing o,i, a^, and a^, neither the biochemically purified subtypes nor their bacterially cloned counterparts show any selectivity in activating IiqAch] (although the bacterially cloned versions are 30-50-fold less potent than the biochemically purified subtypes, presumably because of missing posttranslational modifications).188-89 Birnbaumer et al1 have thus suggested that all of the subtypes of a, can be considered isoforms with respect to IKJAOI] activation (although it is still possible that there is differential activation by muscarinic acetylcholine receptor [mAChR] in vivo). Thus, the initial assumption that the number of distinct a, subtypes formed the basis for signal transduction specificity has not held up on closer examination. The cellular mechanisms controlling G protein-mediated signal transduction specificity remain one of the major unanswered questions in this intensely studied area. The physiological role, if any, for fiy subunits has been a matter of some dispute. Four fi and two y subunits have been cloned, and there is some evidence for tissue-specific differences in their levels of expression.1-89 Since fiy subunit complexes cannot be dissociated under physiological conditions, at least six distinct complexes are possible. There have, however, been no reports of functional differences among the various complexes, nor is there evidence of preferential association of one type of /3y complex with a particular a type. All /3y complexes (except transducin fiy) are hydrophobic, and thus detergents are included in solutions of purified /3-y subunits. In addition, /3y subunits have no intrinsic activity (such as binding GTPyS), and it is thus difficult to assess the viability of the /3-y preparation. Reconstitution experiments using /3-y subunits must therefore contend with both uncertainty about the viability of the preparation and possible interference by the solubilizing detergent. Opponents of the notion of /3ymediated I^AQ] activation have suggested that all of the observed effects are likely to be due to either contamination of the fiy subunit preparation by <%, or to the detergent CHAPS (3-[(3-cholamidopropyl)dimethylammonio]-l-propanesulfonate) used to solubilize the /3y subunits.18991 CHAPS has been shown to activate I^ACHI under some conditions87-92-93 and not in others.83-94'95 /3-y Subunits have been shown to inhibit GTP-dependent I^AQ] activation when applied to excised patches but to have no effect on GTP-yS or a, • GTPyS-activated I^ACh].89-93 although the physiological significance of this effect is uncertain since in vivo Oj • GTP and /3-y subunits are 689 released simultaneously in equimolar amounts, and the net effect under these conditions is stimulation of Proponents of a role for fiy subunits in the activation of IKJAOI] have suggested that PLA2 may be the effector for fiy.96-98 /Jy-Mediated activation of PLA2""101 results in the localized release of arachidonic acid and production of a host of lipoxygenase and cyclooxygenase products that can have profound physiological effects. The activation of I^ACH] by exogenously applied fiy subunits was blocked by antibodies to PLA297 and by blockers of arachidonic acid metabolism, suggesting that /3-y subunits are able to activate/modulate IKJAOI] through PLA2- Although the effects of exogenously applied /3-y subunits do not require GTP, the effects of a variety of exogenously applied arachidonic acid metabolites do,96 again suggesting that fiy subunits may not be working solely through activation of PLA2. Whether fiy subunits are the physiological activators of PLA2> it is clear that arachidonic acid metabolites can affect activation of I^ACh]- Indeed, CHAPS may be mediating some of its activating effects on 93 IKIAQ] through activation of PLA2. In addition, because GTP is required, but pertussis toxin does not block the effects of arachidonic acid metabolites, Kurachi et al96 have suggested that arachidonic acid metabolites may induce IiqAct] activation by enhancing the GTP-GDP exchange activity of the a subunit. The effects of arachidonic acid and metabolites on GTP-GDP exchange can be tested explicitly by examining the rate of whole cell I^ACI] activation in the presence of saturating ratios of GXP/GTP.102 Under these specific conditions, the rate of appearance of I^ACh] is thought to reflect the rate of GDP release from the inactive, GDP-bound G protein. Arachidonic acid, its metabolites, and blockers of arachidonic acid metabolism all modulate the rate of IKJAQ] activation103: the IKJAQ] activation rate is enhanced by lipoxygenase products such as LTC4, whereas cyclooxygenase products slow the IKJACS] activation rate. The interaction of a, • GTP-yS with the channel also appears to be affected by arachidonic acid metabolites since LTC4 can increase the magnitude of steady-state GTPyS-activated I^ACh]- Th e ability of arachidonic acid metabolites to modulate IiqACh) after activation with GTP-yS suggests that the metabolites are not acting through a classic receptor-G protein pathway since ctj • GTP-yS should be uncoupled from all receptors under these conditions. These results strongly suggest that arachidonic acid metabolites can play a dynamic role in modulating the Oj-channel interaction. If, as has been suggested, activation of PLA2 is the result of interaction with fiy, arachidonic acid and its metabolites may be produced concomitant with mAChR activation. Further work is required to define the roles for /3-y and arachidonic acid metabolites in the activation of I^AO.] under physiological conditions. The discovery of a membrane-delimited second messenger pathway in excised patches sends a strong 690 Hypertension Vol 17, No 5 May 1991 cautionary signal against an overzealous interpretation of patch reconstitution experiments. Final verification of direct G protein-ion channel interactions must come from true reconstitution experiments, in which the G protein subunits and the ion channel are the only proteins present, in a defined lipid environment. In summary, this is a truly exciting time in the study of the mechanisms of ion channel activation. The convergence of patch clamp techniques with the sophisticated tools of biochemistry and molecular biology allow the probing of major and minor pathways of ion channel regulation with a detail hitherto not possible. The complexities and interdependence of the emerging pathways suggest that the study of ion channel activation or modulation by G proteinmediated pathways may provide a prototype for the study of the regulation of a variety of receptoractivated, membrane-associated enzymes. Acknowledgments Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 Thanks to R.W. Scherer for helpful discussions and L. Hamosh for technical support. References 1. Birnbaumer L, Abramowitz J, Brown AM: Receptor-effector coupling by G proteins. Biochim Biophys Ada 1990;1031: 163-224 2. Burch RM, Luini A, Axelrod J: Phospholipase A2 and phospholipase C are activated by distinct GTP-binding proteins in response to a^-adrenergic stimulation in FRTL5 thyroid cells. Proc NatlAcad Sci USA 1986;83:7201-7205 3. Guillon G, Balestre M-N, Mouillac B, Berrada R, Kirk CJ: Mechanisms of phospholipase C activation: A comparison with the adenylate cyclase system. Biochimie 1987;69:351-363 4. Moriarty TM, Gillo B, Carry DJ, Premont RT, Landau EM, Iyengar R: By subunits of GTP-binding proteins inhibit muscarinic receptor stimulation of phospholipase C. Proc Nad Acad Sci USA 1988;85:8865-8869 5. Moriarty TM, Sealfon SC, Carty DJ, Roberts JL, Iyengar R, Landau EM: Coupling of exogenous receptors to phospholipase C in Xenopus oocytes through pertussis toxin-sensitive and -insensitive pathways. JBiol Chem 1989;264:13524-13530 6. Toda MR, Kahler KR, Schimerlik MI: Reconstitution of the purified porcine atrial muscarinic acetylcholine receptor with purified porcine atrial inhibitory guanine nucleotide binding protein. Biochem 1987;26:8175-8182 7. Kahn RA, Gilman AG: Purification of a protein cofactor required for ADP-ribosylation of the stimulatory regulatory component of adenylate cyclase by cholera toxin. JBiol Chem 1984;259:6228-6234 8. Kahn RA, Gilman AG: The protein cofactor necessary for ADP-ribosylation of G, by cholera toxin is itself a GTP binding protein. J Biol Chem 1986;261:79O6-7911 9. Katada T, Oinuma M, Ui M: Two guanine nucleotidebinding proteins in rat brain serving as the specific substrate of islet-activating protein, pertussis toxin: Interaction of the a-subunits with By subunits in development of their biological activities. / Biol Chem 1986;261:8182-8191 10. Rodbell M: On the mechanisms of activation of fat cell adenylate cyclase by guanine nucleotides: An explanation for the biphasic inhibitory and stimulatory effects of the nucleotides and the roles of hormones. / Biol Chem 1975;250: 5826-5834 11. Schramm M, Rodbell M: A persistent active state of the adenylate cyclase system produced by the combined actions of isoproterenol and guanyryl imidodiphosphate in frog erythrocyte membranes. / Biol Chem 1975;250:2232-2237 12. Codina J, Hildebrandt JD, Birnbaumer L, Sekura RD: Effects of guanine nucleotides and Mg on human erythrocyte N| and N,, the regulatory components of adenyh/1 cyclase. / Biol Chem 1984;259:11408-11418 13. Kahn RA, Gilman AG: ADP-ribosylation of G, promotes dissociation of its a and B subunits. J Biol Chem 1984;259: 6235-6240 14. Katada T, Oinuma M, Ui M: Mechanisms for inhibition of the catalytic activity of adenylate cyclase by the guanine nucleotide binding proteins serving as the substrate of isletactivating protein, pertussis toxin. / Biol Chem 1986;261: 5215-5221 15. Wong SKF, Martin BR: Activation of rat liver adenylate cyclase by guanosine 5'[ft-y-imido]triphosphate and glucagon: Existence of reversibry and irreversibly-activated states of the stimulatory GTP-binding proteins. Biochem J 1986;233: 845-851 16. Kanaho Y, Tsai S-C, Adamik R, Hewlett EL, Moss J, Vaughan M: Rhodopsin-enhanced GTPase activity of the inhibitory GTP-binding protein of adenylate cyclase. / Biol Chem 1984^259:7378-7381 17. Cerione RA, Codina J, Benovic JL, Lefkowitz RJ, Birnbaumer L, Caron MG: The mammalian ft-adrenergic receptor: Reconstitution of functional interactions between pure receptor and pure stimulatory nucleotide binding protein of the adenylate cyclase system. Biochem 1984;23:4519-4525 18. Sunyer T, Codina J, Birnbaumer L: GTP hydrolysis by pure N|, the inhibitory regulatory component of adenylyl cyclases. J Biol Chem 1984;259:15447-15451 19. Breitwieser GE, Szabo G: Uncoupling of cardiac muscarinic and /3-adrenergic receptors from ion channels by a guanine nucleotide analogue. Nature 1985^317^38-540 20. Otero AS, Breitwieser GE, Szabo G: Activation of muscarinic potassium currents by ATPyS in atrial cells. Science 1988;242:443-445 21. Ott S, Costa T: Enzymatic degradation of GTP and its "stable" analogues produce apparent isomerization of opioid receptors. / Receptor Research 1989;9:43-64 22. Otero AS: Transphosphorylation and G protein activation. Biochem Pharm 1990^39:1399-1404 23. Ashby CD, Walsh DA: Characterization of the interaction of a protein inhibitor with adenosine 3',5'-monophosphatedependent protein kinase. J Biol Chem 1972;247:6637-6642 24. House C, Kemp BE: Protein kinase C contains a pseudosubstrate prototype in its regulatory domain. Science 1987;238: 1726-1728 25. Payne ME, Fong Y-L, Ono T, Colbran RJ, Kemp BE, Sonderling TR, Means AR: Calcium/calmodulin-dependent protein kinase II: Characterization of distinct calmodulin binding and inhibitory domains. J Biol Chem 1988^263:7190-7195 26. Irvine RF: How is the level of free arachidonic acid controlled in mammalian cells? Biochem J 1982;204:3-16 27. Johnson M, Carey F, McMillan RM: Alternative pathways of arachidonate metabolism: Prostaglandins, thromboxane and leukotrienes. Essays in Biochem 1983;19:41-141 28. Pusch M, Neher E: Rates of diffusional exchange between small cells and a measuring patch pipette. Pfluegers Arch 1988;411:204-211 29. Oliva C, Cohen IS, Mathias RT: Calculation of time constants for intracellular diffusion in whole cell patch clamp configuration. Biophys J 1988^4:791-799 30. Mathias RT, Cohen IS, Oliva C: Limitations of the whole cell patch clamp technique in the control of intracellular concentrations. Biophys J 1990^8:759-770 31. Eckstein F, Cassel D, Lefkovitz H, Lowe M, Selinger Z: Guanosine 5'-O-(2-thiodiphosphate): An inhibitor of adenylate cyclase stimulation by guanine nucleotides and fluoride ions. / Biol Chem 1979;254:9829-9834 32. Iyengar R, Abramowitz J, Bordelon-Riser M, Blume A, Birnbaumer L: Regulation of hormone-receptor coupling to adenyh/1 cyclase: Effects of GTP and GDP. / Biol Chem 198O-,255:10312-10321 33. Ho R-J, Shi Q-H, Ruiz J: Conditional inhibition of forskolinactivated adenylate cyclase by guanosine diphosphate and its analog. Arch Biochem Biophys 1986;251:148-155 Breitwicser G Protein-Mediated Ion Channel Activation Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 34. Lcmos JR, Lcvitan IB: Intracellular injection of guanyl nucleotides alters the serotonin-induced increase in potassium conductance in Aptysia neuron R15. / Gen Physiol 1984;83:269-285 35. Lamb TD, Matthews HR: Incorporation of analogues of GTP and GDP into rod photoreceptors isolated from the tiger salamander. I Physiol (Lond) 1988;407:463-487 36. Brown AM, Birnbaumer L: Direct G protein gating of ion channels. Am J Physiol 1988;254:H401-H410 37. Brown AM, Bimbaumer L: Ionic channels and their regulation by G protein submits. Annu Rev Physiol 1990;52:197-213 38. Yatani A, Brown AM: Rapid /3-adrenergic modulation of cardiac calcium channel currents by a fast G protein pathway. Science 1989;245:71-74 39. Tsien RW: Cyclic AMP and contractile activity in heart. Adv Cyclic Nucl Res 1977;8:363-420 40. Reuter H: Properties of two inward membrane currents in the heart. Annu Rev Physiol 1979;41:413-424 41. Trautwein W, Hescheler J: Regulation of cardiac L-type calcium current by phosphorylation and G proteins. Annu Rev Physiol 1990^2:257-274 42. Reiter M: The effect of various anions on the contractility of the guinea-pig papillary muscle. Experientia 1965:21:87-89 43. Osterrieder W, Brum G, Hescheler J, Trautwein W, Flockerzi V, Hofmann F: Injection of subunits of cyclic AMPdependent protein kinase into cardiac myocytes modulates Ca++ current. Nature 1982;298:576-578 44. Kameyama M, Hofmann F, Trautwein W: On the mechanism of /3-adrenergic regulation of the Ca channel in the guineapig heart. Pflugers Arch 1985;405:285-293 45. Lapointe J-Y, Szabo G: A novel holder allowing internal perfusion of patch-clamp pipettes. Pflugen Arch 1987;410: 212-216 46. Reuter H: Calcium channel modulation by neurotransmitters, enzymes and drugs. Nature 1983;301:569-574 47. Tsien RW, Giles W, Greengard P: Cyclic AMP mediates the effects of adrenaline on cardiac Purkinje fibres. Nature 1972; 240:181-183 48. Fischmeister R, Hartzell HC: Regulation of calcium current by low-Ko, cyclic AMP phosphodiesterases in cardiac cells. Mol Pharmacol 1990-3:426-433 49. Filippov AK, Porotikov VI: Effect of forskolin on action potential, slow inward current and tension of frog atrial fibers. / Physiol (Paris) 1985;80:163-167 50. Wahler GM, Sperelakis N: Cholinergic attenuation of the electrophysiological effects of forskolin. J Cyclic Nucleotide Protein Phosphor Res 1986;ll:l-10 51. Hescheler J, Kameyama M, Trautwein W: On the mechanism of muscarinic inhibition of the cardiac Ca current. Pflugers Arch 1986;407:182-189 52. Hartzell HC, Fischmeister R: Effect of forskolin and acetylcholine on calcium current in single isolated cardiac myocytes. Mol Pharmacol 1987^32:639-645 53. Josephson I, Sperelakis N: 5'-Guanyh/limidodiphosphate stimulation of slow Ca current in myocardial cells. J Mol Cell Cardiol 1978;10:1157-1166 54. Li T, Sperelakis N: Stimulation of slow action potentials in guinea pig papillary muscle cells by intracellular injection of cAMP, Gpp(NH)p and cholera toxin. Ore Res 1983;52: 111-117 55. Kameyama M, Hescheler J, Hofmann F, Trautwein W: Modulation of Ca current during the phosphorylation cycle in the guinea pig heart. Pflugers Arch 1986;407:123-128 56. Yatani A, Codina J, Imoto Y, Reeves JP, Birnbaumer L, Brown AM: A G protein directly regulates mammalian cardiac calcium channels. Science 1987;238:1288-1292 57. Belles B, Hescheler J, Trautwein W, Blomgren K, Karlsson JO: A possible physiological role of the Ca-dependent protease calpain and its inhibitor calpastatin on the Ca current in guinea pig myocytes. Pflugen Arch 1988;412:554-556 58. Belles B, Malecot CO, Hescheler J, Trautwein W: "Rundown" of the Ca current during long whole-cell recordings in guinea pig heart cells: Role of phosphorylation and intracellular calcium. Pflugers Arch 1988;411:353-360 691 59. Shuba YM, Hesslinger B, Trautwein W, McDonald TF, Pelzer D: Whole-cell calcium current in guinea-pig ventricular myocytes dialysed with guanine nucleotides. / Physiol 1990;424:205-228 60. Hescheler J, Tang M, Jastorff B, Trautwein W: On the mechanism of histamine induced enhancement of the cardiac Ca2+ current. Pflugen Arch 1987;410:23-29 61. DeWit R, Hekstra D, Jastorff B, Stec W, Baraniak J, Van Driel R, Van Haastert PJM: Inhibitory action of certain cyclophosphate derivatives of cAMP on cAMP-dependent protein kinase type I. Eur J Biochem 1984;142:255-260 62. Gilman AG: G proteins: Transducers of receptor-generated signals. Annu Rev Physiol 1987^6:615-649 63. Hartzell HC, Fischmeister R: Opposite effects of cyclic GMP and cyclic AMP on Ca++ current in single heart cells. Nature 1986^23:273-275 64. Fischmeister R, Hartzell HC: Cyclic guanosine 3',5'monophosphate regulates the calcium current in single cells from frog ventricle. / Physiol (Lond) 1987;387:453-472 65. Hartzell HC: Regulation of cardiac ion channels by catechol: amines, acetylcholine and second messenger systems. Prog Biophys Mol Biol 1989;52:165-247 66. Curtis BM, Catterall WA: Reconstitution of the voltagesensitive calcium channel purified from skeletal muscle transverse tubules. Biochem 1986;25:3077-3083 67. Ehrlich BE, Shen CR, Garcia ML, Kaczorowski GJ: Incorporation of calcium channels from cardiac sarcolemmal membrane vesicles into planar lipid bilayers. Proc NatlAcad Sci USA 1986;83:193-197 68. Tanabe T, Takeshima H, Mikami A, Flockerzi V, Takahashi H, Kangawa K, Kojima M, Matsuo H, Hirose T, Numa S: Primary structure of the receptor for calcium channel blockers from skeletal muscle. Nature 1987;328:313-318 69. Mikami A, Imoto K, Tanabe T, Niidone T, Mori Y, Takeshima H, Narumiya S, Numa S: Primary structure and functional expression of the cardiac dihydropyridine-sensitive calcium channel. Nature 1989;340:230-233 70. Lacerda AE, Rampe D, Brown AM: Effects of protein kinase C activators on cardiac Ca2+ channels. Nature 1988;335: 249-251 71. Peralta EG, Ashkenazi A, Winslow JW, Ramachandran J, Capon DJ: Differential regulation of PI hydrolysis and adenytyl cyclase by muscarinic receptor subtypes. Nature 1988; 334:434-437 72. Loffelholz K, Pappano AJ: The parasympathetic neuroeffector junction of the heart. Pharmacol Rev 1985;37:l-24 73. Hill-Smith I, Purves RD: Synaptic delay in the heart: An ionophoretic study. / Physiol (Lond) 1987^279:31-54 74. Pott L, Pusch H: A kinetic model for the muscarinic action of acetylcholine. Pflugen Arch 1979^383:75-77 75. Nargeot J, Lester HA, Birdsall HJM, Stockton J, Wassermann NH, Erlanger BF: A photoisomerizable muscarinic antagonist: Studies of binding and of conductance relaxations in frog heart. J Gen Physiol 1982;79:657-678 76. Pfaffinger PJ, Martin JM, Hunter DD, Nathanson NM, Hille B: GTP-binding proteins couple cardiac muscarinic receptors to a K channel. Nature 1985;317:536-538 77. Endoh M, Maruyama M, Iijima T: Attenuation of muscarinic cholinergic inhibition by islet-activating protein in the heart. Am J Physiol 1985;249:H309-H320 78. Martin JM, Hunter DD, Nathanson NM: Islet activating protein inhibits physiological responses evoked by cardiac muscarinic acetylcholine receptors: Role of guanosine triphosphate binding proteins in regulation of potassium permeability. Biochem 1985;24:7521-7525 79. Sorota S, Tsuji Y, Tajima T, Pappano AJ: Pertussis toxin treatment blocks hyperpolarization by muscarinic agonists in chick atrium. Ore Res 1985^7:748-758 80. Soejima M, Noma A: Mode of regulation of the AChsensitive K-channel by the muscarinic receptor in rabbit atrial cells. Pflugers Arch 1984;400:424-431 81. Brum G, Osterrieder W, Trautwein W: 0-Adrenergic increase in the calcium conductance of cardiac myocytes studied with the patch clamp. Pflugen Arch 1984;401:lll-118 692 Hypertension Vol 17, No 5 May 1991 Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 82. Kurachi Y, Nakajiraa T, Sugimoto T: Acetylcholine activation of K+ channels in cell-free membrane of atrial cells. Am J Physiol 1986;251:H681-H684 83. Logothetis DE, Kurachi Y, Galper J, Neer EJ, Clapham DE: The By subunits of GTP-binding proteins activate the muscarinic K+ channel in heart. Nature 1987;325:321-326 84. Yatani A, Codina J, Brown AM, Birnbaumer L: Direct activation of mammalian atrial muscarinic potassium channels by GTP regulatory protein Gk. Science 1987;235:2O7-211 85. Codina J, Yatani A, Grenet D, Brown AM, Birnbaumer L: The a subunit of the GTP binding protein Gk opens atrial potassium channels. Science 1987;236:442-445 86. Yatani A, Mattera R, Codina J, Graf R, Okabe K, Padrell E, Iyengar R, Brown AM, Birnbaumer L: The G protein-gated atrial K+ channel is stimulated by three distinct G,a subunits. Nature 1988^36:680-682 87. Kirsch GE, Yatani A, Codina J, Birnbaumer L, Brown AM: a-Subunit of Gk activates atrial K+ channels of chick, rat, and guinea pig. Am J Physiol 1988;254:H1200-H1205 88. Mattera R, Yatani A, Kirsch GE, Graf R, Okabe K, Olate J, Codina J, Brown AM, Birnbaumer L: Recombinant Oj-3 subunit of G protein activates Gk-gated K+ channels. / Biol Chem 1989;264:465-471 89. Birnbaumer L, Abramowitz J, Yatani A, Okabe K, Mattera R, Graf R, Sanford J, Codina J, Brown AM: Roles of G proteins in coupling of receptors to ionic channels and other effector systems. Crit Revs Biochem Mol Biol 1990;25:225-244 90. Yatani A, Hamm H, Codina J, Mazzoni MR, Birnbaumer L, Brown AM: A monoclonal antibody to the a subunit of Gk blocks muscarinic activation of atrial K+ channels. Science 1988;241:828-831 91. Birnbaumer L, Brown AM: G protein openings of K+ channels. Nature 1987;327:21-22 92. Cerbai E, Klockner U, Isenberg G: The a subunit of the GTP binding protein activates muscarinic potassium channels in atrium. Science 1988;240:1782-1783 93. Yatani A, Okabe K, Birnbaumer L, Brown AM: Detergents, dimeric By, and eicosanoid pathways to muscarinic atrial K+ channel. Am J Physiol 199O;258:H1507-H1514 94. Logothetis DE, Kim K, Northup JK, Neer EJ, Qapharn DE: Specificity of action of guanine nucleotide-binding regulatory protein subunits on the cardiac muscarinic K+ channel. Proc NatlAcad Sci USA 1988;85:5814-5818 95. Kurachi Y, Ito H, Sugimoto T, Katada T, Ui M: Activation of atrial muscarinic K+ channels by low concentrations of By subunits of rat brain G protein. Pflugers Arch 1989;413: 325-327 96. Kurachi Y, Ito H, Sugimoto T, Shimizu T, Miki I, Ui M: Arachidonic acid metabolites as intracellular modulators of the G protein-gated K+ channel. Nature 1989;337:555-557 97. Kim D, Lewis DL, Graziadei L, Neer EJ, Bar-Sagi D, Clapham DE: G protein By subunits activate the cardiac muscarinic K+ channel via phospholipase A2. Nature 1989; 337:557-560 98. Clapham DE: Arachidonic acid and its metabolites in the regulation of G-protein gated K+ channels in atrial myocytes. Biochem Pharmacol 1990;39:813-815 99. Jelsema CL, Axelrod J: Stimulation of phospholipase A2 activity in bovine rod outer segments by the By subunits of transducin and its inhibition by the a subunit. Proc NatlAcad Sci USA 1987;84:3623-3627 100. Burch RM: G protein regulation of phospholipase A2. Mol Neurobiol 1989;3:155-171 101. Axelrod J: Receptor-mediated activation of phospholipase A2 and arachidonic acid release in signal transduction. Biochem Soc Trans 1990;18:503-507 102. Breitwieser GE, Szabo G: Mechanism of muscarinic receptor-induced K+ channel activation as revealed by hydrolysisresistant GTP analogues. / Gen Physiol 1988;91:469-493 103. Scherer RW, Breitwieser GE: Arachidonic acid metabolites alter G protein-mediated signal transduction in heart: Effects on muscarinic K+ channels. / Gen Physiol 1990;96:735-755 KEY WORDS • G proteins • ion channels • heart • channels • K+ channels Ca2+ G protein-mediated ion channel activation. G E Breitwieser Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 Hypertension. 1991;17:684-692 doi: 10.1161/01.HYP.17.5.684 Hypertension is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1991 American Heart Association, Inc. All rights reserved. Print ISSN: 0194-911X. Online ISSN: 1524-4563 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://hyper.ahajournals.org/content/17/5/684 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Hypertension can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. Further information about this process is available in the Permissions and Rights Question and Answer document. Reprints: Information about reprints can be found online at: http://www.lww.com/reprints Subscriptions: Information about subscribing to Hypertension is online at: http://hyper.ahajournals.org//subscriptions/
© Copyright 2026 Paperzz