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Vol. 291, Issue 2, 456-463, November 1999

LLC-PK1 Cells Stably Expressing the Human Norepinephrine Transporter: A Functional Model of Carrier-Mediated Norepinephrine Release in Protracted Myocardial Ischemia1

Neil C. E. Smith and Roberto Levi

Department of Pharmacology, Cornell University, Weill Medical College, New York, New York


    Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

In myocardial ischemia, adrenergic terminals undergo ATP depletion, hypoxia, and intracellular pH reduction, causing the accumulation of axoplasmic norepinephrine (NE) and intracellular Na+ [via the Na+-H+ exchanger (NHE)]. This forces the reversal of the Na+- and Cl--dependent NE transporter (NET), triggering massive carrier-mediated NE release and, thus, arrhythmias. We have now developed a cellular model of carrier-mediated NE release using an LLC-PK1 cell line stably transfected with human NET cDNA (LLC-NET). LLC-NET cells transported [3H]NE and [3H]N-methyl-4-phenylpyridinium ([3H]MPP+) in an inward direction. This uptake was abolished by the NET inhibitors desipramine (100 nM) and mazindol (300 nM) and by extracellular Na+ removal. Na+-gradient reversal induced an efflux of 3H-substrate from preloaded LLC-NET cells. Desipramine and mazindol blocked this efflux. Because of its greater intracellular stability and higher sensitivity to Na+-gradient reversal, [3H]MPP+ proved preferable to [3H]NE as an NET substrate; therefore, only [3H]MPP+ was used for subsequent studies. The K+/H+ ionophore nigericin (10 µM) evoked a large efflux of [3H]MPP+. This efflux was potentiated by the Na+,K+-ATPase inhibitor ouabain (100 µM), was sensitive to desipramine, and was blocked by the NHE inhibitor 5-(N-ethyl-N-isopropyl)-amiloride (EIPA; 10 µM). In contrast, EIPA failed to inhibit the [3H]MPP+ efflux elicited by the Na+ ionophore gramicidin (10 µM). Furthermore, [3H]MPP+ efflux induced by the NHE-stimulant proprionate (25 mM) was negatively modulated by imidazoline receptor activation. Our findings suggest that LLC-NET cells are a sensitive model for studying transductional processes of carrier-mediated NE release associated with myocardial ischemia.


    Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Any condition, physiological or pathophysiological, that causes a Na+ increase in adrenergic neurons can trigger the reversal of the norepinephrine (NE) transporter (NET; Paton, 1973). Accumulation of intracellular Na+ increases the availability of the NET to the inside of the axonal membrane and enhances the affinity of axoplasmic NE for the carrier (Sammet and Graefe, 1979). In protracted myocardial ischemia, ATP depletion, hypoxia, and proton accumulation impede NE storage and stimulates Na+-H+ exchanger (NHE), which exchanges intracellular H+ for extracellular Na+ (Nao). Thus, in myocardial ischemia, sympathetic nerve endings contain an increased level of both Na+ and free axoplasmic NE, triggering a reversal of the neuronal uptake system and, hence, a massive release of NE (Schömig et al., 1991; Kubler and Strasser, 1994; Imamura et al., 1996; Kurz et al., 1996; Hatta et al., 1997).

Previous work from our laboratory demonstrated a direct correlation between the magnitude of NE overflow from guinea pig hearts subjected to global ischemia and the severity of reperfusion arrhythmias. A variety of agents that inhibit or potentiate NE overflow were shown to significantly reduce and prolong, respectively, the duration of ventricular fibrillation (Imamura et al., 1996; Hatta et al., 1999). Although isolated organ and tissue preparations allow the investigation of many regulatory processes of carrier-mediated NE release, the complexity of tissue responses to ischemia and reperfusion may mask important transductional processes involved in the outward transport of NE.

Accordingly, the purpose of the present study was to develop a simpler cellular model of carrier-mediated transport. Cloning of the NET (Pacholczyk et al., 1991) has permitted the stable expression of NET cDNA in cell systems that are unequipped to store NE, allowing the investigation of the plasma membrane transporter without interference from vesicular storage. LLC-PK1 cells are a rapidly growing, pig kidney-derived epithelial cell line (Haggerty et al., 1985). In addition to being devoid of the machinery required for the uptake and vesicular storage of NE, LLC-PK1 cells express two plasma membrane proteins that have pivotal roles in myocardial ischemia-induced carrier-mediated NE release: the Na+,K+-ATPase and an amiloride-sensitive NHE (Chakraborty et al., 1994). Our findings with an LLC-PK1 cell line stably transfected with human NET (hNET) cDNA demonstrate the potential of recombinant cell lines to study mechanisms and regulatory processes of carrier-mediated NE release, as seen in pathophysiological conditions, such as advanced myocardial ischemia.

    Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Cell Culture. LLC-PK1 cells stably transfected with cDNA for the hNET (LLC-NET cells, established by Dr. G. Rudnick) were maintained in alpha -modified Eagle's medium supplemented with 10% FBS, 2 mM L-glutamine, 50 U/ml penicillin, 50 µg/ml streptomycin, and 450 µg/ml geneticin at 37°C with 5% CO2. Parent LLC-PK1 cells were maintained in the same medium without geneticin. When confluent, cells were passaged 1 to 10 by trypsinization.

Influx Studies. Cells were grown in 24-well plates at 37°C until confluent (this was usually 48 h after plating). After rinsing once with HEPES buffer (containing 25 mM HEPES, 125 mM NaCl, 2.6 mM CaCl2, 1.2 mM MgSO4, 1.2 mM KH2PO4, 4.8 mM KCl, and 5.6 mM glucose, pH 7.4), cells were incubated at 37°C for 30 min in 0.405 ml of HEPES buffer containing various drugs. Influx of [3H]NE or [3H]N-methyl-4-phenylpyridinium (MPP+) was initiated by the addition of 45 µl of a 10× solution (to give a final concentration of 40 nM [3H]NE and 20 nM [3H]MPP+) of the 3H-substrate. After 5 min of influx, buffer was removed, and cells were rinsed rapidly with ice-cold HEPES buffer. Cells were then lysed with 0.45 ml of 0.3% Triton X-100 for 30 min. A 0.3-ml aliquot of cell lysate was then counted in 4 ml of Bio-Safe II scintillation cocktail in a scintillation counter (Beckman LS 6000) for 3 min.

Efflux Studies. LLC-NET cells were grown as described for the influx studies. After rinsing once with HEPES buffer, cells were incubated at 37°C for 60 min in 0.23 ml of HEPES buffer containing 40 nM [3H]NE or 20 nM [3H]MPP+. In some experiments, the catechol-O-methyl transferase (COMT) inhibitor tropolone (1 mM) was used during the loading period and throughout the rest of the experiment. At the end of the incubation period, cells were washed twice with prewarmed oxygenated HEPES buffer and then incubated for a further 30 min in HEPES buffer at 37°C. Efflux was initiated by replacing the incubation buffer with 0.45 ml of release buffer for a given time. Release buffer consisted of HEPES buffer with an altered NaCl concentration, ionophore (nigericin or gramicidin, 10µM), or the Na+ salt of proprionate (25 mM; Schlatter et al., 1997) in the absence or presence of drugs. LiCl was used as a substitute for NaCl to maintain osmolarity. A 0.3-ml aliquot of buffer containing released 3H-substrate was removed from each well and transferred to a scintillation vial containing 4 ml of scintillation cocktail. The remainder of the release buffer was immediately removed from each well, and the amount of substrate remaining was determined by lysing the cells with 0.45 ml of 0.3% Triton X-100 for 30 min. A 0.3-ml aliquot of cell lysate was transferred to a scintillation vial containing 4 ml of scintillation cocktail. The release buffer and cell lysate were counted in a scintillation counter (Beckman LS 6000) for 3 min. The amount of 3H released from LLC-NET cells was calculated as a percentage of the total content of 3H.

Statistical Analysis. Values are expressed as mean ± S.E. Student's t test was performed for experiments with two groups. Comparison of more than two groups was performed by one-way ANOVA, with the Bonferroni t test used for post hoc analysis. A value of P < .05 was considered statistically significant.

Drugs. [3H]MPP+ (82.0 Ci/mmol) was purchased from NEN Life Science Products (Boston, MA). [3H]NE (32.0 Ci/mmol) was purchased from Amersham Pharmacia Biotech (Arlington Heights, IL). Desipramine hydrochloride (DMI), 5-(N-ethyl-N-isopropyl)-amiloride (EIPA), and idazoxan were purchased from Research Biochemicals Inc. (Natick, MA). Gramicidin, mazindol, nigericin, ouabain, pargyline, reserpine, and tropolone were purchased from Sigma-Aldrich Chemical Co. (St. Louis, MO). Rilmenidine hemifuramate was purchased from Tocris-Cookson (Ballwin, MO). EIPA, mazindol, and rilmenidine were dissolved in 99.8% dimethyl sulfoxide. Gramicidin and nigericin were dissolved in 95% ethanol. Further dilutions of these drugs were made with HEPES buffer. At the concentration used (i.e., 0.1%), neither dimethyl sulfoxide nor ethanol had any effect on influx or efflux studies. All other drugs were dissolved in distilled water.

    Results
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Uptake of [3H]NE and [3H]MPP+ by LLC-NET Cells. LLC-NET cells transported both [3H]NE and [3H]MPP+ in an inward direction under normal physiological conditions. As shown in Fig. 1, uptake of both substrates was abolished by preincubation of LLC-NET cells with the neuronal uptake inhibitors DMI (100 nM) and mazindol (300 nM) or when experiments were performed in a modified HEPES buffer in which Na+ was replaced with Li+. Reserpine (100 nM), an inhibitor of the vesicular monoamine transporter, had no inhibitory action on either [3H]NE or [3H]MPP+ influx. The amiloride derivative EIPA had no effect on uptake at 10 µM (data not shown). Inhibitors of the NET also abolished the prolonged (60 min) influx of [3H]NE and [3H]MPP+. Parent LLC-PK1 cells were unable to accumulate [3H]NE or [3H]MPP+.


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Fig. 1.   Uptake of [3H]NE (A) and [3H]MPP+ (B) via the NET. LLC-NET cells were incubated for 20 min with HEPES buffer in the presence or absence of DMI (100 nM), mazindol (300 nM), 0 mM Na+, or reserpine (reserp; 100 nM). [3H]NE or [3H]MPP+ (final concentration, 40 and 20 nM, respectively) was then added to each well, and influx was allowed to continue for 5 min. Cells were then washed in cold HEPES buffer and lysed for 30 min in 0.3% Triton X-100. Bars are mean ± S.E. values of [3H]NE and [3H]MPP+ influx (expressed in dpm; n = 4; ***P < .001 from control by ANOVA followed by post hoc Bonferroni's test).

Outward Transport of [3H]NE and [3H]MPP+ from LLC-NET Cells. Incubation of preloaded LLC-NET cells in a modified HEPES buffer containing 5 mM Na+ resulted in a significant time-dependent efflux of [3H]NE (Fig. 2A) and [3H]MPP+ (Fig. 2B). Spontaneous efflux of [3H]NE from preloaded LLC-NET was very high (~22% in 20 min). In contrast, only a very small amount of [3H]MPP+ efflux occurred in control conditions and reached a maximum value of ~6% within 10 min (Fig. 2B). The total amount of 3H-substrate released from LLC-NET cells, induced by Na+ gradient reversal, differed greatly between [3H]NE and [3H]MPP+. After a 20-min incubation with 5 mM Na+, ~27 and 68% of the total cellular content of [3H]NE and [3H]MPP+ were released into the extracellular buffer, respectively (Fig. 2). The neuronal uptake inhibitors DMI (100 nM) and mazindol (300 nM) significantly blocked the efflux of [3H]MPP+ (Figs. 2B and 3B) but not that of [3H]NE (Fig. 3A) overflow. An IC50 value of ~55 nM was calculated for the inhibitory action of DMI on the low Na+-induced [3H]MPP+ efflux.


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Fig. 2.   Efflux of [3H]NE (A) and [3H]MPP+ (B) elicited by Na+ gradient reversal. Preloaded LLC-NET cells were incubated in a normal (125 mM Na+) or modified HEPES buffer (5 mM Na+) in the absence or presence of DMI (100 nM). Points are mean ± S.E. values of [3H]NE or [3H]MPP+ efflux (percent release of total) at the times indicated on the abscissa (n = 4; **P < .01 and ***P < .001 from control, respectively; dagger dagger P < .01 from 5 mM Na+ by ANOVA followed by post hoc Bonferroni's test).


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Fig. 3.   Efflux of [3H]NE (A) and [3H]MPP+ (B) elicited by Na+ gradient reversal. Preloaded LLC-NET cells were incubated in a normal (125 mM Na+) or modified HEPES buffer (5 mM Na+) in the absence or presence of DMI (100 nM) or mazindol (300 nM). Bars are mean ± S.E. values of [3H]NE and [3H]MPP+ efflux (percent release of total) during a 5-min period (n = 4; **P < .01 and ***P < .001 from control, respectively; dagger dagger dagger P < .001 from 5 mM Na+ by ANOVA followed by post hoc Bonferroni's test).

The COMT inhibitor tropolone (1 mM) markedly reduced the amount of spontaneous [3H]NE efflux (Fig. 4A) and increased the low Na+-induced efflux of [3H]NE from LLC-NET cells (Fig. 5A). The total amount of [3H]NE retained by LLC-NET cells during the entire time course of the experiment was dramatically increased in the presence of tropolone (Figs. 4B and 5B). The EC50 for the action of tropolone was ~39 µM (data not shown). DMI significantly blocked the low Na+-induced efflux of [3H]NE in experiments in which tropolone was used (Fig. 5A). Tropolone had no effect on the retention or spontaneous efflux of [3H]MPP+ from LLC-NET cells.


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Fig. 4.   The effect of the COMT inhibitor tropolone (1 mM) on the spontaneous efflux (A) and total uptake (B) of [3H]NE. LLC-NET cells were loaded with [3H]NE for 1 h in the absence or presence of the monoamine oxidase inhibitor pargyline (parg, 0.2 mM) or the COMT inhibitor tropolone (trop; 1 mM). A, points are mean ± S.E. values of [3H]NE efflux (percent release of total) at the times indicated on the abscissa (n = 4; ***P < .001 from control by ANOVA followed by post hoc Bonferroni's test). B, bars are mean ± S.E. values of the total [3H]NE taken up by LLC-NET cells (expressed as a count in dpm; n = 8; ***P < .001 from control by ANOVA followed by post hoc Bonferroni's test).


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Fig. 5.   The effect of the COMT inhibitor tropolone (1 mM) on the spontaneous and low Na+-induced efflux (A) and total uptake (B) of [3H]NE. LLC-NET cells were loaded with [3H]NE for 1 h in the absence or presence of the COMT inhibitor tropolone (1 mM). Na+ gradient reversal was triggered by exposing preloaded LLC-NET cells to a modified HEPES buffer (containing 5 mM Na+) in the absence or presence of DMI (100 nM). A, bars are mean ± S.E. values of [3H]NE efflux (percent release of total) during a 40-min period (n = 4; **P < .01 and ***P < .001 from control, respectively; dagger dagger dagger P < .001 from 5 mM Na+ by ANOVA followed by post hoc Bonferroni's test). B, bars are mean ± S.E. values of the total [3H]NE taken up LLC-NET cells.

We next studied the relationship between Nao and reversal of the NET. The greater the degree of Na+ gradient reversal (by varying the Nao), the greater was the efflux of [3H]MPP+ from preloaded LLC-NET cells (Fig. 6).


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Fig. 6.   [3H]MPP+ efflux as a function of the extracellular Na+ concentration. Preloaded LLC-NET cells were incubated in modified HEPES buffer with increasing Na+ concentrations. Points are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) during a 10-min period (n = 4). Inset, increase in [3H]MPP+ efflux as a function of decreased Nao (abscissa, logarithmic scale).

Nigericin-Induced [3H]MPP+ Efflux from LLC-NET Cells. Nigericin (10 µM), a K+/H+ ionophore, induced a time-dependent efflux of [3H]MPP+ from preloaded LLC-NET cells (Fig. 7). The Na+,K+-ATPase inhibitor ouabain (100 µM), while having no effect of its own, significantly potentiated the nigericin-induced efflux of [3H]MPP+ from LLC-NET cells incubated in a modified HEPES buffer (40 mM Na+; Fig. 7). In both control and ouabain-treated conditions, efflux of [3H]MPP+ from preloaded LLC-NET cells during a 20-min period was ~20% of the total cellular content of [3H]MPP+. This value increased to ~40 and 50% in the presence of nigericin and nigericin plus ouabain, respectively (Fig. 7). In experiments performed in a physiological HEPES buffer (125 mM Na+), prolonged inhibition of the Na+,K+-ATPase with ouabain induced a significant efflux of [3H]MPP+ (from ~8.0 ± 0.21 to ~11.7 ± 0.18% in a 30-min period).


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Fig. 7.   The Na+,K+-ATPase inhibitor ouabain (ouab; 100 µM) potentiates the nigericin-induced (ngr; 10 µM) efflux of [3H]MPP+. Preloaded LLC-NET cells were incubated for the times and in the conditions indicated in a modified HEPES buffer containing 40 mM Na+. Points are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) at the times indicated on the abscissa (n = 4; ***P < .001 from control; dagger P < .05 and dagger dagger dagger P < .001 from nigericin, respectively, by ANOVA followed by post hoc Bonferroni's test).

DMI (100 nM) significantly potentiated the early phase (<10 min; Fig. 8A) of nigericin plus ouabain-induced efflux of [3H]MPP+ from LLC-NET cells incubated in a physiological HEPES buffer. DMI potentiated the release of [3H]MPP+ induced by 5-min stimulation with nigericin plus ouabain by more than 100% (from ~6.1 to 12.7%; Fig. 8A). In contrast, DMI inhibited the long-term (>10 min; Fig. 8B) efflux of [3H]MPP+ induced by nigericin plus ouabain. This inhibition reached ~70% at 30 min (Fig. 8B). During a 30-min period, dose-response studies performed with DMI revealed an IC50 value of ~15 nM for the inhibition of the nigericin plus ouabain-induced [3H]MPP+ efflux.


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Fig. 8.   DMI (100 nM) modifies the efflux of [3H]MPP+ elicited by nigericin (ngr; 10 µM) and ouabain (ouab; 100 µM) in combination. Preloaded LLC-NET cells were incubated with nigericin plus ouabain in the absence or presence of DMI in a physiological HEPES buffer. Points are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) at the times indicated on the abscissa (n = 4; **P < .01 and ***P < .001 from control, respectively; dagger dagger P < .01 and dagger dagger dagger P < .001 from nigericin plus ouabain, respectively, by ANOVA followed by post hoc Bonferroni's test).

The NHE inhibitor EIPA (10 µM) significantly inhibited both the early phase (Fig. 9A) and the long-term (Fig. 9B) nigericin plus ouabain-induced [3H]MPP+ efflux from LLC-NET cells. During 5- and 30-min stimulation with nigericin plus ouabain, EIPA inhibited [3H]MPP+ efflux by ~60 and 45%, respectively. In contrast, tetrodotoxin (TTX; 1 µM) caused only a slight inhibition of the nigericin plus ouabain-induced release of [3H]MPP+ from LLC-NET cells (~10% in a 30-min release period; Fig. 10A). Furthermore, EIPA failed to inhibit the efflux of [3H]MPP+ elicited by the Na+ ionophore gramicidin (10 µM; Fig. 10B).


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Fig. 9.   EIPA (10 µM) inhibits the efflux of [3H]MPP+ elicited by nigericin (ngr; 10 µM) and ouabain (ouab; 100 µM) in combination. Preloaded LLC-NET cells were incubated with nigericin plus ouabain in the absence or presence of EIPA in a physiological HEPES buffer. Points are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) at the times indicated on the abscissa (n = 4; **P < .01 and ***P < .001 from control; dagger P < .05, dagger dagger P < .01, and dagger dagger dagger P < .001 from nigericin plus ouabain, respectively, by ANOVA followed by post hoc Bonferroni's test).


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Fig. 10.   A, unlike EIPA (10 µM), the Na+ channel blocker TTX (1 µM) only partially inhibits the efflux of [3H]MPP+ elicited by nigericin (ngr; 10 µM) and ouabain (ouab; 100 µM) in combination. Preloaded LLC-NET cells were incubated with nigericin plus ouabain in the absence or presence of TTX or EIPA in a physiological HEPES buffer. Bars are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) during a 30-min period (n = 4; ***P < .001 from control; dagger P < .05 and dagger dagger dagger P < .001, respectively, from nigericin plus ouabain by ANOVA followed by post hoc Bonferroni's test). B, EIPA (10 µM) failed to modify the gramicidin-induced (10 µM) [3H]MPP+ release. Preloaded LLC-NET cells were incubated with gramicidin in the absence or presence of EIPA in a physiological HEPES buffer. Bars are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) during a 30-min period (n = 4; **P < .01 and ***P < .001, respectively, from control by ANOVA followed by post hoc Bonferroni's test). C, activation of imidazoline receptors with rilmenidine (rilm; 10 µM) modulates the proprionate-induced efflux of [3H]MPP+; the imidazoline receptor antagonist idazoxan (idaz; 10 µM) blocks the effects of rilmenidine. Preloaded LLC-NET cells were incubated with proprionate (25 mM) in the absence or presence of rilminedine with or without idazoxan in a physiological HEPES buffer. Bars are mean ± S.E. values of [3H]MPP+ efflux (percent release of total) during a 10-min period (n = 6; ***P < .001 from control; dagger dagger dagger P < .001 from proprionate; Dagger Dagger Dagger P < .001 proprionate plus rilm by ANOVA followed by post hoc Bonferroni's test).

Proprionate-Induced [3H]MPP+ Efflux from LLC-NET Cells: Modulation by Imidazoline Receptors. As an alternative to nigericin, we used proprionate to stimulate carrier-mediated release of [3H]MPP+ from LLC-NET cells. As illustrated in Fig. 10C, proprionate (25 mM) induced an efflux of [3H]MPP+ from LLC-NET cells that was markedly inhibited by the imidazoline receptor agonist rilmenidine (10 µM). The inhibitory effect of rilmenidine was antagonized by the imidazoline receptor blocker idazoxan (10 µM). Rilmenidine had no effect on the nigericin- or gramicidin-induced [3H]MPP+ efflux.

    Discussion
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Our findings demonstrate that LLC-PK1 cells stably transfected with hNET cDNA (LLC-NET cells) inherit the ability to transport [3H]NE and [3H]MPP+ in an inward and outward direction. Inward transport of both substrates was exclusively NET mediated, as demonstrated by its dependence on extracellular Na+ (Iversen and Kravitz, 1966), its complete blockade by the NET inhibitors DMI and mazindol (Gu et al., 1994), and its insensitivity to reserpine and EIPA, inhibitors of the vesicular monoamine transporter (Scherman and Henry, 1984) and NHE (Kleyman and Cragoe, 1988), respectively. Furthermore, analogous to carrier-mediated NE release in advanced myocardial ischemia, which is known to be NHE dependent (Imamura et al., 1996; Kurz et al., 1996; Schömig et al., 1991), the efflux of [3H]MPP+ was stimulated by the K+/H+ ionophore nigericin, an action that was blocked by the NHE inhibitor EIPA. These LLC-PK1 cells, therefore, represent a useful model for future studies of transductional processes involved in carrier-mediated NE release in protracted myocardial ischemia.

Efflux of both [3H]NE and [3H]MPP+ from LLC-NET cells was stimulated by a reversal of the Na+ gradient. However, there were differences in the stability (normal HEPES buffer) and specific carrier-mediated transport (low Na+ buffer) of the two substrates from LLC-NET cells. The spontaneous efflux of 3H-substrate from preloaded LLC-NET cells was significantly larger for [3H]NE than for [3H]MPP+. In contrast, the maximal amount of low Na+-induced efflux of 3H-substrate was much greater for [3H]MPP+ than for [3H]NE, suggesting that [3H]MPP+ is the more suitable substrate for studying the carrier-mediated release process.

To elucidate the large spontaneous loss of 3H radiolabel in the [3H]NE release experiments, we assessed [3H]NE efflux in the presence of the COMT inhibitor tropolone. We found that metabolism of [3H]NE by COMT is a major pathway for the loss of 3H radiolabel from LLC-NET cells. In a recent study (Eshleman et al., 1997), it was found that COMT inhibitors greatly elevate the apparent uptake of [3H]dopamine by cell lines expressing recombinant catecholamine transporters. The effect of COMT inhibition on [3H]NE uptake, although significant, was considerably less pronounced. In our study, LLC-NET cells were exposed to [3H]NE for a much longer time period, dramatically increasing the potential for metabolism by COMT. The EC50 value for the action of tropolone in our experiments (~39 µM) is similar to the IC50 value of COMT inhibition by tropolone (~22 µM; Guldberg and Marsden, 1975). The use of tropolone enabled us to uncover a significant inhibitory response to DMI. The instability of 3H-catecholamines, and thus the spontaneous loss of radiolabel from preloaded cells expressing recombinant catecholamine transporters, has been demonstrated elsewhere (Wall et al., 1995). Loss of radiolabel from [3H]MPP+-preloaded LLC-NET cells was almost negligible, consistent with transport of MPP+ being critically dependent on a carrier, such as the NET (Buck and Amara, 1994; Pifl et al., 1996). By using a stable substrate of the NET (i.e., one that is resistant to metabolism by COMT), we significantly enhanced the sensitivity of our model and therefore the potential to study regulatory mechanisms of carrier-mediated release.

Notably, even with COMT inhibition, the amount of [3H]NE released by reversal of the Na+ gradient was less than that of [3H]MPP+. This may reflect differences in affinity of NE and MPP+ for the transporter. Indeed, in a study of the cloned NET, it was found that the transporter had a higher apparent affinity (Km) for dopamine and MPP+ than for NE (0.42, 0.64, and 1.92 µM, respectively; Pifl et al., 1996). Under conditions in which the Na+ concentration within the axoplasm is relatively low, the 3-fold difference in Km may be more critical for transport than under conditions of high Na+ concentration (inward transport). It is well documented that prior loading of the NET with Na+ increases the affinity of the transporter for substrate (Trendelenburg, 1991).

LLC-NET cells preloaded with [3H]MPP+ were very sensitive to the Nao concentration. Above 30 mM Nao, only a small amount of [3H]MPP+ efflux was seen. Lower concentrations of Na+ induced a marked release of [3H]MPP+ from LLC-NET cells. When the Nao is reduced below a critical value (<30 mM in our model), fewer transporters are immobilized on the extracellular side of the plasma membrane, making more transporters freely mobile and available to the intracellular side. Reuptake of released [3H]MPP+ will be less favorable in a reduced Na+ buffer, augmenting the release process.

Nigericin is a commonly used ionophore that mediates the exchange of external H+ for internal K+ (Erecinska et al., 1993). Incubation of cells with nigericin lowers both the intracellular pH (pHi) and K+ concentration (Erecinska et al., 1993). Therefore, exposure of cells to nigericin results in a depolarization of the plasma membrane, triggering the opening of voltage-operated ion channels and the subsequent influx of Na+ and Ca2+ (Erecinska et al., 1993; Rodriguez and Sitges, 1996). The influx of Ca2+ induced by nigericin has been shown to stimulate the exocytotic release of neurotransmitters (Erecinska et al., 1993; Rodriguez and Sitges, 1996), whereas the nigericin-induced reduction in pHi has been demonstrated to activate the NHE (Erecinska et al., 1993). The influx of Na+ via NHEs and voltage-sensitive Na+ channels could lead to the reversal of the NET and the release of axoplasmic substrate. Indeed, nigericin elicits a Ca2+-dependent and -independent release of neurotransmitter from synaptosomes, neurons, and C6 glioma cells (Erecinska et al., 1993; Rodriguez and Sitges, 1996) and has been shown to induce the release of MPP+ from preloaded platelets (Cesura et al., 1987). We found that nigericin induced a large increase in [3H]MPP+ release from preloaded LLC-NET cells, indicating that this compound does indeed stimulate the influx of Na+ and, consequently, a reversal of the NET.

Under physiological conditions, Na+,K+-ATPase is responsible for maintaining the intracellular concentration of Na+ and K+ by exchanging extracellular K+ for intracellular Na+ (Stute and Trendelenburg, 1984). ATP depletion in various pathophysiological conditions (e.g., protracted myocardial ischemia) leads to an augmentation of intracellular Na+ accumulation, as Na+,K+-ATPase activity is inhibited. We found that inhibition of Na+,K+-ATPase with ouabain potentiates the nigericin-induced release of [3H]MPP+ from LLC-NET cells. These experiments were performed in a reduced-Na+ buffer to minimize the effect of ouabain alone. Prolonged inhibition of the Na+,K+-ATPase can itself induce neurotransmitter release (Stute and Trendelenburg, 1984), as indeed we found in our experiments with LLC-NET cells in a physiological HEPES buffer. In a 40 mM Na+ HEPES buffer, ouabain did not stimulate [3H]MPP+ efflux, but did potentiate the release induced by nigericin.

DMI inhibited the prolonged (>10 min) nigericin plus ouabain-induced efflux of [3H]MPP+, clearly demonstrating that this release process is mediated by a reversal of the NET. Interestingly, DMI markedly potentiated the efflux of [3H]MPP+ during the early phase (<10 min) of the nigericin plus ouabain-induced efflux. These experiments were performed in a physiological buffer, which has a high Na+ concentration. Accordingly, in the experiments with nigericin plus ouabain alone, [3H]MPP+ released from LLC-NET cells was subject to reuptake, as the high Nao concentration favored inward transport. Because DMI inhibits the reuptake process, the concentration of extracellular [3H]MPP+ was higher than that in the absence of DMI. In contrast, with prolonged exposure to nigericin plus ouabain, more Na+ accumulates within the cell, and thus the Na+ gradient favoring inward transport is reduced. In addition, more transporters will have been immobilized by DMI, reducing the number of transporters available for outward transport. Hence, DMI would be expected to reduce, as it did, the extracellular concentration of [3H]MPP+ during prolonged nigericin plus ouabain treatment (>10 min). The IC50 value for DMI in our experiments with nigericin plus ouabain was notably lower than that calculated for our efflux studies with Na+-gradient reversal (~15 nM compared with ~55 nM). This probably reflects the Na+ dependence of DMI on binding to the NET (Pifl et al., 1997), as seen for NE itself (Trendelenburg, 1991).

A recent study in brain synaptosomes demonstrated that at a low concentration (0.5 µM), nigericin behaves as a Na+/H+ ionophore under physiological conditions (Rodriguez and Sitges, 1996). In that study, nigericin caused an increase in pHi (suggesting a loss of H+), intracellular Ca2+, and intracellular Na+. It was concluded that the influx of Na+ was mediated through the ionophore itself. In our studies, no release of [3H]MPP+ was seen at concentrations of nigericin less than 3 µM (data not shown). Furthermore, Rodriguez and Sitges used synaptosomes, rather than cells. It is probable that these different systems respond differently to the ionophore. In fact, in another study, it was found that 5 µM nigericin caused a continuing increase of H+ and thus lowered pHi in C6 glioma and cultured neuron cells (Erecinska et al., 1993). Our experiments with the amiloride derivative EIPA (a potent inhibitor of the NHE; Kleyman and Cragoe, 1988) clearly suggest that the nigericin plus ouabain-induced efflux of [3H]MPP+ from preloaded LLC-NET cells is a consequence of Na+ influx via the NHE. Unlike DMI, EIPA inhibited both the early and the late phase of the nigericin plus ouabain-induced [3H]MPP+ efflux. This not only indicates an inhibitory action of EIPA at the NHE but also eliminates the possibility that EIPA is acting at the NET (Schömig et al., 1989). Indeed, if EIPA were to act at the NET, one would expect a potentiation of [3H]MPP+ release in the early phase of nigericin plus ouabain-induced efflux. The inability of EIPA to inhibit gramicidin (a Na+ ionophore) induced [3H]MPP+ efflux further supports an action of EIPA at the NHE.

To determine the influence of voltage-dependent Na+ channels on the nigericin plus ouabain-induced efflux, we performed experiments in the presence of the Na+ channel blocker TTX. We found that TTX had very little effect on [3H]MPP+ efflux, suggesting that the opening of voltage-sensitive Na+ channels has only a minor role in stimulating [3H]MPP+ efflux in our model.

To further assess the usefulness of our model in studies of receptor-mediated regulation of carrier-mediated NE release, we opted to use a less powerful stimulant of reverse transport, namely, proprionate, which has previously been shown to stimulate NHE in LLC-PK1 cells (Schlatter et al., 1997). We found that proprionate elicits an efflux of [3H]MPP+ from preloaded LLC-NET cells. Imidazoline receptors are known to be coupled to the NHE in LLC-PK1 cells (Schlatter et al., 1997). When we activated these receptors with rilmenidine (Evinger et al., 1995), we found that the proprionate-induced release of [3H]MPP+ was markedly inhibited. The imidazoline receptor antagonist idazoxan (Regunathan et al., 1995) blocked the inhibitory effect of rilmenidine, confirming the specificity of the rilmenidine response. The nigericin-induced efflux of [3H]MPP+ was unaffected by rilmenidine. This may be due to the greater amount of [3H]MPP+ efflux induced by nigericin compared with that of proprionate.

In conclusion, our data illustrate the potential of recombinant cell lines to study mechanisms and regulatory processes of carrier-mediated NE release. Similar to that seen in advanced myocardial ischemia, we were able to stimulate carrier-mediated efflux of an NET substrate from LLC-NET cells by activating the NHE. Furthermore, we could modulate this release process with inhibitors of the NET, NHE, and via a receptor-operated pathway. Because excessive NE release contributes to severe, sometimes fatal myocardial arrhythmias, an improved understanding of the carrier-mediated NE release process will ultimately enhance our ability to intervene and prevent the deleterious effects of excessive NE release.

    Acknowledgments

We gratefully acknowledge our colleague Dr. Miklos Toth for the donation of LLC-NET cells that were established by Dr. Gary Rudnick with hNET cDNA cloned by Dr. Susan G. Amara.

    Footnotes

Accepted for publication July 6, 1999.

Received for publication March 18, 1999.

1 This work was supported by National Institutes of Health Grants HL34215 and HL46403. A preliminary version of these findings was presented at the 71st Scientific Sessions of the American Heart Association, November 1998, and was published in abstract form in Circulation (1998) 98:I-681.

Send reprint requests to: Roberto Levi, M.D., Department of Pharmacology, Cornell University, Weill Medical College, 1300 York Ave., New York, NY 10021. E-mail: rlevi{at}med.cornell.edu

    Abbreviations

NE, norepinephrine; NHE, Na+-H+ exchanger; COMT, catechol-O-methyl transferase; DMI, desipramine; hNET, human NET; EIPA, 5-(N-ethyl-N-isopropyl)-amiloride; LLC-NET, LLC-PK1 cells transfected with human norepinephrine transporter cDNA; MPP+, N-methyl-4-phenylpyridinium; Nao, extracellular Na+; TTX, tetrodotoxin; NET, norepinephrine transporter; pHi, intracellular pH.

    References
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Abstract
Introduction
Materials and Methods
Results
Discussion
References


0022-3565/99/2912-0456$03.00/0
THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS
Copyright © 1999 by The American Society for Pharmacology and Experimental Therapeutics



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