© 1998 by European Society of Cardiology
Copyright © 1998, European Society of Cardiology
Effects of prostaglandin F2
on intracellular pH, intracellular calcium, cell shortening and L-type calcium currents in rat myocytes
Department of Pharmacy and Pharmacology, University of Bath, Bath BA2 7AY, UK
* Corresponding author. Tel.: +44-1225-323-206; fax: +44-1225-826-114; e-mail: b.woodward@bath.ac.uk
Received 11 March 1998; accepted 1 May 1998
| Abstract |
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Objective: We have studied the mechanisms underlying the positive inotropic action of prostaglandin F2
(PGF2
) by monitoring intracellular calcium transients, intracellular pH, L-type calcium currents and cell shortening in isolated ventricular myocytes. Methods: Rat myocytes were loaded with fura-2AM for intracellular calcium measurements, or BCECF-AM for pH measurements. Cell shortening was recorded using an edge detection system, and L-type calcium currents measured using whole cell patch clamping. Results: PGF2
(3 nmol l–1–3 µmol l–1) increased single myocyte shortening and reduced resting cell length in a concentration-dependent manner. While myocyte shortening was increased by PGF2
, this was not associated with any change in the amplitude of intracellular calcium transients, diastolic calcium, or L-type calcium currents. However, the same myocytes were capable of responding to catecholamines with increases in calcium transient amplitude and L-type calcium currents. PGF2
(3 µmol l–1) caused a reversible rise in intracellular pH of 0.08±0.01 pH units (n=5, p<0.05). The Na+–H+ exchanger inhibitor, HOE 694 (10 µmol l–1), abolished the PGF2
-induced rise in pH and the increase in cell shortening. PGF2
-induced increases in cell shortening and intracellular pH were also attenuated by the protein kinase C (PKC) inhibitor, chelerythrine (2 µmol l–1). Conclusion: The positive inotropic action of PGF2
appears to be mediated via activation of the Na+–H+ exchanger with the possible involvement of PKC. This suggests that PGF2
_produces intracellular alkalosis, which then sensitizes cardiac myofilaments to calcium.
KEYWORDS Calcium; Contractile function; Na/H–exchanger; Prostaglandins; Rat
| 1 Introduction |
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Prostaglandin F2
(PGF2
) has complex effects on the heart. It increases cardiac contractility [1–6], being the most potent of the prostaglandins studied [1–3]. Additionally, it depresses ventricular recovery of reperfused hearts [7], constricts coronary vessels [8], modulates cardiac rhythm [9, 10], releases atrial natriuretic factor [11, 12]and causes ventricular hypertrophy [13]. These effects may be important during myocardial ischaemia, myocardial infarction or acute pressure overload, where the cardiac release of PGF2
is substantially increased [13–15].
The mechanisms underlying the positive inotropic action of PGF2
are poorly understood but it is known to be an agonist at FP prostaglandin receptors that are linked to phosphoinositide metabolism [16]. PGF2
has been reported to increase inositol 1,4,5-trisphosphate levels in rat papillary muscle [5]. This action, together with its reported inhibition of Na+/K+ ATPase [4], and stimulation of calcium uptake by the sarcoplasmic reticulum [17], would directly or indirectly be expected to increase the amount of calcium available for contraction. PGF2
has been reported to prolong the duration of cardiac action potentials, one possible explanation being an increased inward calcium current [18]but this has not been studied experimentally. Otani et al. [5]showed that PGF2
was capable of initiating contractions in paced, potassium depolarised guinea-pig papillary muscles, suggesting that it increases calcium entry. In contrast, a brief report by Sperelakis et al. indicated that PGF2
inhibits slow action potentials in cultured chick heart cells [19]. Consequently it is not clear if PGF2
does affect free intracellular calcium levels on a beat to beat basis in cardiac myocytes or whether it affects L-type calcium currents.
An alternative mechanism for the inotropic action of PGF2
is that it may sensitize contractile filaments to calcium by causing an intracellular alkalosis [20]. In vascular smooth muscle, PGF2
-mediated contraction occurs partly by sensitization of the contractile filaments to calcium [21, 22]; it has also been shown to increase intracellular pH (pHi) of osteoblasts and kidney cells [23, 24]. In cardiac myocytes, intracellular alkalosis is known to contribute to the positive inotropic actions of angiotensin II [25]and phenylephrine [26].
Therefore, the purpose of our investigation was to examine the effects of PGF2
on basal intracellular calcium, and calcium transients of stimulated rat ventricular myocytes using the calcium probe fura-2. We have also studied the effects of PGF2
on whole cell L-type calcium currents with the whole cell patch clamp technique. In addition to the calcium studies, we have examined the effect of PGF2
on pHi in rat cardiac myocytes using the pH sensitive probe, BCECF. By using the Na+–H+ exchange inhibitor, HOE 694 [27, 28], and the protein kinase C inhibitor, chelerythrine [29], we have investigated the possibility that changes in the activity of the Na+– H+ exchanger and PKC are involved in the positive inotropic effect of PGF2
. In all cases parallel studies have been carried out to examine the effects of these drugs on PGF2
-induced myocyte shortening.
Our data show that PGF2
does not affect calcium transients or L-type calcium currents, however, it does produce an intracellular alkalosis mediated by the Na+–H+ exchanger, possibly with the involvement of PKC. This alkalosis sensitizes the cardiac myofilaments to calcium, and this is the likely cause of the positive inotropic effect of PGF2
in rat cardiac myocytes.
| 2 Methods |
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2.1 Myocyte isolation and cell shortening measurements
The investigation conforms with the Home Office Guidance on the Operation of Animals (Scientific Procedures) Act 1986 published by HMSO, reference HC182. Hearts were removed from terminally anaesthetised (pentobarbitone sodium 100 mg kg–1, i.p.) male Wistar rats weighing 250–300 g, and perfused retrogradely at a flow rate of 10 ml min–1 with a physiological buffer (composition in mmol l–1: NaCl 118.5, NaHCO3 14.5, KCl 2.6, KH2PO4 1.2, MgSO4 1.2, D-Glucose 11.1, HEPES 10.0, made up to pH 7.4 with NaOH) gassed with 95% O2/5% CO2, for 4 min. Perfusion was then switched to a 50 ml recirculating system, composition as above, containing collagenase (50 units), protease (25 units) and 25 µmol l–1 CaCl2. This was continued for 15 min. The ventricles were then sliced into sections, teased apart, and triturated in 20 ml of enzyme solution at 37°C. The myocyte suspension was filtered through a 100 µm nylon mesh gauze and the filtrate centrifuged at 300 rpm for 5 min followed by re-suspension in calcium- and enzyme-free buffer. This centrifugation and re-suspension procedure was carried out twice. Calcium was then gradually added to 0.1, 0.6 and 1 mmol l–1 to produce calcium tolerant myocytes.
Myocytes were allowed to attach to a 0.2 ml volume laminin (15 µg ml–1) pre-coated perfusion chamber and observed with an inverted microscope. Only rod-shaped quiescent myocytes which responded to stimulation with a rapid twitch were selected for single cell recordings. Cells were paced at 1 Hz (1 ms pulse width, supramaximal voltage) using silver chloride electrodes placed 1–2 mm apart, and superfused at 2 ml min–1 at room temperature (24–26°C) with the physiological buffer described above containing 1 mmol l–1 calcium. Myocyte shortening was measured with a video camera and edge detection system as used by Harding et al. [30]. Cell shortening changes are expressed as percentages of control shortening value. As we were unable to measure cell shortening and fura-2 fluorescence at the same time, some of the cell shortening studies were carried out in cells that had been loaded with fura-2 AM. This was done to check that fura-2 loading did not affect cell shortening. Time to peak tension development, and to 50% and 90% relaxation were measured using a software supplied by Dr. S.E. Harding (National Heart and Lung Institute, London).
2.2 Intracellular calcium and pH measurements
For intracellular calcium measurements, myocytes were loaded in nominally calcium free solution for 30 min with 5 µmol l–1 fura-2 AM and 0.5% bovine serum albumin at 37°C. For pHi measurements, myocytes were loaded with 2 µmol l–1 BCECF-AM at room temperature for 20 min. Removal of the extracellular fluorescent dyes and gradual exposure of the myocytes to extracellular calcium was then performed with three centrifugation steps and re-suspension with 0.1, 0.6 and 1 mmol l–1 calcium buffer. A Photon Technologies International Deltascan spectrofluorimeter was used to detect dye fluorescence. Single, electrically paced, fura-2 loaded myocytes were alternately excited with UV light of 340 and 380 nm wavelengths and the emission wavelength at 510 nm detected. For measurements of pHi, single, electrically paced, BCECF-loaded myocytes were alternately excited with UV light of 440 nm and 490 nm wavelengths with the emission wavelength at 535 nm detected. To limit photobleaching, myocytes loaded with BCECF were exposed with excitation wavelengths of 10 s duration at 1 min intervals. While calcium transients were not calibrated, pHi was calibrated for each myocyte. The calibration procedure involved perfusing myocytes with high K+-nigericin calibration solutions of different pH (composition in mmol l–1: KCl 140, MgCl 1, HEPES 20, nigericin 0.01, made up to pH 6.8, 7.2 and 7.6 with NaOH). Linear regression of the fluorescence ratio versus the pH value of the calibration buffer determined the pHi of each cell. Nigericin was washed out with 100 ml 90% ethanol and 0.1 mol l–1 HCl followed by 100 ml hot water before the next myocyte was studied.
2.3 Whole cell L-type calcium current measurements
Myocytes were placed in a superfusion chamber pre-treated with laminin and superfused at 2 ml min–1, 32°C, using a physiological solution of the following composition (mmol l–1): NaCl 121.1, NaHCO3 14.5, NaH2PO4 1.2, MgSO4 1.2, D-glucose 11.1, HEPES 10, CaCl2 1.8. Myocytes were then patch clamped in the whole cell configuration, using a patch pipette (resistance 2–2.5 M
) filled with the following solution (mmol l–1): CsCl 110, EGTA 11, MgCl2 2, HEPES 10, K2ATP 5, CaCl2 1. Calcium current recordings were elicited by depolarising the cell every 20 s from a holding potential of –80 mV to 0 mV for 200 ms, and measured using an AXOPATCH 200A amplifier/pClamp6 software. Fast sodium currents were eliminated using a pre-pulse to –40 mV for 40 ms prior to the test pulse.
2.4 Protocols
In the cell shortening studies PGF2
was added cumulatively to the perfusate. The concentration was increased once cell shortening had reached a stable value following the previous drug addition. This normally took about 10 min. Therefore, when single concentrations were used in later studies to measure intracellular calcium, L-type calcium currents and pHi, a contact time of at least 10 min was usually used. In some experiments where PGF2
did not induce any change in intracellular free calcium, L-type calcium currents or cell shortening, either alone or in the presence of an inhibitor, noradrenaline or isoprenaline was added at the end of the experiment. This was done to check that the cells were capable of responding in the expected way to β-adrenergic stimulation, i.e. increases in cell shortening, calcium current and calcium transients. When the protein kinase C inhibitor, chelerythrine, was used it was added 10 min prior to the addition of PGF2
. The Na+–H+ exchange inhibitor, HOE 694, was added at the same time as PGF2
. Solvent controls were carried out as appropriate.
2.5 Drugs and enzymes
Collagenase Type II was supplied by Worthington, while protease Type XIV and laminin were obtained from Sigma. Stock solutions of the following chemicals were prepared and stored at –20°C. PGF2
tris salt (ICN Biomedicals, Thame) was dissolved in 3:1 ethanol:water. HOE 694 (gift from Dr. H.-J. Lang, Hoechst A.G., Germany) was prepared in saline. Chelerythrine chloride (Calbiochem, Nottingham) was dissolved in 1:4 dimethylsulphoxide:water. Nigericin (Sigma, Poole) was dissolved in 95% ethanol. Fura-2 AM and BCECF-AM (Calbiochem, Nottingham) were dissolved in anhydrous dimethylsulphoxide. These solutions were diluted to the appropriate concentrations in buffers when required.
2.6 Statistics
Results are expressed as mean±standard error of means for n number of experiments. All data were first analysed for homogeneity of variance with Bartlett's test for normal distribution. For analysis of parametric paired data, the paired Student's t-test was used, and Wilcoxon signed rank test was used for non-parametric data. Data between groups were analysed with either one way ANOVA (parametric data) or Mann Whitney U test (non-parametric data). A value of p<0.05 was considered significant.
| 3 Results |
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3.1 Effect of PGF2
on cell shortening of isolated myocytesPGF2
, over the range 3 nmol l–1 to 3 µmol l–1, increased cell shortening of myocytes in a concentration dependent manner (Fig. 1A). Basal cell length was reduced in a concentration dependent fashion (Fig. 1B). At these concentrations PGF2
did not affect the time to peak contraction, nor the time to 50% and 90% relaxation (data not shown). In fura-2 loaded myocytes, PGF2
(3 µmol l–1) increased the contractile amplitude by 40.4±10.7% (n=7). This value was not significantly different from that obtained with 3 µmol l–1 PGF2
in myocytes which were not loaded with fura-2 (39.6±3.4%, n=4, Fig. 1A).
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3.2 Effects of PGF2
on L-type calcium currentsIn ten cells, perfusion with 100 nmol l–1 PGF2
for 10 min had no significant effect on whole cell L-type calcium currents (Fig. 2). In three of these cells, isoprenaline (100 nmol l–1) was added at the end of the experiment in the continued presence of PGF2
. In all three cells, isoprenaline produced the expected increase in calcium current amplitude as shown in Fig. 2B. When a higher concentration of PGF2
(3 µmol l–1) was used, it was difficult to maintain a good seal with the patch pipette for the 10-min duration of drug application. However, prior to losing the seal PGF2
had no effect on the calcium current.
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3.3 Effects of PGF2
on intracellular calcium transients in fura-2 loaded myocytesAt a concentration which increased cell shortening, PGF2
(3 µmol l–1) did not increase the amplitude of the calcium transients, (control fura-2 340/380 ratio 0.66±0.09, compared with PGF2
0.71±0.1 units, n=9, p0.05), neither did it alter the basal fluorescence ratio of fura-2 loaded myocytes. Fig. 3 shows mean data for three cells which did not respond to PGF2
to which noradrenaline was subsequently added. It can be seen that these cells were capable of responding to noradrenaline (300 nmol l–1) with an increase in calcium transient amplitude. In these cells maximal amplitude of the fura-2 340/380 ratio, 100 seconds after noradrenaline addition, increased from 0.68±0.09 to 1.40±0.09 (n=3).
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3.4 Effect of PGF2
on myocyte pHiPGF2
(3 µmol l–1) increased the pHi of BCECF loaded myocytes by 0.08±0.01 pH units (Fig. 4Fig. 5A, n=5); this effect was reversible upon washout (Fig. 5A). This intracellular alkalosis occurred over a similar time course to the increase in cell shortening seen in the experiments described above (Fig. 4). In contrast, time matched vehicle control cells showed a slow decline in myocyte pHi (Fig. 5A).
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3.5 Effects of HOE 694 on pHi and cell shortening changes induced by PGF2

The addition of HOE 694 did not significantly affect basal pHi or cell shortening. However, when added at the same time as PGF2
, it produced a concentration-dependent inhibition of the PGF2
-induced increase in cell shortening (Fig. 5B). The PGF2
-induced alkalosis was also significantly attenuated by 10 µmol l–1 HOE 694 (Fig. 5A). In all myocytes tested, washout of the highest concentration of HOE 694 (10 µmol l–1) caused a marked increase in cell shortening that reversed within 30 min. This was paralleled by an increase in pHi (Fig. 5A). In four cells which did not respond to PGF2
in the presence of HOE 694 (10 µmol l–1), noradrenaline (300 nmol l–1) was added at the end of the experiment. In these cells, noradrenaline increased contractile amplitude to 213±46% of the baseline shortening value.
3.6 Effects of chelerythrine on PGF2
-induced changes in cell shortening and pHi
The PKC inhibitor, chelerythrine (2 µmol l–1), had no effect on basal pH or cell shortening, however, when it was added to the perfusate 10 min before PGF2
, it produced a significant attenuation of both the PGF2
-induced increase in intracellular alkalosis (Fig. 6A) and cell shortening (Fig. 6B). In the presence of chelerythrine, cells were still capable of responding to noradrenaline (300 nmol l–1) with an increase in cell shortening to 254±33% of the basal value (n=6).
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| 4 Discussion |
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We have confirmed earlier studies that PGF2
has a positive inotropic action in rat ventricular tissue. In addition we have presented data showing that PGF2
does not activate L-type calcium channels or increase intracellular levels of free calcium. However, the inotropic action of PGF2
is associated with an intracellular alkalosis and both effects are attenuated by chelerythrine, a PKC inhibitor, and by HOE 694, an inhibitor of the Na+–H+ exchanger.
Previous studies have presented conflicting data on the possible role of L-type calcium channel activation as a mediator of the positive inotropic action of PGF2
. Some of these differences may relate to species variation but, in these earlier studies, no direct measurement of L-type calcium currents was made. In our study, measurement of L-type calcium currents in rat ventricular myocytes showed that PGF2
(100 nmol l–1), which produced a marked positive inotropic action as measured by an increase in cell shortening, had no significant effect on calcium entry via L-type calcium channels. This concentration of PGF2
has also been shown to be at the higher end of the dose response range that increases the force of contraction of rat papillary muscles [5]and Langendorff perfused rat hearts [3]. The fact that a subsequent addition of isoprenaline to cells that had not responded to PGF2
was capable of increasing calcium current amplitude shows that calcium currents could be increased in a predictable manner in these cells. Therefore, the lack of a response to PGF2
is not due to the viability of the myocytes. The patch clamp studies were carried out using a submaximal inotropic concentration of PGF2
(100 nmol l–1), and it could be argued that higher concentrations of PGF2
might have increased calcium currents. However, we were unable to carry out experiments using higher concentrations of PGF2
because a good seal could not be maintained for the 10-min drug application in these experiments.
In contrast to our observations, Otani et al. [5]showed that PGF2
restored the contraction–relaxation cycle in rat papillary muscle that had been depolarised with 25 mmol l–1 potassium, and this was blocked by nifedipine, suggesting a role for L-type calcium channels in this response. It is difficult to reconcile these two observations as the concentration of nifedipine used by Otani et al., 100 nmol l–1, was not excessive and would be expected to be reasonably selective for calcium channels. However, in that paper there was a clear dissociation in the time to maximal inotropic action in control preparations and the time to restoration of contraction in depolarised preparations, which suggests that the mechanisms of these two effects may differ.
In addition to showing no effect of PGF2
on calcium currents, our fura-2 studies were also unable to detect any effect of PGF2
on basal levels of intracellular free calcium, or pacing- induced calcium transients. As the intracellular calcium transients are due to calcium-induced calcium release, this provides further evidence that PGF2
is not affecting calcium entry via the L-type calcium channels. If PGF2
did increase calcium influx via the L-type calcium channels, this would be expected to increase calcium release from the sarcoplasmic reticulum, and the calcium transients [31]. This did not occur. Despite this, these cells were capable of responding in a predictable way to the addition of noradrenaline with an increase in calcium transient amplitude, demonstrating their viability. In the fura-2 studies, it is possible that fura-2 could have been buffering any PGF2
-induced change in intracellular calcium. We feel this is unlikely because when cell shortening measurements were made using fura-2 loaded cells, the response of these cells to PGF2
was the same as in the absence of fura-2. Additionally, this lack of effect on the calcium transient amplitude is probably not due to the PGF2
-induced increase in intracellular pH of 0.08 units. Grynkiewicz et al. showed that changes in pH from 6.75 to 7.05 at a physiological calcium concentration had little effect on fura-2 signals [32], while Martinez-Zaguilan et al. reported that the effect of pH on fura-2 signals is minor when pH is more than 7.0 [33]. Therefore, in rat ventricular myocytes, the inotropic action of PGF2
does not appear to be mediated by an increase in intracellular free calcium concentration.
An early study by Metsa-Ketela showed that PGF2
increased 45Ca levels in rat atria [2]. However, in that study which compared the positive inotropic action of a number of prostaglandins, all of the prostaglandins produced similar increases in 45Ca despite having differing inotropic effects. In each case the prostaglandin concentration used was high (50 µmol l–1), and from that study, it was not possible to distinguish between effects on calcium influx and efflux from the tissue. The lipid nature of the prostaglandins, the high concentration used in these experiments, together with the dissociation between calcium accumulation and the inotropic response, suggest that these effects on calcium levels may be non-specific in nature. In another study using rat papillary muscle [5], PGF2
was shown to increase tissue levels of inositol 1,4,5-trisphosphate (IP3) and this might be expected to increase calcium release from the sarcoplasmic reticulum via stimulation of IP3 receptors. However, in this study the increased levels of IP3 did not correlate with the inotropic action of PGF2
, suggesting that the change in contractility was not directly related to IP3-induced calcium release. Also, although there is good evidence that IP3 receptor stimulation increases calcium release in smooth muscle [34], it does not appear to be an important mediator of calcium release in cardiac tissue [35–37]. Therefore our studies on L-type calcium channels and calcium transients show that PGF2
is unlikely to be affecting calcium entry and mobilisation in rat ventricular myocytes. The lack of effect on intracellular calcium indicates that the positive inotropic action of PGF2
could be due to sensitization of the contractile elements to calcium.
We have shown for the first time that PGF2
increases intracellular pH in cardiac myocytes. While PGF2
had no significant effect on calcium mobilisation, it did increase intracellular pH, and the change in pH paralleled its positive inotropic action. This increase in pHi of 0.08 units and change in myocyte shortening of 40% is similar to that induced by endothelin-1, which increases pHi by 0.08 units and cell shortening by 59% [38]. The inotropic action of angiotensin II is also associated with an intracellular alkalosis [25]. Fabiato and Fabiato have shown that an increase in intracellular pH is capable of increasing the sensitivity of contractile proteins to calcium [20].
The fact that a selective Na+–H+ exchange inhibitor, HOE 694 [27, 28], prevented the PGF2
-induced alkalosis and its inotropic action provides good evidence that the PGF2
-induced inotropic response is mediated via activation of the Na+–H+ exchanger and the intracellular alkalosis. This action of HOE 694 was not due to a non-specific inhibitory effect as cells were still capable of responding to β-adrenoceptor stimulation in a positive manner. The highest concentration of HOE 694 that we used was 10 µmol l–1, which is close to the concentration of 30 µmol l–1 reported to inhibit the Na+–H+ exchanger completely in cardiac myocytes [28]. Interestingly, although HOE 694 did not significantly affect basal pHi and cell shortening, there was a large increase in cell shortening when the drug was washed out. This also correlated with an increase in pHi. Under basal conditions in the absence of drugs, a gradual drift in pHi occurred. The reason for this is not clear, but this effect has also been reported by Sun et al. [39].
In addition to being inhibited by HOE 694, the effects of PGF2
on cell shortening and intracellular pH were attenuated by the PKC inhibitor, chelerythrine [29]. The concentration of chelerythrine used was 2 µmol l–1, about three times above the IC50 for PKC inhibition of 0.7 µmol l–1 [29]. However, at the concentration used, chelerythrine did not completely inhibit the effects of PGF2
and its effect was not as great as that of HOE 694. We did not wish to use a higher concentration of chelerythrine as we have shown that it can increase cell shortening on its own, and this would complicate interpretation of the data [40]. Although PKC has been shown to phosphorylate the Na+–H+ exchanger in other cell types [41], its ability to activate the cardiac Na+–H+ exchanger is controversial, and is likely to be indirect [26, 42, 43]. PGF2
may be using a similar signalling pathway to mediate its positive inotropic action.
Therefore, our data provide evidence that the positive inotropic action of PGF2
in rat cardiac myocytes is not due to calcium mobilisation, but it is due to activation of the Na+–H+ exchanger and an intracellular alkalosis, and that this alters the sensitivity of the contractile proteins to calcium. The partial inhibition of the inotropic response by a concentration of chelerythrine which would be expected to produce a good inhibition of PKC makes it difficult to draw firm conclusions on the precise role of PKC in this response, also, our studies do not indicate which isoform(s) of PKC may be involved and they do not rule out a role for other intracellular signalling mechanisms. However, the fact that HOE 694 completely inhibited the inotropic action of PGF2
indicates that activation of the Na+–H+ exchanger is a major factor in this response.
Time for primary review 16 days.
| Acknowledgements |
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S.F. Yew is funded by Universiti Kebangsaan Malaysia. K.A. Reeves is funded by the British Heart Foundation.
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, n=6) in rat ventricular myocytes. (B) A typical example of L-type calcium currents in a cell which did not respond to PGF2

n=7) and intracellular pH (
n=5).
); HOE 10 µmol l–1 plus PGF2
). Solid bar represents duration of drug administration. * p<0.05 significant differences comparing data with and without PGF2