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CARDIOVASCULAR |
1 Department of Ophthalmology & Visual Sciences
2 Department of Molecular & Integrative Physiology, University of Michigan, Ann Arbor, MI 48105, USA
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Abstract |
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(Received 7 February 2006;
accepted after revision 30 March 2006;
first published online 31 March 2006)
Corresponding author D. G. Puro: Department of Ophthalmology and Visual Sciences, University of Michigan, 1000 Wall Street, Ann Arbor, MI 48105, USA. Email: dgpuro{at}umich.edu
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Introduction |
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While nearly all tissues have pericyte-containing microvessels, the function of this component of the circulatory system may be particularly important in the retina where a low capillary density minimizes interference with the passage of light, but leaves little functional reserve (Funk, 1997). Hence, a tight functional link between local perfusion and metabolic demand is especially critical in the retina. As an adaptive consequence, the retinal vasculature is highly specialized to enhance the local control of blood flow. For example, it lacks autonomic input (Ye et al. 1990), which in other vascular beds provides extrinsic CNS regulation. Also, the presence of endothelial tight junctions limits exposure of contractile mural cells to circulating vasoactive molecules. In addition, it is likely that the decentralized control of capillary perfusion is facilitated by the microvasculature of the retina having a higher density of pericytes than that of any other tissue (Shepro & Morel, 1993). Because of its specializations for enhancing the local control of capillary perfusion, the vasculature of the retina is especially useful for assessing hypotheses concerning the function of pericyte-containing microvessels. An experimental advantage of studying retinal microvessels is the ability to isolate viable microvascular complexes and to use techniques, such as patch-clamp recording, to analyse pericytes as components of a multicellular functional unit (Kawamura et al. 2003; Yamanishi et al. 2006; Wu et al. 2006; Yamanishi et al. 2006).
In this study using perforated-patch pipettes sealed onto the pericytes of freshly isolated retinal microvessels, we analysed inwardly rectifying potassium (KIR) currents. Although knowledge of the function of KIR channels in pericyte-containing microvessels is limited, there is substantial evidence from studies of smooth muscle-encircled vessels that these channels are important in the functioning of the circulatory system (Zaritsky et al. 2000; Chrissobolis & Sobey, 2003). For example, KIR channels can regulate basal vascular tone by influencing the resting membrane potential and thereby the contractility of vascular myocytes (Edwards et al. 1988; Quayle et al. 1993). Also, because extracellular potassium levels rise when there is a mismatch between local perfusion and the demand for nutrients and oxygen, the unique ability of KIR channels to increase their efflux of K+ as the extracellular potassium concentration rises provides a mechanism for linking blood flow to metabolic need. In a variety of vascular beds, the mural cell hyperpolarization and relaxation induced by a potassium-induced K+ efflux from KIR channels is likely to underlie the phenomenon of metabolic vasodilatation (Edwards et al. 1988; Quayle et al. 1996; Zaritsky et al. 2000).
In addition to studying KIR currents in retinal microvessels isolated from normal rats, we also monitored the ionic currents of pericytes located on microvessels from diabetic retinas. The effect of diabetes on the pericyte-containing retinal microvasculature is of keen interest because a key feature of diabetic retinopathy is the dysfunction and ultimately the death of microvascular cells (Mizutani et al. 1996; He & King, 2004). A working hypothesis of our study is that changes in the function of microvascular KIR channels may contribute to the dysregulation of retinal blood flow observed early in the course of diabetes.
Here, we report that there is a topographical heterogeneity of KIR channels in the pericyte-containing microvasculature of the normal retina. In the distal portion of these microvessels, the KIR current shows strong inward rectification, i.e. there is relatively little outward current. In contrast, the KIR current detected at proximal sites is weakly rectifying and has a smaller inward conductance. However, soon after the onset of streptozotocin-induced diabetes, these physiological differences diminish as the rectification and the inward conductance of proximal KIR current increase. Suggestive of a role for polyamines, we observed similar effects on the physiology of KIR currents in microvessels exposed to spermine, whose concentration is elevated in the vitreous of the diabetic eye (Nicoletti et al. 2003).
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Methods |
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Experimental model of diabetes
After an overnight fast, 4- to 5-week-old Long-Evans rats received an intraperitoneal injection of streptozotocin (STZ, 150 mg kg–1) diluted in 0.8 ml citrate buffer. Immediately prior to the harvesting of the retinal microvessels, the blood glucose level was 427 ± 25 mg dl–1 (n = 11).
Microvessel isolation
Non-diabetic and diabetic rats (6–14 weeks old) were killed with a rising concentration of carbon dioxide. Retinas were rapidly removed, cut into quadrants and then incubated for 25–30 min at 30°C in 2.5 ml Earle's balanced salt solution supplemented with 0.5 mM EDTA, 20 mM glucose, 6 U papain (Worthington Biochemicals, Freehold, NJ, USA) and 2 mM cysteine; to maintain pH and oxygenation, 95% oxygen–5% carbon dioxide was bubbled into this solution. Subsequently, retinas were transferred to solution A, which consisted of 140 mM NaCl, 3 mM KCl, 1.8 mM CaCl2, 0.8 mM MgCl2, 10 mM Na-Hepes, 15 mM mannitol, and 5 mM glucose at pH 7.4 with osmolarity adjusted to 310 mosmol 1–1. Each piece of retina was then gently sandwiched between two glass coverslips (15 mm diameter, Warner Instrument Corp., Hamden, CT, USA). Retinal vessels adhered to the coverslip contacting the vitreal side of the retina.
Figure 1 shows a photomicrograph of a freshly isolated retinal microvascular complex. Cell viability is very high in microvessels isolated by this technique (Kodama et al. 2001; Sugiyama et al. 2004, 2005). Also, as demonstrated in time-lapse videos that supplement previous publications (Kawamura et al. 2003, 2004; Wu et al. 2003; Yamanishi et al. 2006), pericytes located on the isolated retinal microvessels show contractile responses to a variety of putative vasoactive signals.
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The perforated-patch configuration of the patch-clamp technique was used to monitor currents in pericytes located on freshly isolated microvessels. Experiments were performed at room temperature (22–24°C) on microvessels that had been isolated within 5 h. A coverslip containing microvessels was placed in a recording chamber (volume, 1 ml), which was perfused (
1.5 ml min–1) with solutions from a gravity-fed system using multiple reservoirs. Solution A was the initial perfusate. Subsequently, we used other perfusates (Table 1), which were designed so that the concentration of potassium could be varied while the sodium and chloride concentrations, as well at the pH and osmolarity, were essentially unchanged. After adjustment of the pH to 7.4 with NaOH, the osmolarity of each perfusate was 310 mosmol 1–1, as measured by a vapour pressure osmometer (Wescor, Inc., Logan, UT, USA).
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In this study, a recording site was classified as being at a proximal location when there were at least six other pericyte somas located within 50 µm of the sampled pericyte, i.e. seven or more pericytes within a 100 µm segment in which the sampled pericyte was centrally positioned. A site was classified as distal if there were three or fewer other pericytes within 50 µm of the patch-clamped mural cell. Pericyte density, rather than the distance from an upstream arteriole, provided a useful parameter for classifying a recording site as being in the proximal or distal portion of the pericyte-containing microvasculature because isolated microvessels were not uncommonly detached from arterioles. More specifically, for the experiments reported here, 37% (n = 27) of the sampled proximal pericytes were located within an exclusively proximal microvascular segment; 68% (n = 22) of the sampled distal pericytes were located within exclusively distal segments. The proximal/distal criteria cited above also applied for the classification of sites within microvessels isolated from diabetic rats. We did not systematically record from intermediate locations in which the density of pericytes was 3–7 per 100 µm segment. After completion of each electrophysiological recording, the sampled microvessel was photographed; this permitted subsequent independent assessment of the density of pericytes, and thereby the microvascular location, i.e. proximal or distal, of the recording.
The recording pipette solution consisted of 50 mM KCl, 65 mM K2SO4, 6 mM MgCl2, 10 mM K-Hepes, 60 µg ml–1 amphotericin B and 60 µg ml–1 nystatin at pH 7.4 with the osmolarity adjusted to 280 mosmol l–1. The pipettes, which had resistances of 5 M
, were mounted in the holder of a patch-clamp amplifier (Axopatch 200B, Axon Instruments, Union City, CA, USA); seals of 
10 G were made to the cell bodies of pericytes. As amphotericin–nystatin perforated the patch of membrane, the access resistance to the pericytes studied decreased to less than 25 M. Currents were filtered with a four-pole Bessel filter, digitally sampled using a DigiData 1200B acquisition system (Axon Instruments) and stored by a computer equipped with pCLAMP (version 8.2, Axon Instruments) and Origin (Version 7, OriginLab, Northampton, MA, USA) software for data analysis and graphics display.
Due to the presence of gap junction pathways in retinal microvessels (Oku et al. 2001; Wu et al. 2006), the currents detected by a perforated-patch pipette sealed onto a pericyte include not only those generated in the sampled pericyte, but also currents transmitted electrotonically from neighbouring vascular cells. Based on recordings made in the absence and presence of gap junction uncouplers, such as heptanol (Wu et al. 2006), octanol (Kawamura et al. 2002) and Gap-27 (S. Yamanishi and D. G. Puro, unpublished observations), it appears that approximately 95% of the current monitored via a perforated-patch pipette is generated by the microvascular neighbours of the sampled cell. Although space clamp would be more controlled in short microvessels, we recorded from pericytes located on microvessels of > 300 µm in length because of the frequent occurrence of low membrane potentials and unstable recordings in shorter microvascular fragments. In fact, 50% of our recordings were from pericytes located on branching microvascular complexes that extended for > 1 mm. However, as documented elsewhere (Sakagami et al. 1999; Li & Puro, 2001), the reversal potentials for conductances generated by potassium, chloride and non-specific cation channels in isolated retinal microvascular complexes closely match the calculated equilibrium potentials for these ions. Thus, it appears that the voltage within a microvessel can be clamped reasonably well at the sites containing the bulk of the ion channels contributing to the current detected in a sampled pericyte.
In order to determine current–voltage relations, currents were evoked by voltage steps controlled with pCLAMP software and measured as described previously (Sakagami et al. 1999). The zero-current potential was defined as the membrane potential. Adjustment for the calculated liquid junction potential (Barry, 1994) was made after data collection. Unless noted otherwise, the amplitude of the inward current at –50 mV from the potassium equilibrium potential (EK) was used to calculate the inward KIR conductance. Inward rectification was quantified by determining the rectification quotient, which was the absolute value of the ratio of the amplitude of the current at a voltage –50 mV from EK to the amplitude of the outward current at +50 mV to EK.
To calculate the current densities plotted in Figs 3A and 5, we used the method of Zhao & Santos-Sacchi (1998) to determine the membrane capacitance from the transient charge induced by a 10 mV hyperpolarization from a holding potential of –58 mV; pCLAMP software facilitated calculation of the area under the decaying capacitive current, i.e. the charge moved. The membrane capacitances used to calculate the current densities are in the legends of Figs 3A and 5. Under the various experimental conditions used in this study, there was no significant (P > 0.3) difference in the membrane capacitance determined from recordings of proximal versus distal pericytes. Also, there was no significant effect (P > 0.3) of barium, spermine, quercetin or diabetes on the membrane capacitance. On the other hand, the membrane capacitance measured during the perfusion of solution D (97.5 mM K+) was significantly (P < 0.001) smaller; the cause for this effect is uncertain, but is likely to be due to voltage-dependent effects on the gap junction pathways that are extensive in the pericyte-containing microvasculature of the retina (Oku et al. 2001). In this investigation, we often studied KIR currents in solution D (97.5 mM K+) whose effect on the recorded membrane capacitance most likely reflects a decrease in the number of microvascular cells under voltage clamp; as a consequence, the monitored ionic currents in this solution facilitated our making of comparisons between the KIR conductances generated at proximal versus distal locations within the retinal microvasculature.
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Unless otherwise noted, chemicals were obtained from Sigma (St Louis, MO, USA).
Statistics and data analysis
Data are given as means ± S.E.M. Probability was evaluated by Student's t test. In Figs 2B and 4B, Origin software was used to generate the fits using the logistical equation, y = A2 + (A1 – A2)/[1 + (x/xo)p], where xo is the centre; p is the power: A1 is the initial Y value, and A2 is the final Y value.
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Results |
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To test the hypothesis that functional KIR channels are expressed in the pericyte-containing microvasculature of the retina, we used the perforated-patch technique to monitor ionic currents in pericytes located on freshly isolated retinal microvessels. In order to identify inwardly rectifying potassium (KIR) currents, we determined the current–voltage (I–V) relations in the absence and presence of various concentrations of barium, which blocks KIR channels (Hille, 2001). In recordings from pericytes located in the distal portion of the retinal microvasculature (see Methods for criteria used to define distal and proximal sites), we observed that a strongly inwardly rectifying current was inhibited by barium in a dose-dependent manner with a half-maximally effective concentration of 10 µM (Fig. 2).
To further characterize the barium-sensitive current, we assessed the effect of various concentrations of extracellular potassium on the I–V relations of this conductance. Figure 3A summarizes our experiments using perfusates containing 3 mM (solution B), 10 mM (solution C) or 97.5 mM (solution D) potassium; these solutions were designed so that their sodium and chloride concentrations, as well as osmolarity and pH, were essentially the same (Table 1). As predicted for a potassium-selective current, the reversal potential of the inwardly rectifying barium-sensitive current closely matched the equilibrium potential for potassium (EK). As is evident in Fig. 3A, the KIR conductance increased as the extracellular potassium concentration was increased. One consequence of the K+-dependent gating of KIR channels is that an increase in [K+]o induces an hyperpolarizing efflux of K+. Consistent with this phenomenon, switching the perfusate from solution B (3 mM K+) to solution C (10 mM K+) caused the pericyte membrane potential to increase (Fig. 3A). In a series of experiments, this 7 mM increase in the concentration of potassium caused distal pericytes to hyperpolarize significantly (P = 0.001, n = 12), from –36 ± 2 mV to –50 ± 4 mV. Indicative of the importance of the barium-sensitive conductance, 2 mM barium prevented (P < 0.001; n = 4) this K+-induced hyperpolarization.
The proximal KIR current
In addition to recording from pericytes located at distal sites within the retinal microvasculature, we also monitored the ionic currents of proximal pericytes. As illustrated in Fig. 4A, we detected a barium-sensitive current at proximal sites. For this proximal current, the half-maximally effective inhibitory concentration of barium was 8 µM (Fig. 4B). Consistent with this barium-sensitive current being generated by potassium channels, its reversal potential was close to EK over a range of potassium concentrations (Fig. 5). As with the distal KIR current, the conductance of the barium-sensitive current recorded from proximal pericytes increased with increasing potassium concentration in the perfusate (Fig. 5, inset).
We observed that raising the barium concentration from 100 µM to 2 mM caused only an additional 3.1 ± 2.5% (n = 7) inhibition of the inward current measured at –50 mV from EK and a 0 ± 3.1% (n = 7) change in the outward current measured at +50 mV from EK. Because some non-KIR channels, such as ATP-sensitive K+ channels and delayed rectifying K+ channels (Hille, 2001) are sensitive to relatively high concentrations of barium, the minimal effects of > 100 µM Ba2+ indicate that this divalent cation, even at 2 mM, blocked essentially only KIR channels in the retinal microvasculature. Thus, in studies of isolated pericyte-containing retinal microvessels, it appears reasonable to use 2 mM Ba2+ to ensure that there is a complete block of KIR channels over a wide range of voltages.
Although we detected barium-sensitive currents at both proximal and distal sites within the pericyte-containing retinal microvasculature, we found that the current recorded from pericytes located at proximal differed from that detected at distal sites. As summarized in the inset of Fig. 5, the density of the proximal and distal KIR currents differed significantly (P < 0.05) at each of the potassium concentrations tested. Over a wide range of potassium concentrations, the inward component of the proximal barium-sensitive current was smaller. On the other hand, the distal KIR conductance showed significantly (P < 0.001) greater inward rectification; the rectification quotients (see Methods) were 3.8 ± 0.5 (n = 10) and 0.9 ± 0.2 (n = 7) for distal and proximal KIR currents, respectively.
Consistent with proximal KIR channels being more weakly rectifying and thereby having a greater basal efflux of K+, the membrane potential of proximal pericytes was significantly (P = 0.004) more negative than the resting voltage of the distal pericytes; namely, the membrane potentials in solution A (3 mM K+) were –45 ± 2 mV (n = 27) and –35 ± 2 mV (n = 22) for proximal and distal pericytes, respectively. Based on our perforated-patch recordings, we concluded that there is a topographical heterogeneity of the barium-sensitive currents in the pericyte-containing retinal microvasculature; at proximal sites, the KIR current is relatively weakly rectifying and has a smaller inward conductance.
Shared features of the proximal and distal KIR conductances
Despite the differences in the strength of rectification and the size of the inward conductance, we observed that the proximal and distal KIR currents share some common physiological features. For example, they have similar sensitivities to barium, i.e. the IC50 was 10 µM and 8 µM for the distal and proximal currents, respectively (Figs 2B and 4B). Also, similar to the distal KIR current, the conductance of the proximal KIR current increased as the extracellular potassium concentration increased (Fig. 5). In addition, consistent with the hyperpolarizing effect of a K+-induced increase in K+ efflux from proximal KIR channels, switching the perfusate from solution B (3 mM K+) to solution C (10 mM K+) caused the membrane potential of proximally located pericytes to increase significantly (P < 0.001, n = 12), from –45 ± 2 mV to –59 ± 2 mV. Indicative of the role of the barium-sensitive conductance, this potassium-induced hyperpolarization of proximal pericytes was blocked (P < 0.001; n = 4) by 2 mM barium. As noted, a 7 mM rise in the potassium concentration also caused a 14 mV hyperpolarization of distal pericytes. Thus, the KIR currents of the proximal and distal portions of the pericyte-containing retinal microvasculature share a number of physiological similarities.
Proximal KIR currents and distal membrane potentials
In a recent study of the electrotonic architecture of pericyte-containing retinal microvessels, we demonstrated that locally generated voltage changes spread via gap junction pathways to distant sites in a microvascular complex (Wu et al. 2006). Based on the findings of the present study, we hypothesized that the hyperpolarization generated by K+ effluxing via weakly rectifying proximal KIR channels should have a widespread influence on the membrane potentials of microvascular cells. To begin to assess this hypothesis, we compared the resting membrane potentials of pericytes that were either located on large microvascular complexes that included both proximal and distal regions or were on small microvascular segments that included only proximal or distal regions. We found that in isolated proximal segments, the pericyte voltage was –44 ± 3 mV (n = 10; in solution A). In contrast, the membrane potential of the pericytes on isolated distal segments was –32 ± 3 mV (n = 13); this was a significant (P = 0.011) difference. However, in large microvascular complexes the pericyte membrane potentials were –46 ± 3 mV (n = 10) and –41 ± 2 mV (n = 8: P = 0.2) at proximal and distal sites, respectively. These observations indicate that the hyperpolarization generated by K+ effluxing through weakly rectifying proximal KIR channels spreads electrotonically to distal sites in the pericyte-containing retinal microvasculature. Thus, we predict that in vivo membrane potentials throughout much of a microvascular complex are not significantly different when gap junctions are opened. However, when extracellular ATP, angiotensin II or endothelin-1 inhibit cell-to-cell communication within retinal microvessels (Kawamura et al. 2002, 2003, 2004), the electrotonic transmission of voltage would be minimized, and as a consequence, we postulate that the proximal/distal disparity in KIR-generated hyperpolarization would be manifested.
KIR currents in diabetic microvessels
In addition to recording KIR currents in microvessels of the normal retina, we also obtained perforated-patch recordings from pericytes located on retinal microvessels of diabetic rats. Our working hypothesis was that diabetes, which is known to cause dysregulation of retinal blood flow, alters the activity of microvascular KIR channels. To begin to test this possibility, we analysed the barium-sensitive currents in microvessels freshly isolated from the retinas of rats that had been made diabetic by streptozotocin for up to 4 months. Of importance, our pericyte density criteria used to classify microvascular sites as proximal or distal was unaffected by 
4 months of experimental diabetes; this was consistent with in vivo studies showing that the loss of retinal pericytes is minimal during this early period after the onset of experimental diabetes (Tilton et al. 1986; Mizutani et al. 1996).
In electrophysiological experiments (Fig. 6), we found that 60 ± 8 days (n = 5) of diabetes resulted in a significant (P < 0.001) increase in KIR rectification; the rectification quotients of the proximal KIR current in diabetic and non-diabetic microvessels were 11.3 ± 0.9 (n = 5) and 0.9 ± 0.2 (n = 7). In addition, there was a significant (P < 0.001) increase in the inward conductance of the KIR current recorded in pericytes located in the proximal portion of diabetic retinal microvessels. In contrast to the diabetes-induced change in the proximal KIR currents, we did not detect an effect of diabetes on the KIR current recorded from distal pericytes (Fig. 6, inset). In addition, suggestive that diabetes predominantly affects KIR channels and not other channel types, recordings from proximal pericytes showed that diabetes did not significantly (P = 0.6; n = 5) alter the conductance that was insensitive to barium. Thus, based on our perforated-patch recordings, we concluded that diabetes affects KIR channels in the proximal portion of the pericyte-containing retinal microvasculature.
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Role of spermine in diabetic microvessels
By what mechanism does diabetes affect proximal KIR channels? We considered the possibility that spermine plays a role. This polyamine was of interest because its concentration is increased in the diabetic eye (Nicoletti et al. 2003) and it is known to regulate KIR channel function (Lopatin et al. 1994; Xie et al. 2005). To begin to assess the possible role of spermine, microvessels isolated from the retinas of non-diabetic rats were exposed to this polyamine. Our recordings from proximally located pericytes showed that exposure to spermine (5 mM) significantly (P = 0.003) increased the rectification of the KIR current; specifically the rectification quotient increased from 0.9 ± 0.2 (n = 7) to 6.4 ± 0.7 (n = 4). In addition, exposure to spermine was associated with a significant (P = 0.022) increase in the inward conductance of the barium-sensitive current (Fig. 7A). These changes were induced within 15 min of the onset of spermine exposure and reversed within 20 min of the washout of this polyamine. We also found that the resting membrane potential of proximal pericytes exposed to 5 mM spermine was –36 ± 3 mV (n = 6) in solution A (3 mM K+). This was significantly (P = 0.004) less that the –45 ± 2 mV (n = 27) voltage of pericytes in microvessels perfused with solution A without spermine. The spermine-induced depolarization of proximal pericytes is consistent with this polyamine inhibiting the outward KIR current at physiological concentrations of extracellular K+. From our experiments using spermine, we concluded that the effects of this polyamine on the proximal KIR current were qualitatively similar to those of diabetes.
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-difluoromethylornithine (DFMO, 5 mM in solution A), which reduces polyamine synthesis by inhibiting ornithine decarboxylase (ODC). In this series of experiments, we exposed diabetic microvessels to solution A without or with DFMO for 4–5 h at 37°C or overnight at room temperature. As shown in Fig. 7B, the proximal KIR current in the DFMO-treated diabetic microvessels showed weaker rectification (P
= 0.001) and a smaller inward conductance (P
= 0.009). Specifically, we found that in solution D, DFMO significantly (P
= 0.0071) decreased the rectification quotient from 11.7 ± 2.3 (n
= 8; 86 ± 12 days of diabetes) to 0.9 ± 0.4 (n
= 4; 88 ± 9 days of diabetes); DFMO also decreased the inward conductance by 66 ± 6% (P
= 0.007). Importantly, we also observed that as compared with diabetic microvessels assayed within 5 h of isolation from the retina, microvessels maintained in solution A for up to 20 h (n
= 4) did not have a significantly different inward conductance (P
= 0.2) or rectification quotient (P
= 0.8) when subsequently assayed in solution D. Thus, DFMO reversed the effects of diabetes on the proximal KIR current. Consistent with DFMO causing an increase in the outward KIR current at physiological concentrations of extracellular K+, the resting membrane potential in solution A (3 mM K+) of pericytes located on the proximal portion of the DFMO-treated diabetic microvessels was –47 ± 2 mV (n
= 5), which was significantly (P
= 0.002) more negative that the –39 ± 1 mV (n
= 8) voltage of proximal pericytes located on diabetic microvessels (86 ± 12 days post-streptozotocin injection) that had not been exposed to this ODC inhibitor. Also of interest, the membrane potential of proximal pericytes in DFMO-treated diabetic microvessels (–47 ± 2 mV; n
= 5) was not significantly (P
= 0.5) different from the voltage of pericytes in the non-diabetic microvessels (–45 ± 2 mV; n
= 27). In conclusion, the experiments in which normal microvessels were exposed to spermine and diabetic microvessels were treated with DFMO provided evidence to support the hypothesis that spermine mediates the effects of diabetes on the KIR channels of the proximal pericyte-containing retinal microvasculature. How does exposure to extracellular spermine alter microvascular KIR channel function? Not only is it well established that the direct interaction of spermine with the intracellular portion of KIR channels blocks K+ efflux (Lopatin et al. 1994), but it is also likely that intracellular spermine interacts with phosphatidylinositol 4,5-bisphosphate (PIP2) whose binding to these channels enhances KIR channel activity (Xie et al. 2005). Because these actions occur intracellularly, it seems likely that the spermine in our perfusate must enter microvascular cells in order to regulate the KIR channel function. However, in this study we were unable to assess spermine uptake due to the lack of specific inhibitors of hemi-junctions and polyamine transporters, which provide pathways for spermine influx (Gilad & Gilad, 1991; Cullis et al. 1999; Enkvetchakul et al. 2003). On the other hand, we were able to begin to test the possibility that PIP2 plays a role in mediating the spermine-induced increase in the inward conductance of the proximal KIR current. As illustrated in the inset of Fig. 7A, we found that spermine did not augment the proximal inward conductance when non-diabetic microvessels were exposed for 4–15 min to quercetin (100 µM), which is an inhibitor of PIP2 synthesis (Walker et al. 2000). In addition to quercetin blocking this effect of spermine in the 97.5 mM K+ solution (solution D), we also observed that in a 3 mM K+ perfusate (solution A), the spermine-induced augmentation of the inward KIR conductance detected in proximal pericytes was eliminated (P < 0.001) when microvessels were exposed to quercetin (n = 6). In contrast to quercetin's inhibition of the ability of spermine to increase the inward KIR current, the PIP2 inhibitor did not prevent this polyamine from increasing the rectification of the proximal KIR current (Fig. 7A, inset). This observation is consistent with PIP2 not being involved with spermine's direct block of K+ effluxing through KIR channels. Thus, our experiments indicate that spermine affects microvascular KIR channels by two mechanisms, only one of which is blocked by quercetin.
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Discussion |
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Although there are few studies of KIR currents in pericyte-containing microvessels, there is substantial evidence from studies of larger vessels that KIR channels are important in the circulatory system. For example, in arterioles from a variety of tissues, the K+-dependent gating of KIR channels plays a significant role in mediating a vasodilatory response to a rise in the extracellular potassium concentration. Abluminal myocytes relax as K+ effluxing from KIR channels causes their membrane potentials to rise, their voltage-dependent calcium channels to close and subsequently their intracellular concentration of calcium to fall (Chrissobolis & Sobey, 2003). Similarly, we observed in retinal microvessels that raising extracellular K+ from 3 to 10 mM increased the outward KIR current and induced a barium-sensitive hyperpolarization of pericytes. Thus, vessels ensheathed by pericytes, as well as those encircled by smooth muscle cells, are responsive to metabolic conditions that cause [K+]o to rise.
This study also suggests that there are similarities in the functional organization of the pericyte-containing and the smooth muscle-encircled vasculatures. For example, similar to our observation that the inward KIR conductance is greater at distal sites within pericyte-containing microvessels, studies of coronary and renal arteries indicate that the inward KIR conductance is larger in the smaller diameter, distal portions of these vessels (Quayle et al. 1996; Chilton & Loutzenhiser, 2001). In addition to this topographical heterogeneity, the KIR currents of at least some arterioles also are heterogeneous with respect to their strength of rectification. Specifically, the KIR current recorded in cerebral arterioles is strongly rectifying at proximal sites, but weakly rectifying at distal locations (Edwards et al. 1988). In our study, we also found a topographical heterogeneity, although in the retinal microvasculature the proximal KIR current is weakly rectifying and the distal current is strongly rectifying.
Topological differences in the rectification of KIR channels almost certainly have functional consequences. For example, the basal hyperpolarizing effect of K+ effluxing through weakly rectifying KIR channels should diminish the voltage change and the contractile response induced by vasoactive signals. Conversely, the minimal efflux of K+ via strongly rectifying KIR channels would provide little hyperpolarization to counterbalance an induced depolarization. Based on these considerations, we postulate that the distal portion of the pericyte-containing retinal microvasculature is more responsive to depolarizing inputs than its proximal counterpart. In this way, the topographical heterogeneity of microvascular KIR channels in retinal microvessels may facilitate the decentralized control of capillary perfusion in the retina.
What are the consequences of diabetes causing the proximal KIR current in the retinal microvasculature to become similar to the distal KIR current? One predicted effect of a diabetes-induced enhancement of rectification and the consequent reduction in K+ efflux via proximally located KIR channels is a lowering of the resting membrane potential of proximal pericytes. In agreement with this prediction, the voltage of proximal pericytes in retinal microvessels of rats that had been diabetic for approximately 2 months was 7 ± 1 mV less negative (P = 0.004) than the membrane potential of proximal pericytes on non-diabetic microvessels. Although it remains to be demonstrated, this depolarization and the resulting increase in contractile tone may play a role in the decrease in microvascular perfusion observed early in the course of diabetes (Grunwald, 1996). In addition, vasoconstriction in the diabetic retina may be increased as the diabetes-induced decrease in K+ efflux via proximal KIR channels enhances the effectiveness of depolarizing stimuli, such as endothelin-1, which is up-regulated in the diabetic retina (Takagi et al. 1996; Chakravarthy et al. 1997). Also, because the activity of KIR channels is reported to be linked with the proliferation of vascular cells (Karkanis et al. 2003), a speculative possibility is that the diabetes-induced change in KIR channel function plays a role in retinal neovascularization, which is a major diabetic complication.
By what mechanism does diabetes alter the proximal KIR current in pericyte-containing retinal microvessels? Our experiments suggest that a role may be played by spermine whose concentration is elevated in the vitreous of diabetics (Nicoletti et al. 2003). For example, we found that this polyamine qualitatively mimicked the effects of diabetes, i.e. it induced greater rectification and increased the inward conductance of the proximal KIR current. In addition, exposure of diabetic microvessels to an inhibitor of polyamine synthesis reversed the diabetes-induced changes in the proximal KIR current. Although future studies are needed to elucidate the mechanisms by which spermine regulates KIR channels in the retinal microvasculature, the observed spermine-induced decrease in outward KIR current is consistent with classic studies showing that this polyamine directly interacts with the cytoplasmic side of KIR channels to block the efflux of K+ (Lopatin et al. 1994). On the other hand, less is known about how spermine would increase the inward KIR conductance in retinal microvessels. However, evidence is accumulating that a spermine-induced activation of KIR channels is mediated by PIP2 whose binding to these channels increases K+ flux (Zhang et al. 1999). In a number of cell types, a link between this polyamine and PIP2 is that the synthesis of this phospholipid can be increased by spermine (Coburn et al. 2002). Another association between spermine and PIP2 is the recent demonstration that the binding of PIP2 to a KIR channel is enhanced by this polyamine (Xie et al. 2005). Taken together, spermine's dual effects on KIR channels, i.e. blocking K+ efflux and increasing channel activation, suggest the parsimonious scenario in which this polyamine induces functional changes in the KIR channels of the proximal microvasculature. Perhaps, topological differences in spermine levels account for the proximal/distal heterogeneity of KIR channel function in the retinal microvasculature. On the other hand, our experimental findings do not exclude an alternative possibility in which exposure to spermine results in a switch in the type of KIR channel expressed in the proximal portion of the retina's pericyte-containing microvasculature.
Our analysis of KIR currents is based on experiments using freshly isolated microvessels. One advantage of studying isolated microvessels is that the patch-clamp technique can be used to monitor the ionic currents of pericytes. At present, this electrophysiological technique has not been successfully applied to the analysis of pericyte-containing microvessels in situ. An additional experimental advantage of isolated microvessels is the ability to study the effects of spermine, potassium and barium without confounding effects mediated by non-vascular cells. In future studies, freshly isolated microvessels may permit analyses to determine which types of KIR channels are expressed at various sites in normal, diabetic and spermine-treated microvessels. However, despite advantages, caution must be exercised when making conclusions based on the study of isolated vessels. For example, the microvessels used in this study were not internally perfused and, thus, the possible effects of blood flow on the function of KIR channels were not assessed. In addition, until studies are done on retinal microvessels in situ, we cannot exclude the possibility that our procedure for isolating microvessels alters the function of KIR channels. However, despite caveats, our experimental preparation has facilitated the detection of a topographical heterogeneity of KIR currents and has also led to the recognition that diabetes alters the physiological characteristics of these currents.
In summary, we report that the KIR current detected in the proximal portion of the pericyte-containing retinal microvasculature is weakly rectifying. In contrast, the distal KIR current is strongly rectifying and has a greater inward conductance. However, early in the course of diabetes, these functional differences wane as the physiology of the proximal KIR current becomes similar to that of the distal KIR current. We also found that these diabetes-induced changes in the proximal KIR current were mimicked by spermine whose concentration is likely to be elevated in the diabetic retina. In addition, our experimental observations raise the possibility that vascular dysfunction in the diabetic retina may, in part, be caused by functional changes in KIR channels of the pericyte-containing microvasculature.
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) to 10 mM (solution C; 
) on the I–V relations of a distal pericyte.
, n
= 5). Recordings were in solution D (97.5 mM K+). Inset, I–V plots for the barium-sensitive currents recorded in solution D at distal sites in microvessels from non-diabetic rats (
, n
= 2); this duration of diabetes was not significantly (P
= 0.5) different from that of the ‘60 day’ group.