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1 Department of Physiology, H9c2 is a clonal myogenic cell line derived
from embryonic rat ventricle that can serve as a surrogate for cardiac
or skeletal muscle in vitro. Using whole cell clamp with H9c2 myotubes,
we observed that depolarizing pulses activated slow outward
K+ currents and then slow tail
currents. The K+ currents were
abolished in a Ca2+-free external
solution, indicating that they were
Ca2+-activated
K+ currents. They were
blocked by apamin, a small-conductance
Ca2+-activated
K+ (SK) channel antagonist
(IC50 = 6.2 nM), and by
d-tubocurarine (IC50 = 49.4 µM). Activation of
SK channels exhibited a bell-shaped voltage dependence that paralleled
the current-voltage relation for L-type
Ca2+ currents
(ICa,L).
ICa,L exhibited a
slow time course similar to skeletal
ICa,L, were
unaffected by apamin, and were only slightly depressed by
d-tubocurarine. RT-PCR analysis of the
mRNAs revealed that rSK3, but not rSK1 or rSK2, was expressed in H9c2
myotubes but not in myoblasts. These results suggest that rSK3 channels are expressed in H9c2 myotubes and are primarily activated by ICa,L directly or
indirectly via Ca2+-induced
Ca2+ release from sarcoplasmic reticulum.
SK channels; L-type calcium channels; apamin; d-tubocurarine; reverse
transcriptase-polymerase chain reaction
THE MYOGENIC CELL LINE H9c2 was established by Kimes
and Brandt in 1976 from embryonic rat ventricle (14); since that time it has been used as an in vitro model of cardiac muscle in a variety of
biochemical and pathophysiological studies (13, 18, 29). Although H9c2
cells express SmN protein, a cardiac muscle-specific splicing factor
(6), evidence suggests that H9c2 cells possess properties of skeletal
and cardiac muscle: they depolarize in response to ACh, yet they can
exhibit rapidly activating cardiac L-type
Ca2+ currents
(ICa,L) (9). In
fact, skeletal and cardiac
ICa,L have been
recorded from single H9c2 myotubes, and the corresponding Ca2+-activated
K+ channels are widely distributed
among tissues and exhibit a wide range of conductances (10).
Small-conductance Ca2+-activated
K+ (SK) channels are characterized
by their small unitary conductance (~10 pS), high
Ca2+ sensitivity, very weak
voltage sensitivity, and susceptibility to blockade by apamin, a
polypeptide toxin isolated from bee venom, and
d-tubocurarine
(d-TC) (2, 22). Because SK channels
are highly Ca2+ sensitive, even at
resting potentials, they generate afterhyperpolarizations that are
important in controlling spike frequency in excitable cells (15) and
Ca2+ influx in nonexcitable cells
(19). Recently, the molecular structures of several SK channels,
including hSK1, rSK1, rSK2, rSK3, and hSK4 (12, 16), were described.
Heterologously expressed SK2 channels are highly sensitive to apamin
and d-TC, whereas SK1 channels are
much less sensitive (16). Heterologously expressed SK3 channels, which
have only one of the two key amino acid residues necessary for high
apamin sensitivity, are less susceptible than SK2 channels to apamin
blockade (11).
In the present study we characterized the
Ca2+-dependent activation, ion
selectivity, and susceptibility to blockade by apamin and
d-TC of SK channel currents
(ISK) in H9c2
cells. We then used RT-PCR to determine that rSK3 mRNA is expressed in
myotubular H9c2 cells.
Cell culture.
H9c2 cells derived from embryonic rat ventricle
(passage 14; American Type Culture
Collection, Rockville, MD) were cultured in DMEM (GIBCO BRL,
Gaithersburg, MD) supplemented with 10% fetal bovine serum (Irvine
Scientific, Santa Ana, CA) under an atmosphere of 95% air-5%
CO2 at 37°C. Stocks of
myoblasts were propagated in culture flasks for successive passage. For
electrophysiological recordings, cells were plated to a density of
104
cells/cm2 on small pieces of
coverslip. The cells initially grew as flat, spindle-shaped
mononucleated myoblasts that were several tens of micrometers long and
10-20 µm wide. Within 1-2 wk, however, they began to form
multinucleated myotubes that were often several hundred micrometers
long with Electrophysiological recordings.
Patch pipettes were constructed from soft glass capillaries (Propper)
that were double pulled, coated with Sylgard (Dow Corning, Midland,
MI), and fire polished; resistances were 2-3 M Solutions and chemicals.
Under control conditions, cells were superfused with Tyrode solution
containing (in mM) 135 NaCl, 5.4 KCl, 1.8 CaCl2, 1.0 MgCl2, 5 HEPES, and 10 glucose; pH
was adjusted to 7.4 with Tris. Ca2+-free Tyrode solution was made
by adding 0.5 mM EGTA to nominally Ca2+-free Tyrode solution.
Equimolar KCl or tetraethylammonium chloride (TEA; Sigma Chemical)
replaced NaCl in some experiments. The pipette solutions contained (in
mM) 140 KCl, 1 MgCl2, 10 HEPES, 5 Mg-ATP, and 0.1 or 10 EGTA; pH was adjusted to 7.3 with KOH.
Ca2+ currents were recorded using
TEA bath solution containing (in mM) 135 TEA, 5.4 CaCl2, 1 MgCl2, 5 Tris, and 10 glucose; pH
was adjusted to 7.4 with HEPES. Pipette solution used for recording Ca2+ currents contained (in mM)
140 CsCl, 1 MgCl2, 1 EGTA, 5 HEPES, and 5 Mg-ATP; pH was adjusted to 7.3 with Tris. Apamin (Peptides Institute, Osaka, Japan) and d-TC
(Sigma Chemical) were stored as aqueous stock solutions. All
experiments were carried out at room temperature (23-25°C).
RT-PCR.
Total RNA was prepared from rat brain, undifferentiated H9c2 myoblasts,
and differentiated myotubes by use of the guanidine thiocyanate method.
Strand cDNA was then synthesized from 1 µg each of the respective
total RNA samples by oligo(dT)-primed reverse transcription in a
20-µl reaction volume. Aliquots (0.5 µl) of the RT reaction
mixtures were then subjected to PCR amplification with use of
Taq polymerase. PCR was carried out in
a thermal cycler at 94°C for 5 min, then 21-34 cycles at
94°C for 1 min, 55-60°C for 30 s, and 72°C
for 1 min. This protocol was followed by a final 10-min extension step
at 72°C. The following specific primers for the SK channel family
were designed on the basis of previously reported sequences (16): rSK1,
CAGGC CCAGCA GGAGG AGTT (forward) and GGCGG CTGTG GTCAG GTG (reverse);
rSK2, TCCGA CTTAA ATGAA AGGAG (forward) and GCTCA GCATT GTAGG TGAC
(reverse); rSK3, GTGCA CAACT TCATG ATGGA (forward) and TTGACA CCCCT
CAGTT GG (reverse). The primers used for myogenin were CTGGG GACCC
CTGAG CATTG (forward) and ATCGC GCTCC TCCTG GTTGA (reverse). For
Data analyses.
K+ current amplitudes were
measured as the difference between the maximal current amplitude at
each test potential and the current at the HP ( Slow outward currents are activated by depolarization and blocked by
SK channel antagonists.
In H9c2 myotubes a series of 500-ms depolarizing steps from the HP
(
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ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
![]()
INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
1-subunit mRNAs for the
respective L-type Ca2+ channels
were detected by RT-PCR (17). Sipido and Marban (26) demonstrated a
delayed rectifying outward current in H9c2 cells. Beyond that, however,
the properties of K+ currents in
H9c2 cells remain largely unknown.
![]()
MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
10 nuclei. Mononucleated myoblasts cultured for 4-9
days and myotubes (<400 µm long with 3-8 nuclei) cultured for
2-6 wk were used in these experiments. The myotubes did not
possess sarcomere-like structures and did not contract spontaneously.
when pipettes
were filled with solution. Membrane currents were recorded using an
EPC-7 (List Electronic, Darmstadt, Germany) or EPC-8 (HEKA Elektronic,
Lambrecht, Germany) patch-clamp amplifier and standard whole cell
patch-clamp techniques (7). The recorded data were stored for later
analysis on DAT tape after processing by a PCM recorder (model 110, TEAC, Tokyo, Japan) or on a hard disk utilizing the MacLab Chart system
(version 3.5s, AD Instruments, Castle Hill, NSW, Australia). Command
pulses were applied at 0.2 Hz with use of a step-pulse generator (model
SET-1201, Nihon Kohden, Tokyo, Japan) or pClamp software (version 6, Axon Instruments, Foster City, CA). Data analysis was performed using
pClamp or Patch Analyst Pro (version 1.21, MT, Tokyo, Japan) running on a Macintosh computer. Whole cell membrane capacitance was calculated from the peak amplitudes and the time constants of decay of
capacitative transients elicited by 10-mV, hyperpolarizing voltage
pulses from the holding potential (HP,
50 mV). In myotubes the
membrane capacitance was 276.2 ± 22.4 (SE) pF
(n = 59).
-actin the primers were CATGC CATCC TGCGT CTGGA (forward) and CCACA
TCTGC TGGAA GGTGG (reverse). After PCR amplification, equivalent
volumes of each PCR reaction mixture were subjected to electrophoresis
on 5% polyacrylamide gels, stained with ethidium bromide, and
visualized by ultraviolet fluorescence. The nucleotide sequence of each
PCR product was analyzed by direct DNA sequencing.
50 mV). Averaged
and normalized data are presented as means ± SE. Dose-response
curves were fit by one-site competition with use of Prism 2.0 (GraphPad
Software, San Diego, CA). The statistical significance of differences
between calculated means was evaluated using Student's
t-test for unpaired samples;
P < 0.05 was considered to
be significant.
![]()
RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
50 mV) elicited a family of outward currents with a biphasic time course: an early rapid phase followed by a late slow phase (Fig.
1A).
On repolarization, slow outward tail currents were observed. Switching
from normal Tyrode to Ca2+-free
solution abolished the slow phase of the outward currents as well as
the slow tail currents (Fig. 1B;
n = 23). In addition, the relation
between current density (pA/pF) and membrane voltage, calculated from
current amplitudes measured at the end of the 500-ms pulses, showed
that membrane conductance was almost halved in the absence of
extracellular Ca2+, and the shape
of the curve was linearized at large depolarized potentials (Fig.
1C).

View larger version (18K):
[in a new window]
Fig. 1.
Effects of Ca2+-free solution on
outward K+ currents in H9c2
myotubes. Depolarizing voltage steps to
40 mV and up to 40 mV in
10-mV increments were applied from holding potential (HP,
50
mV). A: normal Tyrode (NT) solution;
B:
Ca2+-free Tyrode solution.
Currents are calibrated differently in
A and
B. C:
current density expressed as a function of membrane voltage; currents
were measured on completion of test pulses. Values are means ± SE
from 13 cells.
20 mV and were maximal at 10 mV (Fig. 2C). The
isochronal current-voltage (I-V)
relationships of the total currents indicate that
ISK predominated after 500 ms in this cell and that peak amplitudes of the bell-shaped I-V curve for
ISK occurred at
10-20 mV (Fig. 2D). The voltage dependence of ISK
activation was assessed from the I-V
curve obtained by plotting tail current amplitudes as a function of the
preceding depolarization step (Fig.
2E). The resultant bell-shaped curve paralleled the I-V curve for
ICa,L (see Fig.
5), and identical bell-shaped I-V
curves for ISK
tail currents were observed in four other cells. These results indicate
that activation of
ISK was dependent
on a rise in
[Ca2+]i,
elicited directly via Ca2+ entry
through membrane Ca2+ channels or
indirectly via Ca2+-induced
Ca2+ release from internal stores.
|
Dependence of ISK reversal potential on
extracellular K+
concentration.
To verify that K+ served as the
charge carrier for
ISK, the reversal
potential of the tail currents was estimated in the presence of 5.4 and
30 mM extracellular K+ by use of a
double-pulse protocol (Fig.
3Aa). In
the presence of 5.4 mM extracellular
K+, the polarity of the outward
tail currents was eventually reversed by successively increasing the
amplitudes of the hyperpolarizing second steps (Fig.
3Ab). The resultant inward
ISK tail currents decayed at a rate similar to that of the outward currents, indicating that the gating of the channel was voltage independent.
|
72 and
28 mV, respectively. In seven experiments,
ERV were
calculated to be
66.6 ± 1.7 and
23.5 ± 1.5 mV in
5.4 and 30 mM extracellular K+,
respectively. The 43.1 ± 0.9 mV positive shift in
ERV approximated the Nernst shift of
ERV for a
K+ electrode (45 mV), indicating
that ISK was
carried primarily by K+.
Dose dependence of apamin- and d-TC-induced inhibition of
ISK.
Dose-response curves for apamin and
d-TC were plotted on the basis of the
fractional decreases in the amplitudes of the
ISK tail currents
elicited after 500-ms depolarization steps to 10 or 20 mV from the HP
(
50 mV) in the presence of selected concentrations of the
inhibitors (Fig. 4). Assessing the
inhibitory potency of apamin was complicated by the fact that apamin
was not easily washed out. In contrast, blockade by
d-TC developed rapidly and was readily
reversed by washing it from the chamber. The dose-dependent decreases
in ISK were fit
by a dissociation curve, with the assumption of a single binding site
for apamin or d-TC;
IC50 was 6.2 nM for apamin (Fig.
4A) and 49.4 µM for
d-TC (Fig.
4B).
|
Effect of apamin and d-TC on
Ca2+ currents.
Apamin is a highly potent fetal cardiac L-type
Ca2+ channel antagonist (3). To
determine the extent to which inhibition of ICa,L by apamin
or d-TC contributed to their
suppression of
ISK, we examined
their effects on
ICa,L in H9c2
myotubes. ICa,L
were elicited by 500- or 1,000-ms depolarizing steps from the HP
(
50 mV) in the presence of TEA solution containing 5.4 mM
Ca2+ and recorded using
Cs+ pipettes. As shown by the
representative traces, the time courses of the
ICa,L were slow
(Fig.
5A): in
11 cells the time required for currents elicited by depolarization to
10 mV to reach one-half peak amplitude was 27.9 ± 3.5 ms, and the
time to peak was 94.7 ± 9.5 ms. Current amplitudes then decayed
slowly to 59.4 ± 3.8% of peak in 500 ms. The
I-V relations for
ICa,L were
obtained by plotting the amplitudes of evoked currents, normalized to
the maximal ICa,L
elicited by depolarization to 10 mV under control conditions, against
membrane voltage (Fig. 5B).
ICa,L were
detected at potentials more positive than
10 mV and were maximal
at 10 mV; the average maximum amplitude of
ICa,L was 833.3 ± 162.7 pA (n = 11), and
ERV was more
positive than 50 mV.
ICa,L tail
currents deactivated much more rapidly than
ISK tail
currents.
|
RT-PCR analysis of SK channels.
To confirm the expression of the SK channels that were functionally
demonstrated by the patch-clamp study, we used RT-PCR analysis to
determine whether SK channel mRNA was expressed in H9c2 myotubes. When
total RNA, separately isolated from undifferentiated and differentiated
H9c2 cells (Fig. 6D), was subjected
to RT-PCR with rSK3-specific primers, a PCR product with the predicted, 182-bp length of rSK3 mRNA was detected in differentiated myotubes but
not in undifferentiated cells (Fig.
6A).
Expression of rSK3 mRNA was also detected in adult rat brain, which is
consistent with earlier in situ hybridization experiments (16). In H9c2 cells the expression of rSK3 was well correlated with that of myogenin,
a myogenic regulatory factor, the expression of which is increased when
myoblasts terminally differentiate and fuse into multinucleated
myotubes (28).
|
-actin showed that there were no
significant differences among samples with respect to the amount of
first-strand cDNA within each sample (Fig.
6A). Using a competitive PCR method
for
-actin, we confirmed that the quantities of PCR template in each
sample were equivalent (data not shown). Apamin-insensitive rSK1
(159-bp PCR product) was not detected in H9c2 myotubes, and
apamin-sensitive rSK2 (190-bp PCR product) was expressed to a minimal
degree in differentiated myotubes (Fig.
6C), whereas rSK1 and rSK2 mRNA were
detected in adult rat brain. Nucleotide sequences of the PCR products
were identical to those of the cloned sequences (16). Thus
apamin-sensitive
ISK recorded in
H9c2 myotubes resulted virtually entirely from activation of rSK3 channels.
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DISCUSSION |
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SK channels are voltage independent but highly Ca2+ sensitive (2, 16, 20, 22). Apamin-sensitive ISK were identified in H9c2 cells by their Ca2+ dependence and their sensitivity to apamin and d-TC. The activation of the ISK was dependent on ICa,L, and their activation and deactivation time courses were slow, as has been reported for ISK in rat chromaffin cells (22). Analysis of mRNA expression using RT-PCR revealed that ISK flowed through SK3 channels.
In a previous study of 10- to 20-day-old H9c2 cell cultures, Sipido and
Marban (26) showed that depolarization-induced, whole cell outward
currents exhibited variable time courses. In some cases, currents rose
rapidly and then slowly decayed in a manner analogous to the
IKv described
here. In other cases, currents rose rapidly and then continued to
gradually increase throughout the depolarization steps, corresponding
to the present myotubular outward currents composed of
IKv and
ISK. The slow
tail currents characteristic of
ISK were not
observed by Sipido and Marban, although the absence of tail currents on
repolarization to
80 mV is to be expected for currents carried
by K+. In the present study we
characterized the slowly increasing outward current component and
identified it as
ISK. The
voltage-dependent nonspecific cation currents observed at the early
developmental stages (26) were absent in the myotubes.
Activation of SK channels in H9c2 myotubes exhibited a bell-shaped voltage dependence that paralleled the I-V relation for ICa,L, strongly suggesting that Ca2+ influxes during depolarization steps were involved in the activation of SK channels. Although apamin blocks ICa,L in fetal cardiac muscle (3), ICa,L in H9c2 cells were unaffected by apamin and only slightly depressed by d-TC, indicating that these antagonists inhibited ISK not by depressing ICa,L, but by directly affecting SK channels. Consistent with the slow time course of skeletal muscle ICa,L (4), ICa,L recorded in H9c2 cells rose slowly (time to peak = 95 ms), continued to flow during the entire 500-ms depolarization, and decayed to only 59% of peak by the end of the pulse.
It may be that the slow activation of SK channels results from the slow rise in [Ca2+]i produced by Ca2+ entry via L-type Ca2+ channels during depolarization. For instance, if an H9c2 myotube is assumed to be a 300-µm-long, 20-µm-diameter cylinder with Ca2+ flowing into it at a constant current of 0.4 nA Ca2+ during a 500-s depolarization pulse and distributing homogeneously, [Ca2+]i at the end of a depolarization pulse would be 11 µM in the presence of 5.4 mM. Even in the presence of 1.8 mM Ca2+, [Ca2+]i would exceed the IC50 for SK channels (0.5-0.8 µM) (16, 22). Furthermore, increases in [Ca2+]i may be augmented if Ca2+ influxes induce Ca2+ release via Ca2+-induced Ca2+ release (5) from sarcoplasmic reticulum. On the other hand, because [Ca2+]i is the product of the equilibrium between Ca2+ influx, Ca2+ release from and uptake into internal stores, Ca2+ extrusion by the plasma membrane Ca2+ pump and Na+/Ca2+ exchange, and cytosolic Ca2+ buffering, influx-induced changes in [Ca2+]i are certainly attenuated. Rapid buffering by abundant (several mM), endogenous Ca2+ buffers with dissociation constants ~100 µM has been reported in bovine chromaffin cells (30). Such buffering could account for the observed slow activation of ISK, despite the large Ca2+ influx. Similarly, the slow decay of ISK tail currents and their characteristic plateaulike initial phase (20, 22) may reflect [Ca2+]i buffering and the time-dependent decline in [Ca2+]i mediated by sequestration by internal stores and extrusion by Na+/Ca2+ exchange. The contribution of Na+/Ca2+ exchange to the extrusion of Ca2+ was apparent from the reduction of the rate of decline in ISK tail currents seen with repolarization to more positive voltages (Fig. 3B).
The structures of several SK channels, including hSK1, hSK4, rSK1, rSK2, and rSK3, have recently been identified (12, 16). SK channels form a separate branch of the K+ channel superfamily and are homologous with other K+ channels only in areas of the pore region. In situ hybridization has shown that rSK1, rSK2, and rSK3 mRNAs are broadly distributed in overlapping patterns (12, 16): rSK1 mRNA is present in brain and heart, rSK2 mRNA is present in brain and adrenal gland, and hSK4 mRNA is present in placenta and lung. We observed that mRNA encoding rSK3, but not rSK1 or rSK2, was expressed in H9c2 myotubes. In agreement with an earlier in situ hybridization study (16), we also found that rSK1, rSK2, and rSK3 mRNAs were expressed in rat brain.
The pharmacology of SK channels is distinct, in that some channels are blocked by apamin, and the apamin-sensitive channels are blocked also by d-TC. Heterologously expressed SK2 channels are blocked by apamin with an IC50 of 60 pM, whereas SK1 channels are unaffected by as much as 100 nM apamin (16). SK2 channels are also blocked by d-TC with an IC50 of 2.4 or 5.4 µM in heterologous expression systems, whereas SK1 channels are blocked by d-TC with an IC50 of 76.2 or 354 µM (11, 16). By introducing point mutations at specific sites on the cloned channels, it was shown that two amino acid residues on either side of the channel pore are the primary determinants of the sensitivity to apamin and d-TC (11): SK2 channels contain both residues, whereas SK1 channels lack the residues; SK3 channels, which exhibit intermediate sensitivity to apamin (IC50 = 2 nM), contain one of the residues.
SK channels in H9c2 cells were blocked by apamin with an IC50 of 6.2 nM and by d-TC with an IC50 of 49.4 µM. The sensitivity of H9c2 ISK to apamin was considerably lower than that of rSK2 channels but was on the same order as that of heterologously expressed rSK3 channels (11). Moreover, d-TC sensitivity of H9c2 ISK is comparable to that of E330D (IC50 = 62.6 µM), an rSK1 mutant channel with one apamin-sensitive residue, similar to the rSK3 channel (11). We, therefore, conclude that myotubular H9c2 ISK primarily passed through SK3 channels. Similarly, SK channels in rat chromaffin cells are blocked by apamin and d-TC with IC50 of 4.4 nM and 20 µM, respectively (22), which suggests that chromaffin cells also express SK3 channels, although only rSK2 mRNA is currently known to be expressed in rat adrenal gland (16).
Apamin-sensitive SK channels and radiolabeled apamin binding sites are expressed in denervated skeletal muscle and in skeletal muscle from patients with myotonic muscular dystrophy, but not in normal adult skeletal muscles (24, 25). In cultured rat skeletal muscle, expression of SK channels is seen in myoblasts, and its levels increase with the fusion of myoblasts into myotubes (27). This scenario is somewhat different from that in H9c2 cells, where rSK3 mRNA was detected only in multinuclear myotubes. Apamin binding can be enhanced during fusion of cultured rat skeletal muscles by suppressing spontaneous excitation through blockade of voltage-gated Na+ channels (27). The absence of innervation and spontaneous excitation may also be prerequisites for expression of SK channels in H9c2 cells.
Myogenesis in skeletal muscle is known to be regulated by skeletal muscle-specific transcription factors, such as the MyoD family of muscle-specific basic-helix-loop-helix proteins (21, 28). The expression of rSK3 mRNA in H9c2 cells was well correlated with expression of myogenin, a myogenic basic-helix-loop-helix transcription factor, the expression of which is increased when myoblasts terminally differentiate and fuse into multinucleated myotubes (1, 8, 28). Thus the expression of rSK3 in H9c2 is regulated by a differentiation program similar to that for other skeletal muscle-specific proteins known to be expressed in H9c2 myotubes (23).
The H9c2 cell line has served as a useful surrogate of cardiac and skeletal muscles. Although the cardiac phenotype is expressed in H9c2 cells [e.g., cardiac L-type Ca2+ channels are present (9, 17, 26)], skeletal muscle-specific transcription factors and proteins are also expressed (Fig. 6) (17, 26). The H9c2 cell line, therefore, appears to be an interesting model for studying the regulation of gene expression of cardiac and skeletal muscle-specific proteins, although it is still not entirely clear how expression of either phenotype is regulated.
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ACKNOWLEDGEMENTS |
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This work was supported by a Grant-in-Aid for Scientific Research on Priority Areas from the Ministry of Education, Science, Sports, and Culture.
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FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.
Address for reprint requests and other correspondence: R. Ochi, Dept. of Physiology, Juntendo University School of Medicine, Tokyo 113-8421, Japan (E-mail: ochir{at}med.juntendo.ac.jp).
Received 28 September 1998; accepted in final form 14 January 1999.
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