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INTRODUCTION |
SEVERAL
CLINICAL STUDIES suggest that diets containing long-chain
n-3 fatty acids significantly reduce the incidence of sudden death
from coronary heart disease (1, 13,
14, 34, 35). A diet high in fish
oil, in contrast to saturated fat or monounsaturated olive oil,
prevented ventricular fibrillation induced by coronary artery ligation
in rats and increased the electrical ventricular fibrillation
thresholds in marmosets (27, 28).
Furthermore, an intravenous infusion of an emulsion, largely
eicosapentaenoic acid (EPA) and docosahexaenoic acid [DHA,
C22:6(n-3)], prevented ischemia-induced ventricular fibrillation
in dogs (7, 8). Previous data
(21) indicate that polyunsaturated long-chain fatty acids
(PUFAs) reduced electrical excitability of rat cardiac myocytes by
increasing the depolarizing current required to elicit an action
potential and by markedly prolonging the relative refractory period. Activation of voltage-dependent Na+
channels leads to a rapid influx of Na+ and initiates an
action potential in most cardiac myocytes. Extracellular application of
free PUFAs significantly suppressed Na+ currents
(INa,rat) and shifted the steady-state
inactivation to more hyperpolarized potentials in cultured neonatal rat
cardiomyocytes (41). PUFAs also inhibit Ca2+
(40) and K+ currents (9) in
mammalian heart cells. These effects of PUFAs on ion channels may be
critical for their antiarrhythmic action in vivo.
It is recognized that the human cardiac Na+ channel
consists of one large
-subunit that alone creates a functional
membrane channel, which we have studied (43). In addition,
there is also a small
1-subunit (12). The
physiological consequences of
1-subunit modulation of
the voltage-dependent Na+ channel are controversial in the
literature (2, 19, 24, 25, 29, 31). Therefore, in this
study we assessed the effects of coexpressing the
1-subunit on the kinetics of the
-subunit of the
voltage-dependent human cardiac Na+ channel
(hH1
) transiently expressed in a mammalian cell line (HEK293t). We were surprised that the fatty acid specificity was
lost in the
-subunit expressed in HEK293t cells in which monounsaturated and even saturated fatty acid had some suppressing effects on INa,
(43), whereas
only PUFAs suppressed INa,rat in rat cardiac
myocytes (41). Two further aims of this study were
1) to learn how the complete human myocardial
Na+ channel (hH1
) would be affected by
the antiarrhythmic PUFAs and 2) to learn whether the
addition of the
1-subunit to the hH1
-subunit would
reestablish the requirement that only PUFAs could modulate the fast
voltage-dependent Na+ current in the rat.
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MATERIALS AND METHODS |
Materials and solutions.
Fatty acids obtained from Sigma (St. Louis, MO) were dissolved weekly
in ethanol at 10 mM and stored under a nitrogen atmosphere at
20°C
before use. The experimental concentration of fatty acids was obtained
by dilution of the stocks and contained negligible ethanol, which at
the dilution applied had no effect on Na+ currents. The
pipette solution for recording the inward Na+ current
contained (in mM) 100 CsCl, 40 CsOH, 1 MgCl2, 1 CaCl2, 11 EGTA, 10 HEPES, and 5 MgATP, pH 7.3. The bath
solution contained (in mM) 60 NaCl, 40 N-methyl-D-glucamine, 10 CsCl, 1 MgCl2, 1.8 CaCl2, 10 HEPES, and 10 glucose, pH
7.4. The Tyrode solution contained (in mM) 137 NaCl, 5 KCl, 1 MgCl2, 1.8 CaCl2, 10 HEPES, and 10 glucose, pH
7.4.
Cell culture and transient transfection of Na+
channels.
The method for the culture of HEK293t cells was as described previously
(11). Briefly, cells were grown to 50% confluence in
Dulbecco's modified Eagle's medium (DMEM) containing 10% fetal bovine serum, 1% penicillin-streptomycin solution, 3 mM
taurine, and 25 mM HEPES. Cells were split twice per week.
HEK293t cells were transfected with cloned hH1
Na+ channels by a calcium phosphate precipitation method in
a TI-25 flask. A reporter plasmid CD8-pih3m (1 µg, cell surface
antigen) and hH1
cDNA clone (10 µg) in the pcDNA1/amp
vector (Invitrogen, San Diego, CA) were prepared in 250 mM
CaCl2, added to a test tube containing 0.36 ml of Hanks'
balanced salt solution (2×) (in mM: 274 NaCl, 40 HEPES, 12 dextrose,
10 KCl, and 1.4 Na2HPO4, pH 7.05), and
incubated at 22°C for 20 min. The DNA solution was then
dripped over a cell culture (30-50% confluence) containing 7 ml
of DMEM. The transfection was satisfactory under these conditions (38). For coexpression of the rat brain
1-subunit with hH1
(hH1
, coexpression of the channel), saturating levels (>10-fold molar excess) of
1-subunit cDNA were used to
ensure that the currents recorded were from channels composed of both
- and
1-subunits. The transfected cells were
trypsinized and replated 15 h later to an appropriate density in
35-mm tissue culture dishes (which also served as recording chambers)
containing 2 ml of fresh DMEM. Transfected cells were incubated at
37°C in air with 5% CO2 added and 98% relative humidity
and were used within 3 days. Transfection-positive cells, which were
identified by binding immunobeads (CD8-Dynabeads M-450, Dynal, Oslo,
Norway) coated with a monoclonal antibody (ITI-5C2) specific for CD8
antigen, were selected for patch-clamp experiments.
Electrophysiological recordings.
During an experiment HEK293t cells plated in a culture dish were
continuously superfused (1-2 ml/min) with the Tyrode solution. Recording glass electrodes had a resistance of 1-3 M
when
filled with the pipette solution and were connected via Ag-AgCl wire to
an Axopatch 1D amplifier (Axon Instruments, Foster City, CA). A cell
coated with CD8 beads in HEK293t cells was chosen for patch-clamp study. After a conventional gigaseal was formed, the capacitance of an
electrode was compensated. Additional suction was used to form the
whole cell configuration. Whole cell membrane capacitance was measured
by using the method described previously (42). The average
membrane capacitance was 37 ± 0.8 pF (n = 179)
for HEK293t cells. Correction of cell capacitance and series resistance was then performed before application of experimental voltage-clamp protocols. After the whole cell configuration was formed, the cells
were dialyzed for 5-10 min before data were acquired. With our
internal and external recording solutions, we found that maintaining a
tight seal for a relatively long period became difficult at holding
potentials more negative than
90 mV. Therefore, we held the membrane
potential at
90 mV in most experiments to ensure that cells would
remain stable long enough for us to examine
INa,
or INa,
from the same cell before, during, and after exposure to fatty acids.
In addition, the amplitude and current-voltage (I-V)
relationship curve were not altered when
INa,
or INa,
was
elicited by pulses from a holding potential of
150 mV or from
90 mV
with a 400-ms hyperpolarizing prepulse to
160 mV. Our experiments
show that the 400-ms hyperpolarizing prepulse to
160 mV was
sufficient to remove fast and slow inactivation. Na+
currents were activated by 10- or 20-ms test pulses. Bath solutions with or without fatty acids were rapidly exchanged by using a modified
puffer-pipette system (41). Experiments were conducted at
22-23°C.
Statistics.
Data from two groups were analyzed by the unpaired Student's
t-test. Variance analysis (ANOVA) was used to compare the
difference derived from three or more group experiments. The level for
statistical significance was set at P < 0.05. Data are
presented as means ± SE. Depending on the experiment, some data
were fit with a logistical equation, (A1
A2)/[1 + (x/x0)p + A2], where x0 is the
center, p is power, A1 is the initial y value, and A2 is the final
y value. Other data were fit by either a Boltzmann equation
{1/[1 + exp(V1/2
V)/k], where V1/2 is the half-inactivation potential, V is the voltage potential, and
k is the slope factor (in mV/e-fold change in
current} or least-squares fitting (y = A0 + A1
expt/
1 + A2 expt/
2,
where t is time and
1 and
2
are the time constants of the fast and slow components of inactivation,
respectively) (Origin 4.1, Microcal Software, Northampton, MA) with a
single or double exponential function.
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RESULTS |
Voltage-dependent Na+ currents in HEK293t cells
transfected with hH1
(INa,
) or
hH1
(INa,
).
Voltage-gated Na+ currents with fast activation and fast
inactivation kinetics were evoked by depolarizing pulses in HEK293t cells transiently transfected with hH1
or cotransfected
with hH1
and
1-subunit (Fig.
1A). Functional
association of
1-subunit with hH1
significantly enhanced the peak current densities (Fig. 1B).
The current densities (elicited by voltage pulses from
150 to
30
mV) were
74 ± 8 pA/pF for INa,
(n = 27) and
106 ± 9 pA/pF for
INa,
(n = 39, P < 0.05; Fig. 1B), respectively. Compared
with the current densities of
68 ± 7,
17 ± 3, and
0 ± 0 pA/pF for INa,
(n = 27) elicited by the corresponding voltage commands from
120,
90,
and
70 mV to
30 mV, the corresponding values of
INa,
(n = 39) were
105 ± 9,
85 ± 9, and
25 ± 5 pA/pF (Fig.
1B). Whereas >80% of peak INa,
was elicited by pulses from
90 to
30 mV, the same voltage step evoked only 18% of peak
INa,
. In addition, a considerable amount of
INa,
(23%) was activated by voltage
pulses from
70 to
30 mV, but no INa,
was
evoked with the same voltage protocol (Fig. 1A). These
results indicate that coexpression of
1-subunit modifies
the voltage-dependent availability of Na+ channels.

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Fig. 1.
Voltage-dependent activation of human cardiac
Na+ currents (hH1). A: current traces were
evoked by depolarizing voltage pulses from 150, 120, 90, and 70
mV to 30 mV (see protocols at top) for the complete
hH1 ( + 1) and
hH1 ( ). Note that no current was elicited by a pulse
from 70 to 30 mV in a HEK293t cell expressing hH1
only. B: averaged peak current densities evoked by voltage
pulses from different holding potentials. I, current.
*P < 0.05; ** P < 0.01; ***
P < 0.001.
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Modification of channel activation and inactivation by the
1-subunit.
Figure 2A shows the original
current traces, and Fig. 2B shows the I-V
relationship of the voltage-dependent activation of hH1
and hH1
. Na+ currents
were activated at around
60 mV and reached the maximal amplitude at
30 mV for both INa,
(n = 7) and INa,
(n = 6). Although
the general shape of the I-V relationship did not change,
the midpoint of the normalized I-V curve (from
60 to
30
mV) for INa,
had an ~10-mV shift in the
positive direction. This result suggests that the
1-subunit may modify the activation process of
hH1
Na+ channels. Normalized whole cell
activation conductance from peak Na+ currents confirmed the
modulatory effect of the
1-subunit on INa,
activation, which caused an 8-mV
positive shift at V1/2 (P < 0.05, Fig. 2C). The average V1/2 and
k (slope) values for the fitted functions were
42.2 ± 0.81 and 5.3 ± 0.17 mV, respectively, for
INa,
and
50.1 ± 0.74 and 5.5 ± 0.56 mV, respectively, for INa,
.

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Fig. 2.
Effects of coexpression of 1-subunits on
the activation and inactivation of Na+ current in HEK293t
cells. A: original current traces were recorded from HEK293t
cells transfected with -subunit alone
(INa, ) or cotransfected with - and
1-subunits (INa, ).
Top: voltage protocol used for the activation of currents.
After 400-ms hyperpolarizing pulses to 160 mV, Na+
currents were elicited by 10-ms test pulses from 90 to 50 mV with
5-mV increments. The membrane potential was held at 90 mV, and the
pulse rate is 0.2 Hz. B: current-voltage relationships for
INa, ( , n = 6) and
INa, ( + 1,
n = 7) were normalized to their own maximal peak
current. V, voltage. C: relative whole cell
activation conductances for INa, and
INa, . D: normalized fast
steady-state inactivation was averaged for
INa, (n = 9) and
INa, (n = 6). Currents
were elicited by 10-ms test pulses to 30 mV following 500-ms
conditional prepulses varying from 160 to 10 mV in 10-mV increments
every 10 s. The membrane potential of the cells was held at 90
mV. Data were fit with a Boltzmann equation.
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The effects of the
1-subunit on the fast steady-state
inactivation were examined by measuring the amplitude of peak currents evoked by a two-pulse protocol. From a holding potential of
90 mV, we
delivered 500-ms prepulses ranging from
160 to
10 mV (in 5-mV
increments) and then measured the available current elicited by a 10-ms
pulse to
30 mV. The average V1/2 of the fast
steady-state inactivation curve of INa,
was
97 ± 2.3 mV with a k value of 6.7 ± 0.8 mV
(n = 6). In contrast, coexpression of
hH1
with
1-subunit caused a 22 ± 0.7 mV shift of the V1/2 of
INa,
, which was
75 ± 2.7 mV with a
k value of 5.5 ± 0.5 mV (n = 9, P < 0.001; Fig. 2D). In another series of
experiments (data not shown), we used a protocol similar to that of
Bendahhou and colleagues (4) to examine the effects of
1-subunit coexpression on the slow steady-state
inactivation. We used 45-s conditioning pulses ranging from
140 to 10 mV (in 10-mV increments) followed by a 100-ms recovery pulse to
120
mV and a subsequent 10-ms test pulse to
30 mV. We found that the
V1/2 values for the slow inactivation curves of
INa,
(
62.7 ± 1.9 mV,
n = 7) and INa,
(
62.0 ± 2.1 mV, n = 6) were not significantly
different (P > 0.05). These results suggest that
functional association of
1-subunit with
hH1
causes a significant shift of the fast steady-state inactivation but does not markedly affect the slow steady-state inactivation.
Coexpression of
1-subunit with hH1
slows the recovery from inactivation.
Voltage-activated cardiac Na+ channels may directly transit
from the resting state to the inactivated state without opening of the
channel. This process of inactivation is referred to as resting
inactivation (6, 15, 18,
22, 33). To assess the effects of
1-subunit coexpression on the development of resting inactivation of hH1
Na+ channels, a
conditioning pulse to
65 mV with variable durations was followed by a
10-ms test pulse to
30 mV (Fig.
3A). We selected
65 mV as
the conditioning voltage because the depolarization was large enough to
ensure that the inactivation of both INa,
and INa,
neared completion but small enough
to ensure that the channels did not open. Figure 3B shows
that the amplitudes of INa,
and
INa,
dramatically decreased as the duration
(
t) of conditioning pulses was prolonged, indicating that
an increasing proportion of channels entered the inactivated state. The
decay time constant of inactivation development was 26.2 ± 3.6 ms
for INa,
(n = 6) and
32.2 ± 4.2 ms for INa,
(n = 7) (Fig. 3B). Our results
indicate that coexpression of the
1-subunit with
hH1
does not significantly (P > 0.05)
alter the development of inactivation.

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Fig. 3.
Effects of coexpression of 1-subunits on
development of resting inactivation and recovery from inactivation.
A: the pulse protocol was composed of a depolarizing pulse
from 150 to 65 mV with various duration, followed by a 10-ms test
pulse to 30 mV. The membrane potential was held at 150 mV with a
pulse rate of 0.2 Hz. B: prolonging the time of prepulse
reduced the normalized current amplitude for hH1 ( ,
n = 6) and hH1 ( + 1, n = 7). Data were fit with a single
exponential function. C: experimental protocol. The pulse
protocol was composed of a 10-s depolarizing pulse from 120 to 65
mV, followed by a hyperpolarizing pulse to 140 mV with progressively
longer durations and then a 10-ms test pulse to 30 mV. The membrane
holding potential was 120 mV, and the rate of pulse was 0.1 Hz.
D: time course of recovery of peak
INa, ( , n = 6) and
INa, ( + 1,
n = 8) from inactivation. Data were fit by a double
exponential function. Because recovery of Na+ currents from
inactivation occurred very fast, the inset expands the
initial portion, the first 100 ms, of the recovery, which was slower
for INa, ( + 1)
than for INa, ( ).
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To determine whether coexpression of the
1-subunit
affected the recovery from inactivation, a double-pulse protocol was
used to test the recovery from resting inactivation at
65 mV. A 10-s depolarizing conditioning pulse to
65 mV was followed by a variable recovery interval at
140 mV and then a subsequent test pulse to
30
mV (Fig. 3C). The 10-s conditional pulse to
65 mV failed to elicit channel opening but ensured that Na+ channels
entered the inactivated state. The time course of recovery from
inactivation of both INa,
and
INa,
was well fit by a double exponential
function (Fig. 3D). For INa,
(n = 6),
1 was 2.1 ± 0.3 ms
(A1 =
0.73) and
2 was
232 ± 78 ms (A2 =
0.27). For
INa,
(n = 8),
1 was 10.6 ± 2.1 ms
(A1 =
0.69) and
2 was
698 ± 275 ms (A2 =
0.31),
respectively. The values of
1 and
2 between INa,
and
INa,
were significantly different
(P < 0.05, Fig. 3D).
To more carefully examine the recovery time course of the fast
component, we used a pulse protocol similar to that shown in Fig.
3C. We delivered a 400-ms conditioning pulse to
65 mV and a recovery pulse to
140 mV with 1-ms increments (
t) to
30 ms, as well as a 10-ms test pulse to
30 mV. The data fit well with a single, but not a double, exponential function for both
INa,
and INa,
.
The time constants were 3.56 ± 0.14 and 5.11 ± 0.22 ms for
INa,
(n = 14) and
INa,
(n = 8, P < 0.05), respectively. We tested four recovery
potentials,
100,
120,
140, and
160 mV. The recovery rate for
both channels became more rapid when more negative potentials were
used, but the difference in recovery rate between
INa,
and INa,
remained significant. These data suggest that
1-subunit
modifies the inactivation kinetics of hH1
channels by
slowing the recovery from both fast and slow inactivation.
Voltage- and concentration-dependent suppression of
INa,
by EPA.
It has been reported that coexpression with the
1-subunit reduced the affinity of resting channels to
lidocaine by a factor of two in oocytes (24). In a recent
study (39), we showed that coexpression of
hH1
with the
1-subunit elicited a
positive shift in state-dependent cocaine block of the Na+
channel. In another study (41, 43), we
demonstrated that INa,
was more sensitive to
EPA than was INa,rat. To determine whether
coexpression with the
1-subunit had an effect on EPA block of hH1 channels similar to that observed in local anesthetic experiments and to determine whether the different sensitivity to PUFAs
between INa,
and
INa,rat might result from a lack of the
1-subunit, experiments were designed to look at the
effects of EPA on INa,
. The inhibition of
INa,
initiated within 20 s and
reached the maximal effect within 3 min after application of 5 µM
EPA. INa,
returned toward the pretreatment level after washout of EPA with 0.2% fatty acid-free BSA solution. Figure 4 shows a voltage-dependent
inhibition. The original current traces of
INa,
were evoked by single-step pulses
from
150,
120,
90, and
70 mV to
30 mV in the absence
(control) and presence (EPA) of 5 µM EPA (Fig. 4A). The
reduction of INa,
caused by 5 µM EPA at
all of the tested voltage steps is statistically significant
(n = 15, P < 0.001; Fig.
4B). In hH1
, EPA (5 µM) inhibited
INa,
, evoked by a single-step voltage command from
150,
120, or
90 mV to
30 mV, by 67 ± 6, 82 ± 5, or 97 ± 1% (n = 15), respectively.
Coexpression with the
1-subunit decreased the degree of
block by 5 µM EPA, because with the same voltage steps
INa,
was inhibited by 50 ± 5, 61 ± 5, or 90 ± 4% (n = 15), respectively.
The inhibition is more profound at pulses from
90 to
30 mV. This
result suggests that the EPA-induced suppression of
INa,
is voltage dependent.

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Fig. 4.
Voltage-dependent suppression of
INa, by extracellular application of
eicosapentaenoic acid (EPA). A: original current traces of
INa, in the absence (control) and presence
(EPA) of 5 µM EPA were evoked by depolarizing pulses from 150,
120, 90, and 70 mV to 30 mV (see protocols at top).
B: extracellular application of 5 µM EPA significantly
reduced peak INa, densities
(n = 15). ***P < 0.001. C:
normalized voltage-dependent suppression of
INa, by 5 µM EPA (n = 15).
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The suppression of INa,
by EPA was
concentration dependent. Figure 5 shows
the inhibitory effects of EPA on INa,
and
INa,
. Currents were elicited by single-step
pulses from
120 to
30 mV every 5 s. The IC50
values of EPA were 3.9 ± 0.3 and 0.51 ± 0.06 µM for
INa,
and INa,
,
respectively. These data indicate that functional association of the
1-subunit with hH1
reduces the apparent
affinity of the channel for EPA 7.6-fold compared with expression of
the
-subunit alone. The data in Figs. 4 and 5 suggest that
coexpression of the
1-subunit with hH1
reduces the channel sensitivity to EPA and that the change in the
effectiveness of EPA may be related to the
1-subunit-induced shift of the steady-state
inactivation.

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Fig. 5.
Concentration-dependent suppression of cardiac
Na+ currents by EPA. EPA-induced suppression of
INa, ( ) and
INa, ( + 1) is
concentration dependent. Each data point represents the average value
of at least 6 individual cells. After a hyperpolarizing pulse to 150
mV for 400 ms, a 10-ms test pulse to 30 mV was applied to activate
the Na+ current. The membrane holding potential was 90
mV, and the rate of pulses was 0.1 Hz.
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Effects of EPA on activation and inactivation of
INa,
.
EPA (5 µM) block of INa,
did not alter
the I-V relationship, but the decrease in amplitude of
INa,
in the presence of 5 µM EPA was
significantly different at the voltages from
40 to 30 mV (Fig.
6A, n = 7).
The Na+ current was activated at
60 mV and achieved its
maximal amplitude at
30 mV in either the absence or presence of 5 µM EPA. The inhibition was reversible after washout of EPA with the
bath solution containing 0.2% BSA (data not shown). The activation
curves calculated from normalized conductance were superimposed in the
absence and presence of 5 µM EPA (n = 7, Fig.
6B). The 50% channel activation was at
42.2 ± 0.81 mV with a k value of 5.3 ± 0.17 mV for control and at
41.5 ± 0.21 mV with a k value of 6.0 ± 0.15 mV
for 5 µM EPA.

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Fig. 6.
Effects of EPA on activation and inactivation of
INa, . A: normalized
current-voltage relationships in the absence (control) and presence
(EPA, n = 8) of 5 µM EPA. Na+ currents
were evoked by the same voltage protocol shown in Fig. 2A.
B: relative whole cell activation conductance in the absence
(control) and presence (EPA) of 5 µM EPA. The midpoint voltage
(V1/2) of activation was 42.2 ± 0.81 mV
with a slope factor of 5.3 ± 0.17 mV for control and 41.5 ± 0.21 mV with a slope of 6.0 ± 0.15 mV for EPA, respectively.
C: effects of EPA on the normalized steady-state
inactivation of INa, (n = 7) in the absence (control) and presence (EPA) of 5 µM EPA as well as
during washout. Na+ currents were evoked by the same
protocol shown in Fig. 2C. Data in B and
C were fit by a Boltzmann equation.
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Figure 6C shows the effects of 5 µM EPA on the
steady-state inactivation of INa,
in
HEK293t cells. The membrane potential of the cells was held at
90 mV.
Currents were elicited with a double-pulse protocol, which consisted of
a 500-ms prepulse and a 10-ms test pulse to
30 mV. The prepulses
varied from
160 to
50 mV in 5-mV increments with a stimulatory rate
of 0.1 Hz. Bath perfusion of 5 µM EPA solution significantly
suppressed INa,
. The current was almost
completely inhibited when the prepulses were more positive than
70 mV
in the presence of EPA. The V1/2 of the
normalized steady-state inactivation curve of
INa,
was significantly shifted to the
negative direction, from
74.8 ± 0.3 mV (k = 5.7 ± 0.23 mV) to
97.5 ± 0.3 mV (k = 9.0 ± 0.32 mV, n = 7, P < 0.001)
in the absence and the presence of 5 µM EPA, respectively. After
washout of EPA with 0.2% fatty acid-free BSA, the steady-state
inactivation curve was shifted back to
81.9 ± 0.4 mV at the
V1/2 point with a k value of 6.9 ± 0.34 mV. The values of the V1/2 of the
steady-state inactivation curves between control and washout were not
significantly different (P > 0.05), but the difference
between EPA and washout was statistically significant (P < 0.01).
EPA-induced acceleration of inactivation development.
To assess the effects of EPA on the development of resting inactivation
of INa,
, conditioning pulses to
65 mV
with increasing durations were followed by a test pulse to
30 mV
(Fig. 7A). Because the
conditioning pulses to
65 mV did not evoke any current (Fig. 2), the
development of inactivation proceeded directly from the resting or
preactivated states. Figure 7B shows that increases in
duration of the conditioning pulse gradually increased the population
of hH1
channels into the inactivated state. EPA at 5 µM significantly accelerated the process of this transition. The data
were well fit by a single exponential decay with a time constant of
32.2 ± 0.8 and 8.3 ± 0.8 ms for control and EPA
(P < 0.01), respectively. It is interesting that
compared with hH1
alone, coexpression of the
1-subunit with hH1
reduced the rate of
inactivation development in the presence of EPA (Fig. 7C).
The time constant was significantly different between INa,
(3.6 ± 0.2 ms, n = 6) and INa,
(8.3 ± 0.8 ms,
n = 7, P < 0.05; Fig. 7C).
The data suggest that functional association of the
1-subunit with hH1
reduces the effects of
EPA on the development of resting inactivation of cardiac
Na+ channels.

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Fig. 7.
Acceleration of development of resting inactivation of
INa, by EPA. A: the voltage
protocol was composed of a prepulse from 150 to 65 mV with
increasing durations and a 10-ms test pulse to 30 mV. B:
time course of development of resting inactivation in the absence
( + 1, control) and presence ( + 1, EPA; n = 7) of 5 µM EPA. The time
courses of resting inactivation of INa,
were fit by a single exponential function with the time constant of
32.2 ± 0.8 ms for control and 8.3 ± 0.8 ms for EPA.
C: comparison of development of resting inactivation of
INa, ( ) and
INa, ( + 1) in the
presence of 5 µM EPA. The time constant (fit by a single exponential
function) of development of resting inactivation of
INa, is 3.6 ± 0.2 ms (n = 6) in the presence of 5 µM EPA, which is significantly shorter than
that of INa, (8.3 ± 0.8 ms;
n = 7, P < 0.05).
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|
EPA slows the recovery of INa,
from inactivation.
We examined the kinetics of recovery of
INa,
from inactivation in the absence and
presence of EPA using a protocol similar to that shown in Fig.
3C. In these experiments we used
100 mV as the holding and
recovery potential. Note from Fig. 7 that 10 s at
65 mV would
more than suffice to convert all Na+ channels to the
inactivated state. We determined the recovery from inactivation by
increasing the duration (
t) of recovery pulses and
measuring the available current elicited by a test pulse to
30 mV. In
control saline, the time course of recovery from inactivation of
INa,
was fit by a double exponential function, and most of the recovery was in the fast component (Fig. 8). The time constants for the recovery
from inactivation of INa,
in control
saline were 9 ± 7 ms (
1;
A1 =
0.78) and 1,149 ± 256 ms
(
2; A2 =
0.22). In the
presence of 5 µM EPA, the recovery from inactivation of
INa,
was also fit with a double exponential function (Fig. 8) with the time constants of 33 ± 7 ms (
1; A1 =
0.65) and
5,363 ± 845 ms (
2; A2 =
0.35). Both
1 and
2 are significantly
slower in the presence of 5 µM EPA (P < 0.05). To
obtain a better view of the fast component, the x-axis was
plotted to 1 s (Fig. 8, inset). At the recovery
potential of
100 mV, the time required for 50% channel recovery from
the fast component of inactivation was significantly delayed, from 13 ± 1 ms for control to 63 ± 7 ms for 5 µM EPA
(n = 9, P < 0.01), respectively. The
time required for 50% recovery from the fast component of inactivation
was also significantly prolonged when the recovery potential was
150
mV, from 5.7 ± 0.6 ms for control to 21.8 ± 1.6 ms for 5 µM EPA (n = 8, P < 0.01). These
results indicate that EPA slows recovery of
INa,
from both the fast and slow
components of inactivation.

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Fig. 8.
Kinetics of recovery from inactivation of
INa, . The time course of recovery of peak
INa, (n = 9) from
inactivation is shown in the absence (control, ) and
presence (EPA, ) of 5 µM EPA. The testing currents were
normalized to their maximal values of INa,
recorded before application of the protocol. Recovery of
INa, from inactivation was markedly
delayed for both fast and slow components in the presence of EPA. Data
were fit by a double exponential function. Inset: fraction
of recovery from inactivation during the first 1 s for control and
EPA. The voltage protocol is similar to that of Fig. 3A, but
with a holding and returning potential of 100 mV.
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|
A higher efficacy of EPA on inactivated Na+ channels.
Only closed resting channels are able to open in response to a
depolarizing pulse. During a cycle of depolarization and
repolarization, channels are in dynamic equilibrium between the resting
and inactivated states. Therefore, current amplitude is proportional to
the number of channels in the resting state before a depolarizing
pulse. The EPA-induced suppression of INa,
was voltage dependent (Fig. 4), and the midpoint of the steady-state
inactivation of INa,
was significantly
shifted to the negative direction in the presence of EPA (Fig. 6). The
voltage-dependent block and the negative shift in channel availability
could result from preferential EPA action on inactivated channels
compared with closed resting channels (3). Therefore, we
tested the effects of EPA on the resting and inactivated states of
Na+ channels. Figure 9,
A and B, shows that 5 µM EPA suppressed
superimposed Na+ currents evoked by depolarization pulses
to
30 mV from the holding potentials of
150 and
70 mV; from the
latter holding potential INa,
was
completely inhibited.

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Fig. 9.
Effects of EPA on resting and inactivated
hH1 channels. Current traces were evoked by voltage
steps from 150 to 30 mV (A) and from 70 to 30 mV
(B) in the absence (control) and presence (EPA) of 5 µM
EPA. C: suppression of resting ( ) and
inactivated ( ) hH1 channels by EPA was
concentration dependent. Data were fit by a logistical equation (see
MATERIALS AND METHODS). Each value represents 6-15
cells (mean ± SE). Normalized current was calculated as
INa, (EPA)/INa, (control)
from the same corresponding cell.
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|
To examine the EPA efficacy on resting channels, we assessed the
EPA-induced concentration-dependent suppression of
INa,
evoked by depolarization pulses from
a holding potential of
150 to
30 mV (Fig. 9A). At this
holding potential, virtually all channels were in the closed resting
state. The concentration-dependent curve gave an estimated
Kr, the equilibrium constant for drug binding or
interaction with resting channels (3), of EPA at a
concentration of 5.29 ± 0.56 µM (Fig. 9C).
Because inactivated channels do not open during depolarization, the
effects of drug binding to the inactivated state must depend on a small
portion of channels in the resting state. We therefore set the membrane
holding potential at
70 mV and assessed the concentration-dependent
relationship of EPA, Ki (Fig. 9, B and C). Here, Ki is the equilibrium
constant for block of inactivated channels at a
70-mV holding
potential at which channel inactivation was 80% (Fig. 2B).
Ki measured at this holding potential was
0.02 ± 0.01 µM (Fig. 9C). Thus Na+
currents in HEK293t cells coexpressing
1-subunit and
hH1
displayed a 265-fold greater sensitivity to EPA in
the inactivated state than in the resting state.
EPA block of resting hH1
channels.
Several Na+ channel blockers show a tonic and
frequency-dependent inhibition of voltage-gated Na+
channels (32). Figure
10A shows EPA-induced
inhibition of INa,
without and with
predepolarizing pulses. The current was evoked by a voltage command
from a holding potential of
140 mV to
30 mV every 5 s. After
10 control current traces were collected, 5 µM EPA solution was
washed into the bath. Na+ currents were then recorded after
3 min of EPA perfusion. The amplitude of peak currents were elicited by
a train of 30 pulses in the presence of 5 µM EPA. The amplitude of
peak INa,
elicited by the first pulse of
the train was markedly reduced. This inhibition is referred to as tonic
block, because the block developed at a holding potential of
140 mV
and without opening channels. During subsequent pulses in the train, no
additional block developed. The amplitude of peak
INa,
evoked by the 30th pulse was similar
to the value evoked by the 1st pulse. Therefore, EPA-induced
suppression of INa,
was mainly due to
fatty acid block of closed resting channels and did not require that
the channels enter the open state to gain access to a "binding"
site. The inhibition was removed after washout of EPA. In addition, the
time course of the EPA-induced suppression of
INa,
in another group of experiments was
not altered when the stimulating rate of pulses was altered from 0.1 to
1 Hz (data not shown). These results are consistent with our previous findings (40, 41, 43) that EPA-induced inhibition of
cardiac Na+ and Ca2+ channels are time
dependent, but not use dependent, in rat cardiac myocytes and in
HEK293t cells transfected with hH1
.

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Fig. 10.
EPA-induced tonic block of
INa, . A: time course of
EPA-induced inhibition of INa, in the
absence (control) and presence (EPA) of 5 µM EPA as well as during
washout. Inset: original currents were evoked by pulses from
150 to 30 mV, and arrows indicate the time points when current
traces were recorded. B: tonic block (1st pulse) and
frequency block (30th pulse) of hH1 Na+
channels by 5 µM EPA (n = 9) are well overlapped.
Data were fit by a logistical equation (see MATERIALS AND
METHODS).
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|
To examine EPA block of open-state hH1
channels, we
used the same experimental protocol as in Fig. 10A and
examined the concentration dependence of tonic block of closed,
resting-state channels (Kr) and that of
state-dependent block of open channels (Ko, an
estimate) (32). Figure 10B shows that EPA has
very similar effects on the resting state and the open state of
hH1
. The IC50 of EPA was 4.72 ± 1.26 and 4.82 ± 1.36 µM for the resting-state channel block and
the open-state channel block, respectively (n = 9, P > 0.05). The data further support the suggestion
that EPA-induced inhibition of cardiac Na+ currents is time
dependent, not use dependent, which is consistent with its high lipid
solubility (16).
Fatty acid effects on Na+ currents in HEK293t cells
transfected with hH1
or hH1
plus
1-subunit.
Table 1 summarizes the inhibitory effects
of several fatty acids on INa,
and
INa,
. EPA, DHA,
-linolenic acid, conjugated linoleic acid (all 5 µM), and retinoic acid (10 µM) are
significant inhibitors of these Na+ currents. EPA ethyl
ester at 5 µM had no effect on either
INa,
or INa,
.
Monounsaturated and saturated fatty acids (5 µM) had no significant
inhibitory effects on INa,
but
significantly inhibited INa,
. This loss of
the characteristic fatty acid specificity on
INa,
was recovered when the
1-subunit was coexpressed in HEK293t cells.
 |
DISCUSSION |
Modulation of hH1
channels by the
1-subunit.
In our present study, coexpression of the rat brain
1-subunit with the hH1