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Vol. 302, Issue 3, 972-982, September 2002


Pituitary Adenylate Cyclase-Activating Polypeptide Induces a Sustained Increase in Intracellular Free Ca2+ Concentration and Catecholamine Release by Activating Ca2+ Influx via Receptor-Stimulated Ca2+ Entry, Independent of Store-Operated Ca2+ Channels, and Voltage-Dependent Ca2+ Channels in Bovine Adrenal Medullary Chromaffin Cells

Katsuya Morita, Akira Sakakibara, Shigeo Kitayama, Kei Kumagai, Kazuo Tanne and Toshihiro Dohi

Department of Dental Pharmacology, Division of Integrated Medical Science (K.M., S.K., K.K., T.D.), and Department of Orthodontics and Craniofacial Developmental Biology, Division of Cervico-Gnathostomatology (A.S., K.T.), Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan

    Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Characteristics of pituitary adenylate cyclase-activating polypeptide (PACAP)-induced increase of Ca2+ entry and catecholamine (CA) release were studied in bovine adrenal medullary chromaffin cells. PACAP induced intracellular free Ca2+ concentration ([Ca2+]i), showing an initial transient [Ca2+]i rise followed by a sustained rise and CA release, which were not blocked by the blocking agents for nicotinic acetylcholine receptor (nAChR) channel, the voltage-dependent Ca2+ channel (VOC), or the Na+ channel. The sarcoendoplasmic Ca2+-ATPase inhibitors thapsigargin and cyclopiazonic acid did not affect the PACAP-induced sustained rise of [Ca2+]i, but did inhibit the initial [Ca2+]i rise. In cells pretreated with cyclopiazonic acid or membrane-permeable, low-affinity Ca2+ chelator N',N',N',N'-tetrakis(2-pyridylmethyl)ethylenediamine, PACAP further stimulated the entry of Ca2+ or Mn2+, whereas these treatments masked [Ca2+]i dynamics induced by bradykinin. PACAP-induced sustained [Ca2+]i rise and Mn2+ entry were enhanced by acidic extracellular solution and reduced by alkalinization, whereas thapsigargin-induced Mn2+ entry was regulated by the opposite. PACAP-induced [Ca2+]i rise and Mn2+ entry were not affected by blockers of cAMP-dependent protein kinase, phospholipase C, or protein kinase C. All store-operated Ca2+ channel (SOC) blocking agents tested inhibited thapsigargin-induced Mn2+ entry. 1{beta -[3-(4-Methoxyphenyl)-propoxy]-4-methoxyphenylethyl}-1H-imidazole hydrochloride (SK&F 96365), (R,S)-(3,4-dihydro-6,7-dimethoxy-isoquinoline-1-yl)-2-phenyl-N,N-di-[2-(2,3,4-trimethoxyphenyl)ethyl]-acetamide, and econazole inhibited PACAP-induced Ca2+ or Mn2+ entry, whereas GdCl3, 7,8-benzoflavone, nor-dihydroguaiaretic acid, 5-nitro-2-(3-phenylpropylamino)benzoic acid, fulfenamic acid, and niflumic acid did not. SK&F 96365 and econazole but not GdCl3 inhibited PACAP-induced CA release. These results suggest that PACAP activates a novel Ca2+ entry pathway associated with sustained CA release independent of the nAChR channel, VOC and SOC, activated by acid pH, with different sensitivity to blockers of SOC. This pathway may provide a useful model for the study of receptor-operated Ca2+ entry.

    Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Pituitary adenylate cyclase-activating polypeptide (PACAP) is a member of the family of vasoactive polypeptides. Two distinct biologically active forms, PACAP-38 and PACAP-27, have been described. PACAP, widely distributed in the central nervous system and peripheral organs, is present in large amounts in adrenal glands (Arimura et al., 1991). It is a very potent secretagogue for catecholamine (CA) from the adrenal medulla (Watanabe et al., 1992; Isobe et al., 1993; Chowdhury et al., 1994; Guo and Wakade, 1994; Perrin et al., 1995; Babinski et al., 1996; Neri et al., 1996; Przywara et al., 1996; Tanaka et al., 1996; Geng et al., 1997). PACAP immunoreactive fibers innervate adrenal chromaffin cells (Tornøe et al., 2000), and splanchnic nerve stimulation increases PACAP-(1-38) release from perfused porcine adrenal gland (Tornøe et al., 2000). The PACAP type 1 receptor antagonist PACAP-(6-38) inhibits electrical stimulation-evoked CA release from perfused rat adrenal gland (Fukushima et al., 2001a). Thus, PACAP is thought to function as a noncholinergic neurotransmitter in adrenal glands (Przywara et al., 1996; Lamouche et al., 1999; Fukushima et al., 2001b).

An increase in intracellular free Ca2+ concentration ([Ca2+]i) is generally essential for CA release by various secretagogues in adrenal chromaffin cells and PACAP also increases [Ca2+]i in the cells; an initial sharp rise followed by a sustained rise. When extracellular Ca2+ was omitted, both the sustained [Ca2+]i rise and CA release in response to PACAP were eliminated, although PACAP still induced an initial transient [Ca2+]i rise (Isobe et al., 1993; Przywara et al., 1996). Thus, the initial sharp rise in [Ca2+]i mainly reflects a rapid Ca2+ release from intracellular Ca2+ stores, whereas the sustained [Ca2+]i rise is due to Ca2+ entry through the plasma membrane, which is essential for CA release in response to PACAP. The various pathways through which the regulated entry of Ca2+ occurs are found in adrenal chromaffin cells; nicotinic acetylcholine (ACh) receptor (nAChR) channels, voltage-operated Ca2+ channels (VOCs), store-operated channels (SOCs), and other unidentified channels. SOC is regulated by the discharge/repletion of intracellular Ca2+ stores and may be functionally related to receptor-operated Ca2+ channels, which couple to the G protein/phospholipase C-inositol trisphosphate (IP3) pathway.

However, unrelated mechanisms underlying the increase in Ca2+ entry in response to PACAP have been reported. For example, several studies have shown that PACAP activates VOC in porcine (Isobe et al., 1993), bovine (Tanaka et al., 1996; O'Farrell and Marley, 1997), and canine (Geng et al., 1997) chromaffin cells. On the other hand, PACAP stimulated cAMP-mediated Ca2+ influx in rat (Przywara et al., 1996) and bovine (Perrin et al., 1995) adrenal chromaffin cells and activated Ca2+ influx through a pathway coupled with phospholipase C (Taupenot et al., 1999) with both adenylate cyclase and phospholipase C in PC12 cells (Osipenko et al., 2000). The involvement of distinct mechanisms for the time-dependent responses to PACAP have also been reported; the initial response is mediated by L-type VOC and the sustained response may involve the activation of the Gq/11/phospholipase C-beta /phosphoinositide-signaling pathway in PC12 cells (Taupenot et al., 1999). The L-type VOC is responsible for CA release induced by PACAP, and activation of adenylate cyclase is involved in the PACAP-induced release of epinephrine, but not norepinephrine, in perfused rat adrenal glands (Fukushima et al., 2001b).

Aside from the confirmation by all studies that the secretory response to PACAP is long-lasting and entirely dependent on an influx of extracellular Ca2+, the detailed nature of PACAP-induced Ca2+ entry remains to be elucidated. It will be beneficial to analyze PACAP-induced Ca2+ entry to get new insight into the mechanisms of [Ca2+]i signaling. The aim of the present study is to verify the characteristics of PACAP-induced [Ca2+]i dynamics, focusing on whether PACAP activates nAChR channel, VOC, SOC, or other pathways to regulate [Ca2+]i signaling and CA release. The present results demonstrated that PACAP is coupled with a unique Ca2+ entry pathway distinguishable from nAChR channel, VOC, and SOC that is not associated with adenylate cyclase, phospholipase C, or protein kinase C (PKC).

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

Reagents. The following reagents were obtained as indicated: omega -agatoxin (omega -AgTx), IVA, bradykinin, omega -conotoxin (omega -CgTx) GVIA, omega -CgTx MVIIC, PACAP38 (human), and PACAP-(6-38) were from Peptide Institute, Inc. (Osaka, Japan); 7,8-benzoflavone, caffeine, GdCl3, fulfenamic acid, staurosporine, thapsigargin, and U-73122 were from Wako Pure Chemicals (Osaka, Japan); N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinolinesulfon-amide (H-89) and N-(2-guanidinoethyl)-5-isoquinolinesulfonamide hydrochloride (HA1004) were from Seikagaku Corporation (Tokyo, Japan); cyclopiazonic acid, diltiazem hydrochloride, econazole, nicardipine hydrochloride, nifedipine, and SK&F 96365 were from Sigma-Aldrich (St. Louis, MO); fura-2, fura-2 acetoxymethylester, and N',N',N',N'-tetrakis(2-pyridylmethyl) ethylenediamine (TPEN) were from Dojindo Laboratories (Kumamoto, Japan); nor-dihydroguaiaretic acid (NDGA) and 5-nitro-2-(3-phenylpropylamino)benzoic acid (NPPB) were from BIOMOL Research Laboratories (Plymouth Meeting, PA); niflumic acid was from Cayman Chemicals (Ann Arbor, MI); adenosine-3',5'-cyclic monophosphotioate, Rp diastereomer sodium salt was from BioLog Life Science Institute (Bremen, Germany); and tetrodotoxin was from Sankyo Co., Ltd. (Tokyo, Japan). (R,S)-(3,4-Dihydro-6,7-dimethoxy-isoquinoline-1-yl)-2-phenyl-N,N-di-[2-(2,3,4-trimethoxyphen-yl)ethyl]-acetamide (LOE 908) was kindly provided by Boehringer Ingelheim Pharma KG (Biberach, Germany). All other chemicals were reagent grade.

Cyclopiazonic acid, H-89, HA1004, LOE 908, diltiazem, nicardipine, nifedipine, NPPB, staurosporine, thapsigargin, and U-73122 were dissolved in dimethyl sulfoxide to make stock solutions. Econazole, fulfenamic acid, NDGA, and niflumic acid were dissolved in ethanol to make stock solutions. Dimethyl sulfoxide (0.1%) or ethanol (0.1%) at the highest final concentrations used had no effects on [Ca2+]i, Mn2+ entry, and CA release, respectively (data not shown).

Cell Preparation. Chromaffin cells of bovine adrenal glands were isolated enzymatically as described previously (Morita et al., 1987). Cells were maintained in Dulbecco's modified Eagle's medium containing 10% fetal calf serum, penicillin G (100 U/ml), streptomycin (100 µg/ml), ascorbate (0.1 mM), and HEPES (5 mM) at 37°C in a humidified incubator under 5% CO2, 95% air atmosphere in suspension culture for 24 to 72 h for measurement of [Ca2+]i or in 35-mm tissue culture dish (106 cells/dish) for 3 to 6 days for CA release assay. Cells were washed and suspended in either medium before use: normal medium containing 150 mM NaCl, 5 mM KCl, 1 mM MgSO4, 1.3 mM CaCl2, 5 mM glucose, 10 mM HEPES-Tris buffer, and 0.5% BSA, pH 7.4; Ca2+-deficient medium containing 150 mM NaCl, 5 mM KCl, 1 mM MgSO4, 5 mM glucose, 0.1 mM EGTA, 10 mM HEPES-Tris buffer, and 0.5% BSA, pH 7.4; or Ca2+-sucrose medium containing 1.3 mM CaCl2, 5 mM glucose, 340 mM sucrose, 10 mM HEPES-Tris buffer, and 0.5% BSA, pH 7.4.

Estimation of [Ca2+]i. [Ca2+]i was estimated with the use of the calcium-sensitive dye fura-2 as described previously (Morita et al., 1997). Briefly, the cells were incubated at 32°C with 1 µM fura-2 acetoxymethylester for 30 min for loading the dye. Cells were then centrifuged at 10g for 10 min and resuspended to yield 3 × 106 cells. Cells were washed with normal medium, Ca2+-deficient medium, or Ca2+-sucrose medium with rapid centrifugation then resuspended in the medium immediately before use. Fluorescence was measured with a dual wavelength fluorescence spectrophotometer with excitation at 340 and 380 nm and emission at 510 nm. [Ca2+]i was calculated from the fluorescence ratio at 340 and 380 nm using the equation of Grynkiewicz et al. (1985) and the value of 224 nM for Kd of fura-2. To monitor Ca2+ entry, some of the experiments were carried out according to the Ca2+-free/Ca2+ reintroduction protocol (Clementi et al., 1992). To this end, fura-2-loaded chromaffin cells were washed with Ca2+-deficient medium with rapid centrifugation before use. After stimulants were added, the first [Ca2+]i peak was recorded and then Ca2+ was reintroduced into the medium and the ensuring second [Ca2+]i peak was recorded.

Measurement of Mn2+ Entry. Divalent cation entry was monitored by the fura-2 Mn2+-quenching technique. Fura-2 has a higher affinity for Mn2+ than Ca2+ (Grynkiewicz et al., 1985). Cells loaded with fura-2 as described above were suspended in Ca2+-deficient medium. Two minutes after the addition of stimulants, Mn2+ (0.25 mM, final concentration) was added. Fluorescence was exited at 360 nm. Emission was recorded at 510 nm. Maximal Mn2+-quenching values were estimated in each preparation at the end of the recording by permeabilization of the cells with 10 µM digitonin.

CA Assay. For the measurement of release of CA, incubations were carried out as described previously (Morita et al., 1987). The incubation medium was separated from the cells, mixed with perchloric acid (5% of final concentration), and centrifuged at 4500g for 15 min. The total CA content in the resultant supernatant was measured fluorometrically by the method of von Euler and Lishajko (1961) with adrenaline as a standard. Statistical analysis was performed by Student's t test.

    Results
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

PACAP Induced [Ca2+]i Rise and CA Release. PACAP (PACAP-38) induced a biphasic [Ca2+]i rise; an initial sharp rise followed by a sustained rise in chromaffin cells. The PACAP receptor antagonist PACAP-(6-38), blocked the [Ca2+]i rise by pretreatment and sharply reduced the [Ca2+]i rise when added at the sustained phase, suggesting that continuous stimulation of PACAP receptors is required to maintain the [Ca2+]i rise (Fig. 1A). Concentration-response curves for the [Ca2+]i rise and CA release show that PACAP as low as 10 and 100 pM initiated the [Ca2+]i rise and CA release, respectively, and produced almost maximal effects at 10 nM (EC50 values for the [Ca2+]i rise and CA release were 0.20 and 0.38 nM, respectively) (Fig. 1B). Adrenal chromaffin cells develop several types of VOC; P/Q-type, N-type, and L-type. To determine whether these channels are involved in the PACAP-induced [Ca2+]i rise, chromaffin cells were pretreated with omega -AgTx IVA, a blocker of P/Q-type VOC, omega -CgTx GVIA, a blocker of N-type VOC, and diltiazem, nicardipine, and nifedipine, which are L-type channel blockers. Pretreatment of cells with diltiazem did not affect the shape of the [Ca2+]i rise induced by PACAP (Fig. 1C), whereas diltiazem blocked almost completely the ACh-induced peak and sustained [Ca2+]i rise. No individual blocker of VOC affected both the initial peak and sustained rise of [Ca2+]i induced by 10 nM PACAP (Table 1). Some studies have reported the involvement of VOC in PACAP-induced [Ca2+]i rise using a higher concentration of PACAP (100 nM), which is the supramaximal concentration for CA release and [Ca2+]i rise at the present study. In the present study, nicardipine and nifedipine, but not omega -AgTx IVA and omega -CgTx GVIA, slightly inhibited the [Ca2+]i rise induced by 100 nM of PACAP. Peak and sustained [Ca2+]i rise induced by ACh and excess KCl were effectively blocked by nifedipine and nicardipine, and slightly reduced by omega -AgTx IVA (Table 1).


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Fig. 1.   PACAP-induced increase in [Ca2+]i and CA release from bovine adrenal chromaffin cells. A, fura-2-loaded adrenal chromaffin cells were incubated at 32°C. Typical patterns of the rise in [Ca2+]i induced by various concentrations of PACAP are shown. The rise in [Ca2+]i was determined fluorometrically using fura-2 dye as described under Materials and Methods. PACAP receptor antagonist (1 µM) was added 5 min before or 15 min after the addition of 10 nM PACAP. B, concentration-response curves for PACAP-induced [Ca2+]i rise and CA release. Sustained [Ca2+]i was the value at 10 min after the addition of PACAP. Total CA released in the medium was assayed fluorometrically. Values are the mean ± S.E.M. of the net increase in [Ca2+]i and CA release for three to six experiments using triplicate assays. C and D, effects of diltiazem on [Ca2+]i rise induced by PACAP (C) or ACh (D) in bovine adrenal chromaffin cells. Fura-2-loaded chromaffin cells were incubated at 32°C either in the presence of diltiazem (30 µM) or vehicle for 5 min then PACAP (3 nM) or ACh (5 µM) was added. Typical patterns for the rise in [Ca2+]i are shown. These and the following experiments are representative of experiments performed with very similar results in at least three different batches of cells.


                              
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TABLE 1
Effects of various treatments on PACAP-induced [Ca2+]i rise in adrenal chromaffin cells

The experimental design was similar to that described in Fig. 1. Drugs were applied 3 min before stimulation. Peak rise of [Ca2+]i was obtained during 10 to 15 and 2 to 5 s after the addition of PACAP and 22.5 mM KCl, respectively. Sustained rise of [Ca2+]i by PACAP and excess KCl were obtained at 10 and 3 min after the addition of the stimulants, respectively. Values are the mean ± S.E.M. of the net increase in peak and sustained phase of [Ca2+]i for six to twelve experiments.

In agreement with these results on [Ca2+]i rise, VOC blockers did not affect CA release induced by 10 nM PACAP (Table 2). Nifedipine and nicardipine slightly reduced CA release induced 100 nM PACAP (Table 2). Nifedipine, nicardipine, and diltiazem effectively blocked the secretory response to ACh and excess KCl (Table 2). The PACAP-induced [Ca2+]i rise and CA release were resistant to tetrodotoxin (TTX), an Na+ channel blocker (Tables 1 and 2). The PACAP-induced sustained [Ca2+]i rise and CA release were eliminated in the Ca2+-deficient medium and entirely restored in the Ca2+-sucrose medium, with rather larger increases in [Ca2+]i than with the normal medium (Tables 1 and 2). These results suggest that VOC and Na+ are not involved in the [Ca2+]i rise and CA release induced by PACAP, except in very high concentrations.

                              
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TABLE 2
Effects of various treatments on PACAP-induced CA release from adrenal chromaffin cells

The experimental design was similar to that described in Table 1. Drugs were applied 3 min before stimulation. Values are the mean ± S.E.M. of the net increase in CA release for six to twelve experiments of triplicate assays. Significantly different from the corresponding control at * p < 0.05 and ** p < 0.01.

Diltiazem has been shown to effectively block the nAChR. It is more potent than the L-type Ca2+ channel (Lopéz et al., 1993), in a noncompetitive manner at concentrations far lower than those needed to inhibit binding of alpha -bungarotoxin in chromaffin cells (Houlihan et al., 2000). These results suggest that diltiazem blocks the nAChR channel with less affinity to ACh binding sites. Therefore, the lack of diltiazem effect on PACAP-induced [Ca2+]i rise and CA release at the concentration that blocked ACh-induced [Ca2+]i rise and CA release almost completely (when both nAChR and VOC were blocked) also suggest that PACAP does not seem to act to nAChR to stimulate the [Ca2+]i rise and CA release.

PACAP-Induced Ca2+ Entry. SOC has been shown to be an another important pathway permitting Ca2+ entry through plasma membrane. This pathway is activated by mobilizing Ca2+ from intracellular Ca2+ stores in various cells (Barritt, 1999; Hofmann et al., 2000). Bradykinin has been shown to induce a [Ca2+]i rise mainly by mobilizing Ca2+ from intracellular Ca2+ stores through the phospholipase C/IP3-signaling pathway and the subsequent Ca2+ entry through SOC in bovine chromaffin cells (O'Sullivan and Burgoyne, 1989; Cheek and Barry, 1993; Castro et al., 1995). Bradykinin was used as a reference agonist for the IP3-mediated Ca2+ release/SOC activation signaling pathway. It has been shown that the mobilization of Ca2+ from Ca2+ stores by pharmacological manipulation (e.g., inhibition of Ca2+-ATPase in the stores by thapsigargin or cyclopiazonic acid) activates Ca2+ entry through SOC (Takemura et al., 1989; Berridge, 1995; for review, see Fasolato et al., 1994). Whether SOC is involved in PACAP-induced Ca2+ entry was examined in cells pretreated with thapsigargin and cyclopiazonic acid. In these cells, SOC was expected to be preactivated. Thus, the effects of PACAP and bradykinin should be masked if these agonists activate Ca2+ entry by the same mechanism. Figure 2, A and B, shows the results of the changes in PACAP- and bradykinin-induced [Ca2+]i rise in cells pretreated with thapsigargin or cyclopiazonic acid in normal medium. Whereas the initial sharp rise of [Ca2+]i induced by PACAP disappeared in thapsigargin- and cyclopiazonic acid-pretreated cells, the sustained phase remained similar to the control (Fig. 2A). On the other hand, both the initial and sustained rises of [Ca2+]i induced by bradykinin were almost eliminated by these treatments (Fig. 2B). These results suggest that the bradykinin-induced sustained [Ca2+]i rise is due to the activation of SOC, but PACAP induces the sustained [Ca2+]i rise by stimulating Ca2+ entry through a mechanism different from SOC.


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Fig. 2.   Effects of thapsigargin (TG) or cyclopiazonic acid (CPA) on PACAP- and bradykinin (BK)-induced [Ca2+]i rise in adrenal chromaffin cells. A and B, after 45-min pretreatment with TG (2 µM), CPA (45 µM), or vehicle in the dark at 32°C in normal medium, cells were washed rapidly with fresh medium before fluorescence measurement. Then cells were stimulated with PACAP (10 nM) (A) or BK (3 nM) (B) at the times indicated. Typical patterns of the rise in [Ca2+]i are shown. These and the following experiments are representative of experiments performed with very similar results in at least three different batches of cells.

To confirm this, Ca2+ entry induced by PACAP was evaluated by comparing various treatments to bradykinin. To evaluate Ca2+ entry, changes in [Ca2+]i rise were measured by the introduction of Ca2+ into the medium after the treatment of cells with Ca2+ mobilization in Ca2+-deprivated medium. To see whether these changes in [Ca2+]i induced by the addition of Ca2+ are due to Ca2+ entry from extracellular space into the cells, the Mn2+-quenching technique was used. This cation has been used as a surrogate for Ca2+ entry, given its quenching effect on fura-2 (Grynkiewicz et al., 1985; Clementi et al., 1992). After the transient rise in [Ca2+]i induced by PACAP in a Ca2+-deprived medium, the addition of Ca2+ into the medium caused larger increases in [Ca2+]i than in vehicle-treated cells, and the increase gradually declined (Fig. 3A). Bradykinin also increased [Ca2+]i with the introduction of [Ca2+]i into the medium, and the increase was smaller than that of PACAP, although the bradykinin-induced transient increment of [Ca2+]i was similar to that of PACAP. The addition of Mn2+ to PACAP- and bradykinin-treated cells resulted in a sustained quenching of fura-2 fluorescence compared with that in vehicle-treated cells, and the effect of PACAP was greater than that of bradykinin, as observed in the rise of [Ca2+]i (Fig. 3B). Figure 3, C and D, shows Ca2+ entry induced by PACAP and bradykinin in cyclopiazonic acid-pretreated cells in Ca2+-deprived medium. Cyclopiazonic acid caused a sharp transient increase in [Ca2+]i in the absence of extracellular Ca2+ (Fig. 3C). The addition of PACAP and bradykinin showed no further increase in [Ca2+]i after treatment with cyclopiazonic acid. In this condition, the introduction of Ca2+ into the medium failed to cause an [Ca2+]i rise in bradykinin-treated cells (cyclopiazonic acid + bradykinin) over control (cyclopiazonic acid) but further increased [Ca2+]i in PACAP-treated cells (cyclopiazonic acid + PACAP) (Fig. 3C). Similarly, Fig. 3D shows that bradykinin produced no further effect on Mn2+ entry in cells pretreated with cyclopiazonic acid, but PACAP did increase Mn2+ entry in these cells. There is a difference in the sensitivity of sarcoendoplasmic reticulum Ca2+-ATPase to these Ca2+-ATPase inhibitors (Morita et al., 1997), and it is difficult to control the concentration of Ca2+ in stores at a constant level by Ca2+-ATPase inhibitors. To control Ca2+ concentrations in Ca2+ stores at low levels, TPEN, a membrane-permeant multivalent cation chelator with moderate affinity for Ca2+ (Kd for Ca2+ of ~130 µM) (Arslan et al., 1985; Hofer et al., 1998) was used. There are advantages to using TPEN over Ca2+-ATPase inhibitor because TPEN is assumed to have no significant influence on [Ca2+]i in the cytoplasm or any other cell compartment where the steady-state concentration is in the nanomolar or low micromolar range. In compartments where the concentration of Ca2+ is comparable to Kd, TPEN should bind Ca2+ and rapidly reduce its concentration, thereby reducing [Ca2+]i in sarcoendoplasmic reticulum (Arslan et al., 1985; Hofer et al., 1998). In TPEN-pretreated cells, neither PACAP nor bradykinin produced an increase in [Ca2+]i (Fig. 3E). Thus, the concentration of Ca2+ in the pools was considered to be low enough to rule out the involvement of release of Ca2+ from pools. The introduction of Ca2+ into the medium did not cause an [Ca2+]i rise over the control in bradykinin-treated cells (Fig. 3E). However, a larger increase in [Ca2+]i rise was observed in PACAP-treated cells than in vehicle- or bradykinin-treated cells (Fig. 3E).


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Fig. 3.   PACAP- and bradykinin (BK)-induced Ca2+ entry and Mn2+ entry in adrenal chromaffin cells and effects of various treatments. A and B, PACAP- and bradykinin (BK)-induced Ca2+ entry (A) and Mn2+ entry (B). Fura-2-loaded chromaffin cells were incubated at 32°C either in the presence of PACAP (10 nM), BK (3 nM), or vehicle in Ca2+-deprived medium for the indicated time. Then CaCl2 (1.3 mM) (A) or MnCl2 (0.25 mM) (B) was added to the suspension to initiate Ca2+ entry and Mn2+ entry. [Ca2+]i was measured as described in Fig. 1. Mn2+ entry was monitored by the fura-2/Mn2+-quenching technique, as described under Materials and Methods. Fluorescence was excited at 360 nm. Emission was recorded at 510 nm. Maximal Mn2+-quenching values were estimated in each preparation at the end of the recording by permeabilization of the cells with 10 µM digitonin. C and D, effects of cyclopiazonic acid (CPA) on PACAP- and BK-induced Ca2+ entry and Mn2+ entry. Fura-2-loaded chromaffin cells were incubated at 32°C in the presence of vehicle or CPA (45 µM) in Ca2+-deprived medium for 3 min then cells were stimulated with vehicle, PACAP (10 nM), or BK (3 nM). Two minutes later, CaCl2 (1.3 mM) or MnCl2 (0.25 mM) was added to the medium to initiate Ca2+ entry (C) and Mn2+ entry (D). Maximal Mn2+-quenching values were estimated in each preparation at the end of the recording by permeabilization of the cells with 10 µM digitonin. E, effects of TPEN on PACAP- and BK-induced Ca2+ entry in adrenal chromaffin cells. Fura-2-loaded chromaffin cells were incubated in Ca2+-deprived TPEN (2 mM)-containing medium either in the presence of PACAP (10 nM), BK (3 nM), or vehicle. Then CaCl2 (final concentration of 2.6 mM) was added.

pH Sensitivity. It has been shown that acidification of extracellular solutions inhibits SOC, and raising the pH increases SOC activity in various cell types (Malayev and Nelson, 1995; Iwasawa et al., 1997; Kerschbaum and Cahalan, 1998; Khoo et al., 2001). The effects of extracellular acidification on PACAP-induced Ca2+ entry were examined in bovine chromaffin cells. It was found that the sustained rise of [Ca2+]i induced by PACAP was enhanced at pH 6.6 and reduced at 8.4 compared with pH 7.4, whereas the initial peak rise of [Ca2+]i was only slightly affected (Fig. 4A). Mn2+ entry induced by PACAP was also enhanced in acidic solutions and reduced in alkaline solutions over the range from pH 6.2 to 8.4, whereas thapsigargin-induced Mn2+ entry was reduced in acidic solutions and enhanced in alkaline solutions over these ranges (Fig. 4). These results also suggest that PACAP-induced Ca2+ entry is distinguishable from SOC in chromaffin cells.


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Fig. 4.   Effects of changes in extracellular pH on [Ca2+]i rise and Mn2+ entry induced by PACAP and thapsigargin. A, fura-2-loaded chromaffin cells were incubated at 32°C in normal medium for 5 min at indicated pH then PACAP (10 nM) was added to the suspension. The rise in [Ca2+]i was determined as described under Materials and Methods. The experiments are representative of experiments performed with very similar results in at least three different batches of cells. B, cells were incubated in Ca2+-deprived medium for 5 min at the indicated pH, followed by incubation for 3 min in the presence of PACAP (10 nM), thapsigargin (TG, 1 µM), or vehicle. MnCl2 (0.25 mM) was then added to the suspension and incubated for 1 min to initiate Mn2+ entry. The PACAP- and TG-induced Mn2+ entry in the indicated external pH is shown as the ratio to those in pH 7.4. The external pH was shifted by changing the ratio HEPES/Tris.

Effects of Inhibitors of Signal Transduction. Whether cAMP-dependent protein kinase (PKA), PKC, and phospholipase C were involved in the regulation of PACAP-induced Ca2+ entry was studied using the respective inhibitors (Table 3). We have previously shown that adenosine-3',5'-cyclic monophoshotioate, (Rp)-cAMPS, a PKA inhibitor, significantly reduced at 0.5 mM ACh-induced CA release and completely blocked the potentiation by 8-bromo-cAMP and forskolin of ACh-induced CA release in bovine chormaffin cells (Morita et al., 1995). Adenosine-3',5'-cyclic monophoshotioate, (Rp)-cAMPS had no effect on PACAP-induced Mn2+ entry. Other inhibitors of PKA, H-89 and HA1004, were also without effect. When cells were pretreated with 3 µM U-73122, an inhibitor of phospholipase C, the bradykinin-induced [Ca2+]i rise was blocked (the peak rise of [Ca2+]i induced by 1 nM bradykinin was 136.3 ± 11.7 nM in control and 9.1 ± 1.1* nM in 3 µM U-73122-treated cells, respectively, and the sustained rise was abolished; *p < 0.001). However, U-73122 at this concentration had no effect on PACAP-induced Mn2+ entry. An inhibitor of PKC, staurosporine, or the combination of H-89 and U-73122 was also without effect on Mn2+ entry. These inhibitors did not affect PACAP-induced [Ca2+]i rise.


                              
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TABLE 3
Effects of inhibitor of PKA, PKC and phospholipase C on Mn2+ entry and [Ca2+]i rise induced by PACAP in adrenal chromaffin cells

Basal Mn2+ entry (% fura-2 quench) at 1 and 5 min after the addition of Mn2+ were 25.44 ± 1.05 and 55.11 ± 0.96, respectively. Values represent percentage of control calculated by D/C × 100 (C = Mn2+ entry in the presence of 10 nM PACAP at 1 and 5 min in the absence of drugs minus basal Mn2+ entry were 25.54 ± 1.64 and 23.61 ± 1.53, respectively. D = Mn2+ entry in the presence of PACAP minus basal Mn2+ entry in the presence of drugs. Basal Mn2+ entry was not altered by drugs tested. PACAP-induced [Ca2+]i rise was similar to that described in Table 1.

Effects of Ca2+ Entry Blockers. The pretreatment of cells in normal incubation medium with 10 µM SK&F 96365, one of the most popular inhibitors of Ca2+ entry through SOC, did not affect the PACAP-induced initial peak rise of [Ca2+]i but diminished the sustained rise (Fig. 5A). The addition of SK&F 96365 during the sustained rise of [Ca2+]i sharply attenuated the rise (Fig. 5A). In the Ca2+-deprived medium, pretreatment with SK&F 96365 did not affect the transient increase in [Ca2+]i induced by PACAP but blocked Ca2+ entry in PACAP-treated cells induced by reintroducing Ca2+ into the medium (Fig. 5B). SK&F 96365 did not affect the small rise of [Ca2+]i but blocked Ca2+ entry induced by thapsigargin (Fig. 5C). On the other hand, GdCl3, a blocker of nonselective cation currents, including SOC in various cells (Schumann et al., 1994), affected neither the initial nor the sustained [Ca2+]i rise induced by PACAP (Fig. 5D). GdCl3 inhibited the Ca2+ entry induced by thapsigargin but failed to inhibit PACAP-induced Ca2+ entry (Fig. 5E). Effects of other compounds having Ca2+entry blocking action LOE 908 (Ca2+ antagonists), econazole, and 7,8-benzoflavone (cytochrome P-450 inhibitors), NDGA (lipoxygenase inhibitors), and NPPB, fulfenamic acid, and niflumic acid (cyclooxygenase inhibitors) on PACAP-induced Ca2+entry were examined (Table 4). SK&F 96365, LOE 908, and econazole significantly inhibited PACAP-induced Mn2+ entry, whereas 7,8-benzoflavone, NDGA, NPPB, fulfenamic acid, and niflumic acid did not block PACAP-induced Mn2+ entry. All of these compounds effectively blocked thapsigargin-induced Mn2+ entry at these concentrations.


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Fig. 5.   Effects of SK&F 96365 and GdCl3 on [Ca2+]i rise and Ca2+ entry induced by PACAP and thapsigargin (TG). A, fura-2-loaded chromaffin cells were incubated at 32°C in normal medium for 5 min then PACAP (3 nM) was added to the suspension. SK&F 96365 (10 µM) was added 3 min before or 5 min after the addition of PACAP. B and C, fura-2-loaded chromaffin cells were incubated at 32°C either in the presence of SK&F 96365 (10 µM) or vehicle in Ca2+-deprived medium for 3 min then PACAP (10 nM) (B) or TG (1 µM) (C) was added. CaCl2 (1.3 mM) was added 3 min after the addition of PACAP or TG to the suspension to initiate Ca2+ entry. D, fura-2-loaded chromaffin cells were incubated at 32°C in normal medium for 5 min then PACAP (3 nM) was added to the suspension. GdCl3 (10 µM) was added 3 min before the addition of PACAP. E, cells were incubated in Ca2+-deprived medium in the presence of PACAP (10 nM), TG (1 µM), or vehicle for 3 min then CaCl2 (1.3 mM) was added to the suspension to initiate Ca2+ entry. GdCl3 (10 µM) was added 1.5 min after the addition of Ca2+.


                              
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TABLE 4
Effects of various store-operated Ca2+ entry blocker on Mn2+ entry induced by PACAP and thapsigargin (TG) in adrenal chromaffin cells

Values represent percentage of control calculated as described in Table 3, except that Mn2+ entry induced by PACAP and TG at 1 and 5 min were 25.54 ± 1.64 and 23.61 ± 1.53 for PACAP and 14.89 ± 0.78 and 16.58 ± 1.52 for TG, respectively, and the basal Mn2+ entry in the presence of drugs tested (basal values at 1 and 5 min were 25.44 ± 1.05 and 55.11 ± 0.96; SK&F 96365, 14.70 ± 1.85 and 38.08 ± 4.48; LOE 908, 15.98 ± 0.73 and 46.55 ± 3.16; econazole, 16.51 ± 1.22 and 45.55 ± 3.16; 7,8-benzoflavone, 25.45 ± 4.24 and 57.10 ± 4.47; NDGA, 19.95 ± 1.45 and 46.48 ± 0.62; NPPB, 20.87 ± 2.83 and 46.66 ± 3.50; fulfenamic acid, 25.08 ± 2.86 and 54.27 ± 2.70; niflumic acid, 13.37 ± 2.63 and 37.50 ± 4.23, respectively).

SK&F 96365 and econazole, which inhibited the sustained [Ca2+]i rise but not the initial [Ca2+]i rise induced by PACAP, inhibited PACAP-induced CA release with the similar range of concentrations to block Ca2+ entry (Table 5). SK&F 96365 and econazole did not block CA release induced by ionomycin, a Ca2+ ionophore, suggesting that the inhibition of PACAP-induced CA release by these agents was not due to the inhibition of the steps leading to CA release subsequent to Ca2+ entry (ionomycin-induced CA release in the absence and the presence of 10 µM SK&F 96365 and 5 µM econazole were 0.56 ± 0.04, 0.56 ± 0.02, and 0.59 ± 0.03 µg/106 cells, respectively). PACAP-induced CA release was resistant to GdCl3.

                              
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TABLE 5
Effects of SK&F 96365, econazole, and GdCl3 on PACAP-induced [Ca2+]i rise and CA release from bovine adrenal chromaffin cells

The experimental design was similar to that described in Tables 1 and 2. Drugs were applied 3 to 10 min before the addition of 10 nM PACAP. Values of the mean ± S.E.M. of the net increase in [Ca2+]i and CA release for three to eight experiments using triplicate assays. Significantly different from the corresponding control at * p < 0.05 and ** p < 0.01.

    Discussion
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Abstract
Introduction
Materials and Methods
Results
Discussion
References

The ACh-stimulated increase in [Ca2+]i in bovine adrenal chromaffin cells is mainly triggered by an influx of Ca2+ through the nAChR channel, VOC, and the subsequent activation of Ca2+-induced Ca2+ release, all of which contribute to CA release. These events in response to ACh are of short duration, whereas PACAP induces large and sustained increases in [Ca2+]i and CA release. The present study sought to elucidate which pathways (nAChR channel, VOC, SOC, or an unidentified channel) contribute to this peculiar Ca2+ and secretory response to PACAP.

Reports vary concerning the effect of VOC blockers on PACAP-induced rise in [Ca2+]i and CA release. For example, Przywara et al. (1996) showed that in rat cultured adrenal chromaffin cells, neither L- nor N-type VOC participates in the PACAP-induced CA release. On the other hand, Fukushima et al. (2001b) showed that nifedipine, L-type VOC antagonist, reduced PACAP-induced CA release in isolated perfused rat adrenal gland. Tanaka et al. (1996) reported that the activation of L-type Ca2+ channels by PACAP is due to a membrane depolarization that depends on PKC-mediated Na+ influx in bovine adrenal chromaffin cells. O'Farrell and Marley (1997) analyzed the contributions of various types of VOC to PACAP-induced CA release using the specific blockers of VOC subtypes, and suggested the involvement of L-, N-, and Q-type of VOC. Thus, the contribution of VOC to the PACAP-induced Ca2+ influx was considered a possible mechanism for the Ca2+ influx induced by PACAP in adrenal chromaffin cells. However, all the blockers of VOC (L-type, P/Q-type, and N-type) failed to affect the PACAP-induced [Ca2+]i rise and CA release in the present study, whereas ACh- and excess KCl-evoked [Ca2+]i rise and CA release were effectively blocked by the VOC blockers, showing that the treatment was enough to block VOC under these experimental conditions. In addition, the PACAP-induced [Ca2+]i rise did not require extracellular Na+ because these responses to PACAP were not attenuated in the presence of TTX or in Ca2+-sucrose medium. However, the [Ca2+]i rise induced by a supramaximal concentration of PACAP, 100 nM, was partially sensitive to L-type VOC blockers nicardipine and nifedipine. Thus, the effects of Ca2+ antagonists differ in part depending on PACAP concentration. Although the reason for the discrepancy in the sensitivity to VOC blockers is unclear, Ca2+ antagonists, at least at concentrations that fully inhibited VOC, had no effect on the responses to submaximal concentration of PACAP in the present study. Therefore, any involvement of VOC in the [Ca2+]i rise and CA release induced by PACAP seems unlikely. Ca2+ antagonists are well known to block L-type VOC. However, these drugs may interact with sites other than L-type VOC. Several studies have shown that L-type Ca2+ antagonists inhibit the nAChR channel of chromaffin cells (Gandía et al., 1991; Lopéz et al., 1993; Houlihan et al., 2000). The fact that PACAP-induced [Ca2+]i rise and CA release were not modified by diltiazem may also help to rule out the possibility that PACAP interacts with nAChR channel to stimulate Ca2+ entry. In addition, nonexcitable cells, which do not possess VOC, are reported to possess a dihydropyridine-sensitive Ca2+ entry pathway (Ma et al., 1995). Therefore, it may be that the results from the Ca2+ antagonists alone are insufficient to prove any contribution of VOC to [Ca2+]i rise and CA release.

It has been postulated that SOCs are activated by the mobilization of Ca2+ from its stores by physiological stimulation (IP3-mediated release) or pharmacological manipulation (inhibitors of sarcoendoplasmic reticulum Ca2+-ATPase). The present results would seem to exclude the possibility that PACAP-induced Ca2+ entry is mediated by SOCs, based on the following observations. Cells pretreated with Ca2+-ATPase inhibitors (thapsigargin and cyclopiazonic acid) showed no greater Ca2+ entry stimulated by bradykinin, which is thought to mediate Ca2+ entry by SOC. SOC was apparently sufficiently activated by these manipulations to mask SOC activation by bradykinin. Still, PACAP produced considerable Ca2+ entry into these cells, suggesting that PACAP activates a different Ca2+ entry pathway from the SOC activated by thapsigargin or cyclopiazonic acid. To examine another means of reducing Ca2+ concentration in the pools, we used TPEN, a membrane-permeable, low-affinity Ca2+ chelator, by which the concentration of Ca2+ in pools can be kept low and constant without release of Ca2+ into cytosol and without increasing [Ca2+]i (Arslan et al., 1985; Hofer et al., 1998). When cells were treated with TPEN, both bradykinin and PACAP failed to produce the initial transient increase in [Ca2+]i in the Ca2+-deprived medium, suggesting that the concentration of Ca2+ in the stores was kept low. In these cells, bradykinin caused no further increase in Ca2+ entry, whereas PACAP did increase Ca2+ entry, confirming the results obtained using Ca2+-ATPase inhibitors.

The unique character of PACAP-activated Ca2+ entry was further demonstrated by changing extracellular pH. Acidification of the solution enhanced and alkalinization inhibited PACAP-induced Ca2+ entry, without affecting Ca2+ mobilization from intracellular stores. Several studies have shown that acidification inhibits SOC (Malayev and Nelson, 1995; Iwasawa et al., 1997; Kerschbaum and Cahalan, 1998; Khoo et al., 2001). Thapsigargin-induced Mn2+ entry was reduced in acidic solutions and enhanced in alkaline solutions over the range from 6.2 to 8.4 in bovine chromaffin cells in the present study. Reducing pH has also been reported to reduce Ca2+ current through VOC (Kaibara and Kameyama, 1988; Klöckner and Isenberg, 1994). Thus, pH-induced changes in these channels have been examined in relation to the causes of pathophysiological conditions. Extracellular acidosis decreases the contractile force of isolated preparations of vascular smooth muscle and induces vasodilation in vivo (Rinaldi et al., 1987; Loutzenhiser et al., 1990). It might be of interest to consider the activation of the PACAP-activated Ca2+ channel by acid pH in relation to the pathophysiological role of PACAP-induced CA release versus ACh-induced release in acidosis or alkalosis, which remains to be elucidated.

PACAP type 1 receptor is expressed predominantly in rat adrenal medullary chromaffin cells (Shivers et al., 1991; Spengler et al., 1993; Babinski et al., 1996; Nogi et al., 1997). It couples with G protein and potently activates intracellular second messenger systems, including cAMP/PKA, phospholipase C/IP3, and PKC. Osipenko et al. (2000) recently reported that PACAP requires the activation of adenylate cyclase coupled with phospholipase C to activate Ca2+ influx through a pathway inhibited by Ras in PC12 cells. We have previously shown that cAMP plays a critical role in ACh-induced CA release by inhibiting Na+,K+-ATPase in bovine chromaffin cells, resulting in an increase in intracellular Na+ concentration accompanied by the activation of VOC and Na+-Ca2+ exchange, thus increasing [Ca2+]i (Morita et al., 1987, 1991a,b, 1995). However, this mechanism does not seem to be involved in the PACAP-induced [Ca2+]i rise because the PACAP-induced [Ca2+]i rise and Mn2+ entry were not blocked by PKA inhibitors, and PACAP-induced Ca2+ rise was not blocked by TTX or a Ca2+-sucrose medium, suggesting no Na+ requirement. PKC is activated by PACAP and participates in the [Ca2+]i rise in neuroepithelial cells (Zhou et al., 2001). However, regulation by PKC of PACAP-induced [Ca2+]i signaling in bovine adrenal chromaffin cells seems unlikely because the phospholipase C inhibitor U-73122 and staurosporine, an inhibitor of PKC, did not affect the PACAP-induced [Ca2+]i rise or Mn2+ entry in chromaffin cells in the present study.

GdCl3 is a blocker of nonselective cation currents, including SOC (Schumann et al., 1994). We have recently identified trps (trp3 and trp6) from rat brain homologous to Drosophila trp, which is thought to encode the SOC (Mizuno et al., 1999). In COS cells transfected with these trps, thapsigargin increased whereas GdCl3 blocked the Ca2+ entry (Mizuno et al., 1999). In the present study, GdCl3 also blocked thapsigargin-induced Ca2+ entry in chromaffin cells but did not block PACAP-induced Ca2+ entry. These results suggest that PACAP-activated Ca2+ channels have a different sensitivity to SOC blockers. This finding is in agreement with the following pharmacological properties. PACAP-activated Ca2+ entry was resistant to such SOC inhibitors as 7,8-benzoflavone, NDGA, NPPB, fulfenamic acid, and niflumic acid, although at higher concentrations than IC50 in some cells (Clementi and Meldolesi, 1996), which all effectively blocked thapsigargin-induced Ca2+ entry. The finding that SK&F 96365, LOE 908, and econazole, not entirely selective inhibitors of SOC (Leung and Kwan, 1999), blocked both PACAP-activated Ca2+ entry and thapsigargin-activated SOC suggests that these blockers do not distinguish between PACAP-activated Ca2+ entry and SOC. No specific inhibitor has yet been found for PACAP-activated Ca2+ entry that seems promising for investigation of a receptor-operated Ca2+ channel distinct from SOC.

In agreement with the effects of SK&F 96365, econazole, and GdCl3 on PACAP-induced Ca2+ entry, PACAP-induced CA release was inhibited by SK&F 96365 and econazole but resistant to GdCl3. That Ca2+ entry is essential for PACAP-induced CA release is further confirmed by the fact that SK&F 96365 and econazole blocked sustained [Ca2+]i rise and Ca2+ entry without blocking the initial [Ca2+]i rise.

Among the pathways by which extracellular Ca2+ can enter the cells, receptor-activated Ca2+ entry is the least understood. The present results suggest that PACAP activates Ca2+ entry through plasma membrane in a unique way characterized by independence from the depletion of store Ca2+, differing sensitivity to blockers for SOC and VOC, activation by acidic pH, and independence of adenylate cyclase/cAMP and phospholipase C pathways. This pathway may prove to be a useful model for studying receptor-activated Ca2+ channels and for developing selective blockers of receptor-activated Ca2+ channels distinct from VOC and SOC.

    Acknowledgments

We are grateful to Boehringer Ingelheim Pharma KG (Biberach, Germany) for providing the LOE 908.

    Footnotes

Accepted for publication April 24, 2002.

Received for publication January 22, 2002.

This work was supported in part by Grants-in-Aid for Scientific Research from the Ministry of Education, Science and Culture, Japan.

DOI: 10.1124/jpet.102.033456

Address correspondence to: Professor Toshihiro Dohi, Ph.D., Department of Dental Pharmacology, Division of Integrated Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima 734-8553, Japan. E-mail: todohi{at}hiroshima-u.ac.jp

    Abbreviations

PACAP, pituitary adenylate cyclase-activating polypeptide; CA, catecholamine; [Ca2+]i, intracellular free Ca2+ concentration; ACh, acetylcholine; nAChR, nicotinic acetylcholine receptor; VOC, voltage-dependent Ca2+ channel; SOC, Ca2+ store depletion-operated Ca2+ channel; IP3, inositol trisphosphate; PKC, protein kinase C; U-73122, 1-[6-[[(17beta )-3-methoxyestra-1,3,5(10)-trien-17-yl]amino]hexyl]-1H-pyrrole-2,5-dione; omega -CgTx, omega -conotoxin; H-89, N-[2-(p-bromocinnamylamino)ethyl]-5-isoquinolinesulfon-amide; HA1004, N-(2-guanidinoethyl)-5-isoquinolinesulfonamide hydrochloride; SK&F 96365, 1{beta -[3-(4-methoxyphenyl)-propoxy]-4-methoxyphenylethyl}-1H-imidazole hydrochloride; TPEN, N',N',N',N'-tetrakis(2-pyridylmethyl)ethylenediamine; NDGA, nor-dihydroguaiaretic acid; NPPB, 5-nitro-2-(3-phenylpropylamino)benzoic acid; LOE 908, (R,S)-(3,4-dihydro-6,7-dimethoxy-isoquinoline-1-yl)-2-phenyl-N,N-di-[2-(2,3,4-trimethoxyphenyl) ethyl]-acetamide; BSA, bovine serum albumin; omega -AgTx IVA, omega -agatoxin IVA; TTX, tetrodotoxin; PKA, cAMP-dependent protein kinase; TG, thapsigargin.

    References
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Abstract
Introduction
Materials and Methods
Results
Discussion
References