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Journal of Pharmacology And Experimental Therapeutics Fast Forward
First published on April 14, 2005; DOI: 10.1124/jpet.105.084046


0022-3565/05/3141-94-102$20.00
JPET 314:94-102, 2005
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CARDIOVASCULAR

Effects of Azumolene on Ca2+ Sparks in Skeletal Muscle Fibers

Yingfan Zhang, George G. Rodney, and Martin F. Schneider

Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, Baltimore, Maryland

Received January 21, 2005; accepted April 5, 2005.


    Abstract
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Azumolene is an analog of dantrolene, the only approved medicine for treatment of malignant hyperthermia (MH). The pharmacological mechanism of these drugs is to inhibit skeletal muscle sarcoplasmic reticulum (SR) Ca2+ release by modulating the activity of the SR ryanodine receptor (RyR) Ca2+ release channel. To investigate the effects of azumolene on SR Ca2+ channel gating within skeletal muscle fibers, we monitored Ca2+ sparks in permeabilized frog skeletal muscle fibers. Application of 0.0001 to 10 µM azumolene suppressed the frequency of spontaneous Ca2+ sparks in a dose-dependent manner (EC50 = 0.25 µM; Hill coefficient = 1.44), but it did not cause systematic dose-dependent effects on the properties of the Ca2+ sparks. These results suggest that azumolene decreases the likelihood of Ca2+ release channel openings that initiate Ca2+ sparks, thereby decreasing spark frequency, but it has little effect on aggregate Ca2+ channel open times during a spark. To assess azumolene inhibition of RyRs activated in a manner analogous to those activated during an MH episode, we applied DP4, a synthetic peptide corresponding to a central region of RyR1 (Leu2442 to Pro2477), which mimics an MH modification. Azumolene also decreased Ca2+ spark frequency in a dose-dependent manner without altering spark properties in the DP4 MH model. We conclude that azumolene suppresses the opening rate but not the open time of RyR Ca2+ release channels within skeletal fibers.


Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle in which the excitation-contraction coupling processes are disrupted, leading to uncontrolled Ca2+ release from sarcoplasmic reticulum (SR) in response to volatile anesthetics or depolarizing muscle relaxants (Denborough, 1996Go). Dantrolene is a postsynaptic muscle relaxant and the only approved effective treatment of MH. Early investigations have shown that dantrolene shifts the excitation threshold to more positive voltages (Hainaut and Desmedt, 1974Go) and reduces contractile force (Flewellen et al., 1983Go) in both normal and MH skeletal muscles, providing a life-saving treatment for the deadly MH episode. The molecular basis of the action of dantrolene is generally presumed to involve either direct or indirect inhibitory effects on the ryanodine receptor (RyR). Mammalian RyRs have three tissue-specific isoforms: RyR1, which is mainly expressed in skeletal muscle; RyR2, which is mainly expressed in cardiac muscle; and RyR3, which is more widely expressed, including neuronal tissues (Sutko and Airey, 1996Go). The effect of dantrolene seems to be tissue-specific. Dantrolene inhibits calcium efflux from both the normal and MH-susceptible SR isolated from skeletal muscle but has no effects on cardiac muscle SR (Chamberlain et al., 1984Go; Fruen et al., 1997Go). The contractility of cardiac muscle is not affected by dantrolene, whereas the contractility of skeletal muscle is remarkably reduced (Fratea et al., 1997Go). Dantrolene, and its more water-soluble analog azumolene, also inhibit [3H]ryanodine binding to skeletal SR membrane fractions but have no effects on [3H]ryanodine binding to cardiac SR vesicles (Fruen et al., 1997Go). [3H]Azidodantrolene, a pharmacologically active photoaffinity analog of dantrolene, photo cross-links to the N-terminal fragment of RyR1, which plays a significant role of the regulation of channel function (Paul-Pletzer et al., 2001Go, 2002Go). Thus, dantrolene may directly target to RyR1 and modulate the activity of RyR1, thereby reducing the Ca2+ release in skeletal muscle during an MH episode. Dantrolene's effect on RyR3 is not as extensively studied as for RyR1 and RyR2, but it is clear that dantrolene and azumolene also inhibit the activity of RyR3. Dantrolene and azumolene inhibit Ca2+ release via RyR3 in neuronal cells (Wei and Perry, 1996Go; Pelletier et al., 1999Go; Mattson et al., 2000Go). Heterologously expressed RyR3 isoform was also significantly inhibited by dantrolene and azumolene, and this inhibition was comparable with the dantrolene inhibition of RyR1 (Zhao et al., 2001Go).

In frog skeletal muscle, Ca2+ sparks underlie the global Ca2+ transient during depolarization (Tsugorka et al., 1995Go; Klein et al., 1996Go). Ca2+ sparks are brief, highly localized elevations of myoplasmic [Ca2+]free that can be visualized by fluorescent Ca2+ indicators (Cheng et al., 1993Go). These events provide a means to evaluate the opening and closing properties of Ca2+ release channels (the RyR) or small groups of channels in functional muscle fibers. In the present study, we sought to identify the effect of azumolene, a more water-soluble analog of dantrolene, on the opening and closing properties of RyR Ca2+ release channels in permeabilized frog skeletal muscle fibers. Using this approach it is possible to determine whether the inhibition of Ca2+ release by azumolene in muscle fibers is due to changes in Ca2+ spark frequency (i.e., channel opening rate), changes in Ca2+ spark spatiotemporal properties (i.e., channel open time and/or conductance), or both. Permeabilized muscle fibers maintain most of the macromolecular interactions present in intact muscle fibers and provide a convenient means to apply a range of conditions, reagents, peptides, and proteins to assess their effects on RyR activity (for review, see Schneider and Ward, 2002Go). The sparks observed in permeabilized fibers are "spontaneous" calcium release events, and their spatiotemporal properties reflect the influence of activating and inhibiting agents in the absence of voltage sensor activity (Klein et al., 1996Go). Here, we find that azumolene can completely inhibit the frequency of spontaneous Ca2+ sparks in a dose-dependent manner, with little alteration in the spatiotemporal properties of the Ca2+ sparks. Furthermore, using a synthetic peptide segment of the central domain of RyR1 from Leu2442 to Pro2477 (DP4) to mimic an MH episode (Yamatomo et al., 2000), we show that the increased spontaneous Ca2+ spark frequency in the presence of DP4 is also greatly reduced by azumolene in a dose-dependent manner. Our data suggest that azumolene acts to stabilize the closed state of the RyR Ca2+ release channel and thereby inhibits the initiation of Ca2+ sparks, but it has no effects on the termination of the Ca2+ release underlying the Ca2+ sparks.


    Materials and Methods
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Frogs (Rana pipiens) were first placed into a crushed ice water slurry for 30 min followed by rapid decapitation and spinal cord destruction according to protocols approved by the University of Maryland Institutional Animal Care and Use Committee. The iliofibularis muscle was removed and pinned in a dissecting chamber containing Ringer's solution: 115 mM NaCl, 2.5 mM KCl, 1.8 mM CaCl2, 1.0 mM MgCl2, and 10 mM HEPES, pH 7.0. Small fiber segments (~5 mm) were manually dissected in relaxing solution containing: 120 mM K-glutamate, 2 mM MgCl2, 0.1 mM EGTA, and 5 mM Na-Tris-maleate, pH 7.0, and mounted in an experimental chamber, stretched to 3.6 ± 0.4 µm per sarcomere. The fiber was bathed in a relaxing solution containing 0.01% saponin and 1.0 mM EGTA for 30 to 40 s for chemical permeabilization, allowing solution equilibration into the myoplasm. Immediately after the permeabilization procedure, the fiber was bathed in internal solution containing: 80 mM potassium-glutamate, 5 mM Na2ATP, 4.79 mM MgCl2 (0.42 [Mg2+]free), 20 mM Tris-maleate, 0.1 mM EGTA, 20 mM Na2 creatine phosphate, 5 mM glucose, and 0.05 mM Fluo-3 (pentapotassium salt) (Molecular Probes, Eugene, OR), pH 7.0, supplemented with 8% dextran (41 kDa). The [Ca2+]free (100 nM) and the [Mg2+]free in our internal solution were calculated using WinMaxC 2.5 (Patton et al., 2004Go). After control data collection, the bathing solution was changed to an experimental internal solution containing 0.2% DMSO plus azumolene sodium, [1-(((5-(4-bromophenyl)-2-oxazolyl)methylene)amino)-2,4-imidazlidinedione; gift from Dr. Jerome Parness, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Piscataway, NJ] at a final concentration of 0 to 10 µM. The fiber was allowed to equilibrate for 10 min before another period of data collection. To control for effects of solution change, "sham" fibers were exposed to azumolene-free 0.2% DMSO in internal solution. To minimize muscle-to-muscle variation, a group of sham fibers ([azumolene] = 0) was obtained from the same muscles as used for each azumolene concentration.

For experiments mimicking an MH episode, the fiber was first bathed in internal solution with the [Mg2+]free increased to 1.2 mM (6.73 mM total MgCl2) to decrease the frequency of Ca2+ sparks. After data collection in the absence of DP4, the bathing solution was changed to the internal solution containing 150 µM DP4 (a synthetic domain peptide of RyR1 from Leu2442 to Pro2477; a gift from Dr. Noriaki Ikemoto, Harvard Medical School, Boston, MA) plus 0.2% DMSO. The fibers were then allowed to equilibrate for 10 min before the second data collection (control). The bathing solution was then changed to internal solution containing 150 µM DP4, 0.2% DMSO, and 0.04 to 5 µM azumolene (experimental) or 150 µM DP4, 0.2% DMSO, and no azumolene (sham).

Ca2+ sparks in fibers were monitored on an inverted microscope (Olympus IX-70 with a 60x, 1.4 numerical aperture oil immersion objective). The line-scan images were recorded with a laser scanning confocal system (Bio-Rad MRC 600, 488-nm excitation) operated in line-scan (x-t) mode, with the scan line parallel to the fiber axis (2 ms per line, 768 pixels per line, 0.18 µm per pixel, 512 lines per image, total line scan image duration 1.024 s). The scan line was 138 µm in length, parallel to the fiber's long axis. To avoid laser damage to the fiber, the line-scan was repeated for five images at one location and then moved 0.9 µm perpendicular to the fiber's long axis between runs. Multiple successive runs of images were recorded in each condition. Line-scan images were computer-processed to identify and record spark locations using a detection algorithm as described previously (Cheng et al., 1999Go; Shtifman et al., 2000Go).

Images were corrected for PMT offset and converted to {Delta}F images by subtraction of resting fluorescence (F) along the scan line averaged in time, excluding the contribution of potential Ca2+ spark regions of interest. {Delta}F images were then normalized pixel by pixel by F and smoothed 3 x 3 to get the {Delta}F/F images. Spatial and temporal profiles were extracted from each region of interest as described previously (Lacampagne et al., 1999Go). Events with {Delta}F/F < 0.4 were excluded from data analysis post hoc.

The frequency of occurrence of Ca2+ sparks (number of events per sarcomere per second) was calculated from the number of sparks per image divided by the number of sarcomeres along the line and by the image duration (1.024 s). Spark frequency was determined in each fiber for control and either sham or experimental conditions. Because of the variability in the starting Ca2+ spark frequency among fibers, the frequency in a given fiber under experimental or sham conditions was normalized to the mean of the control Ca2+ spark frequencies for the same group of experimental or sham fibers at each azumolene concentration. Ca2+ spark frequency results are reported as means ± S.E.M. of these normalized frequencies from N fibers divided by the mean normalized frequency for the shams at the same azumolene concentration. Analysis of variance was used as statistical analysis for comparison of means, with a significance level of p < 0.05. The spatiotemporal properties of Ca2+ sparks, such as amplitude, rise time, full duration at half-max, full width at half-max (FWHM), and spark mass, were not normally distributed; therefore, a nonparametric analysis of variance was performed (Dunn's) to compare spark properties under different experimental conditions. All statistical analysis was performed with SigmaStat (SPSS Inc., Chicago, IL). Nonlinear curve fitting was performed in SigmaPlot (SPSS Inc.).


    Results
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Azumolene Decreases Spontaneous Ca2+ Spark Frequency. To investigate the effects of azumolene on localized Ca2+ release permeabilized, cut frog skeletal muscle fibers were first incubated in an internal solution (control), then either in an internal solution either with 0.2% DMSO (sham) or in an internal solution containing the appropriate concentration of azumolene and 0.2% DMSO (experimental). The [Mg2+]free in the internal solution was 0.42 mM. At this low Mg2+ concentration, the spontaneous Ca2+ spark frequency would be relatively high (Lacampagne et al., 1998Go), thereby facilitating the acquisition of sufficient numbers of Ca2+ sparks for statistical analysis subsequent to an inhibition of spark frequency in the presence of azumolene.

Figure 1 shows representative line-scan fluorescence ({Delta}F/F) images of permeabilized frog muscle fibers in control (A and C) and after addition of either 0.2% DMSO (B, sham) or 1 µM azumolene with 0.2% DMSO (D) to the bathing solution. Distance along the fiber (x) is represented vertically and time (t) is represented horizontally to give the x versus t image in each panel. Each localized increase in [Ca2+] (Ca2+ spark) is characterized by a brief and localized increase in fluorescence (Klein et al., 1996Go; Schneider and Klein, 1996Go). When added to the permeabilized muscle fibers, 1 µM azumolene seemed to modulate SR Ca2+ release by producing a large decrease in the frequency of Ca2+ sparks.



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Fig. 1. Effects of azumolene on spontaneous Ca2+ spark occurrence in permeabilized frog skeletal muscle fibers. Representative line-scan images under control for DMSO (A), DMSO (0.2%) (B), control for azumolene (C), and azumolene (1 µM) + DMSO (0.2%) (D) conditions. Line-scan images are presented for permeabilized frog skeletal muscle fibers bathed in internal solution containing the Ca2+ indicator Fluo-3. Images show the {Delta}F/F fluorescence resulting from line scan of a 138-µm length of fiber for 1.024 s. Azumolene (1 µM) decreased the Ca2+ spark events dramatically, whereas 0.2% DMSO sham solution had no apparent effect on spark frequency.

 
Concentration-Dependent Effects of Azumolene in Muscle Fibers. We next evaluated the relationship between the decrease in Ca2+ spark frequency and the concentration of applied azumolene. Figure 2 shows that azumolene concentrations ([AZ]) from 10-4 µM to 10 µM elicited a nonlinear, dose-dependent decrease in Ca2+ spark frequency. The solid line was obtained by fitting the data to the Hill equation:

(1)
where f is the event frequency normalized to the average control event frequency in the same groups of fibers divided by the mean normalized frequency in the corresponding sham; b is the Hill coefficient, and K is the concentration of azumolene that elicits a 50% decrease in Ca2+ spark frequency (EC50). Since spark frequencies at each azumolene concentration were expressed relative to the mean frequency in the corresponding sham fibers, fmax was constrained to 1. Fitting of the data to eq. 1 provided an fmin value of 0.00 ± 0.15, indicating full suppression of all spark activity at saturating azumolene concentrations. Inhibition (50%) occurred at an EC50 of 0.25 ± 0.12 µM azumolene. A Hill coefficient of 1.44 ± 0.99 suggests a single binding site for azumolene on RyR.



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Fig. 2. Azumolene decreases the calcium spark frequency in a dose-dependent manner. Ca2+ spark frequency in each fiber in the presence of the indicated azumolene was normalized to the average control frequency for that group of fibers before azumolene or sham solution change. Ca2+ spark frequency results are reported as means ± S.E.M. of these normalized frequencies from N fibers divided by the mean normalized frequency for the shams at the same azumolene concentration. The line was obtained by fitting the data to the Hill equation (eq. 1; fmax = 1.00, fmin ≥ 0.00), resulting in an EC50 of 0.25 ± 0.12 µM, a Hill coefficient of = 1.44 ± 0.99, and fmin of 0.00 ± 0.15 sarcomere-1 s-1. R2 = 0.93.

 
Nelson et al. (1996Go) have previously reported the presence of two concentration-dependent effects of dantrolene on isolated RyR1 channels reconstituted into the planar lipid bilayers. They found that low (nanomolar) concentrations of dantrolene activated RyR1, causing a 3- to 5-fold increase in Popen and open state dwell time, whereas higher (micromolar) concentrations decreased Popen. Here, we applied very low concentrations of azumolene, from 0.1 to 10 nM, but did not observe any clear increase in Ca2+ spark frequency.

Effects of Azumolene on Ca2+ Spark Spatiotemporal Properties. To determine whether the decrease in Ca2+ spark frequency in the presence of azumolene was associated with changes in the spatiotemporal properties of individual Ca2+ release events, we analyzed the spatiotemporal properties of the detected Ca2+ sparks. Figure 3 shows box plots of the azumolene concentration dependence of the distribution of values for the spatiotemporal properties of Ca2+ release events ({Delta}F/F ≥ 0.4) after addition of 0.2% DMSO (sham; [azumolene] = 0 µM) or after the addition of azumolene (0.0001–1 µM). Although at 1 µM azumolene the frequency of Ca2+ spark occurrence was considerably inhibited (Fig. 2), the number of Ca2+ spark events was still practical for analysis of their spatiotemporal properties. At 10 µM, azumolene the number of events was too small for analysis of spark properties. Figure 3 shows that there were no systematic concentration-dependent effects of azumolene on the temporal properties (rise time and full duration at half-max), amplitude, or spatial spread (FWHM) of the Ca2+ sparks.



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Fig. 3. Effects of azumolene on the distribution of individual spark spatiotemporal properties. Box plots indicate the 10, 25, 50 (i.e., median), 75, and 90 percentile values of the distribution (*, p < 0.05 compared with its matched sham). The boxes at 0 concentration represent the properties of groups of shams, each matched to the azumolene concentration denoted by the same letter. The solid lines were obtained by fitting the median values of spark properties to the Hill equation (eq. 1; f now representing the indicated spark property). No systematic concentration-dependent effects of azumolene were found on these spatiotemporal properties. The calcium spark numbers are 778 for sham and 1101 for test at 0.0001 µM azumolene, 2349 for sham and 1258 for test at 0.001 µM azumolene, 2536 for sham and 1469 for test at 0.1 µM azumolene, 2488 for sham and 1466 for test at 0.01 µM azumolene, 4056 for sham and 2636 for test at 0.3 µM azumolene, 1622 for sham, and 453 for test at 1 µM azumolene.

 

To determine whether there was an azumolene-dependent change in the amount of Ca2+ released from SR by the individual sparks, spark mass at time of spark peak was calculated for each spark using the equation (Hollingworth et al., 2001Go):

(2)

Figure 4 shows that azumolene (0.0001–1 µM) caused no systematic concentration-dependent change in spark mass. Overall, the predominant effect of azumolene in permeabilized frog skeletal muscle was to greatly decrease the frequency of spontaneous Ca2+ sparks but to cause no systematic changes in spark properties.



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Fig. 4. Effects of azumolene on individual spark mass. Spark mass was calculated by eq. 2. The boxes at 0 concentration represent the masses of shams matched to the azumolene concentration indicated by the same letter. The solid line was obtained by fitting the median values to the Hill equation (eq. 1; f = spark mass). There is no systematic concentration dependent effect of azumolene on spark mass. The numbers of sparks at each azumolene treatments are the same as in the previous figure. Box plots indicate the 10, 25, 50 (i.e., median), 75, and 90 percentile values of the distribution (*, p < 0.05 compared with its matched sham).

 
Azumolene Inhibits the Increased Ca2+ Spark Frequency in a DP4-Induced Model of MH. DP4 is a 36-amino acid synthetic peptide corresponding to the central domain of RyR1, from Leu2442 to Pro2477. Most MH mutations are found in this domain or in an N-terminal domain. These two domains are putative regulatory domains that are thought to intricately interact with each other and to be involved in the regulation of channel gating by stabilizing the closed channel of the channel (Ikemoto and Yamamoto, 2002Go). Point mutations within these two domains produce functional modifications that lead to destabilization and enhanced activation of RyRs and Ca2+ release from SR. Since addition of DP4 mimics the MH/central core disease modification (Yamatomo et al., 2000), we used DP4 to generate an MH model to determine whether azumolene can prevent the increased channel activity during an MH episode. Previous studies have shown that exogenous DP4 peptide significantly increases the spontaneous Ca2+ spark frequency in permeabilized frog skeletal muscle fibers, whereas the spatiotemporal properties of Ca2+ sparks remained essentially unchanged (Shtifman et al., 2002Go). The activation effect of DP4 on spark frequency is specific in that a single amino acid substitution (Arg for Cys17 within DP4), which mimics the in vivo mutation of Arg2458 to Cys2458 in MH, abolishes the activating effects of DP4 (Shtifman et al., 2002Go). Here, we applied 150 µM DP4 in an internal solution having a free Mg2+ concentration of 1.2 mM. At this Mg2+ concentration the spontaneous spark frequency is relatively low (Lacampagne et al., 1998Go; Shtifman et al., 2002Go) so that the activating effect of DP4 on spark frequency would be moderate and apparent. We observed an 11-fold increase in spark frequency after 10-min exposure to a DP4-containing solution (Fig. 5A). Changing the 150 µM DP4 internal solution to another sample of the internal solution containing the same concentration of DP4 and waiting for an additional 10 min did not further change Ca2+ spark frequency (Fig. 5A). Some groups of fibers were incubated in internal solution containing 150 µM DP4 for 10 min before data collection. These fibers were subsequently exposed to internal solution containing 150 µM DP4 plus azumolene at different concentrations, and again monitored for Ca2+ spark activity. We found that azumolene caused a dose-dependent inhibition of Ca2+ spark frequency compared with fibers treated with DP4 alone (Fig. 5B). The fit of the data in Fig. 5B to the Hill equation (eq. 1; fmax = 1) gave full inhibition, with an EC50 of 2.35 ± 4.02 and a Hill coefficient of 1.73 ± 2.72, reminiscent of that observed for azumolene alone, but with an approximately 10-fold lower apparent affinity (EC50 = 0.25 ± 0.12 without DP4; Fig. 2).



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Fig. 5. A, MH mimic episode generated by DP4. DP4 (150 µM) in an internal solution having a free Mg2+ concentration of 1.2 mM resulted in an 11-fold increase in spark frequency after 10-min exposure to a DP4-containing solution. The increased Ca2+ spark frequency did not change further with time after changing the 150 µM DP4 internal solution to another sample of the internal solution containing the same concentration of DP4 and waiting an additional 10 min. B, azumolene decreases Ca2+ spark frequency in a dose-dependent manner in the 150 µM DP4 MH mimic system. The spark frequency of each fiber in the presence of the indicated DP4 and azumolene was normalized to the average frequency for that group of fibers in DP4 before azumolene or sham solution change. Ca2+ spark frequency results are reported as means ± S.E.M. of these normalized frequencies from N fibers divided by the mean normalized frequency for the shams at the same azumolene concentration. Fitting these data to eq. 1 (fmax = 1.00, fmin ≥ 0.00) resulted in an EC50 of 2.35 ± 4.02, Hill coefficient of 1.73 ± 2.72, and fmin of 0.00 ± 1.14. R2 = 0.91.

 
We next assessed whether the decrease in Ca2+ spark frequency in this DP4-MH model was associated with any changes in spatiotemporal properties of individual Ca2+ release events. Figure 6 shows the concentration dependence of the distribution of values for the spatiotemporal properties of Ca2+ release events ({Delta}F/F ≥ 0.4) after addition of 150 µM DP4 alone to mimic the MH episode (sham; Fig. 6, [azumolene] = 0) or after the addition of azumolene (0.04–5 µM) in the presence of 150 µM DP4. The spatiotemporal properties exhibited no systematic variation as a function of azumolene concentration. Thus, although azumolene greatly decreased the frequency of Ca2+ sparks, presumably reflecting a decrease in the rate of opening of the RyR channels that initiate the sparks in the MH-mimic model, the overall duration of channel opening and the amount of Ca2+ released in a spark did not seem to be significantly changed by azumolene.



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Fig. 6. Effects of azumolene on individual spark spatiotemporal properties in the DP4-MH mimic model. Box plots indicate the 10, 25, 50 (i.e., median), 75, and 90 percentile values of the distribution. The boxes at 0 concentration represent the properties of shams matched to the different azumolene concentration treatments. The solid lines were obtained by fitting the median values to the Hill equation (eq. 1) as in Fig. 3. No systematic concentration dependent effects of azumolene were found on these spatiotemporal properties. The calcium spark numbers are 714 for sham ([DP4] = 150 µM), 746 for DP4 (150 µM) + azumolene (0.04 µM), 341 for sham ([DP4] = 150 µM), 332 for DP4 (150 µM) + azumolene (0.2 µM), 208 for sham ([DP4] = 150 µM), 136 for DP4 (150 µM) + azumolene (2.24 µM), 207 for sham ([DP4] = 150 µM), and 52 for DP4 (150 µM) + azumolene (5 µM) treatment.

 

    Discussion
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
This study describes the effects of azumolene on local SR Ca2+ release events (Ca2+ sparks) detected by laser scanning confocal microscopy in permeabilized, cut frog skeletal muscle fibers. Azumolene and dantrolene are similarly effective RyR inhibitors (Fruen et al., 1997Go), with both drugs targeting a common site on RyR1 at an N-terminal regulatory domain including amino acids 590–609 (Paul-Pletzer et al., 2002Go). Azumolene and dantrolene exhibit similar potency in the treatment and prevention of MH episodes due to administration of halothane or succinylcholine to MH-susceptible swine (Dershwitz and Sreter, 1990Go). Here, we use azumolene to study Ca2+ sparks because azumolene is less fluorescent than dantrolene and thus causes less interference with measurements using the fluorescent Ca2+ indicator Fluo-3. Our results demonstrate that azumolene decreases the frequency of occurrence of Ca2+ sparks in permeabilized fibers in a concentration-dependent manner, whereas the spatiotemporal properties of individual Ca2+ sparks are essentially unchanged. These findings suggest that azumolene decreases the probability that a RyR channel or channels will open and initiate a Ca2+ spark, i.e., azumolene decreases trigger events in the calcium release units. In contrast, azumolene must have minimal effects on the overall RyR channel open time and conductance during the Ca2+ spark since spark properties were basically unchanged by azumolene. It is important to note that membrane permeabilization and the resulting fiber depolarization may interfere with the interaction between the dihydropyridine receptor and RyR. Therefore, the data presented here may be best explained by azumolene targeting directly to the RyR, without interaction with the dihydropyridine receptor.

Previous studies have demonstrated that dantrolene decreases the sensitivity of isolated RyR1 and RyR3 to activation by Ca2+ in that it shifts the Ca2+ dependence of ryanodine binding to higher Ca2+ levels (Fruen et al., 1997Go; Zhao et al., 2001Go). The results here are also consistent with azumolene shifting Ca2+ sensitivity to calcium-induced calcium release (CICR). In our experiments, the global Ca2+ concentration is relatively low inside a muscle fiber equilibrated with our internal solution (~100 nM), well under the Ca2+ concentration for full activation by CICR. Under these conditions, azumolene could decrease the rate of spontaneous openings of RyR channels by CICR, resulting in the observed decrease in the frequency of Ca2+ sparks. In contrast, the properties of the Ca2+ sparks that do occur may not be changed appreciably because the local Ca2+ concentration within the calcium release unit during a spark is high after opening of an RyR Ca2+ channel. Ca2+ activation of neighboring channels inside this cluster could then be maximal both with and without azumolene at this high local Ca2+ concentration, giving a similar local Ca2+ release event in the presence or absence of azumolene. This interpretation requires that the elevated local Ca2+ within a release unit can open azumolene-bound channels. Alternatively, azumolene would have to fully dissociate from the RyRs in the release unit within a time frame much shorter than the few millisecond rise time of a Ca2+ spark. However, either of these requirements would seem to be contrary to the ability of azumolene (and dantrolene) to suppress the Ca2+ regenerative aspects of an MH episode.

An alternative interpretation that does not rely on the ability of elevated Ca2+ levels to activate azumolene-bound channels during a spark could be based on having only a small number of channels (e.g., 2–4; Shtifman et al., 2000Go) underlying the generation of a Ca2+ spark. In this case, occupancy of a single channel in this small release unit could effectively eliminate that unit from generating a detectable spark. Thus, frequency would be decreased as azumolene concentration was increased, but any events that did occur would be generated by release units without any bound azumolene and would thus exhibit normal spark properties.

There are two RyR isoforms in frog skeletal muscle, RyR{alpha} and RyR{beta}, which are homologues of mammalian RyR1 and RyR3, respectively (Murayama and Ogawa, 2002Go). These two isoforms of RyR are expressed at about the same level in frog skeletal muscle. Dantrolene was found to decrease Ca2+ release from intracellular stores in central neurons (Wei and Perry, 1996Go; Pelletier et al., 1999Go; Mattson et al., 2000Go), which express predominantly RyR3. Heterologously expressed RyR3 was also significantly inhibited by dantrolene and azumolene, and this inhibition was comparable with the dantrolene inhibition of RyR1 (Zhao et al., 2001Go). In our studies, azumolene (10 µM) completely inhibited Ca2+ sparks. Thus, our results are consistent with the notion that azumolene (or dantrolene) may have an inhibitory effect on both RyR1 and RyR3 isoforms.

Nelson et al. (1996Go) found that dantrolene and azumolene at nanomolar concentrations increased the open-state probability and open dwell time of single RyR1 channels from SR vesicles incorporated into lipid bilayer membranes. In contrast, at higher dantrolene concentration (5 µM), they observed a decrease in the open probability due to a decrease in the channel open time as well as a decrease in single channel conductance. In the present study, low concentrations of azumolene, from 0.1 to 10 nM, did not markedly increase spark frequency, whereas at higher concentrations a decrease in spark frequency, which should correspond to an increase in channel closed time, was observed. There was no systematic alteration in the spatiotemporal properties of Ca2+ sparks. These differing results may reflect the different experimental preparations or different RyR isoform composition in frog skeletal muscle. Nelson's experiments used crude RyR1 from mammalian SR. Although dantrolene in micromolar concentrations inhibits the activity of RyR3 (Zhao et al., 2001Go) and inhibits calcium efflux from the intracellular stores of neurons (Nelson et al., 1999Go), it has not been determined whether dantrolene or azumolene at nanomolar concentrations would activate RyR3. However, evidence for such activation was not detected in our experiments. In other studies, using purified RyR in lipid bilayers, no effects of dantrolene were observed on purified RyR1 channels, which was interpreted as showing that the dantrolene effect on muscle fibers may be on an accessory protein (Szentesi et al., 2001Go). Finally, using SR vesicles in patch-clamped bilayers, 50 µM dantrolene was found to decrease the bursts of Ca2+ channel activity (Suarez-Isla et al., 1986Go), consistent with our observation of decreased spark frequency.

DP4 is a synthetic peptide corresponding to a region of the central domain of RyR1 from Leu2442 to Pro2477. Most MH mutations are found in this domain or within an N-terminal domain. According to a "domain switch" model proposed by Ikemoto, these two domains are putative regulatory domains that intricately interact with each other and are involved in the regulation of channel gating (Ikemoto and Yamamoto, 2002Go). In the resting or nonactivated state, the N-terminal and central domains make contact with each other at several undetermined subdomains, forming the "zipped" configuration that promotes the closed state of RyR. Stimulation via excitation-contraction coupling or application of chemical agents weakens these interdomain contacts, thereby lowering the energy barrier for RyR opening (Ikemoto and Yamamoto, 2002Go; Kobayashi et al., 2004Go). For MH mutants in either of these two domains, the domain switch is weakened, making the RyR hypersensitive to RyR agonists. DP4 is thought to weaken this interdomain interaction, producing an MH-like activation/sensitization effect on the channel (El-Hayek et al., 1999Go; Shtifman et al., 2002Go; Yamamoto and Ikemoto, 2002Go; Kobayashi et al., 2004Go). Here, we applied 150 µM DP4 to permeabilized fibers to mimic an MH episode and have shown that azumolene inhibited the Ca2+ spark frequency in a dose-dependent manner in the presence of DP4, whereas the Ca2+ spark properties were not changed. Compared with the inhibitory effect in normal fibers, an approximately 10-fold higher concentration of azumolene was needed to get the same inhibitory effect in the presence of DP4.

The cartoon in Fig. 7 integrates our current results with the interdomain interaction model for single RyR channel gating. Azumolene (or dantrolene) might preferentially bind to the closed state of RyR (Fig. 7, top), promoting the domain-domain interaction and thereby stabilizing the closed configuration of RyR (Kobayashi et al., 2005Go). This stabilization would also be effective in the presence of DP4, which mimics an MH episode, if azumolene preferentially binds to the closed state of the channel (Fig. 7). The basis for the observed lack of effect of azumolene on the properties of the sparks that do occur would then depend on the number of interacting channels within the Ca2+ release unit and the nature of their interaction (see above).



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Fig. 7. Cartoon model for azumolene modulation of the interactions between domains of RyR. Azumolene (AZ) binds to the N-terminal domain of closed RyR1 channels, promoting the stabilization of the closed zipped state of the channel, even in the presence of DP4.

 
In summary, we have investigated the effects of azumolene on local Ca2+ release in permeabilized frog skeletal muscle fibers and in a frog MH model generated by application of DP4. We found that azumolene significantly decreased the frequency of local Ca2+ release, presumably by reducing the RyR Ca2+ channel opening rate. Azumolene also decreased the frequency of local Ca2+ release events in an MH episode mimicked by DP4, which interferes with a domain-domain interaction within the RyR. This effect may reflect the mechanism of azumolene (or dantrolene) action during an MH episode, a stabilization of the closed state of RyR.


    Acknowledgements
 
We thank Dr. Jerome Parness for the suggestion of this experiment and the azumolene.


    Footnotes
 
This work was supported by National Institutes of Health Grant 5R01NS023346 (to M.S.F.). Y.Z. was partially supported by National Institutes of Health Institutional Training Grant 5T32AR07592 to the Interdisciplinary Program in Muscle Biology.

Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.

doi:10.1124/jpet.105.084046.

ABBREVIATIONS: MH, malignant hyperthermia; SR, sarcoplasmic reticulum; RyR, ryanodine receptor; CICR, calcium induced calcium release; FWHM, full width at half-max.

Address correspondence to: Dr. M. F. Schneider, Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, 108 N. Greene St., Baltimore, MD 21201. E-mail: mschneid{at}umaryland.edu


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 Materials and Methods
 Results
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