Single canine Purkinje cells were voltage clamped under Ca 2+ -free conditions using the patch pipette. Depolarizing pulses from a holding potential of -42 mV induced a time-dependent rapidly activating-slowly inactivating outward current, which was identified as the transient outward current. The current showed two exponential time constants of inactivation (48, 352 msec at + 58 mV and 53, 325 msec at + 78 mV). Norepinephrine in concentrations exceeding 10*' M modified the inactivation kinetics of this current without affecting the activation kinetics. The half-maximum dose for norepinephrine effect was 1.9x10"' M, and the effect was saturated at 10"' M. Norepinephrine reduced the amplitude of the fast time constant component of inactivation, while increasing the amplitude of the slow component, without changing their time constants. Norepinephrine also increased the amplitude of a time-independent current component. The /3-antagonist sotalol blocked the norepinephrine effect on the transient outward current. On the other hand, both activation of adenyl cyclase by forskolin and increase of intracellular cAMP concentration produced the same effect as exposure to norepinephrine. These results suggest a role for neurotransmitter regulation of the transient outward current in cardiac cells, perhaps by channel phosphorylation. (Circulation Research 1988;62:162-172) N orepinephrine is known as an important transmitter of neural control in the heart.' One of the most important actions of norepinephrine is the modulation of ion channels, but its effects on the action potential are complex. It has been clearly shown that norepinephrine affects the slow inward current (IJ and the delayed rectifier potassium current (I K ).3 -610 " However, these two actions are not sufficient to explain norepinephrine's complex effects on the cardiac action potential.Another current of importance for the action potential plateau is the transient outward current (I,,, Recently, we have studied 1^, in isolated canine Purkinje cells. This current is modified by norepinephrine (NE) but not by intracellular Ca 2+ . Our studies suggest that the transient outward current channel can be phosphorylated by a cAMP-dependent process, altering the kinetics of the current.
Materials and Methods
Preparation of Single Purkinje CellsSingle Purkinje cells were isolated according to procedures previously described. 25 Briefly, canine freerunning Purkinje fibers were obtained from adult dogs anesthetized with sodium pentobarbital (30 mg/kg). The Purkinje fibers were cut into 2-3 mm lengths and placed in bicarbonate Tyrode's solution gassed with 5% CO 2 and 95% O 2 . The cut fibers were then placed for a period of 4 hours in the bottom of a plastic culture dish, which contained Eagles minimal essential medium (Gibco, Grand Island, N. Y.) modified to contain 0.1 mMfreeCa 2+ , 5.6mMMg 2 + , 5 mg/ml collagenase (type 1, Worthington, Freehold, N.J.), and 1 mg/ml albumin (Sigma, St. Louis, Mo.). The pH was adjusted to6.2 by addition of 5.0 mM HEPES-NaOH buffe...