Péter Szigligeti, Péter P. Nánási, Sándor Sárközi, Ágnes Körtvély, János Magyar, László Csernoch, Andrea Jednakovits, Gyula Peter Szigeti, Ágnes Szabó, Csaba Szegedi, Istvan Jona, László Kovács, and Tamás Bányász
Concentration-dependent effects of bimoclomol, the novel heat shock protein coinducer, on intracellular calcium transients and contractility were studied in Langendorff-perfused guinea-pig hearts loaded with the fluorescent calcium indicator dye Fura-2. Bimoclomol had a biphasic effect on contractility: both peak left ventricular pressure and the rate of force development significantly increased at a concentration of 10 nM or higher. The maximal effect was observed between 0.1 and 1 μM, and the positive inotropic action disappeared by further increasing the concentration of bimoclomol. The drug increased systolic calcium concentration with a similar concentration-dependence. In contrast, diastolic calcium concentration increased monotonically in the presence of bimoclomol. Thus low concentrations of the drug (10–100 nM) increased, whereas high concentrations (10 μM) decreased the amplitude of intracellular calcium transients. Effects of bimoclomol on action potential configuration was studied in isolated canine ventricular myocytes. Action potential duration was increased at low (10 nM), unaffected at intermediate (0.1–1 μM) and decreased at high (10–100 μM) concentrations of the drug. In single canine sarcoplasmic calcium release channels (ryanodine receptor), incorporated into artificial lipid bilayer, bimoclomol significantly increased the open probability of the channel in the concentration range of 1–10 μM. The increased open probability was associated with increased mean open time. The effect of bimoclomol was again biphasic: the open probability decreased below the control level in the presence of 1 mM bimoclomol. Bimoclomol (10 μM–1 mM) had no significant effect on the rate of calcium uptake into sarcoplasmic reticulum vesicles of the dog, indicating that in vivo calcium reuptake might not substantially be affected by the drug. In conclusion, the positive inotropic action of bimoclomol is likely due to the activation of the sarcoplasmic reticulum calcium release channel in mammalian ventricular myocardium. Keywords: Heat shock protein, heart, ion currents, action potential duration, intracellular calcium transient, sarcoplasmic reticulum, ryanodine receptor, calcium release, calcium uptake Introduction Bimoclomol, the recently developed cytoprotective hydroxylamine derivative (N-2-hydroxy-3-(1-piperidinyl) propoxy]-3-pyridine-carboximidoyl chloride maleate, BRLP-42; see in Figure 1), was shown to have a wide variety of effects in healthy and diseased animals. Chronic treatment with the compound was effective against several types of diabetic dysfunction, including neuropathy (Biro et al., 1994), retinopathy (Hegedus et al., 1994) and abnormal vascular reactivity (Jednakovits et al., 1994). Bimoclomol exerted beneficial effects in rat and canine hearts exposed to coronary artery occlusion and vasospasm (Jaszlits et al., 1993), effects associated probably with enhanced expression of the heat shock protein HSP70 (Vigh et al., 1997). In addition, the drug showed strong dose-dependent acute antiarrhythmic action in isolated rat heart and also in anaesthetized animals. Recent electrophysiological studies indicate that bimoclomol may activate calciumdependent outward currents in mammalian ventricular cardiomyocytes (Magyar et al., 1999). Currently, the compound is in human phase 2 clinical trial. The present study was aimed to characterize the effects of the drug on calcium handling (i.e. on calcium release, calcium uptake and [Ca2+]i transients) in mammalian ventricular myocardium. Figure 1 Chemical structure of bimoclomol, applied as maleate salt. Methods Recording of contractility and [Ca2+]i transients in Langendorff-perfused guinea-pig heart Male guinea-pigs (weighing 300–500 g) were i.v. heparinized and anaesthetized with pentobarbitone-Na (150 mg kg−1). After opening the chest the heart was rapidly removed and fixed to the cannula of a Langendorff-perfusion device. The heart was perfused with modified Krebs solution containing (mM): NaCl 118, KCl 4.7, CaCl2 2.5, MgSO4 1.2, NaHCO3 25, Na2EDTA 0.5, KH2PO4 0.23 and glucose 5.5. The pH of this perfusate was set to 7.4 when gassed with a mixture of 5% CO2 and 95% O2 at 37°C. The coronary flow rate, controlled by a peristaltic pump, was adjusted to 10 ml min−1 g−1. Left ventricular pressure (LVP) was continuously monitored using a Braun 2021-02 arterial pressure transducer that was connected to the left ventricular cavity (Edes & Kranias, 1990). Heart rate was maintained 200 beats min−1 by left atrial pacing. Experiments were performed in a cumulative concentration-dependent manner. After taking control records, bimoclomol was applied at 1 nM, 10 nM, 100 nM, 1 μM, 3 μM and 10 μM concentration, each for 10 min. This protocol was performed in six guinea-pig hearts. To record [Ca2+]i transients, the heart was loaded with the acetoxymethylester of the fluorescent dye, Fura-2 (5 mM), added to the superfusate together with probenecid (0.6 mM), Synperonic (1.25 g l−1) and albumin (50 g l−1). Probenecid was used to inhibit the unspecific anion-exchanger of the cell membrane in order to avoid the extrusion of Fura-2 from the cells. Synperonic and albumin enhanced loading with Fura-2-AM. Under these conditions, stable calcium signals were obtained for periods as long as 120 min, allowing concentration-dependent studies (Kristof et al., 1998) to be performed. Fluorescence was excited at both 340 and 380 nm wavelengths. The emitted light was collected at 510 nm using a trifurcated quartz fibre optic bundle connected to a Deltascan device (Photon Technology International, New Brunswick, NJ, U.S.A.). [Ca2+]i was measured as a fluorescent ratio (F340/F380). The analogue signals of fluorescence and LVP were sampled at 1 kHz. In each case ten subsequent beats were averaged and stored for analysis. The following parameters were analysed: peak left ventricular pressure, maximum and minimum values of the first time derivative of pressure, systolic and diastolic [Ca2+]i (expressed as fluorescent ratios), and amplitude of the [Ca2+]i transient (defined as the difference between systolic and diastolic values of [Ca2+]i).