(Journal of Leukocyte Biology. 2001;69:63-68.)
© 2001
by Society for Leukocyte Biology
PAF-mediated Ca2+ influx in human neutrophils occurs via store-operated mechanisms
Carl J. Hauser,
Zoltan Fekete,
John M. Adams,
Matthew Garced,
David H. Livingston and
Edwin A. Deitch
Department of Surgery, Division of Trauma, University of Medicine and Dentistry of New Jersey/New Jersey Medical School, Newark, New Jersey
Correspondence: Carl J. Hauser, M.D., FACS, UMDNJ/New Jersey Medical School, Department of Surgery, MSB G-524, 185 South Orange Avenue, Newark, NJ 07103. E-mail:
hausercj{at}UMDNJ.edu
 |
ABSTRACT
|
|---|
Many inflammatory mediators activate neutrophils (PMN) partly by
increasing cytosolic calcium concentration
([Ca2+]i). Modulation of PMN
[Ca2+]i might therefore be useful
in regulating inflammation after shock or sepsis. The hemodynamic
effects of traditional Ca2+ channel blockade,
however, could endanger unstable patients. Store-operated calcium
influx (SOCI) is known now to contribute to
Ca2+ flux in "nonexcitable" cells.
Therefore, we studied the role of SOCI in human PMN responses to the
proinflammatory ligand PAF. PMN
[Ca2+]i was studied by
spectrofluorometry with and without external calcium. We studied the
effects of PAF on Mn2+ entry into and on
Ca2+ efflux from thapsigargin (Tg)-treated
cells. Influx was assessed in the presence and absence of the blockers
SKF-96365 (SKF), TMB-8, and 2-APB. Half of PAF
[Ca2+]i mobilization occurs via
calcium influx. The kinetics of calcium entry were typical of SOCI
rather than receptor-mediated calcium entry (RMCE). SKF had multiple
nonspecific effects on [Ca2+]i.
Inhibition of store emptying by TMB-8 and 2-APB blocked all calcium
entry, demonstrating influx was store depletion-dependent. PAF has no
direct effect on calcium efflux. Where SOCI is maximal, PAF has no
further effect on calcium-channel traffic. PAF-induced calcium signals
are highly dependent on SOCI and independent of RMCE. SOCI-specific
blockade might modulate PMN-mediated inflammation and spare
cardiovascular function in shock and sepsis.
Key Words: platelet-activating factor calcium channels store-operated influx G protein-coupled receptors neutrophils inflammation
 |
INTRODUCTION
|
|---|
Platelet-activating factor
(1-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine; PAF) is a
lipid autocoid, which plays a role in polymorphonuclear neutrophil
(PMN) adhesion, chemotaxis, granule release, and oxidative burst
[reviewed in ref. 1
]. PMN and endothelial cells (EC) synthesize PAF
after inflammatory stimuli. PAF stimulates the synthesis of interleukin
(IL)-8 and leukotrienes [2
, 3
], which may
then stimulate further production of PAF [4
]. Because
PAF can elicit and perpetuate inflammatory PMN-EC interactions,
clinical trials of PAF antagonism in sepsis and the Systemic
Inflammatory Response Syndrome are now under way [5
,
6
].
PAF mobilizes cytosolic-free calcium
([Ca2+]i) from inositol 1,4,5
triphosphate (InsP3)-sensitive endoplasmic reticulum (ER)
calcium stores via a G protein-coupled, phospholipase
C-InsP3 pathway. PAF initiates Ca2+
entry also into cells via channels [7
]. Where early
studies suggested PAF-calcium entry was a delayed event, subsequent
studies suggest that receptor-mediated calcium entry (RMCE) was
dominant in PAF signaling [8
9
10
]. Thus, the specific
Ca2+ entry mechanisms involved in PMN-PAF
responses are unclear. Because myeloid cells lack voltage-operated
channels, calcium entry can occur only via RMCE or store-operated
calcium influx (SOCI) [11
, 12
].
This distinction has important clinical implications: PMN
Ca2+ signaling is altered in infection and
inflammation [13
, 14
].
Ca2+ signaling and SOCI are altered by human
injury [15
16
17
]. In animals, calcium blockade decreases
mediator production and mortality in sepsis and hemorrhage
[18
, 19
]. Calcium-channel blockade with
clinically available agents, however, is associated with diminished
cardiac contractility and vasomotor suppression. A precise
understanding of Ca2+ signaling mechanisms in
PMN is therefore needed to optimize pharmacologic strategies targeting
PAF in inflammatory states.
Early studies suggesting RMCE is important in PMN-PAF responses used
nickel ion (Ni2+) to inhibit RMCE
[20
], but it is now clear that
Ni2+ inhibits SOCI also
[21
22
23
]. Thus, recent studies [10
] have
used SKF-96365 (SKF) as a specific inhibitor of RMCE, but other studies
suggest SKF inhibits SOCI also [24
, 25
].
Because available studies do not differentiate between PAF-activated,
calcium-influx pathways, we studied PAF-activated, calcium-influx
pathways by novel means.
 |
MATERIALS AND METHODS
|
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Neutrophil isolation
Whole-blood samples were obtained from healthy volunteers. PMN
were isolated immediately by a one-step gradient centrifugation method
using polymorphoprep (PMP; Robbins Scientific Corp., Sunnyvale, CA).
Briefly, heparinized (10 U/ml) whole blood was centrifuged at 150
g for 10 min. The upper platelet-rich plasma layer was
aspirated and discarded. The buffy coat and top 2 cm of red blood cells
(RBC) were then collected, layered onto 5 ml PMP, and centrifuged at
300 g for 30 min. Supernatants and the mononuclear cell
layer were discarded. The neutrophil layer was aspirated, diluted with
an equal volume of 0.45% NaCl solution, and allowed to rest 5 min so
as to restore normal osmolarity. Suspensions were diluted with
sufficient RPMI (Mediatech, Herndon, VA) to give a final vol of 15 ml
and centrifuged at 150 g for 10 min. Neutrophil pellets were
then resuspended in 2 mL buffer solution containing 140 mM NaCl, 5 mM
KCl, 1 mM MgCl2, 1 mM CaCl2, 10 mM glucose, 20
mM N-2-hydroxyethylpiperazine-N'-2-ethanesulfonic
acid (HEPES), and 0.1% fatty acid-free bovine serum albumin (pH=7.4;
HEPES buffer). PMN were counted on a flow cytometer and kept on ice
until dye-loaded for study.
Dye loading and preincubation
Our methods for studying PMN [Ca2+]
have been published previously [26
, 27
] and
are described here only briefly. PMN were incubated in 2 µM
fura-2-acetoxymethyl ester (fura-2AM; Molecular Probes Inc., Eugene,
OR) for 30 min at 37°C in the dark. Cells were then divided into 150
µl aliquots, returned to the dark, and put on ice. Just prior to each
experiment, individual aliquots were returned to a 37°C bath to
incubate in buffer under the conditions discussed below. Prior to use,
cells were centrifuged 5 sec at 4500 RPM in a programmable
microcentrifuge. The supernatants are removed, and the cells are
resuspended in 100 µl HEPES buffer with or without 1 mM
CaCl2 and other agents used for that experiment. All
experiments done in nominally calcium-free media contain 0.3 mM
ethyleneglycol-bis(ß-aminoethylether)-N,N'-tetraacetic
acid (EGTA). Resuspended aliquots are injected finally into cuvettes
containing 2.9 ml of the same buffer for study.
Spectrofluorometry
Intracellular Ca2+ was monitored
by measuring fura fluorescence at 505 nm, using 340/380 nm excitation
in a Fluoromax-2 spectrofluorometer (Jobin-Spex, Edison, NJ) with
constant stirring at 37°C. Calibration is performed at the end of
every experiment by treating PMN with 100 µM digitonin (Molecular
Probes) and then measuring the fura fluorescence in 1 mM
(Rmax) and zero calcium (15 mM EGTA) solutions
(Rmin). The fluorescence of a sample cell suspension
treated with 100 µM digitonin and 2 mM MnCl2 was
subtracted from total fluorescence.
[Ca2+]i was calculated from the
340/380 nm fluorescence ratio using our modifications
[28
] of the methods of Grynkiewicz et al.
[29
]. Using our terminal resuspension technique, dye
leakage has minimal influence on
[Ca2+]i calculations, but dye
leakage was nonetheless measured routinely and corrected for. The order
in which PMN isolates were studied was alternated to avoid bias related
to the duration of dye loading or the time of cell study.
Quantification of calcium flux
Peak [Ca2+]i responses to
PAF as well as net [Ca2+]i flux
over 2 min were recorded for each experiment performed. Net calcium
flux was defined as the area (in nM · s) above the mean baseline
[Ca2+]i and under the
[Ca2+]i response curve for 120
sec (AUC120) after stimulation (Fig. 1
). This reflects the net influence of free cytosolic calcium over
time. All calculations were performed using an automated software
package (GRAMS/32, Galactic Industries, Salem, NH). PAF
[Ca2+]i flux in human PMN is
characterized by a prolonged post-peak plateau [16
],
which generates a substantial portion of the net
[Ca2+]i response. Thus, shorter
studies do not represent the total effect of PAF on PMN
[Ca2+]i. Conversely, PMN
specimens deteriorate over time after fura loading. The 120-sec study
period was chosen as a compromise, studying each cell aliquot long
enough to observe late-calcium mobilization and completing study of
each PMN isolate within 3045 min.

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Figure 1. Illustration of the area under the
[Ca2+]i signaling curve as
assessed for 120 sec in response to 10 nM PAF stimulation
(AUC120). This figure shows the
[Ca2+]i signal trace from a
single human PMN isolate with the area to be integrated hatch-marked.
Note that the area above baseline
[Ca2+]i is used rather than the
area above the x-axis, because the aim is to assess net response to the
agonist rather than total calcium activity.
|
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Cell stimulation
Fura-loaded PMN pretreated as described below were resuspended
in the appropriate media. Basal
[Ca2+]i was recorded for 20 sec
(Fig. 1) . The PMN were then exposed to 10 nM PAF (Calbiochem Corp., San
Diego, CA) in the cuvette using constant stirring. Preliminary data
demonstrated that 10 nM PAF was an EC90 dose for PMN
[Ca2+]i responses in our system.
Strategies used to evaluate calcium flux
Kinetic studies of [Ca2+]i
AUC120 was compared in PMN stimulated by PAF
in 1 mM calcium (Ca+) or in calcium-free (Ca-) media (0.3 mM EGTA
added). The response to PAF in Ca- conditions reflects only cell
calcium-store release. By mathematically subtracting the kinetic
calcium curves of PMN studied in Ca- conditions from the response of
identical PMN aliquots stimulated in Ca+ conditions, we can derive the
kinetic curves of net calcium entry into the cells (Fig. 2
). The size, timing, and morphology of these derived calcium-entry
curves can then be studied.

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Figure 2. Combined curves (n=6 paired experiments) for human PMN
[Ca2+]i responses to PAF in
control (Ca+, 1 mM Ca2+) and calcium-free
(Ca-, EGTA added) conditions. Responses in Ca+ show net calcium flux
in response to PAF. Results in Ca- conditions reflect only the release
of intracellular stores after PAF. The third (lowest) curve was derived
by arithmetically subtracting the Ca- from the Ca+ curve first for
each of the six paired experiments. The resulting
[Ca2+]i curves were then
combined into a single mean influx curve. This curve reflects influx of
extracellular calcium in response to PAF. Peak influx occurs 2030 sec
after peak [Ca2+]i, typical for
SOCI. Note that in this diagram, the error bars are +
SE for ease of reading the figure only.
|
|
Store-operated calcium entry can be isolated also and observed as
a discrete event by stimulating cell aliquots in a Ca- environment,
waiting for [Ca2+]i to return to
baseline, and then adding calcium to the medium [12
,
30
]. This maneuver (Fig. 3
) separates stimulatory events into rapid, receptor-linked calcium
currents and later calcium-entry currents that depend on store
depletion.

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Figure 3. Responses of normal human PMN stimulated by 10 nM PAF in calcium-free
media with later recalcification compared with their responses when
stimulated in Ca+ media (representative traces, n=4 paired
experiments). In all cases, delayed and immediate calcium influx (heavy
arrows) was of the same magnitude. This suggests calcium influx from
the medium is independent of the presence of calcium in the medium in
the early time period when RMCE would be expected to occur.
|
|
Because enhanced PMN calcium efflux as a result of PAF exposure could
obscure the presence of a PAF-related RMCE current, it was important to
show that PAF had no direct effect on calcium efflux. Efflux was
studied by using Ca2+ adenosinetriphosphatase
(ATPase)-inhibitor thapsigargin (Tg; 100 nM) to block ER calcium
reuptake, thus also elevating
[Ca2+]i and depleting ER calcium
stores. Tg-treated PMN suspensions are then treated with excess EGTA
(Fig. 4
). Under these conditions, external Ca2+
falls to zero instantaneously, and a kinetic
[Ca2+]i curve is generated that
reflects calcium efflux. Simultaneous addition of PAF along with the
EGTA will reveal enhanced efflux if PAF stimulation is linked directly
to the opening of an efflux channel.

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Figure 4. Calcium efflux from normal human PMN. In this representative experiment
(n=3 paired studies), Tg-treated PMN in Ca+ media were
treated with EGTA (to initiate efflux) or EGTA plus 10 nM PAF. Under
these conditions, differences in calcium efflux attributable to PAF
will be observed as a divergence of the efflux curves.
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|
Manganese (Mn2+) influx
SOCI channels were activated maximally by pretreating
fura-loaded PMN with the Ca2+ ATPase-inhibitor
Tg (100 nM) for 10 min in Ca2+-free media
[12
]. Cell suspensions were then placed in cuvettes as
below. After a baseline period, the cells were treated with 200 µM
Mn2+ or 200 µM Mn2+,
given simultaneously with 10 nM PAF (Fig. 5
). In these experiments, cells were illuminated at 360 nm, removing
any influence of the [Ca2+]i on
observed fluorescence. Mn2+ entry through
Ca2+ channels was detected as the quenching of
fura fluorescence at 505 nm. When Tg depletes calcium stores, SOCI
occurs in a functionally complete "all-or-none" fashion
[31
32
33
]. If Mn2+ enters
Tg-treated PMN more rapidly in the presence of PAF, the difference
represents the opening of PAF receptor-operated channels
[22
].

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Figure 5. Mn2+ influx in response to PAF. In this
representative experiment (n=3 paired studies) fura-loaded
human PMN were pretreated with 100 nM Tg for 10 min in calcium-free
medium. After equilibration in the cuvette for 20 sec, 200 µM
MnCl2 is added with or without 10 nM PAF.
Mn2+ enters PMN via channels used by
Ca2+ normally but quenches fura fluorescence.
Note that quenching of fura fluorescence by
Mn2+ entering the cells proceeds at the same
rate with or without PAF. FI, fluorescence intensity.
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Inhibitor studies
Three different blocking strategies were used to try to isolate
the sources of PMN calcium influx. SKF (Calbiochem Corp.) was used (30
µM/5 min) because of its common use as an inhibitor of RMCE
[34
, 35
]. However, SKF has been shown to
affect calcium reuptake [36
] and SOCI [24
,
25
] also. We studied PMN responses also after
preincubation (100 µM, 8 min) in 3,4,5-trimethoxybenzoic acid
8-(diethylamino) octyl ester (TMB-8; Calbiochem Corp.). Rather than
targeting calcium channels, TMB-8 stabilizes
Ca2+ binding to ER-storage proteins, thus
inhibiting store release in response to InsP3
[37
]. TMB-8 prevents depletion of
InsP3-sensitive stores, thus inhibiting SOCI. After TMB-8,
any [Ca2+]i responses to PAF in
Ca+ media should represent RMCE, and the absence of
[Ca2+]i influx after TMB-8 will
infer the absence of RMCE. Some studies have suggested that TMB-8 has
other nonspecific metabolic effects [38
], but TMB-8 has
not been shown to interfere with calcium-channel traffic
[34
]. Last, we used 2-aminoethoxydiphenyl borate (2-APB;
Calbiochem Corp.), a cell-permeant inhibitor of the InsP3
receptor (100 nM for 3 min). Currently, this agent is believed to act
specifically on the InsP3 receptor [39
,
40
]. As with TMB-8, any
[Ca2+]i response to PAF in the
presence of 2-APB should represent RMCE, and the absence of a response
should infer the absence of any direct receptor-mediated entry.
Statistical analysis
Responses seen under the various study conditions were always
compared in paired PMN aliquots isolated from the same donation. The
grouped observations were analyzed using paired t-tests.
Statistical significance was accepted at p-values
0.05. Individual [Ca2+]i response
curves were combined into mean response curves using Sigma Plot and
Sigma Stat software. Combined response curves are portrayed in the
figures as mean ± SE, with the exception of Figure 2
,
where overlapping graphed data are presented as mean +
SE for clarity.
 |
RESULTS
|
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Kinetic [Ca2+]i studies
Mean PMN responses to 10 nM PAF in Ca+ (upper-most curve) and Ca-
conditions (middle curve) are shown in Figure 2
. When the responses in
Ca+ and Ca- conditions are compared, the slope of the initial calcium
upstroke is noted to be identical.
[Ca2+]i rose longer typically in
Ca+ conditions, however, with peak
[Ca2+]i values taking longer to
reach and being higher than those observed in the absence of external
calcium. Net 2 min calcium flux (AUC120) in response to PAF
in Ca+ media was 15,844 ± 1223 nM · s. It was
6909 ± 1517 nM · s in Ca- conditions or only 44% of the
[Ca2+]i flux seen in Ca+ medium
(p=0.00004). [Ca2+]i
had almost returned to baseline after 2 min in Ca- conditions, whereas
it was still elevated in Ca+. Thus, about half of total PMN calcium
flux in response to PAF is generated from influx mechanisms, and
Ca2+ influx was responsible for sustaining PAF
responses.
We then derived PMN calcium-influx curves for each individual PMN
sample by mathematically subtracting the
[Ca2+]i curve observed in Ca-
conditions (i.e., store release) from the curve obtained using the same
cells in Ca+ conditions (i.e., total
[Ca2+]i mobilization). The
derived influx curves were then used to model a single mean response
curve (Fig. 2
, lowest tracing). As seen, PMN calcium influx in response
to PAF is slow compared with net
[Ca2+]i flux, lagging about 10
sec behind maximal store release and continuing for more than 20 sec
after store release has ceased.
In the next studies, identical PMN aliquots were stimulated by PAF in
Ca+ media or in Ca- media, where Ca2+ was
reintroduced after complete resolution of the initial PAF transient
(Fig. 3) . Under these conditions, the magnitude of the
[Ca2+]i flux seen on late
recalcification was identical essentially to the difference seen in
immediate [Ca2+]i flux in the Ca+
and Ca- conditions (<10% variation in all cases, n=4
isolates from different volunteers).
When calcium efflux was assessed by rapidly chelating external calcium
after Tg treatment (Fig. 4)
, we found that the observed calcium-efflux
curves were indistinguishable whether or not PAF was added at the same
time as the chelating agent (n=3 isolates from different
volunteers).
Mn2+ influx
Mn2+ influx studies were performed in
fura-loaded, Tg-treated PMN (n=3 isolates from different
volunteers) in Ca2+-free media. These revealed
that the quenching of fura fluorescence by addition of
Mn2+ alone or by Mn2+
added simultaneously with PAF was indistinguishable in all cases (Fig. 5)
. The difference in percent decline of observed fluorescence in the
paired samples (Mn2+ alone or
Mn2+ plus PAF) was <5% at 30 and 60 sec in
all cases.
Inhibitor studies
PMN blocked with SKF in Ca+ medium (Fig. 6
) demonstrated an AUC120 of 7074 ± 1291
nM · s after PAF. This was 45% of the AUC120 measured
in control Ca+ conditions (Fig. 2
p=0.005). Thus, the
AUC120 for PAF in Ca+/SKF+ was very similar to the
AUC120 after PAF in Ca-/SKF- (p=0.92, shown in
Figs. 2 and 6
). Nonetheless, despite very similar net mobilization of
calcium, there were obvious differences in calcium-flux morphology
under these two conditions. First, PMN treated with SKF in Ca+ media
(Fig. 6) have a delayed and depressed
[Ca2+]i upstroke compared with
untreated PMN in Ca- media (Figs. 2
3
and 6)
. Second, SKF prolonged
the elevation of PMN [Ca2+]i by
PAF markedly, with an absence of measurable
Ca2+ efflux observed during the second minute
after PAF stimulation (Fig. 6)
. These findings suggested unexpected
effects of SKF on Ca2+ store-release.
Therefore, we evaluated a separate series of PMN isolates
(n=5) stimulated in Ca- media in the presence or absence of
SKF (Fig. 7
). We found SKF suppressed (p<0.05) and delayed
(p<0.03) PMN [Ca2+]i
store-release responses to PAF.

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Figure 6. Responses of normal human PMN (n=6 paired experiments)
to 10 nM PAF in Ca- conditions contrasted to their responses to PAF in
Ca+ conditions after incubation in SKF. Note that although the two
conditions yield similar AUC120, their morphology is very
different. Even in Ca+ conditions, SKF delays and flattens the PMN
[Ca2+]i transient.
[Ca2+]i decay appears markedly
impaired by SKF also. The Ca-/SKF- data here are presented in Figure 2
also.
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Figure 7. Responses of normal human PMN (n=5 PMN isolates) to 10 nM
PAF in calcium-free media in the presence or absence of SKF, which
suppressed [Ca2+]i responses even
in the absence of extracellular calcium, indicating it suppresses
calcium-store release. Responses in Ca-/SKF- conditions appear
similar to those seen in Figures 2
and 6
but are from different
isolates.
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|
PMN, pretreated with TMB-8 to block calcium release from ER stores and
then exposed to 10 nM PAF in Ca+ medium, demonstrated that their
[Ca2+]i responses to PAF were
attenuated markedly (Fig. 8
). Similarly, PMN pretreated with 2-APB (Fig. 9
) to inhibit ER InsP3 receptors and then exposed to 10
nM PAF in Ca+ medium demonstrated essentially absent
[Ca2+]i responses (4±3 nM,
n=3 isolates from different volunteers) to PAF.

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Figure 8. PMN responses (n=6 paired experiments) to 10 nM PAF in Ca+
medium in the presence of TMB-8, which stabilizes cell calcium stores.
Note that PMN [Ca2+]i responses
to PAF were abolished almost totally by TMB-8.
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Figure 9. Representative trace of PMN responses to 10 nM PAF (n=3
paired experiments) in Ca+ medium in the presence of the
InsP3 inhibitor 2-APB. PMN
[Ca2+]i responses to PAF were
totally abolished by 2-APB.
|
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 |
DISCUSSION
|
|---|
These studies demonstrate that about half of total PMN calcium
flux in response to PAF is a result of calcium entry from the
environment. Multiple findings, however, show that this calcium influx
cannot be attributed to a RMCE mechanism. First, initial rises in cell
calcium after PAF occur at identical rates whether calcium is in the
environment or not (Fig. 2)
. This makes a direct receptor-linked,
channel-opening event unlikely. Second, entry of
Ca2+ from the medium begins only after
store-depletion has begun. Influx peaks 2030 sec later and then
continues for 3045 sec (Fig. 2)
. During the later phases of the PMN
response to PAF (i.e., after the first minute), the majority of PMN
calcium-flux response is the result of calcium influx. Thus, the time
course observed is typical of SOCI not RMCE.
In addition, when store-operated currents are observed in a delayed
fashion by recalcifying the media after the resolution of early calcium
flux, the magnitude of this delayed calcium-uptake event is found to be
equivalent to the magnitude of calcium influx observed concurrent with
store release (Fig. 3)
. Further, these findings cannot be attributed to
any occult calcium-efflux event, which is initiated or inhibited by PAF
directly (Fig. 4) .
The inability of PAF to elicit divalent cation channel traffic over and
above SOCI elicited by Tg was confirmed separately in
Mn2+ influx experiments. Tg depletes the
endoplasmic reticulum of Ca2+ and causes
maximal SOCI [12
, 22
, 31
32
33
].
Mn2+ moves freely through calcium channels but
quenches rather than augments fura fluorescence. Thus, under the
experimental conditions used, if PAF were to open a
Ca2+ influx pathways other than the SOCI
elicited by Tg, the rate of entry of Mn2+ into
the cells (and thus of fura quenching) would be increased. As is
appreciated in Figure 5
, PAF fails to augment
Mn2+ entry into the cells.
We used a variety of inhibitor strategies to demonstrate that
PAF-induced PMN calcium influx occurs through SOCI. Our first strategy
was to use SKF. This agent has been used as a "specific" blocker of
RMCE and has been used recently as a proof of PAF-induced RMCE in PMN
[10
]. As has been suggested by others
[36
], however, we found that SKF has a variety of
nonspecific effects that made its effects on calcium influx here
uninterpretable. These included inhibition of calcium reuptake (Fig. 6)
and suppression of agonist-mediated Ca2+
release from ER stores (Fig. 7)
.
The other inhibitors used do not act on calcium channels
[34
]. TMB-8 exerts its actions via stabilizing the
binding of calcium to ER storage proteins [37
]. Thus,
TMB-8 should prevent store-emptying and hence abolish SOCI. Similarly,
2-APB acts through inhibiting the InsP3 receptor. Although
it acts at a different site, this agent should prevent store depletion
also and thus block SOCI. In effect, therefore, increases in
[Ca2+]i in response to PAF in the
presence of TMB-8 or 2-APB should represent RMCE. Moreover, because
SOCI tends to occur in an "all or none" fashion [31
,
33
], inhibition of SOCI by these agents should be marked
or complete. In fact, we found that PMN calcium flux in response to PAF
was abolished almost completely after TMB-8 (Fig. 8)
and 2-APB (Fig. 9)
. These findings support the kinetic calcium-flux data independently
and Mn2+ influx studies in suggesting that RMCE
does not occur after PAF stimulation.
Considered together, the data demonstrate that PAF does not
elicit measurable RMCE in normal human PMN. Rather, the data suggest
that PAF-induced calcium flux into PMN occurs exclusively via SOCI.
This suggests that the trp channels now thought to mediate
SOCI, reviewed by Putney and McKay [41
], might be
appropriate targets for therapeutic interventions aimed at limiting PMN
calcium mobilization in inflammatory diseases. Moreover, such
interventions could potentially have fewer hemodynamic side-effects
than traditional calcium-channel blockade, a key consideration for
patients with critical illnesses.
 |
ACKNOWLEDGEMENTS
|
|---|
This work was supported in part by grants from the Foundation of
UMD/New Jersey Medical School and by National Institutes of Health
grant GM-59179.
Received March 31, 2000;
revised August 21, 2000;
accepted August 22, 2000.
 |
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