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(Investigative Ophthalmology and Visual Science. 2005;46:1208-1218.)
© 2005 by The Association for Research in Vision and Ophthalmology, Inc.
DOI:  10.1167/iovs.04-1181
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ATP Release through Connexin Hemichannels in Corneal Endothelial Cells

Priya Gomes,1 Sangly P. Srinivas,2 Willy Van Driessche,1 Johan Vereecke,1 and Bernard Himpens1

1From the Laboratory of Physiology, Catholic University of Leuven, Leuven, Belgium; and the 2School of Optometry, Indiana University, Bloomington, Indiana.


   Abstract
Top
 Abstract
Materials and Methods
 Results
 Discussion
 References
 
PURPOSE. Intercellular Ca2+ wave propagation is a distinct form of cell–cell communication. In corneal endothelial cells, intercellular Ca2+ wave propagation evoked by a point mechanical stimulus (PMS) is partially mediated by adenosine triphosphate (ATP) release and subsequent activation of P2Y receptors. This study was conducted to investigate the possibility that extrajunctional connexons (hemichannels) play a role in ATP release during PMS-induced Ca2+ wave propagation in bovine corneal endothelial cells (BCECs).

METHODS. A Ca2+ wave was evoked by a PMS applied to a single cell in a monolayer of cultured BCECs. Changes in [Ca2+]i in the mechanically stimulated cell (MS cell) and in the neighboring (NB) cells were visualized by fluorescence imaging using the Ca2+-sensitive dye Fluo-4. From these images, the maximum normalized fluorescence (NF), the percentage of responsive cells (%RC), and the total area of cells reached by the Ca2+ wave (active area [AA], in square micrometers) were calculated. Intercellular dye transfer, generally attributed to gap junctional coupling, was assessed by fluorescence recovery after photobleaching (FRAP) using 6-carboxyfluorescein diacetate. Opening of hemichannels was investigated by measuring cellular uptake of the fluorescent dye Lucifer yellow, which is known to permeate hemichannels. ATP release was measured by luciferin-luciferase bioluminescence.

RESULTS. Flufenamic acid (FFA; 50 µM) and the connexin mimetic peptide Gap26 (300 µM), known blockers of hemichannels, significantly reduced AA in confluent monolayers as well as in contact-free cells. Neither FFA nor Gap26 affected the FRAP, indicating that reduction in AA of the PMS-induced wave by these agents is not due to a block of gap junction channels. FFA as well as Gap26 inhibited the increase in AA of the wave that was observed when cells were pretreated with the ectonucleotidase inhibitor ARL-67156 (100 µM). These findings suggest that the hemichannel blockers reduce the Ca2+ wave propagation by inhibiting ATP release. Consistent with this finding, PMS or exposure to Ca2+-free solution (a maneuver known to induce the opening of hemichannels) led to ATP release; moreover, the release was inhibited by the hemichannel blockers. The extracellular ATP levels in response to both PMS and extracellular Ca2+ removal were strongly enhanced by ARL-67156, and this effect was inhibited by FFA as well as by Gap26. Moreover, pretreatment of subconfluent BCEC monolayers with FFA or Gap26 inhibited the uptake of Lucifer yellow induced by removal of extracellular Ca2+.

CONCLUSIONS. Hemichannels contribute to ATP release on mechanical stimulation in BCECs. The released ATP contributes to propagation of the Ca2+ wave.

The phenomenon of intercellular Ca2+ wave propagation represents a distinct form of cell–cell communication and has been demonstrated to involve at least two mechanisms: exchange of inositol 1,4,5-trisphosphate (IP3) or Ca2+ through gap junctions and/or adenosine triphosphate (ATP) release and subsequent activation of the P2Y receptors of the neighboring cells.1 The importance and existence of these two mechanisms have been investigated in many cell types by inducing Ca2+ waves through an acute intracellular photorelease of caged IP3 or by point mechanical stimulation (PMS) of a single cell with a blunt micropipette.2 3 A recent study from our laboratory,4 which focused on Ca2+ wave propagation in bovine corneal endothelial cells (BCECs), demonstrated that PMS produces a transient Ca2+ increase in the mechanically stimulated (MS) cell followed by a decremental Ca2+ wave that propagated across four to six neighboring (NB) cell layers. Similar findings have been reported in several cell types including astrocytes, epithelial cells, fibroblasts, and vascular endothelium.5 6 7 8 The PMS-induced intercellular Ca2+ waves in BCECs were partially suppressed by suramin (a nonselective P2Y receptor antagonist) and by exogenous apyrases and were enhanced by exposure to ARL-67156 (an ectonucleotidase inhibitor).4 Together, these findings provide evidence for an involvement of extracellular ATP in the PMS-induced wave propagation.4

In addition to being involved in intercellular communication (also see Ref. 9 ), activation of purinergic receptors by ATP resulting in elevation of [Ca2+]i and/or activation of PKC, is known to influence several physiological and pathophysiological processes, including activation of ion channels,10 contraction of smooth muscles cells,11 altered barrier integrity,12 fluid transport,13 enhanced regulatory volume decrease,14 15 cell proliferation,16 17 18 19 apoptosis,20 and inflammation.21 Given these pleiotropic effects, the release of ATP and its role as a paracrine–autocrine mediator, has been intensively investigated.22 23 Although release of ATP in response to mechanical stimulation was first documented during sustained exercise of human forearm muscle,24 the widespread occurrence and significance of such a release was not realized until recently. ATP released from red blood cells in response to mechanical deformation is believed to regulate vascular resistance. ATP is also released from vascular endothelial cells during periods of increased blood flow, shear stress, and hypoxia.25 After release, ATP, acting as an autocrine–paracrine mediator, can activate endothelial P2Y receptors and stimulate the synthesis of nitric oxide.26 Also, enhanced ATP release from the urothelium of the rabbit urinary bladder as a consequence of distention by small changes in hydrostatic pressure has been reported.27 It has been proposed that such a release of ATP from the urothelium acts as a sensory mediator of the degree of distension of the urinary bladder.27 Autocrine–paracrine signaling through the release of ATP has also been found to occur in rat hepatocytes.28 ATP release in response to mechanical stimulation and activation of P2Y receptors also appears to be important for cell volume regulation in swollen hepatocytes and related cell lines. Similarly, hypotonic stimulation of cultured ocular ciliary epithelial cells led to a threefold increase of the extracellular ATP concentration.29 This may be important in the regulation of intraocular pressure, because ATP and its metabolite adenosine have been implicated in the regulation of ciliary epithelial Cl– conductance and formation of aqueous humor.30

Although release of ATP is well documented, pathway(s) for the release are yet to be ascertained. Given the diversity of conditions and cell types in which ATP is known to be released (see review by Lazarowski et al.31 ), several pathways could be involved in the release of ATP and other nucleotides. Several studies have suggested that nucleotides are released during cargo–vesicle trafficking and/or by exocytosis.31 Other suggested pathways include the ATP-binding cassette (ABC) transporters, such as cystic fibrosis transmembrane conductance regulator (CFTR) and the product of the MDR-1 gene32 ; the P-glycoprotein; or stretch and voltage-gated channels, such as plasmalemmal voltage-dependent anion channel (pl-VDAC; a murine splicing variant of the mitochondrial ATP porin VDAC-1)33 and the stretch-activated cation channels. Recently, Stout et al.34 provided evidence for the involvement of hemichannels in ATP release during PMS-induced Ca2+ wave propagation in astrocytes. Similar findings have been reported by Braet et al.35 based on Ca2+ waves induced by photorelease of IP3.

Hemichannels represent "pores" formed by a characteristic hexameric assembly of connexin subunits. Fully assembled hemichannels are exocytosed to the plasma membrane in their closed state. Such hemichannels associate (dock) with their counterparts on the apposing cell. Favorable docking of hemichannels from two apposing cells leads to formation of a conductive pore, referred to as the gap junctional channel. This channel connects the cytoplasm of the two neighboring cells through a pathway that has relatively nonselective permeability to a variety of substances of up to ~1500 Da. A significant number of recent studies have endorsed the view that hemichannels may operate as independent channels in the plasma membrane (for example, Ref. 36 ). Given that the open probability of hemichannels is affected by metabolic ATP depletion,37 corneal hypoxia can be expected to influence the activity of hemichannels in corneal endothelium, leading to ATP release. This may exacerbate ATP depletion, and also influence the endothelial membrane potential, cell volume and HCO3– transport through autocrine–paracrine activity of the released ATP.

The principal objective of this study was to examine the ATP release pathway involved in the spread of the Ca2+ wave observed in response to a PMS of a single cell in confluent monolayers of cultured BCECs. The results showed that both the Ca2+ wave and ATP release were inhibited by putative hemichannel blockers, consistent with the view that one of the pathways of ATP release involves hemichannels.


   Materials and Methods
Top
 Abstract
 Materials and Methods
Results
 Discussion
 References
 
Cell Culture
Primary cultures of BCECs were established as previously described.38 39 40 The growth medium contained Dulbecco’s modified Eagle’s medium (DMEM, 11960-044; Invitrogen-Gibco, Karlsruhe, Germany) supplemented with 10% fetal bovine serum (F-7524; Sigma-Aldrich, Deisenhofen, Germany), 6.6% L-glutamine (Glutamax; 35050-038; Invitrogen-Gibco), and 1% antibiotic-antimycotic mixture (15240-096; Invitrogen-Gibco). Cells were grown at 37°C in a humidified atmosphere containing 5% CO2. Cells of the second and third passages were harvested and seeded into two-chambered glass slides (155380, Laboratory-Tek; Nunc, Rosklide, Denmark) at a concentration of 165,000 cells per chamber (4.2 cm2), unless stated otherwise. Cells were allowed to grow to confluence for 3 or 4 days before use.

Mechanical Stimulation
PMS consisted of a brief deformation of the cell by briefly touching <1% of the cell membrane with a glass micropipette (tip diameter, <1 µm) using a piezoelectric crystal mounted on a micromanipulator (Piezo device P-280, Amplifier-E463; PI Polytech, Karlsruhe, Germany) that undergoes a mechanical deformation when subjected to a voltage, allowing small reproducible displacements of the pipette in response to application of a voltage to the crystal.

Measurement of [Ca2+]i
Cells were loaded with the Ca2+-sensitive fluorescent dye Fluo-4 AM (10 µM) for 30 minutes at 37°C. The fluorescence was measured on a confocal laser scanning microscope (model LSM510; Carl Zeiss Meditec, Jena, Germany). The dye was excited at 488 nm, and fluorescence emission at 530 nm was collected with a 40x objective, unless stated otherwise. Images with a frame size of 106,080 µm2 were acquired at a resolution of 128 x 128 pixels and 256 gray levels. Polygonal regions of interest (ROIs) were drawn to define the borders of each cell. In the figures and discussions to follow, the NB cells immediately surrounding the MS cell are referred to as NB1 (signifying neighboring cell layer 1). Cells immediately surrounding the NB1 cells are referred to as NB2 cells, and so on. Fluorescence was averaged over the area of each ROI. The maximum normalized fluorescence (NF) was then obtained by dividing the maximum fluorescence on PMS by the basal fluorescence. Intercellar Ca2+ wave propagation was characterized in terms of maximum NF, %RC, and the total surface area of responsive cells with NF ≥ 1.1, called the active area (AA).

In some experiments, a cell-free region (referred to as the cell-free lane) was made by scraping off a narrow line of cells in the monolayer using a sharp needle. The cell-free lane was approximately 75 µm wide, corresponding to the width of two to three cells and divided the monolayer into two unconnected regions. Ca2+ wave propagation was then studied upon stimulation of a cell at the border of the cell-free region. The side with the MS cell is referred to as the mechanically stimulated side, and the opposite side of the cell-free lane is called the other side. Separate AAs were measured at each side of the cell-free lane.

Fluorescence Recovery after Photobleaching
Cells were loaded with the Ca2+-insensitive dye 6-carboxyfluorescein diacetate (10 µM) for 5 minutes at room temperature, and fluorescence recovery after photobleaching (FRAP) was measured with the laser scanning microscope (LSM510; Carl Zeiss Meditec). The dye was excited at 488 nm, and its emission was recorded at 570 nm. A neutral-density filter was used to minimize photobleaching.

Before bleaching, polygons were drawn around the cells chosen for bleaching, and two prebleach images were scanned. The cells chosen for bleaching were then exposed to 50 scans with the laser at 95% intensity, and the recovery of fluorescence in the bleached cells was measured every 10 seconds over a period of 5 minutes. The decrease of fluorescence in a square region of interest widely distant from the bleached cells was measured as a reference for correction for background bleaching due to the scanning light. After correction for background bleaching, the recovery of fluorescence in the bleached cell at 3 minutes was compared with that of the prebleach scan, and the percentage recovery was calculated. In each experiment, three cells in widely separated areas of the monolayer were chosen for bleaching, and three experiments were performed in each monolayer.

Lucifer Yellow Uptake
Monolayers of cells were incubated for 5 minutes in Ca2+-rich or Ca2+-free solution, each of which contained 5% Lucifer yellow (LY; 432 Da; a hydrophilic anionic fluorescent dye). Uptake of the dye into cells was detected by fluorescence imaging using the confocal microscope (LSM510; Carl Zeiss Meditec). LY was excited at 488 nm, and its emission was recorded at 530 nm. Images with a frame size of 106,080 µm2 were acquired at a resolution of 512 x 512 pixels and 256 gray levels.

ATP Measurements
ATP measurements were performed with the luciferin–luciferase (LL) bioluminescence assay.

Perfusion Experiments.
In the experiments to study the effects of Ca2+-free solution and FFA on ATP release, a setup for measuring luminescence was used as described by Jans et al.41 The apparatus was equipped with a photon-counting photomultiplier tube (25-mm diameter; H3460-04; Hamamatsu Photonics, Hamamatsu, Japan) held 20 mm above the surface of the cells. The output of the photomultiplier tube in the form of voltage pulses was counted with a high-speed timer-counter interface (PCI-6601; National Instruments Corp., Austin, TX). This setup made it possible to perfuse the cells and to change perfusate without interrupting photon counting.41 To measure the accumulated ATP released by the cells, a solution containing LL was applied, and the perfusion was stopped temporarily for 1.5 minutes during which period luminescence was measured. Thereafter, perfusion of the cells was resumed with solutions without LL.

Experiments with Complete Intermittent Renewal of Solution.
Because continuous perfusion experiments as indicated earlier would be very expensive when Gap26, ARL-67156, or apyrase was required in the perfusate, the effects of these substances were examined without perfusion of the chamber. For this purpose, a separate photon-counting setup was built also using a photomultiplier tube (Hamamatsu Photonics) and a high-speed timer-counter interface (PCI-6601; National Instruments Corp., Austin, TX). LL was added to the bathing solution, and the luminescence counts were measured. Immediately after the luminescence measurements, the solution was gently replaced with a fresh solution without LL. These experiments were performed in the presence of ARL-67156 to inhibit the hydrolysis of ATP by ecto-adenosine triphosphatases (ATPases).

Experiments with Sampling.
Experiments with ATP measurement after PMS were performed on the confocal microscope. Samples of 25 µL of the 500-µL bathing solution were taken at different times and quickly transferred to the separate photon-counting setup, where the luminescence was measured after adding LL to each of the samples. Results of consecutive ATP measurements were corrected for the volume of extracellular fluid removed in previous samples.

Calibration of ATP Measurements.
Calibration curves of luminescence count versus ATP were obtained at known concentrations of ATP in the presence of 50 µL/mL LL reagent dissolved in the same solutions as used in the experiments. Calibration experiments showed that EGTA (2 mM) increased the luminescence sensitivity by 50%, whereas FFA (50 µM) decreased the sensitivity by 30%. Gap26 (300 µM) and ARL-67156 were without any effect. The data of all experiments with ATP measurements were corrected on the basis of the calibration curves.

Chemicals
Fluo-4 AM and 6-carboxyfluorescein diacetate were obtained from Molecular Probes (Eugene, OR). Flufenamic acid (FFA), ARL-67156 (6-N,N-diethyl-ß,{gamma}-dibromomethylene-D-ATP, cat no. A265), the adenosine 5'-trisphosphate (ATP) assay mix (FLAAM), ATP, and LY were obtained from Sigma-Aldrich. Gap26 peptide (VCYDKSFPISHVR) was synthesized (Milligen 9050; PepSynthesizer, Applied Biosystems, Inc., Foster City, CA) at the Laboratory of Biochemistry, Katholieke Universiteit, Leuven. The peptides were routinely analyzed by reversed-phase HPLC (Waters Corp., Milford, MA), on a C18-column (250 x 4.60 mm); Luna 5u, Phenomenex, Torrance, CA) using a linear gradient of acetonitrile–water, containing 0.06% trifluoroacetic acid (TFA). The exact sequence of the peptide was confirmed by electrospray ionization (ESI)-triple quadrupole mass spectrometry (API-3000 mass spectrometer; MDS Sciex, Applied Biosystems, Inc.). The purity of the peptide was greater than 95%.

Data Analysis
All data are given as the mean ± SEM. Comparisons of means between groups were performed by unpaired t-tests, with P < 0.05 considered a statistically significant difference. N indicates the number of independent experiments (equal to number of cells subjected to PMS), whereas n represents the total number of cells.


   Results
Top
 Abstract
 Materials and Methods
 Results
Discussion
 References
 
Effect of FFA and Gap26 on the Ca2+ Wave Propagation
Our previous work showed that PMS-induced intercellular Ca2+ wave propagation in BCECs is partially mediated by ATP release into the extracellular space.4 Because it has been suggested that hemichannels may play a role in ATP release34 42 and because the presence of connexin (Cx)43 has been demonstrated in BCECs,43 we investigated whether hemichannels are involved in PMS-induced Ca2+ wave propagation in BCECs. We began by examining the effect of putative hemichannel blockers on the intercellular Ca2+ wave propagation. Figure 1 shows that the spread of the PMS-induced Ca2+ wave was strongly inhibited by FFA (50 µM) and by Gap26 (300 µM) (a connexin-mimetic peptide specific for Cx43). The NF in the NB cells, %RC, and the AA were significantly reduced by FFA or Gap26, as shown in Figure 2 and summarized in Table 1 . Furthermore, the inhibition of the wave propagation by FFA is greater than the inhibition caused by the addition of Gap26.



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  		FIGURE 1. FFA and Gap26 inhibit intercellular Ca2+ wave propagation in BCECs. Shown are pseudocolored fluorescence images of cells loaded with Fluo-4 AM, before (left), immediately after mechanical stimulation of a single cell (middle) and at the time of peak response (right) in control conditions (top row) and in cells treated with 50 µM FFA (middle row) or 300 µM Gap26 (bottom row) for 30 minutes. Arrows: MS cell. The color scale at left represents the changes in fluorescence induced by the [Ca2+]i changes.

 


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  		FIGURE 2. Inhibition of Ca2+ wave propagation in BCECs by FFA and Gap26. The data show the effect of a 30-minute application of 50 µM FFA (left) or 300 µM Gap26 (right) on the maximum NF, the %RC, and AA of Ca2+ wave propagation in response to PMS. ({blacksquare}) Control; ({cjs2108}) drug. *Significant difference at P < 0.05 vs. control.

 

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  		TABLE 1. Average Maximum NF, %RC, and AA, in the MS and NB Cells during Mechanical Stimulation in Control Conditions and after Treatment with FFA or Gap26

 
Lack of Effect of FFA and Gap26 on Gap Junctional Intercellular Communication
Because the PMS-induced Ca2+ wave propagation in BCECs is only partially mediated through the purinergic pathway,4 it is likely that gap junctional intercellular communication (GJIC) also plays a role. We therefore wanted to verify that the effect of the putative hemichannel blockers was not due to inhibition of GJIC. Accordingly, we performed FRAP experiments using carboxyfluorescein (a dye known to permeate gap junctions) in the presence of hemichannel blockers. The percentages of fluorescence recovery at 3 minutes in the presence of FFA (63.09% ± 2.43%, N = 54) or Gap26 (64.93% ± 1.71%, N = 63) were not significantly different from the control (65.88% ± 1.36%, N = 90). These data indicate that FFA or Gap26 have no effect on gap junctional coupling and hence that their inhibition of the spread of the PMS-induced Ca2+ wave is not due to the blocking of gap junctions.

Effect of FFA and Gap26 on Paracrine Intercellular Communication
Application of the ectonucleotidase inhibitor ARL-67156 caused a marked enhancement of the spread of the Ca2+ wave propagation in BCECs via a paracrine intercellular communication (PIC) pathway, presumably by increasing the availability of the putative paracrine factor ATP.4 To study whether the release of the paracrine factor is mediated through hemichannels, we investigated whether the enhancement of the Ca2+ wave induced by ARL-67156 (100 µM) was affected by application of FFA or Gap26. The results are summarized in Figure 3 . The AA was 149,648 ± 25,273 µm2 (N = 12) in control conditions and increased to 544,605 ± 32,183 µm2 (N = 17) in cells pretreated with ARL-67156 for 30 minutes, indicating that ATP hydrolysis limits the PMS-induced Ca2+ wave propagation. However, when cells were pre-exposed for 30 minutes to a combination of ARL-67156 and FFA or ARL-67156 and Gap26, the AAs were only 30,788 ± 4,675 µm2 (N = 20) and 103,756 ± 10,329 µm2 (N = 18), respectively. The very large enhancement of the wave by ARL-67156 was blocked by FFA and Gap26. This finding strongly suggests that both FFA and Gap26 act by limiting the amount of substrate available for the ectonucleotidases, presumably by limiting the release of the paracrine factor involved in intercellular propagation of the Ca2+ wave in BCECs.



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  		FIGURE 3. FFA and Gap26 inhibited Ca2+ wave propagation in BCECs via the PIC pathway. The ectonucleotidase inhibitor ARL-67156 (100 µM) caused a large increase of the active area (AA) of Ca2+ wave propagation. The effect of ARL-67156 was inhibited by blocking hemichannels with either FFA (50 µM) or Gap26 (300 µM). *P < 0.05 versus control. ^P < 0.05 versus ARL-67156.

 
Previous experiments in which cells were scraped out in a confluent monolayer to make a cell-free lane showed that a Ca2+ rise elicited by PMS spread out not only to the NB cells on the MS side, but also to the NB cells across the cell-free lane. Furthermore, the propagation of the Ca2+ wave across the cell-free lane was enhanced on pretreatment with ARL-67156.4 To obtain further evidence that FFA and Gap26 inhibit the release of the paracrine factor involved in the spread of the PMS-induced Ca2+ wave, we examined their efficacy in inhibiting the propagation of the wave across cell-free lanes, a condition that excludes a role of GJIC. On pretreatment of the cells with FFA (50 µM) or Gap26 (300 µM), the spread of the Ca2+ wave was reduced on the MS side when compared to control conditions, whereas it was completely abolished across the cell-free lane. On pretreatment with a combination of ARL-67156 and FFA or a combination of ARL-67156 and Gap26 for 30 minutes, the enhancement of the spread of the Ca2+ wave due to ARL-67156 was also totally abolished (Fig. 4) . However, in the presence of either FFA or Gap26, ARL-67156 still had a strong effect on the MS side as well as on the other side when compared with FFA or Gap26 alone, providing evidence that the effect of ARL-67156 on the ectonucleotidases is not lost (Fig. 4) .



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  		FIGURE 4. FFA and Gap26 inhibited Ca2+ wave propagation across cell-free lanes. Data represent the AA after PMS on both sides of a cell-free lane. Results are from five experiments in each of the different conditions. ({blacksquare}) AA on the side of PMS; ({cjs2112}) AA on the other side of the cell-free lane. FFA (50 µM) or Gap26 (300 µM) blocked the spread of the Ca2+ wave across cell-free lanes. The large increase of the spread of the Ca2+ wave across the cell-free lane by 100 µM ARL-67156 in control conditions was largely inhibited by FFA or Gap26. Because in the presence of ARL-67156 the AA exceeded the size of the image on the side of the PMS, this value is represented by an open-ended solid bar.

 
These results provide further evidence that the effects of the hemichannel blockers FFA or Gap26 are exerted via the PIC pathway and further substantiate the hypothesis that the effects of FFA and Gap26 are due to the inhibition of ATP release via hemichannels.

To exclude that the inhibitory effects of FFA or Gap26 on Ca2+ wave propagation are due to direct effects on P2Y receptors or due to the depletion of intracellular Ca2+ stores, we exposed cells pre-treated with 50 µM FFA (NF: 1.9 ± 0.1, N = 4) or 300 µM Gap26 (NF: 1.8 ± 0.1, N = 4) to 100 µM ATP. In these conditions the NF of the cells was not significantly different when compared to application of 100 µM ATP in control conditions for FFA (1.97 ± 0.24, N = 4) or control conditions for Gap 26 (2.0 ± 0.09, N = 4).

To find out how much of the PIC component was being inhibited by blocking hemichannels, we studied the effect of PIC blockers on the Ca2+ wave in the presence of Gap26. The results showed that the combination of the PIC inhibitors (200 µM suramin or apyrase VI+apyrase VII (5 U/mL each); see4 ) with Gap26 (300 µM) caused a small further reduction of the Ca2+ wave when compared to Gap26 (Fig. 5 and Table 2 ).



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  		FIGURE 5. Effect of suramin or apyrase in the presence of Gap26. Cells were treated for 30 minutes with Gap26, Gap26+apyrase VI+VII, or Gap26+suramin. The Ca2+ wave propagation in response to PMS is represented in control ({blacksquare}; N = 16), Gap26 ({cjs2098}; N = 19), Gap26+suramin ( {permzz1000cgl023}; N = 18), or Gap26+apyrase VI+VII ({cjs2112}; N = 18). Top: maximum normalized fluorescence (NF); middle: %RC for MS and NB1 to NB4; bottom: AA for the different experimental conditions. Concentrations: Gap26 (300 µM), apyrase VI+VII (5 U/mL each), suramin (200 µM). *P < 0.05 versus control. ^P < 0.05 versus Gap26.

 

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  		TABLE 2. Average NF, %RC, and AA in the MS and NB Cells during Mechanical Stimulation in Control Conditions and in Cells Treated with Gap26, Gap26+suramin, or Gap26+apyrase VI + VII

 
Effect of FFA or Gap26 on Hemichannels
To show that FFA- and Gap26-induced inhibition of the spread of the PMS-induced Ca2+ wave is through a block of the hemichannels, we investigated the effects of the agents on hemichannels. Because hemichannels are known to open in conditions of low extracellular Ca2+, and the resulting opened channels are permeable to several hydrophilic solutes, including ATP and LY,44 45 we exposed a subconfluent monolayer of BCECs to LY in the presence and absence of extracellular Ca2+ (Fig. 6) . In the presence of extracellular Ca2+ (1.5 mM) none of the cells showed uptake of dye after 5 minutes of exposure to the dye (N = 20). In contrast, exposure to Ca2+-free solutions containing EGTA (2 mM) led to significant uptake of the dye by all cells (N = 24). However, when cells pretreated for 30 minutes with FFA (N = 20) or Gap26 (N = 20) were exposed to Ca2+-free conditions, no uptake of LY was observed (Fig. 6) . These observations, taken together, indicate that BCECs possess hemichannels which open in Ca2+-free solutions, and most important, the opened hemichannels are blocked by FFA and Gap26.



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  		FIGURE 6. Uptake of LY in Ca2+-free solutions was inhibited by FFA and Gap26. Cells were exposed to the fluorescent dye LY for 5 minutes in the presence and absence of extracellular Ca2+. The uptake of the dye in Ca2+-free conditions (2 mM EGTA) was blocked in cells pretreated for 30 minutes with 50 µM FFA or 300 µM Gap26.

 
Effect of Ca2+-Free Solution on ATP Release
Because Stout et al.34 have shown that hemichannels open on exposure to low extracellular Ca2+ and show permeability to ATP and several hydrophilic dyes such as LY, we tested the hypothesis that hemichannels opened by Ca2+-free solutions in BCECs also release ATP.34 46 Results of a typical experiment showing ATP release versus time are presented in Figure 7 . The peak height of the first transient (labeled 0) in response to an LL pulse represents the amount of ATP accumulated during 1.5 minutes in Ca2+-containing solution. The peak heights of the subsequent transients (labeled 1, 2, 3, and 4) in response to LL pulses correspond to ATP released under Ca2+-free conditions. These experiments clearly demonstrate that the ATP release (presumably through opening of hemichannels) was markedly increased in Ca2+-free solution.



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  		FIGURE 7. ATP release in Ca2+-free conditions was inhibited by FFA. Shown is the measurement of extracellular ATP with the LL technique during perfusion experiments on BCECs. The squares above the peaks numbered 0 to 6 represent application of LL during the experiment. The LL pulse 0: the ATP measurement in control conditions; 1 to 4: on exposure to 2 mM EGTA; 5 and 6: ATP measurements on treatment with 50 µM FFA.

 
Because we knew from previous experiments that the ectonucleotidase inhibitor ARL-67156 enhances PIC in BCECs,4 we next studied the effects of the inhibitor on the ATP released in Ca2+-free solutions in experiments with the setup for intermittent renewal of solution (see the Materials and Methods section). Exposure of cells to ARL-67156 strongly enhanced the amount of extracellular ATP when compared with control conditions (Fig. 8) . Application of apyrase VI+VII (5 U/mL each) at the end of the experiment almost completely abolished the extracellular ATP.



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  		FIGURE 8. ATP released in Ca2+-free conditions was enhanced in the presence of ARL-67156. Shown is the measurement of extracellular ATP using the LL technique in experiments on BCECs with intermittent renewal of bathing solution. The narrow rectangles below the peaks represent points of renewal of the bathing solution, together with application of LL. After every renewal, the shutter of the photon counter was temporarily opened to measure the ATP counts at different time points. Application of Ca2+-free solution containing 2 mM EGTA enhanced the ATP-luminescence counts. These counts were further enhanced in the presence of 100 µM ARL-67156. Application of apyrase VI+VII (5 U/mL each) at the end of the experiment almost completely abolished the ATP counts.

 
Effect of Hemichannel Blockers on ATP Release in Ca2+-Free Solution
We next investigated whether the release of ATP in the absence of extracellular Ca2+ is blocked by hemichannel blockers. We therefore measured ATP release in cells treated with FFA. As shown by the transients labeled 5 and 6 in Figure 7 , the increase of ATP release in Ca2+-free solutions was inhibited by exposing the cells to FFA for 30 minutes. Similar results were obtained in four independent experiments. We also investigated whether Gap26 inhibits release of ATP. To limit consumption of Gap26, the effect of the peptide was examined in experiments with intermittent renewal of solution (see the Material and Methods section). These experiments were performed in the presence of 100 µM ARL-67156, to inhibit the hydrolysis of ATP by ecto-ATPases. Results showed that also 300 µM Gap26 (30 minutes) strongly decreased the luminescence counts when compared with control conditions and that this inhibitory effect was reversed on washing out Gap26 (Fig. 9) . These experiments show that BCECs possess hemichannels that release ATP and that can be blocked by FFA or Gap26.



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  		FIGURE 9. ATP release in Ca2+-free conditions was reversibly inhibited by Gap26. Shown are luminescence counts for ATP in Ca2+-free conditions. ARL-67156 (100 µM) was applied to prevent ATP breakdown by ectonucleotidases. Measurements were performed with intermittent renewal of the bathing solution. The squares below the transients represent the renewal of the bathing solution along with application of LL.

 
ATP Release during PMS
The involvement of ATP release in the Ca2+ wave propagation, as suggested by the inhibition of the Ca2+ wave in the presence of the hemichannel blockers, was further investigated by direct measurement of ATP release in response to PMS. Cells were subjected to PMS as in Ca2+ wave experiments. At various time points before and after application of a PMS, the bathing fluid was sampled for ATP (see the Materials and Methods section). PMS led to a 1.5- to 2-fold increase in ATP release (transient 2 in Fig. 10 ) relative to basal conditions (transients 0 and 1, Fig. 10 ). Similar results were obtained in all 15 independent experiments. The level of ATP in the bath gradually declined with time after PMS (transients 3 and 4, Fig. 10 ), which is presumably due to the activity of ectonucleotidases. Accordingly, application of ARL-67156 enhanced the basal ATP level (transients 5 and 6, Fig. 10 ). In the presence of ARL-67156, PMS produced a larger increase in ATP (transient 7, Fig. 10 ), and the ATP level in the bath continued to increase with time, consistent with the continuous basal release of ATP, which can accumulate in the bath as a result of inhibition of ecto-nucleotidases.



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  		FIGURE 10. ATP release increased in response to PMS. Shown are luminescence counts for ATP in Ca2+-containing conditions in samples of 25 µL taken from the bathing solution. Arrows: measurement of ATP in samples taken immediately after PMS. The peaks labeled 0 and 1 show the basal ATP release. The luminescence increased on PMS (2) and slowly decreased with time (3 and 4). Exposure to ARL-67156 (100 µM) increased the amount of ATP in the bath (5 and 6). PMS in the presence of ARL-67156 caused a further increase in luminescence (7). Afterward, a gradual luminescence increase was observed.

 
Effect of Hemichannel Blockers on PMS-Induced ATP Release
The PMS-induced ATP release was also significantly inhibited at all time points of sampling by both FFA and Gap26 (Figs. 11 12 , respectively) even in the presence of ARL-67156. Experiments were repeated four times, and all trials gave similar results.



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  		FIGURE 11. The increase of extracellular ATP in response to PMS was inhibited by FFA. Shown are luminescence counts for ATP in Ca2+-containing conditions in samples of 25 µL taken from the bathing solution. Peaks 0 and 1 show luminescence counts due to basal ATP release. After treatment with 50 µM FFA for 30 minutes the basal luminescence counts were almost abolished (2 and 3). PMS in FFA caused a slight, nonsignificant increase (4). Exposure to ARL-67156 (100 µM) for 30 minutes did not significantly increase the counts (5). #Points of replacement of bathing solution and treatment with FFA or ARL-67156.

 


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  		FIGURE 12. The increase of extracellular ATP in response to PMS was inhibited by Gap26. Shown are luminescence counts for ATP in Ca2+-containing conditions in samples of 25 µL taken from the bathing solution. The peaks labeled 0 and 1 show the basal ATP release. After treatment with 300 µM Gap26 for 30 minutes, the basal ATP counts were strongly inhibited (2 and 3). PMS in Gap26 caused an insignificant increase (4). Exposure to ARL-67156 (100 µM) for 30 minutes did not significantly increase the counts (5). #Points of replacement of the bathing solutions and treatment with Gap26 or ARL-67156 for 30 minutes.

 

   Discussion
Top
 Abstract
 Materials and Methods
 Results
 Discussion
References
 
Exposure to acute hyposmotic stress or mechanical stimuli results in a release of intracellular ATP leading to autocrine–paracrine effects, and therefore is reported to have attendant pathophysiological implications.47 48 49 50 51 Although ATP release has now been demonstrated in a large number of cell types, the pathway(s) of the release has been very controversial.52 53 54 ATP, being a charged molecule at physiological pH, requires a vesicular process and/or an (ATP4–)-permeable channel for its efflux. In this study, we examined connexin hemichannels as a candidate pathway for ATP release and its influence on PMS-induced Ca2+ wave propagation in corneal endothelial cells. Our key findings include: (1) ATP release and uptake of LY induced by removal of extracellular Ca2+ were inhibited by the recently identified blockers of hemichannels: FFA and Gap26, (2) PMS-induced Ca2+ wave propagation, which was shown to be dependent on ATP release and subsequent activation of purinergic receptors on the NB cells,4 was inhibited by FFA and Gap26, and (3) PMS induced ATP release, which is also inhibited by FFA and Gap26. These results suggest that hemichannels form a pathway for ATP release in BCECs that contributes to the Ca2+ wave propagation elicited by PMS. This conclusion is similar to the findings by Stout et al.34 and Leybaert et al.35 42 in astrocytes.

Specific blockers for hemichannels are not yet known. Therefore, a panel of inhibitors is usually used to show their involvement in any given physiological function. In this study, we initially contemplated using Gd3+, in addition to FFA and Gap26, to investigate the involvement of hemichannels in ATP release by two different types of measurements: PMS-induced ATP release (using LL bioluminescence) and Ca2+ wave propagation (detected by [Ca2+]i imaging). The bioluminescence assay, which is reported to be sensitive to Gd3+, was unaffected by Gap26 (see the Materials and Methods section). Furthermore, because Gd3+ can bind to certain anions including ATP, stimulate ATP efflux, inhibit capacitative Ca2+ entry pathways, and block stretch-activated cation channels, we excluded its use in our studies.55

The efficacy of FFA and Gap26 was also confirmed with a permeability assay for hemichannels. Removal of extracellular Ca2+ induced uptake of LY (Fig. 6) , which was completely inhibited by FFA and Gap26. These observations suggest that hemichannels are present in BCECs and can be blocked by FFA and Gap26. The underlying assumption that the removal of extracellular Ca2+ leads to opening of hemichannels is further supported by the immediate increase in the rate of ATP release, as shown in Figure 7 . Similar to the dye uptake, both FFA and Gap26 also inhibited ATP release, indicating that both agents inhibit the release by the same mechanism. This interpretation is supported by the fact that, in astrocytes, ATP release and permeability to low-molecular-weight dyes have a similar Ca2+-dependency.56 A candidate molecule that permits permeation of hydrophilic membrane-impermeable dyes (such as LY) is the ATP-gated ion channel, P2X7 receptors.57 58 59 60 61 However, functional P2X7 receptors are not found in BCECs.14 62

Apart from the fact that both FFA and Gap26 showed significant inhibition of dye uptake and ATP release, we could not glean much about the mechanism of the inhibition. However, it is worth noting that FFA is a known Cl– channel blocker. Based on the large anionic conductance in resting conditions and the nature of the electrochemical gradient ([Cl–]i ~–35 mM and resting Em ~ –50 mV in the absence of HCO3–; see Ref. 63 ) in corneal endothelial cells, nonspecific Cl– channel blockade is likely to hyperpolarize the membrane potential, which might, in turn, inhibit GJIC and hemichannels; but the same cannot be said about the inhibition by Gap26. It is a connexin-mimetic peptide with sequence similarity to the E1 subdomain (extracellular domain of the first transmembrane loop) of Cx43.64 Gap26-mediated inhibition is relatively selective for hemichannels with Cx43 isoforms of connexins,42 which are expressed in bovine43 and human65 corneal endothelium.

It is readily apparent in Figures 1 and 2 and Table 1 that both FFA and Gap26 significantly inhibited the PMS-induced Ca2+ wave propagation. Although our previous study ascertained that extracellular ATP contributes to the wave propagation in BCECs, it does not exclude an eventual contribution of a gap junctional pathway.4 The role of extracellular ATP had been ascertained by showing partial inhibition of the wave by P2Y antagonist and exogenous apyrases and most readily by the spread of the wave across isolated cells lacking gap junctions. The inhibition of the Ca2+ wave propagation, shown in Figures 1 and 2 , and Table 1 is therefore suggestive of one or more of the following mechanisms: (1) blocking of PMS-induced ATP release by FFA and Gap26, (2) blocking of gap junctions by FFA and Gap26, (3) antagonism of the P2Y or IP3 receptors, and/or (4) direct toxicity to cells. We rule out direct antagonism of P2Y receptors and IP3 receptors or toxicity, since, in the presence of FFA or Gap26, application of exogenous ATP induced the increase of [Ca2+]i, as in control conditions. We cannot attribute the inhibition of the wave to a block of the gap junctions, because neither FFA nor Gap26 affected the extent of recovery of fluorescence in the FRAP experiments. Thus, we are left with the only possibility: that the blockers directly act on the mechanism of ATP release after PMS. This notion was confirmed by direct measurement of ATP in samples of the bathing fluid immediately after PMS. In several independent trials, both Gap26 and FFA inhibited ATP release. Both agents also inhibited the release of ATP in basal conditions.

In many cell types, such as neurons, astrocytes, MDCK-D1 cells, or platelets, two forms of ATP release have been reported.66 67 First, intact cells constitutively release ATP, albeit at low rates, in the absence of lysis or loss of plasma membrane integrity.68 Second, the rate of nonlytic ATP release can be greatly increased by a variety of external stimuli that result in perturbation of cell volume, shape, cytoskeletal organization, or intracellular Ca2+ homeostasis. In agreement with these studies, we demonstrated that a basal (or "constitutive") release of ATP is a characteristic of BCECs and that ATP release can be enhanced by removal of extracellular Ca2+ or by PMS. The measured extracellular ATP concentrations reflect the balance between the cellular release of ATP and the efficiency of their ATP-hydrolyzing ectoenzymes and eventual transphosphorylating activity of extracellular forms of nucleotide diphosphokinase or adenylate kinase.68 They are, however, unlikely to reflect accurately the concentration at the cell surface and reflect probably only a fraction of the actual nucleotide concentration that is present in the vicinity of the P2Y receptors.68 69

While our results demonstrate that PMS of BCECs induced ATP release through hemichannels, we cannot exclude that other mechanisms also contributed to the ATP release via such pathways as exocytosis52 70 71 72 of ABC proteins such as P-glycoprotein and CFTR,73 74 and other anion transporters72 and Cl– channels29 such as the voltage-dependent75 and -independent76 volume-regulated anion channels (VRACs). Recently, pannexins have been proposed as potential candidates for ATP release.77 Pannexin 1 is widely distributed among tissues with cell communication via calcium waves.77 The channel formed by this protein can be opened by mechanical perturbation at the resting membrane potential.78 The channel is permeable to ATP and can be opened at the physiological calcium concentration.77

Hemichannels, per se, have not been examined to date in the corneal endothelium. In fact, little has been reported on gap junctions and their physiological role in the corneal endothelium. However, the expression of Cx43 (as shown by immunocytochemistry) has been demonstrated in BCECs.43 Moreover, expression of Cx43 and gap junctional dye coupling have been reported in human corneal endothelial cells.65 Given this background, this is the first study involving hemichannels in the corneal endothelium. In addition to the role of ATP release in promoting intercellular communication (as exemplified by Ca2+ wave propagation in this study), hemichannels can be expected to possess other physiological functions. In this regard, it is important to recall that the hemichannels open in response to metabolic ATP depletion.79 This may have two important consequences in the corneal endothelium: (1) accelerated ATP depletion leading to cell death, and (2) cell swelling as a consequence of hemichannel-mediated influx of cations. The former may contribute to the observed polymegathism and polymorphism that is known to occur after corneal hypoxia, presumably due to cell death as a result of ATP depletion. Because the endothelial cells are nonregenerative, the denuded areas left by loss of cells (by apoptosis or necrosis) are covered by cell spreading, leading to polymegathism and polymorphism.

In conclusion, we demonstrated that functional hemichannels are found in BCECs, which are opened by low extracellular Ca2+ and in response to mechanical stimulation, and that ATP release through hemichannels contributes to PMS-induced intercellular Ca2+ wave propagation.


   Footnotes
 
Supported by National Eye Institute Grants EY11107 and EY14415 (SPS); FWO-Vlaanderen G.0218.03, GOA/2004/07, IAP program 5/05 (BH, JV); and IRO Catholic University of Leuven (PG).

Submitted for publication October 6, 2004; revised December 8, 2004; accepted December 16, 2004.

Disclosure: P. Gomes, None; S.P. Srinivas, None; W. Van Driessche, None; J. Vereecke, None; B. Himpens, None

The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Corresponding author: Johan Vereecke, Laboratory of Physiology, K. U. Leuven, Campus Gasthuisberg O/N, B-3000 Leuven, Belgium; johan.vereecke{at}med.kuleuven.ac.be.


   References
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 Materials and Methods
 Results
 Discussion
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