Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels

Tongmai Yangxin (TMYX) is a complex compound of the Traditional Chinese Medicine (TCM) used to treat several cardiac rhythm disorders; however, no information regarding its mechanism of action is available. In this study we provide a detailed characterization of the effects of TMYX on the electrical...

Full description

Bibliographic Details
Main Authors: Chiara Piantoni, Manuel Paina, David Molla, Sheng Liu, Giorgia Bertoli, Hongmei Jiang, Yanyan Wang, Yi Wang, Dario DiFrancesco, Andrea Barbuti, Annalisa Bucchi, Mirko Baruscotti
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2022-03-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/75119
_version_ 1828166704562176000
author Chiara Piantoni
Manuel Paina
David Molla
Sheng Liu
Giorgia Bertoli
Hongmei Jiang
Yanyan Wang
Yi Wang
Yi Wang
Dario DiFrancesco
Andrea Barbuti
Annalisa Bucchi
Mirko Baruscotti
author_facet Chiara Piantoni
Manuel Paina
David Molla
Sheng Liu
Giorgia Bertoli
Hongmei Jiang
Yanyan Wang
Yi Wang
Yi Wang
Dario DiFrancesco
Andrea Barbuti
Annalisa Bucchi
Mirko Baruscotti
author_sort Chiara Piantoni
collection DOAJ
description Tongmai Yangxin (TMYX) is a complex compound of the Traditional Chinese Medicine (TCM) used to treat several cardiac rhythm disorders; however, no information regarding its mechanism of action is available. In this study we provide a detailed characterization of the effects of TMYX on the electrical activity of pacemaker cells and unravel its mechanism of action. Single-cell electrophysiology revealed that TMYX elicits a reversible and dose-dependent (2/6 mg/ml) slowing of spontaneous action potentials rate (−20.8/–50.2%) by a selective reduction of the diastolic phase (−50.1/–76.0%). This action is mediated by a negative shift of the If activation curve (−6.7/–11.9 mV) and is caused by a reduction of the cyclic adenosine monophosphate (cAMP)-induced stimulation of pacemaker channels. We provide evidence that TMYX acts by directly antagonizing the cAMP-induced allosteric modulation of the pacemaker channels. Noticeably, this mechanism functionally resembles the pharmacological actions of muscarinic stimulation or β-blockers, but it does not require generalized changes in cytoplasmic cAMP levels thus ensuring a selective action on rate. In agreement with a competitive inhibition mechanism, TMYX exerts its maximal antagonistic action at submaximal cAMP concentrations and then progressively becomes less effective thus ensuring a full contribution of If to pacemaker rate during high metabolic demand and sympathetic stimulation.
first_indexed 2024-04-12T02:05:38Z
format Article
id doaj.art-5a4c42db53c340f6bcf8c080de7fbe1a
institution Directory Open Access Journal
issn 2050-084X
language English
last_indexed 2024-04-12T02:05:38Z
publishDate 2022-03-01
publisher eLife Sciences Publications Ltd
record_format Article
series eLife
spelling doaj.art-5a4c42db53c340f6bcf8c080de7fbe1a2022-12-22T03:52:32ZengeLife Sciences Publications LtdeLife2050-084X2022-03-011110.7554/eLife.75119Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channelsChiara Piantoni0https://orcid.org/0000-0002-3621-8402Manuel Paina1https://orcid.org/0000-0001-9250-9303David Molla2https://orcid.org/0000-0003-4355-4508Sheng Liu3https://orcid.org/0000-0001-8160-5762Giorgia Bertoli4https://orcid.org/0000-0001-5352-253XHongmei Jiang5https://orcid.org/0000-0001-5117-5212Yanyan Wang6https://orcid.org/0000-0003-4859-4963Yi Wang7https://orcid.org/0000-0002-3676-9183Yi Wang8https://orcid.org/0000-0001-5098-6750Dario DiFrancesco9https://orcid.org/0000-0002-7322-1790Andrea Barbuti10https://orcid.org/0000-0002-4521-4913Annalisa Bucchi11https://orcid.org/0000-0002-5303-4242Mirko Baruscotti12https://orcid.org/0000-0002-6155-8388Department of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Physiology and Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, ChinaDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Physiology and Pathophysiology, School of Basic Medical Science, Tianjin Medical University, Tianjin, ChinaSchool of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaCollege of Pharmaceutical Sciences, Zhejiang University, Hangzhou, ChinaInstitute of Traditional Chinese Medicine Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyDepartment of Biosciences, The Cell Physiology Lab and “Centro Interuniversitario di Medicina Molecolare e Biofisica Applicata”, Università degli Studi di Milano, Milano, ItalyTongmai Yangxin (TMYX) is a complex compound of the Traditional Chinese Medicine (TCM) used to treat several cardiac rhythm disorders; however, no information regarding its mechanism of action is available. In this study we provide a detailed characterization of the effects of TMYX on the electrical activity of pacemaker cells and unravel its mechanism of action. Single-cell electrophysiology revealed that TMYX elicits a reversible and dose-dependent (2/6 mg/ml) slowing of spontaneous action potentials rate (−20.8/–50.2%) by a selective reduction of the diastolic phase (−50.1/–76.0%). This action is mediated by a negative shift of the If activation curve (−6.7/–11.9 mV) and is caused by a reduction of the cyclic adenosine monophosphate (cAMP)-induced stimulation of pacemaker channels. We provide evidence that TMYX acts by directly antagonizing the cAMP-induced allosteric modulation of the pacemaker channels. Noticeably, this mechanism functionally resembles the pharmacological actions of muscarinic stimulation or β-blockers, but it does not require generalized changes in cytoplasmic cAMP levels thus ensuring a selective action on rate. In agreement with a competitive inhibition mechanism, TMYX exerts its maximal antagonistic action at submaximal cAMP concentrations and then progressively becomes less effective thus ensuring a full contribution of If to pacemaker rate during high metabolic demand and sympathetic stimulation.https://elifesciences.org/articles/75119pacemaker currentsinoatrial nodeTMYXpure bradycardic agentscAMP antagonismHCN channels
spellingShingle Chiara Piantoni
Manuel Paina
David Molla
Sheng Liu
Giorgia Bertoli
Hongmei Jiang
Yanyan Wang
Yi Wang
Yi Wang
Dario DiFrancesco
Andrea Barbuti
Annalisa Bucchi
Mirko Baruscotti
Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels
eLife
pacemaker current
sinoatrial node
TMYX
pure bradycardic agents
cAMP antagonism
HCN channels
title Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels
title_full Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels
title_fullStr Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels
title_full_unstemmed Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels
title_short Chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f-channels
title_sort chinese natural compound decreases pacemaking of rabbit cardiac sinoatrial cells by targeting second messenger regulation of f channels
topic pacemaker current
sinoatrial node
TMYX
pure bradycardic agents
cAMP antagonism
HCN channels
url https://elifesciences.org/articles/75119
work_keys_str_mv AT chiarapiantoni chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT manuelpaina chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT davidmolla chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT shengliu chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT giorgiabertoli chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT hongmeijiang chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT yanyanwang chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT yiwang chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT yiwang chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT dariodifrancesco chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT andreabarbuti chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT annalisabucchi chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels
AT mirkobaruscotti chinesenaturalcompounddecreasespacemakingofrabbitcardiacsinoatrialcellsbytargetingsecondmessengerregulationoffchannels