Extracellular hemin is a reverse use-dependent gating modifier of cardiac voltage-gated Na+ channels
-
Guido Gessner
, Mahdi Jamili , Pascal Tomczyk , Dirk Menche , Roland Schönherr , Toshinori Hoshi and Stefan H. Heinemann
Abstract
Heme (Fe2+-protoporphyrin IX) is a well-known protein prosthetic group; however, heme and hemin (Fe3+-protoporphyrin IX) are also increasingly viewed as signaling molecules. Among the signaling targets are numerous ion channels, with intracellular-facing heme-binding sites modulated by heme and hemin in the sub-µM range. Much less is known about extracellular hemin, which is expected to be more abundant, in particular after hemolytic insults. Here we show that the human cardiac voltage-gated sodium channel hNaV1.5 is potently inhibited by extracellular hemin (IC50 ≈ 80 nM), while heme, dimethylhemin, and protoporphyrin IX are ineffective. Hemin is selective for hNaV1.5 channels: hNaV1.2, hNaV1.4, hNaV1.7, and hNaV1.8 are insensitive to 1 µM hemin. Using domain chimeras of hNaV1.5 and rat rNaV1.2, domain II was identified as the critical determinant. Mutation N803G in the domain II S3/S4 linker largely diminished the impact of hemin on the cardiac channel. This profile is reminiscent of the interaction of some peptide voltage-sensor toxins with NaV channels. In line with a mechanism of select gating modifiers, the impact of hemin on NaV1.5 channels is reversely use dependent, compatible with an interaction of hemin and the voltage sensor of domain II. Extracellular hemin thus has potential to modulate the cardiac function.
Funding source: National Institutes of Health
Award Identifier / Grant number: GM121375
Funding source: Deutsche Forschungsgemeinschaft
Award Identifier / Grant number: HE2993/18-1
Acknowledgments
We thank Prof. Enrico Leipold (University of Lübeck, Germany) for constructing hNaV1.8c4.
-
Author contributions: G.G.: study design, molecular biology of expression constructs, electrophysiological recordings, data analysis; M.J.: electrophysiological recordings, data analysis; P.T., D.M.: synthesis of dimethylhemin; R.S.: molecular biology of expression constructs; T.H.: structural modeling, data review, writing; S.H.H.: study design, data analysis, writing. All authors contributed to the editing of the manuscript.
-
Research funding: Support by the German Research Foundation (DFG, SHH: HE2993/18-1) and the National Institutes of Health (NIH, TH: GM121375).
-
Conflict of interest statement: The authors declare no conflicts of interest regarding this article.
References
Burton, M.J., Kapetanaki, S.M., Chernova, T., Jamieson, A.G., Dorlet, P., Santolini, J., Moody, P.C., Mitcheson, J.S., Davies, N.W., Schmid, R., et al.. (2016). A heme-binding domain controls regulation of ATP-dependent potassium channels. Proc. Natl. Acad. Sci. USA 113: 3785–3790, https://doi.org/10.1073/pnas.1600211113.Search in Google Scholar PubMed PubMed Central
Burton, M.J., Cresser-Brown, J., Thomas, M., Portolano, N., Basran, J., Freeman, S.L., Kwon, H., Bottrill, A.R., Llansola-Portoles, M.J., Pascal, A.A., et al.. (2020). Discovery of a heme-binding domain in a neuronal voltage-gated potassium channel. J. Biol. Chem. 295: 13277–13286, https://doi.org/10.1074/jbc.ra120.014150.Search in Google Scholar
Cader, A., Singh, S.M., and Zia, M.I. (2018). Brugada syndrome unmasked by malaria-induced fever. J. Cardiol. Cases 18: 136–137, https://doi.org/10.1016/j.jccase.2018.06.002.Search in Google Scholar PubMed PubMed Central
Chen, H. and Heinemann, S.H. (2001). Interaction of scorpion α-toxins with cardiac sodium channels: binding properties and enhancement of slow inactivation. J. Gen. Physiol. 117: 505–518, https://doi.org/10.1085/jgp.117.6.505.Search in Google Scholar PubMed PubMed Central
Coburger, I., Yang, K., Bernert, A., Wiesel, E., Sahoo, N., Swain, S.M., Hoshi, T., Schönherr, R., and Heinemann, S.H. (2020). Impact of intracellular hemin on N-type inactivation of voltage-gated K+ channels. Pflüger’s Arch. 472: 551–560, https://doi.org/10.1007/s00424-020-02386-1.Search in Google Scholar PubMed PubMed Central
Crespo, E.M., Bhadra, K., and Lobel, R. (2009). Brugada syndrome unmasked by a mosquito. J. Hosp. Med. 4: E20–E22, https://doi.org/10.1002/jhm.478.Search in Google Scholar PubMed
Daimi, H., Lozano-Velasco, E., Aranega, A., and Franco, D. (2022). Genomic and non-genomic regulatory mechanisms of the cardiac sodium channel in cardiac arrhythmias. Int. J. Mol. Sci. 23: 1381.10.3390/ijms23031381Search in Google Scholar PubMed PubMed Central
De Lera Ruiz, M. and Kraus, R.L. (2015). Voltage-gated sodium channels: structure, function, pharmacology, and clinical indications. J. Med. Chem. 58: 7093–7118, https://doi.org/10.1021/jm501981g.Search in Google Scholar PubMed
Hanna, D.A., Harvey, R.M., Martinez-Guzman, O., Yuan, X., Chandrasekharan, B., Raju, G., Outten, F.W., Hamza, I., and Reddi, A.R. (2016). Heme dynamics and trafficking factors revealed by genetically encoded fluorescent heme sensors. Proc. Natl. Acad. Sci. USA 113: 7539–7544, https://doi.org/10.1073/pnas.1523802113.Search in Google Scholar PubMed PubMed Central
Heinemann, S.H. and Leipold, E. (2007). Conotoxins of the O-superfamily affecting voltage-gated sodium channels. Cell. Mol. Life Sci. 64: 1329–1340, https://doi.org/10.1007/s00018-007-6565-5.Search in Google Scholar PubMed
Heinemann, S.H. and Leipold, E. (2011). Tools for studying peptide toxin modulation of voltage-gated sodium channels. In: SFET editions. Toxins and Ion Transfers, Giv-sur-Yvette, pp. 29–37. http://www.sfet.asso.fr.Search in Google Scholar
Heinemann, S.H., Terlau, H., and Imoto, K. (1992a). Molecular basis for pharmacological differences between brain and cardiac sodium channels. Pflüger’s Arch. 422: 90–92, https://doi.org/10.1007/bf00381519.Search in Google Scholar
Heinemann, S.H., Terlau, H., Stühmer, W., Imoto, K., and Numa, S. (1992b). Calcium channel characteristics conferred on the sodium channel by single mutations. Nature 356: 441–443, https://doi.org/10.1038/356441a0.Search in Google Scholar PubMed
Horrigan, F.T., Heinemann, S.H., and Hoshi, T. (2005). Heme regulates allosteric activation of the Slo1 BK channel. J. Gen. Physiol. 126: 7–21, https://doi.org/10.1085/jgp.200509262.Search in Google Scholar PubMed PubMed Central
Jentho, E., Ruiz-Moreno, C., Novakovic, B., Kourtzelis, I., Megchelenbrink, W.L., Martins, R., Chavakis, T., Soares, M.P., Kalafati, L., Guerra, J., et al.. (2021). Trained innate immunity, long-lasting epigenetic modulation, and skewed myelopoiesis by heme. Proc. Natl. Acad. Sci. USA 118: e2102698118.10.1073/pnas.2102698118Search in Google Scholar PubMed PubMed Central
Körner, J., Albani, S., Eswaran, V.S.B., Roehl, A.B., Rossetti, G., and Lampert, A. (2022). Sodium channels and local anesthetics - old friends with new perspectives. Front. Pharmacol. 13: 837088.10.3389/fphar.2022.837088Search in Google Scholar
Leipold, E., HanseL, A., Borges, A., and Heinemann, S.H. (2006). Subtype specificity of scorpion β-toxin Tz1 interaction with voltage-gated sodium channels is determined by the pore loop of domain 3. Mol. Pharmacol. 70: 340–347, https://doi.org/10.1124/mol.106.024034.Search in Google Scholar PubMed
Leipold, E., Debie, H., Zorn, S., Borges, A., Olivera, B.M., Terlau, H., and Heinemann, S.H. (2007). µO conotoxins inhibit NaV channels by interfering with their voltage sensors in domain-2. Channels 1: 253–262, https://doi.org/10.4161/chan.4847.Search in Google Scholar PubMed
Leipold, E., Borges, A., and Heinemann, S.H. (2012). Scorpion β-toxin interference with NaV channel voltage sensor gives rise to excitatory and depressant modes. J. Gen. Physiol. 139: 305–319, https://doi.org/10.1085/jgp.201110720.Search in Google Scholar PubMed PubMed Central
Li, K.H.C., Lee, S., Yin, C., Liu, T., Ngarmukos, T., Conte, G., Yan, G.X., Sy, R.W., Letsas, K.P., and Tse, G. (2020). Brugada syndrome: a comprehensive review of pathophysiological mechanisms and risk stratification strategies. Int. J. Cardiol. Heart Vasc. 26: 100468, https://doi.org/10.1016/j.ijcha.2020.100468.Search in Google Scholar PubMed PubMed Central
Li, Z., Jin, X., Wu, T., Huang, G., Wu, K., Lei, J., Pan, X., and Yan, N. (2021). Structural basis for pore blockade of the human cardiac sodium channel NaV1.5 by the antiarrhythmic drug quinidine. Angew. Chem. Int. Ed. 60: 11474–11480, https://doi.org/10.1002/ange.202102196.Search in Google Scholar
Meggiolaro, M., Zorzi, A., Maghawry, M.E., Peruzza, F., Migliore, F., and Pittoni, G.M. (2013). Brugada ECG disclosed by acute malaria: is it all about fever and propofol? J. Clin. Anesth. 25: 483–487, https://doi.org/10.1016/j.jclinane.2013.02.012.Search in Google Scholar PubMed
Ogawa, K., Sun, J., Taketani, S., Nakajima, O., Nishitani, C., Sassa, S., Hayashi, N., Yamamoto, M., Shibahara, S., Fujita, H., et al.. (2001). Heme mediates derepression of Maf recognition element through direct binding to transcription repressor Bach1. EMBO J. 20: 2835–2843, https://doi.org/10.1093/emboj/20.11.2835.Search in Google Scholar PubMed PubMed Central
Ponka, P. (1999). Cell biology of heme. Am. J. Med. Sci. 318: 241–256, https://doi.org/10.1097/00000441-199910000-00004.Search in Google Scholar PubMed
Roumenina, L.T., Rayes, J., Lacroix-Desmazes, S., and Dimitrov, J.D. (2016). Heme: modulator of plasma systems in hemolytic diseases. Trends Mol. Med. 22: 200–213, https://doi.org/10.1016/j.molmed.2016.01.004.Search in Google Scholar PubMed
Sahoo, N., Goradia, N., Ohlenschläger, O., Schönherr, R., Friedrich, M., Plass, W., Kappl, R., Hoshi, T., and Heinemann, S.H. (2013). Heme impairs the ball-and-chain inactivation of potassium channels. Proc. Natl. Acad. Sci. USA 110: E4036–E4044, https://doi.org/10.1073/pnas.1313247110.Search in Google Scholar PubMed PubMed Central
Sahoo, N., Yang, K., Coburger, I., Bernert, A., Swain, S.M., Gessner, G., Kappl, R., Kühl, T., Imhof, D., Hoshi, T., et al.. (2022). Intracellular hemin is a potent inhibitor of the voltage-gated potassium channel Kv10.1. Sci. Rep. 12: 14645.10.1038/s41598-022-18975-2Search in Google Scholar PubMed PubMed Central
Savio-Galimberti, E., Gollob, M.H., and Darbar, D. (2012). Voltage-gated sodium channels: biophysics, pharmacology, and related channelopathies. Front. Pharmacol. 3: 124, https://doi.org/10.3389/fphar.2012.00124.Search in Google Scholar PubMed PubMed Central
Sawicki, K.T., Chang, H.C., and Ardehali, H. (2015). Role of heme in cardiovascular physiology and disease. J. Am. Heart Assoc. 4: e001138, https://doi.org/10.1161/jaha.114.001138.Search in Google Scholar
Soares, M.P. and Bozza, M.T. (2016). Red alert: labile heme is an alarmin. Curr. Opin. Immunol. 38: 94–100, https://doi.org/10.1016/j.coi.2015.11.006.Search in Google Scholar PubMed
Steffan, R. and Heinemann, S.H. (1997). Error estimates for results of nonstationary noise analysis derived with linear least squares methods. J. Neurosci. Methods 78: 51–63, https://doi.org/10.1016/s0165-0270(97)00139-8.Search in Google Scholar PubMed
Tang, X.D., Xu, R., Reynolds, M.F., Garcia, M.L., Heinemann, S.H., and Hoshi, T. (2003). Haem can bind to and inhibit mammalian calcium-dependent Slo1 BK channels. Nature 425: 531–535, https://doi.org/10.1038/nature02003.Search in Google Scholar PubMed
Tao, X., Lee, A., Limapichat, W., Dougherty, D.A., and Mackinnon, R. (2010). A gating charge transfer center in voltage sensors. Science 328: 67–73, https://doi.org/10.1126/science.1185954.Search in Google Scholar PubMed PubMed Central
Terlau, H., Heinemann, S.H., Stühmer, W., Pusch, M., Conti, F., Imoto, K., and Numa, S. (1991). Mapping the site of block by tetrodotoxin and saxitoxin of sodium channel II. FEBS Lett. 293: 93–96, https://doi.org/10.1016/0014-5793(91)81159-6.Search in Google Scholar PubMed
Tsiftsoglou, A.S., Tsamadou, A.I., and Papadopoulou, L.C. (2006). Heme as key regulator of major mammalian cellular functions: molecular, cellular, and pharmacological aspects. Pharmacol. Ther. 111: 327–345, https://doi.org/10.1016/j.pharmthera.2005.10.017.Search in Google Scholar PubMed
Wang, S., Publicover, S., and Gu, Y. (2009). An oxygen-sensitive mechanism in regulation of epithelial sodium channel. Proc. Natl. Acad. Sci. USA 106: 2957–2962, https://doi.org/10.1073/pnas.0809100106.Search in Google Scholar PubMed PubMed Central
Wisedchaisri, G. and El-Din, T.M.G. (2022). Druggability of voltage-gated sodium channels - exploring old and new drug receptor sites. Front. Pharmacol. 13: 858348, https://doi.org/10.3389/fphar.2022.858348.Search in Google Scholar PubMed PubMed Central
Wißbrock, A., Goradia, N.B., Kumar, A., Paul George, A.A., Kühl, T., Bellstedt, P., Ramachandran, R., Hoffmann, P., Galler, K., Popp, J., et al.. (2019). Structural insights into heme binding to IL-36α proinflammatory cytokine. Sci. Rep. 9: 16893, https://doi.org/10.1038/s41598-019-53231-0.Search in Google Scholar PubMed PubMed Central
Zorn, S., Leipold, E., Hansel, A., Bulaj, G., Olivera, B.M., Terlau, H., and Heinemann, S.H. (2006). The µO-conotoxin MrVIA inhibits voltage-gated sodium channels by associating with domain-3. FEBS Lett. 580: 1360–1364, https://doi.org/10.1016/j.febslet.2006.01.057.Search in Google Scholar PubMed
Supplementary Material
The online version of this article offers supplementary material (https://doi.org/10.1515/hsz-2022-0194).
© 2022 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Heme research – the past, the present and the future
- A primer on heme biosynthesis
- New roles for GAPDH, Hsp90, and NO in regulating heme allocation and hemeprotein function in mammals
- The role of host heme in bacterial infection
- Signal transduction mechanisms in heme-based globin-coupled oxygen sensors with a focus on a histidine kinase (AfGcHK) and a diguanylate cyclase (YddV or EcDosC)
- Heme delivery to heme oxygenase-2 involves glyceraldehyde-3-phosphate dehydrogenase
- Novel insights into heme binding to hemoglobin
- Extracellular hemin is a reverse use-dependent gating modifier of cardiac voltage-gated Na+ channels
- Assessment of the breadth of binding promiscuity of heme towards human proteins
- Determination of free heme in stored red blood cells with an apo-horseradish peroxidase-based assay
- Comparative studies of soluble and immobilized Fe(III) heme-peptide complexes as alternative heterogeneous biocatalysts
Articles in the same Issue
- Frontmatter
- Heme research – the past, the present and the future
- A primer on heme biosynthesis
- New roles for GAPDH, Hsp90, and NO in regulating heme allocation and hemeprotein function in mammals
- The role of host heme in bacterial infection
- Signal transduction mechanisms in heme-based globin-coupled oxygen sensors with a focus on a histidine kinase (AfGcHK) and a diguanylate cyclase (YddV or EcDosC)
- Heme delivery to heme oxygenase-2 involves glyceraldehyde-3-phosphate dehydrogenase
- Novel insights into heme binding to hemoglobin
- Extracellular hemin is a reverse use-dependent gating modifier of cardiac voltage-gated Na+ channels
- Assessment of the breadth of binding promiscuity of heme towards human proteins
- Determination of free heme in stored red blood cells with an apo-horseradish peroxidase-based assay
- Comparative studies of soluble and immobilized Fe(III) heme-peptide complexes as alternative heterogeneous biocatalysts