(Investigative Ophthalmology and Visual Science. 2002;43:766-773.)
© 2002
by The Association for Research in Vision and Ophthalmology, Inc.
P2Y Receptor-Mediated Stimulation of Müller Glial DNA Synthesis
Vanessa Moll1,2,
Michael Weick1,2,
Ivan Milenkovic1,
Hannes Kodal1,
Andreas Reichenbach1 and
Andreas Bringmann1
1 From the Department of Neurophysiology, Paul Flechsig Institute of Brain Research, University of Leipzig, Leipzig, Germany.
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Abstract
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PURPOSE. To determine whether activation of P2Y receptors may increase
the DNA synthesis rate of cultured Müller cells and to
investigate whether adenosine 5'-triphosphate (ATP)induced
Müller cell proliferation is mediated by an intracellular calcium
increase.
METHODS. Primary cultures of Müller cells of the guinea pig were
treated with test substances for 16 hours. The DNA synthesis rate was
assessed by a bromodeoxyuridine immunoassay, and ATP-induced elevations
of the intracellular calcium concentration were recorded by fura-2
imaging.
RESULTS. ATP or uridine triphosphate (UTP) increased the DNA synthesis
rate whereas
,ß-methylene-ATP, 2-methyl-thio-ATP, and adenosine
were ineffective, indicating that the action of ATP was through P2Y
receptors. The effect of ATP was dose dependent, with an
EC50 of 5.9 µM. The mitogenic effect of ATP required an
elevation of the intracellular calcium and a calcium influx into
Müller cells. Blockers of calcium-permeable channels (nickel
ions) or of calcium-dependent potassium (BK) channels (iberiotoxin,
charybdotoxin) inhibited the ATP-stimulated DNA synthesis. In
calcium-imaging experiments, ATP-evoked intracellular calcium
transients were significantly shortened in the presence of
extracellular nickel ions or of iberiotoxin. A correlation was found
between the duration of the ATP-evoked calcium transients and the basal
proliferation rate of the cultures.
CONCLUSIONS. The results indicate that the ATP-induced elevation of
Müller glial DNA synthesis is dependent on an influx of calcium
ions from the extracellular space and that the inhibiting effect of BK
channel blockers on ATP-evoked DNA synthesis is caused by an inhibition
of this influx. The amount of the calcium influx seems to be directly
correlated to the strength of the ATP-evoked
proliferation.
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Introduction
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Diseases of the sensory retina are regularly accompanied by
a reactive gliosis of retinal glial (Müller) cells. During
proliferative vitreoretinopathy, for example, Müller cells
re-enter the proliferation cycle, migrate out of the sensory retina and
participate in the formation of periretinal cellular
membranes.1
2
3
Gliotic Müller cells are
characterized by altered expression of various different enzymes, ion
channels, and receptors. During proliferative vitreoretinopathy of the
human retina, Müller cells change their expression and activity
of certain ion channels.4
5
Among them, the activity of
calcium-activated potassium channels of big conductance (BK) was found
to be increased.6
Moreover, an enhanced expression of
purinergic receptors has been recently suggested, as indicated by the
observation that P2X7 receptor-mediated cation
currents in Müller cells from patients with proliferative
vitreoretinopathy are increased compared with cells from healthy
donors.7
A possible role of extracellular adenosine
5'-triphosphate (ATP) in the induction or maintenance of reactive
astrogliosis has been suggested.8
9
Among other effects,
extracellular ATP stimulates the proliferation of cultured
astrocytes.8
Müller cells of the rat and human retinas express metabotropic
P2Y receptors that are coupled to transient intracellular calcium
release.7
10
11
However, until now, it is not known
whether P2Y receptor activation leads to a stimulation of Müller
cell proliferation and whether an increase of the intracellular calcium
concentration is necessary for a possible proliferation-stimulating
effect. Therefore, the purpose of the present study was to determine
whether extracellular ATP stimulates the DNA synthesis in cultured
Müller glial cells and to investigate which intracellular
signaling mechanisms may underlay a possible proliferation-stimulating
effect of ATP. In the findings in this study, cultured Müller
cells expressed P2Y receptors and activation of these receptors
increased the DNA synthesis rate. The mitogenic effect of ATP depends
on an elevation of the intracellular free calcium concentration, on an
influx of calcium ions from the extracellular space, and on the
activity of BK channels. Moreover, the duration of the ATP-induced
calcium influx correlates with the proliferation rate of cultured
Müller cells.
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Methods
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Cultures
Primary cultures of Müller glial cells were obtained from
guinea pigs (250400 g). Animal care and handling were performed in
accordance with applicable German laws and with the ARVO Statement for
the Use of Animals in Ophthalmic and Vision Research. Animals were
deeply anesthetized by urethane (2 g/kg, intraperitoneally) before
decapitation and enucleation of the eyes. The excised retinas were
dispersed in calcium- and magnesium-free phosphate buffer supplemented
with nagarse (1 mg/mL) for 30 minutes at 37°C. After they were washed
in phosphate buffer containing DNase I (200 U/mL), the dissociated
cells were seeded on uncoated coverslips (diameter 15 mm;
Glaswarenfabrik Hecht, Sontheim/Rhön, Germany). Retinal cells
from two eyes were distributed on 54 coverslips; 100 µL of cell
suspension was used per slip. Cells were cultured in minimal essential
medium supplemented with 10% fetal calf serum at 37°C in 5%
CO2 in air. The medium was exchanged twice a
week. Just before achieving confluence after 8 days in culture, the
test substances were added to the culture medium 16 hours before the
cultures were fixed. During this latter period, substances were tested
in serum-free medium. The basal proliferation rate of the cultures
(between 0.12 and 0.25) that was measured when no test substances were
applied during the 16-hour incubation period was used as control value.
A decrease of the control proliferation rate below 0.05 is accompanied
by necrotic damage of cells (not shown).
DNA Synthesis Rate
The DNA synthesis rate was determined by measuring
bromodeoxyuridine (BrdU) incorporation. BrdU (10 µM) was added
simultaneously with the test substances, 16 hours before fixation with
4% paraformaldehyde. BrdU incorporation was detected by a murine
anti-BrdU IgG-antibody (Bu 33; Sigma, Deisenhofen, Germany) and
cyanogen (Cy3)-tagged secondary antibodies. Counterlabeling of all cell
nuclei was performed with acridine orange. In the peripheral (i.e.,
nonconfluent) regions of the cultures, six distinct areas of each
coverslip (each approximately 60.000
µm2, resulting in a total area of 0.42
mm2 per coverslip) were studied by means of a
semiautomatic image analysis system (SIS; Soft-Imaging Systems,
Münster, Germany). The results from three coverslips per culture
were averaged; every experiment involved at least three independent
cultures. The ratio of BrdU-immunoreactive versus total cell nuclei was
taken as a marker for the DNA synthesis rate.
Calcium Imaging
For fluorescence measurements, cells were cultured for 8 days in
minimal essential medium containing 10% serum and then for 16 hours in
serum-free medium. The cells were loaded with 10 µM
fura-2/acetoxymethylester (AM) for 30 minutes at 37°C. Measurements
were performed at room temperature by using a bath solution that
contained (in millimolar) 129 NaCl, 3 KCl, 1
CaCl2, 0.2 MgCl2, 20
glucose, and 10 HEPES (pH 7.4 adjusted with NaOH). Calcium-free bath
solution was made by omitting CaCl2. A
fluorescent measurement system (Fucal 5.12B; Till-Photonics, Munich,
Germany) was used. Fluorescence was excited at 340
(F340) and 380 nm (F380),
and images were recorded every 15 or 6 seconds. Cultures were
continuously perfused for at least 20 minutes before application of
test substances. Substances were applied by rapidly switching the
control perfusate into a perfusate containing test substances.
Perfusate switches did not evoke any changes of the intracellular
calcium concentration.
Materials
Calpain inhibitors were obtained from Calbiochem (Bad Soden,
Germany) and dissolved in dimethyl sulfoxide (DMSO). Vehicle alone did
not affect the DNA synthesis rate. Nagarse (subtilisin) was from Serva
(Heidelberg, Germany). Iberiotoxin and charybdotoxin were from Alomone
Laboratories (Jerusalem, Israel). Hoechst 33258 and fura-2/AM were from
Molecular Probes (Eugene, OR). To stain glial fibrillary acidic protein
(GFAP), a polyclonal rabbit anti-cow GFAP serum (1:500; Dakopatts,
Copenhagen, Denmark) and Cy3-tagged secondary antibodies (pig
anti-rabbit; Dianova, Hamburg, Germany) were used. All other
substances were obtained from Sigma (Deisenhofen, Germany).
Data Presentation
Statistical analysis (MannWhitney test, two-tailed) and curve
fits were made by computer (Prism software; GraphPad Software, Inc.,
San Diego, CA). The fluorescence ratio F340 to
F380 is presented to describe relative changes of
the intracellular calcium concentration. An increase in the ratio
indicates an increase in intracellular free calcium.12
Data are expressed as the mean ± SEM (BrdU incorporation levels)
or as the mean ± SD (calcium imaging). Statistical significance
was accepted at P < 0.05.
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Results
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Müller Cell Cultures
Müller glial cells of the guinea pig formed layers of flat
polygonal cells when they grew 8 days in culture (Fig. 1A)
. As previously shown,13
the majority of the cells (99%
and 96%, respectively) expressed immunoreactivities for GFAP (Fig. 1A)
and for vimentin (not shown). Because the guinea pig retina does not
contain astrocytes, the majority of the cultured cells were considered
to represent Müller cells. The moderate density of the cells
allowed estimation of the ratio of BrdU-labeled cell nuclei versus all
cell nuclei (Fig. 1B)
.

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Figure 1. Cultured Müller cells of the guinea pig. (A) The
majority of cultured cells expressed GFAP immunoreactivity
(red). The cell nuclei were counterstained with Hoechst
33258 (blue). (B) Cell nuclei that showed DNA
synthesis were stained using BrdU immunocytochemistry (red).
All cell nuclei were counterstained with acridine orange
(green). BrdU-positive cell nuclei are shown by
yellow-orange double labeling. Arrows: sites of
chromosome accumulations in a cell that is in the telophase of cell
cycling. Scale bars, 20 µm.
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P2 Receptor-Mediated DNA Synthesis
To determine whether activation of P2 receptors affects the DNA
synthesis rate of cultured Müller cells, different agonists were
tested (Fig. 2A)
. Addition of ATP or of uridine 5'-triphosphate (UTP), an agonist
equipotent with ATP at P2Y2 and
P2Y4 receptors, to the culture medium resulted in
an increase of the BrdU incorporation in cultured Müller cells.
,ß-Methylene-ATP (
,ß-meATP), an agonist for several P2X
receptor subtypes, and 2-methyl-thio-ATP (2-meS-ATP), an agonist for
P2Y1 receptors, did not increase the DNA
synthesis rate (Fig. 2A)
. Adenosine up to 5 mM did not change the BrdU
incorporation, indicating that P1 receptors were not involved in the
mitogenic effect of ATP. The putative nonselective P2 receptor
antagonists suramin (10 µM) and pyridoxal phosphate
6-azophenyl-2',4'-disulfonic acid (PPADS, 10 µM) prevented the
increase of the DNA synthesis caused by ATP (Fig. 2B)
. The results
indicate that extracellular ATP stimulates the DNA synthesis through
activation of P2Y receptors. The effect of ATP on the DNA synthesis was
concentration dependent (Fig. 2C)
, with a mean
EC50 of 5.9 µM. Addition of ATP (500 µM) or
of fetal calf serum (5%) to the culture medium resulted in increases
in DNA synthesis (Fig. 2D)
. Simultaneous application of both agents
stimulated the DNA synthesis additively, suggesting that ATP and serum
evoke different intracellular signaling pathways.

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Figure 2. The mitogenic effect of extracellular nucleotides was mediated by P2Y
receptors. (A) Effects of different nucleotides and of
adenosine, respectively, on BrdU incorporation. (B) The
ATP-induced elevation of the DNA synthesis rate was blocked by suramin
(10 µM) or by PPADS (10 µM). (C) Concentrationresponse
curve for ATP. Extracellular ATP was tested at concentrations of 0.1,
1, 10, 50, 100, 250, and 500 µM. The curve was fitted with
f = (b · x)/(x +
a), with a = 5.9 µM and b = 0.435. (D) The effects of ATP (500 µM) and fetal calf
serum (5%) on DNA synthesis were additive. Data are the mean of three
to six independent experiments. () Significantly different from
control levels (P < 0.05); ( ) significant effects
of the blockers (P < 0.05).
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Calcium Dependence of ATP-Induced DNA Synthesis
To examine whether an elevation of intracellular calcium is
necessary for ATP-induced stimulation of DNA synthesis, the effect of
the intracellular calcium chelator 1,2-bis
(o-aminophenoxy)-N,N,N'-tetraacetic
acid/acetoxymethyl ester (BAPTA/AM) was tested. BAPTA/AM (20 µM) had
no effect, per se, on basal BrdU incorporation but fully reversed the
ATP-stimulated DNA synthesis (Fig. 3A)
. To determine whether the stimulation of DNA synthesis by ATP is
dependent on an influx of calcium ions from the extracellular space
into the Müller cells, nickel ions (40 µM) were added to the
culture medium. Nickel ions block various calcium-permeable ion
channels that are expressed in the plasma membrane of cells. The
sensitivity of ATP-stimulated DNA synthesis to the presence of nickel
ions (Fig. 3B)
indicates that the ATP-induced stimulation of the DNA
synthesis is dependent on calcium influx from the extracellular space.

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Figure 3. The mitogenic effect of ATP was dependent on an influx of calcium from
the extracellular space. Buffering of intracellular free calcium by
(A) BAPTA/AM (20 µM) or exposure to (B) nickel
ions (40 µM) inhibited the DNA synthesis induced by ATP (500 µM).
Data are the mean of four independent experiments. () Significantly
different from control levels (P < 0.05); ( )
significant effects of the blockers (P < 0.05).
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The calcium influx may serve to activate intracellular
calcium-dependent enzymes. This assumption was tested in respect
to different enzymes: protein kinase C and the calpains. Short-term
application of phorbol ester (within minutes) activates protein kinase
C, whereas long-term exposure leads to a downregulation of protein
kinase C activity.14
15
The effect of ATP on DNA synthesis
is probably mediated by activation of protein kinase C, because
depletion of phorbol estersensitive protein kinase C by long-term
exposure of phorbol-12-myristate-13-acetate (PMA; 10 nM) inhibited the
mitogenic effect of ATP (Fig. 4A)
. PMA per se had no effect on the BrdU labeling of our cultures.
Application of vehicle (DMSO) alone did not alter the DNA synthesis
(control: 0.12 ± 0.02; DMSO: 0.14 ± 0.03, n =
4). Similar results were obtained by a protein kinase C inhibitor
Gö6976 (100 nM; Fig. 4B
), which selectively inhibits
calcium-dependent isoforms of protein kinase C.

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Figure 4. Activation of calcium-dependent enzymes was necessary for ATP-induced
Müller cell proliferation. (A) Downregulation of
protein kinase C by long-term exposure to PMA (10 nM) inhibited the DNA
synthesis induced by ATP. (B) Similarly, the mitogenic
effect of ATP was blocked by Gö6976 (100 nM), which selectively
inhibits calcium-dependent isoforms of protein kinase C. (C)
Calpain inhibitor I (Ci-I, 500 nM) inhibited the mitogenic effect of
ATP. (D) However, Ci-II (500 nM) displayed no significant
effect on ATP-induced DNA synthesis. ATP was added to the culture
medium at a concentration of 500 µM. Means of three to five
independent experiments. () Significantly different from control
levels (P < 0.05); ( ) significant effects of the
blockers (P < 0.05).
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Other calcium-dependent enzymes are the calpains, a family of cysteine
proteases that has been shown to be involved in gliosis-related
upregulation of intermediate filament immunoreactivity.16
To examine whether calpain activity is involved in the maintenance of
Müller cell proliferation, calpain inhibitor I (500 nM) was
tested. This inhibitor had, per se, no effect on basal BrdU
incorporation but inhibited ATPs effect (Fig. 4B)
. Calpain inhibitor
II, although structurally similar to calpain inhibitor I, did not
attenuate the ATP-stimulated DNA synthesis (Fig. 4C)
. The results
indicate that the calcium ions that enter Müller cells after ATP
stimulation may intracellularly activate several distinct
calcium-dependent enzymes that are necessary for the maintenance of
Müller cell proliferation.
BK Channel Involvement in the Mitogenic Action of ATP
During proliferative gliosis of Müller cells, the activity
of calcium-activated big-conductance potassium (BK) channels has
been observed to be enhanced.6
To determine whether
activation of BK channels is necessary for the mitogenic effect of ATP,
two blockers of BK channels were tested: iberiotoxin and charybdotoxin.
Although iberiotoxin (70 nM) did not alter basal BrdU incorporation
(control: 0.17 ± 0.04; iberiotoxin: 0.17 ± 0.05, n
= 5), it fully inhibited the effect of ATP (500 µM) on the DNA
synthesis (Fig. 5A)
. Similar results were obtained with charybdotoxin (100 nM; Fig. 5B
).
Tetrodotoxin (10 µM), a blocker of voltage-gated sodium channels,
displayed no effect on the mitogenic effect of ATP (Fig. 5C)
,
suggesting that the effects of other channel blockers tested were not
unspecific. The effect of serum (5%) on DNA synthesis was not
inhibited by simultaneous application of iberiotoxin (100 nM; Fig. 5D
),
which further support the view that ATP and serum evoke different
intracellular signaling pathways in Müller cells.

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Figure 5. ATP (500 µM)-induced DNA synthesis was inhibited by blockers of BK
channels. (A) Iberiotoxin (70 nM) reversed the mitogenic
effect of ATP. (B) Charybdotoxin (100 nM) inhibited the ATP
effect. (C) Simultaneous application of tetrodotoxin (10
µM), a blocker of voltage-gated sodium channels, did not inhibit
ATPs effect. (D) Iberiotoxin (100 nM) did not prevent the
increase of the DNA synthesis evoked by fetal calf serum (5%). Data
are the mean of 3 to 11 independent experiments. () Significantly
different from control values (P < 0.05); ( )
significant effects of the blockers (P < 0.05).
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P2Y Receptor-Evoked Intracellular Calcium Transients
To explore whether the ion channel blockers tested exert their
effects during the activation of P2Y receptors or after a time delay
(i.e., downstream in the signaling pathway), fluorometric calcium
imaging was performed on cultured cells. Extracellular application of
ATP (50 µM) induced rapid increases in intracellular free calcium
that slowly returned to the basal level within 3 to 10 minutes after
the beginning of drug exposure (Fig. 6A)
. When cells were preincubated for 5 minutes with the P2 receptor
antagonist PPADS (200 µM), the ATP-evoked increase in intracellular
calcium was largely depressed (Fig. 6A)
. The experiments were performed
on sister cultures with identical treatment to rule out effects of
rapid receptor desensitization during multiple applications of ATP.
Preincubation for 4 minutes with the phospholipase C inhibitor U73122
(4 µM) blocked the ATP (50 µM)-induced intracellular calcium
transient by 95% (Fig. 6B)
, suggesting the view that the increase of
intracellular calcium was largely mediated by metabotropic P2Y
receptors and that functional ionotropic P2X receptors were not
present. Extracellular ATP releases intracellular calcium stores as
indicated by the block of the ATP effect after preincubation of the
cells with cyclopiazonic acid (5 µM; Fig. 6C
). Cyclopiazonic acid is
an inhibitor of the endoplasmic reticulum calcium-ATPase, thus causing
a slow release of intracellular calcium stores.

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Figure 6. Extracellular ATP induced intracellular calcium transients through
activation of P2Y receptors in cultured Müller cells. The
intracellular calcium concentration was recorded by fura-2 fluorometry.
(A) The extracellular ATP (50 µM)-induced calcium
transient was largely inhibited when PPADS (200 µM) was preincubated
for 5 minutes and was coapplied with ATP. Mean curves of 64 cells (ATP)
and of 63 cells (ATP + PPADS), respectively, from sister cultures with
identical treatment. (B) The extracellular ATP (50
µM)-induced transient elevation of intracellular calcium was blocked
in the presence of the phospholipase C inhibitor U73122 (4 µM). The
blocker was preincubated for 4 minutes before ATP application and was
applied simultaneously with ATP. Mean curves of 85 cells (ATP) and of
76 cells (ATP + U73122), respectively, from sister cultures with
identical treatment. (C) After preincubation of the cells
with cyclopiazonic acid (5 µM), ATPs effect at 500 µM on
intracellular calcium concentration was blocked. Mean (±SD) curve of
73 cells.
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To determine whether the ATP-induced intracellular calcium release
evoked secondarily a calcium influx from the extracellular space into
the Müller cells, calcium responses were evoked in regular
(calcium-containing) extracellular solution and in calcium-free
extracellular solution. As shown in Figure 7A
, the ATP-evoked calcium transients were significantly shorter in
calcium-free extracellular solution, indicating that addition of ATP
also evoked a transient calcium influx from the extracellular space
into the Müller cells. The mean decay time of the calcium
transients (i.e., the duration from the beginning of the transients to
the time point at which the transients decayed to 50% of their maximal
amplitudes) was 188 ± 104 seconds (n = 39) in
calcium-containing and 130 ± 64 seconds (n = 32) in
calcium-free extracellular solution (P < 0.05).

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Figure 7. The ATP-evoked calcium transients were caused by intracellular calcium
release and subsequent transient activation of a calcium entry pathway
in the plasma membrane. The intracellular calcium responses were
recorded by fura-2 fluorometry. (A) Comparison of calcium
transients that were evoked by extracellular ATP (500 µM) in the
presence and absence of calcium in the extracellular solution. Mean
curves are shown of 32 cells (presence of calcium) and of 39 cells
(absence of calcium) from sister cultures with identical treatment.
(B) Extracellular application of cyclopiazonic acid (5 µM)
in calcium-free extracellular solution induced a slow increase in
intracellular calcium-free concentration. After a changing was made to
a calcium-containing extracellular solution, there was a prolonged
steady state increase in intracellular free calcium (mean ± SD
curve of 40 cells). (C) A similar effect was observed when
ATP (500 µM) was applied in calcium-free extracellular solution.
After a change to calcium-containing extracellular solution, an
increase in intracellular free calcium was observed (mean ± SD
curve of 32 cells). (D) The ATP-induced calcium influx from
the extracellular space is inhibited by 2-aminoethoxydiphenylborane
(2-APB; 75 µM), a blocker of IP3 receptors and
of calcium release-activated calcium channels. Example of record in one
cell.
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The presence of a calcium entry pathway that is activated by
intracellular calcium release was determined by application of
cyclopiazonic acid (5 µM) in calcium-free extracellular solution
(Fig. 7B) . After readdition of calcium-containing solution, a prolonged
and increased steady state increase in intracellular free calcium was
observed, caused by calcium entry from the extracellular space. The
data indicate that cultured Müller cells express calcium
release-activated calcium (CRAC) channels in their plasma membranes
that serve to refill released intracellular calcium stores. A similar
increased steady state increase in intracellular free calcium was
observed after readdition of calcium-containing solution when the
internal calcium stores had been depleted by extracellular ATP (500
µM) in calcium-free extracellular solution (Fig. 7C)
. The calcium
influx from the extracellular space was decreased by 59% ± 31%
(n = 16; P < 0.05) by
2-aminoethoxydiphenylborane (2-APB; 75 µM), a blocker of inositol
1',4',5'-triphosphate (IP3) receptors and of CRAC
channels. The data may indicate that extracellular ATP evokes an
intracellular calcium release from IP3
receptor-gated intracellular stores, which is followed by a transient
calcium influx from the extracellular space, probably mediated by CRAC
channels.
Ion Channel Modulation of the ATP-Evoked Calcium Transients
We next examined whether ion channels contribute to the ATP-evoked
calcium transients in cultured Müller cells. The experiments were
performed on sister cultures with identical treatment. Coapplication of
nickel ions (40 µM) and of ATP decreased the ATP-induced increase in
intracellular calciumthat is, the intracellular calcium concentration
returned to the basal level at a significantly shorter time than with
the application of ATP alone (Fig. 8A)
. Similarly, addition of iberiotoxin (100 nM; Fig. 8B
) to the bath
solution significantly shortened the ATP-induced increase in
intracellular calcium. The half-inactivation latency was 347 ±
136 seconds in the case of the ATP application and 165 ± 81
seconds in the case of the coapplication of ATP and iberiotoxin
(P < 0.05; Fig. 8C
). To investigate the effect of
blockers on the calcium entry more directly, prolonged CRAC entry was
induced. Extracellular application of nickel ions (Fig. 8D)
or of
iberiotoxin (Fig. 8E)
decreased the mean amplitude of this prolonged
calcium influx by 35% ± 23% (n = 9; P <
0.05) and 87% ± 10% (n = 35; P < 0.05),
respectively. The present results indicate that both calcium-permeable
ion channels and BK channels are necessary to maintain the calcium
influx into Müller cells after P2Y receptor stimulation and
implicate calcium influx regulation as a site for BK channel action on
Müller cell proliferation.

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Figure 8. Blockers of BK or of calcium channels reduced the calcium influx from
the extracellular space in response to external ATP. The intracellular
calcium response was recorded by fura-2 fluorometry. (A)
Coapplication of nickel ions (40 µM) shortened the ATP-induced
increase in intracellular free calcium. Mean curves of 27 and 17 cells,
respectively, are shown from sister cultures with identical treatment.
(B) Coapplication of iberiotoxin (100 nM) caused a
shortening of the ATP-induced calcium response. Mean curves of 57 and
61 cells, respectively, are shown from sister cultures with identical
treatment. (C) Mean ± SD decay times of the calcium
transients (i.e., the duration from the beginning of the calcium
transient to the time point at which the transients decayed to 50% of
maximal amplitudes). Blockers were applied 2 minutes before and during
ATP application. (D) Application of nickel ions (40 µM)
decreased the calcium influx that was evoked by readdition of
calcium-containing extracellular solution after ATP application in
calcium-free solution. Example of recordings in three cells.
(E) Application of iberiotoxin (100 nM) had a similar effect
on the calcium influx. Example of recordings in three cells. ATP was
applied at 500 µM. (), P < 0.05.
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Duration of ATP-Evoked Calcium Transients and DNA Synthesis Rate
Both the ATP-induced DNA synthesis rate (Figs. 3B
5A)
and the
duration of the ATP-evoked calcium transients (Fig. 8)
were found to be
dependent on calcium influx from the extracellular space and on the
activity of BK channels in cultured Müller cells. Therefore, we
determined whether the duration of the ATP-evoked calcium transient is
related to the DNA synthesis rate in different independent cultures. As
shown in Figure 9
, there is a small but significant correlation between both parameters.
The longer the mean calcium transient of a culture, the higher the
basal rate of DNA synthesis in this culture (r = 0.59,
n = 16 cultures, P < 0.01).

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Figure 9. Dependence of the mean basal DNA synthesis rates of 16 independent
cultures on the mean decay times of the ATP (500 µM)-evoked calcium
responses. The decay time indicates the duration from the beginning of
the calcium transient to the time point at which the transients decayed
to 50% of their maximal amplitudes. The BrdU labeling data are
averages of three coverslips per culture. The calcium imaging data
represent the mean of 24 to 89 cells from sister cultures with
identical treatment.
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Discussion
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In the present study, for first time, cultured Müller cells
were shown to express P2Y receptors, and activation of these receptors
resulted in a stimulation of DNA synthesis. The mitogenic action of ATP
was dependent on an increase of the intracellular calcium
concentration, on calcium influx into Müller cells, and on the
activity of calcium-dependent potassium (BK) channels. The calcium
influx may serve to stimulate the activity of different
calcium-dependent enzymes that must be activated to maintain
Müller cell proliferation (e.g., protein kinase C and calpains).
BK channels may be involved in the regulation of the strength of the
calcium influx into Müller cells and therefore in the regulation
of Müller cell proliferation,13
as indicated by the
correlation between the duration of the ATP-evoked calcium transients
and the DNA synthesis rate.
In cultured Müller cells of the guinea pig, we found no evidence
for functional P2X receptors, based on the following two findings:
,ß-Methylene-ATP, an agonist for several P2X receptor subtypes,
did not increase the DNA synthesis rate (Fig. 2A)
, and after
preincubation of the cells with a phospholipase C inhibitor, the
ATP-evoked calcium transients were largely depressed (Fig. 5B)
. It is
unclear whether guinea pig Müller cells do not express P2X
receptor protein or whether these receptors were not active at the
conditions used. The present results are in agreement with patchclamp
studies on freshly isolated Müller cells from the guinea pig, in
which we were unable to detect ATP-induced cationic currents that would
indicate the presence of P2X receptors (Pannicke T, unpublished
data, 2001). Similarly, freshly isolated Müller cells of the rat
displayed no cationic currents in response to different P2X receptor
agonists, indicating that these cells do not express functional P2X
receptors.17
Both BK channels and calcium-permeable ion channels have been
implicated in the regulation of growth factorinduced proliferation of
Müller cells.13
18
19
The present results extend
these findings and show that the activity of BK channels is also
necessary for the ATP-induced proliferation of Müller cells.
Although it cannot be ruled out that secondary steps after primary P2Y
receptor activation may be modulated by BK channels, the present
results support the view that they are already involved in the primary
signaling transduction process just after binding of external ATP to
the P2Y receptors, causing an elevation of intracellular free calcium
through activation of phospholipase C and release of
IP3-gated intracellular calcium stores, which is
followed by a transient influx of calcium ions from the extracellular
space. BK channels may have a crucial role in supporting calcium influx
from the extracellular space after P2Y receptor activation, probably
through membrane hyperpolarization that results in an enhanced
electrochemical driving force for calcium influx through open
calcium-permeable channels.20
Blocking BK channels
inhibits the ATP-induced calcium influx into Müller cells (Figs. 8B
8C
8E)
as well as the mitogenic effect of ATP (Figs. 5A
5B)
.
The type of channel that mediates the P2Y receptor-mediated calcium
influx in Müller cells is unclear and difficult to determine,
because specific blockers are not available. The ATP-induced
intracellular calcium release may secondarily cause an opening of CRAC
channels in the Müller cell membranes that serve to refill the
intracellular calcium stores. Indeed, the calcium-imaging experiments
shown in Figure 7
indicate that cultured Müller cells express
CRAC channels in their plasma membranes. Because proliferating
Müller cells, at least from the human5
6
and rabbit
retinas,21
have no inwardly rectifying potassium channels,
they show a relatively low membrane potential. Opening of BK channels
should hyperpolarize the membrane around the calcium-permeable CRAC
channel to levels near the potassium equilibrium potential. This should
strongly facilitate the influx of calcium ions from the extracellular
space. Calcium-activated, calcium-permeable cation channels have been
described to be present in cultured human Müller cells and to be
activated by bFGF.22
A relation between an enhanced
capacitative calcium entry and an increased proliferation rate was
recently established in arterial myocytes.23
A similar
correlation between the DNA synthesis rate and the duration of the
ATP-evoked calcium transients could be established for cultured
Müller cells (Fig. 9)
.
An involvement of purinergic receptors in induction or maintenance of
gliosis has been proposed, based on the observation that P2 receptor
agonists, when infused into the brain, induce astrogliosis, leading to
hypertrophy and proliferation of astrocytes.24
25
ATP is a
mitogen for multipotent precursor cells during retinal
development,26
and the P2 receptor-evoked responses of
Müller cells were found to be enhanced during proliferative
Müller cell gliosis.7
Both the increased activity of
BK channels6
and the enhanced expression of P2
receptors7
may support Müller cell proliferation
during gliosis, probably through an enhanced calcium influx.
In summary, activation of P2Y receptors in cultured Müller glial
cells resulted in a stimulation of DNA synthesis. Activation of P2Y
receptors led to an increase of intracellular free calcium and to an
influx of extracellular calcium. The increase of the intracellular
calcium activated BK channels. BK channel activity may support the
calcium influx and therefore the ATP-induced stimulation of DNA
synthesis.
 |
Acknowledgements
|
|---|
The authors thank Jana Krenzlin for preparation of the cell
cultures.
 |
Footnotes
|
|---|
2 These authors contributed equally to the work. 
Supported by Grant 01KS9504, Project C5, from the Bundesministerium
für Bildung und Forschung (BMBF; Federal Ministry of Education,
Science, Research, and Technology) to the Interdisciplinary Center for
Clinical Research (Interdisziplinäre Zentrum klinische Forschung;
IZKF) at the University of Leipzig; and by Grant Re 849/8-1 from the
Deutsche Forschungsgemeinschaft (DFG).
Submitted for publication June 7, 2001; revised October 26, 2001;
accepted November 13, 2001.
Commercial relationships policy: N.
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: Andreas Bringmann, Paul Flechsig Institute of
Brain Research, Department of Neurophysiology, University of Leipzig,
Jahnallee 59, D-04109 Leipzig, Germany;
bria{at}server3.medizin.uni-leipzig.de
 |
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