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Bioscience Reports 3, 487-505 (1983) Printed in Great Britain 487 V o l t a g e m o d u l a t i o n of m e m b r a n e p e r m e a b i l i t y and e n e r g y u t i l i z a t i o n in c e l l s Review Tian Yow TSONG Department of Physiological Chemistry, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, U.S.A. Cell m e m b r a n e s a r e i n h e r e n t l y e l e c t r i c a l in nature. Charge movements across, and e l e c t r i c potentials experienced by membranes are used to process and transmit information, transduce energy, and p e r f o r m o t h e r essential functions of a cell. Thus, the el ect ri cal p r o p e r t i e s of cell membranes are topics of study in nearly every branch of the biological sciences (1-6). This article will limit its scope to two r e c e nt developments using e l e c t r i c pulses, namely, (1) to implant pores of controlled size in cell membranes, and hence, to modify the permeability of the membrane; (2) to a c t i v a t e membranebound ATPases, and hence, to study the energy utilization process in cells. The use of e l e c t r i c pulses to induce cell alignments and fusions will also be briefly mentioned. It will focus on some basic findings and how this newly acquired knowledge may be further developed into useful tools for biological research. As such, a large portion of the material covered will be selected from our own experience. Readers i n t e r e s t e d in a b r o a d e r a s p e c t of t h e e l e c t r i c a l p r o p e r t i e s of m e m b r a n e s , or in a survey of the l i t e r a t u r e in specific areas of research, should consult regular and more com pl et e reviews (1-6). When a cei l in suspension is exposed to a voltage pulse, it experiences e f f e c t s of an e l e c t r i c field and 3oule heating (7; Table 1). Electric field e f f e c t s , such as electrophoresis of charged molecules or membrane proteins (8,9), orientation of ceils ( 1 0 - 1 2 ) , and dissociation of molecules or complexes (13), are common to all chemical systems. However, because o5 the specific a r c h i t e c t u r e of cells and membrane vesicles, all of these e i f e c t s may be amplified. This occurs when a s p h e r i c a l c e l l ( r a d i u s a), made of membrane material much less conductive compared to the medium on both sides of the membrane, is exposed to an e l e c t r i c field, inducing a transmembrane potential, AO. A~p = 1.5 a E cos0 . In the equation, A0 is expressed in volts; the radius of the cell a, in cm; the e l e c t r i c field strength E, in V/cm; and 0, the angle between tile field direction and points of interest on the membrane surface, in degrees (7,1#-17). The peak values of A0 occur at 0 equals 0 ~ and 180 ~ i.e. A0 = _+ 1.5 aE. Thus, the potential experienced by a molecule on a membrane surface is 1.5 a/d times great er than what the molecule would experience in solution (d being the thickness of 01983 The Biochemical Society 488 TSONG Table i. Perturbations of a cell suspension by a high electric pulse Symbols used (please refer to references cited for details): A$, transmembrane potential; a, radius of cell; E, electric field strength; d, thickness of cell membrane; AT, temperature jump; i, current density; r, specific resistivity of the suspension; At, electric pulse duration; O, density of the suspension; K, chemical equilibrium constant; AK, shift in equilibrium constant; AH, heat of reaction; R, gas constant; AP, pressure generated by solvent expansion; ~, expansion coefficient of the suspension; ~, compressibility of the suspension; A~, osmotic pressure difference; c, concentration of solutes; Q, heat of transfer of solvent across the membrane; V, partial molar volume of the solvent. This table is adapted from Kinosita and Tsong (7). I. Electric-field effects A. Effects common to all systems B. Effects specific to cell suspensions Electrophoresis (8,9) Field-induced orientation (i0-12) Field-induced transmembrane potential (7,14-17) A~ = 1.5 a E cos@ Field-induced dissociation (13) Amplification of common effects within cell membrane by 1.5 d/a times Electrocompression membrane (4) Large transmembrane 2. Thermal effects (73,74) (Current effects) AT = i 2 r At/O C Shift of chemical equilibrium (73) KAK = R~T 2 AT Temperature membrane of current gradient across Colligative effect A~ = c R AT Solvent expansion (shock waves) Thermal osmosis effect (18,19) (% AP = ~ AT AP = - Q AT ~T membrane in cm). For erythrocytes, this value is around 500-1000. As will be discussed in later sections, cells are capable of utilizing this enormous electric field to activate their transport apparatus or to capture the energy for ATP synthesis. Likewise, the effects of 3oule heating on a ceil are also very different compared to the effects on a molecule in solution (Table i ) . In addition to a perturbation of chemical equilibria and a shock wave generated by a voltage pulse, a cell also experiences osmotic pressure due to a difference in the a c t i v i t y of solvent molecules across the membrane, e.g. the thermal osmosis effect (18,19). All these effects should be considered in the design of an experiment or for the interpretation of results. 1. V o l t a g e M o d i f i c a t i o n of M e m b r a n e P e r m e a b i l i t y Electric-field-induced lysis of cells I n t e r e s t in e l e c t r i c a l p r o p e r t i e s of cell m e m b r a n e s is n e a r l y as old as i n t e r e s t in the m e m b r a n e itself. S t u w a r t ' s m e a s u r e m e n t s of the c o n d u c t a n c e of blood suspensions (20) r e s e m b l e m o d e r n e x p e r i m e n t s w h e r e b y cells, in suspension, a r e exposed to an e l e c t r i c field. The use ELECTRIC FIELD ON CELLS 489 of an electric field for sterilization purposes has also been practiced for some time (21,22). However, systematic studies of the effects of an intense electric field on cell suspensions did not start until many years later. In 1967 and 1968, Sale and Hamilton (1%23,2tt) reported that electric pulses of a few kV/cm in the microsecond time range caused hemolysis of red blood cells, lysis of yeasts, destruction of b a c t e r i a , and release of DNA bundles from viral particles. By analysing the extent of cell killing and hemolysis of erythrocytes as functions of either the field strength/duration or the power input into the suspensions, it was concluded that the cell killing was the result of the field-induced transmembrane potential. They also observed that membrane ruptures occurred with electric pulses that produced a transmembrane p o t e n t i a l greater than I V. Later, Neuman and Rosenheck (25) reported that chromaffin granules, when exposed to e~ectric pulses, released catecholamine and ATP. By light-scattering measurements of the chromaffin-granule suspensions, following the a p p l i c a t i o n of a voltage pulse, they concluded that the electric breakdown of the membranes took place in the microsecond time range and that the ruptured membranes were resealed within 200 ms. They attributed this phenomenon to a reversible dielectric breakdown of the membranes. Zimmermann and coworkers observed that cells exposed to a high electric field in a Coulter Counter lysed and released their cytoplasmic contents (16,26). The transmembrane potential required for breakdown was roughly i V although the time for which the cells were exposed to the electric field was less well defined in the Coulter Counter. They also a t t r i b u t e d the cell lysis to the dielectric breakdown of the cell membranes. Other studies (27-29) have considered the effects of rapid 3oule heating on proteins or iipids of cell membranes. Thermally induced lipid phase transitions (30,31) and protein conformational changes (32,33) are well documented, and these transitions could accompany a change in the membrane permeability. Although the available evidence strongly favored an electric field as the cause of the voltage-induced cell lysis (34)9 at the time, no compelling evidence had been presented to rule out the various e f f e c t s of rapid temperature perturbation (Table I ) . To settle the question9 Kinosita, then working in my laboratory, designed the f o l l o w i n g e x p e r i m e n t ( 7 ) . The e x p e r i m e n t took advantage of the fact that erythrocytes are stable in an isotonic medium containing either NaCl or sucrose. By varying the composition of the suspending medium with NaCJ and sucrose, maintaining the isotonicity but changing the ionic strength of the medium, it was possible to apply a constant electric-field perturbation with different degrees of the temperature jump. Voltage-induced hemolysis of red cells could then be related either to the electric-field perturbation or to the temperature jump. Four isotonic media of different NaCI/ sucrose ratios were used, and the hemolysis data, plotted against the temperature jump and the electric-field strength of voltage pulses, are shown in Figs. I A and IB, respectively. In a low-ionic-strength medium (396 isotonic NaCI, 9796 isotonic sucrose), I00% hemolysis was achieved w i t h Jess than a 0. i ~ temperature jump. Total hemolysis of the sample occurred only if the temperature jump was greater than 3~ in isotonic NaCI. However, when these data are t~90 TSONG 100| . } / " / ; ; ?/ . . . , , I, ' o] / 2 ! 4 0l/ : ..... 0.03 0.1 0.3 1 3 Temperatureincrement(~ J 0 2 4 Electricfield(kV/cm) Fig. i. (A) Hemolysis at different ionic strengths of h u m a n e r t h r o c y t e s is plotted against the magnitude of temperature jump. Washed erythrocytes were suspended in i00 vol. of isotonic NaCl/sucrose solutions, the relative NaCI content being: O, 100%; O, 30%, A, 10%; 9 3%. Aliquots of the suspensions were subject to a single electric pulse of various intensities. After the pulsation, the cells were rapidly diluted into 30 vol. of isotonic NaCI to provide an identical environment~ in which hemolysis took place. After 15 h, the erythrocytes were spun down at i0 000 g for i0 min, and the extent of hemolysis was determined from the absorption of hemoglobin in the supernatant. The value for 100% hemolysis was obtained by hypotonic hemolysis. Temperature was 25 • 2~ and the pulse duration was 20 ps. (B) The same set of data in A is plotted against field strength of the electric pulse. The result indicates that the voltage-induced hemolysis was due to the effect of the electric field, not Joule heating. (After Kinosita and Tsong (7)). plotted against the electric-field strength, they all fall on the same hemolysis curve. This result unequivocally ruled out thermal osmosis as the cause of the cell ]ysis. The data in Fig. IB also suggest that there is a threshold field strength for red-cell hemolysis, although this value strongly depends on the duration of voltage pulses employed (35). With a 20-ps pulse, the threshold field strength was roughly 2 kV/cm, which can induce a transmembrane potential of I V in human erythrocytes, a value similar to that found in earlier observations of the rupture of cell membranes by microsecond voltage pulses (1#,23). Electric breakdown of unilamellar vesicles or planar bilayers, made of purified lipid or a mixture of lipids, occurs at much lower potentials, usually between tOO and 300 mV (2,17,36). ELECTRIC FIELD ON CELLS 491 Implantation of pores in cell membranes Dielectric breakdown of membranes has been used to describe the v o l t a g e - t r i g g e r e d release of the c y t o p l a s m i c c o n t e n t s of ceils. Cytoplasmic contents, regardless of their molecular weight and size, were thought to leak out at the instant the membrane was ruptured. If this was the case, the term 'dielectric breakdown' would be an adequate description of the observed phenomena, and the process could serve as a convenient way of preparing erythrocyte ghosts in isotonic solvents (16). Indeed, the advantages of preparing erythrocyte ghosts in isotonic solvents, and the use of these ghosts as carriers of drugs and enzymes to specific ceil types, have been emphasized (26). Since biological membranes are very complex, containing functional proteins and s t r u c t u r a l c l u s t e r s ~ f these proteins within the bilayers, we reasoned that if dielectric breakdown took place, it might occur at certain specific locations, such as ion-transport sites. Once these sites were open, the membrane potential could dissipate (15) and the membrane rupture would be limited to local structures instead of extending over a large area, as in a 'global breakdown'. This turned out to be the case. The e x p e r i m e n t a l strategy was to measure the kinetics of the release of d i f f e r e n t classes of m o l e c u l e s from v o l t a g e - t r e a t e d erythrocytes (7). If the breakdown was global, all the cytoplasmic contents should leak out at the same rate. If, on the other hand, the breakdown was local, then different classes of molecules might be released at different rates. The results are shown in Fig. 2. With a 3.7-kV/cm 20-ps pulse, in which 100% hemolysis was expected, not o n l y did h e m o g l o b i n not leak out, but, if the experiment was performed in isotonic NaCI, even a sucrose tracer could not permeate the voltage-treated erythrocytes (Fig. 2A). However, K + ion leaked out within seconds, and, Na + ion entered just as fast because of large initial concentration gradients. Interestingly, if the same voltage pulse was applied to erythrocytes in a lower-ionic-strength medium (NaCI/ sucrose = ?,0%/70%), then the sucrose tracer permeated within 10 min (Fig. 2B). Release of hemoglobin, in both cases, occurred only after several hours of i n c u b a t i o n at 25~ Hematocrit measurements indicated that before hemolysis, there was a swelling of ceils due to the colloid osmotic pressure of hemoglobin. This process, which is much slower than the i n i t i a l movement of ions, continued for several hours, and when the cell volume reached 155% of the initial volume, the cell membranes were ruptured and the cytoplasmic contents of c e l l s were released. These observations indicate that the voltage pulses implanted pores of limited size in the cell membranes, and the hemolysis was due to a secondary effect, namely the colloid osmotic s w e l l i n g of the c e i l s ( 7 ) . Once the membranes were rendered permeable to ions or to small molecules, these ions reached Donnan equilibrium rapidly. However, because cytoplasmic proteins could not permeate these pores, they exerted an excess osmotic pressure on the ceil membranes. As a result, the cells swelled, and, eventually, t h e cell membranes were punctured because of the oversweJling. The c o n c e p t of ' p o r e s ' , as i n t r o d u c e d here, is valid as long as the membranes become semipermeable, and the solutes exhibit colligative properties. This will become clear following the next section. #92 TSONG A 150 150 AA :~ ~00 ........................................... :~- 100 } D 50 ~0 9 D C , ............... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o ._-_-__:__: ....... ? ~.......... --:-o o 20 40 ,20 Time (mJn) o 2'o 20 u ,~o Time (min) Fig. 2. (A) Permeation of ions and sucrose and the swelling of erythrocytes prior to the voltageinduced hemolysis. Erythrocytes suspended in isotonic NaCI were subject to a single electric pulse at 3.7 kV/cm 20 ~s. At various intervals after the pulsation 9 samples were taken and their ionic contents and 1 4 C - s u c r o s e entrapment determined: Curve A 9 the volume of the unlysed cell relative to the untreated; B 9 sodium ion penetration; C, sucrose penetration~ D~ extent of hemolysis. (B) A similar experiment to that shown in A~ except that the erythrocytes were suspended in isotonic NaCl/sucrose (30%/70% mixture). In this case, sucrose permeated into the voltage-treated erythrocytes. (After Kinosita and Tsong (7)). Control of pore size and resealing In Fig. 2, it is shown that in an isotonic saline, a 3.7-kV/cm electric pulse for 20 ps rendered erythrocyte membranes peremeable to Na + (and K +, data not shown) ions9 but not to sucrose. On the other hand9 a similar voltage t r e a t m e n t for erythrocytes suspended in a 3096/70% i s o t o n i c mixture of NaCl/sucrose rendered the red cells permeable to radioactive sucrose. It would appear that by a suitable choice of experimental conditions, one should be able to control the size of pores induced by a voltage pulse. Variables such as pulse length, field strength, and solvent ionic strength have been examined (35,37). Fig. 3 shows an experiment monitoring pore size by probe permeation rate (see reference 37 for the method). In the examples given here, permeation of the probes was measured before hemolysis of the red cells, and, in fact, these pores could be properly resealed without the loss of cellular hemoglobin. The result indicates that it is ELECTRIC FIELD ON CELLS ~-, > 2 . t~93 0 ~ _h -,o[ .E = ~ e ; i 5 6 Radius (A) Fig. 3. Permeability of the pulse-treated erythrocyte m e m b r a n e to various carbohydrate molecules. Curve a t untreated cells; b~ cells treated with a 3.7-kV/cm 20-~s pulse in isotonic NaCI; c 9 treated with a 5.3-kV/cm 20-~s pulse in isotonic NaCI; d t treated with a 3.7-kV/cm 80-~s pulse in isotonic NaCI; e t treated with a 3.7-kV/cm 20-~s pulse in 3:7 mixture of isotonic NaCI and isotonic sucrose. The rate of permeation and the radius of permeants are obtained as e x p l a i n e d elsewhere (37). D means D-glucose; Lt L-glucose; E~ meso-erythritol; x9 sylitol; A t D-arabitol; G t glycerol; M~ D-mannitol; I t myo-inositol; S~ sucrose; Z~ melezitose; and T~ stachyose. (After Kinosita and Tsong (37)). possible t o implant pores of controlled size with the voltage pulse method by varying experimental parameters such as pulse width, field strength, and ionic strength of the medium. The next question asked was whether the voltage perforation of the cell membranes was a reversible process. Light-scattering of the cell suspension decreased upon application of a voltage pulse in microseconds, but was quickly restored to a range within milliseconds to seconds (25,29). It would seem logical to interpret the signals as being due to, f i r s t , m e m b r a n e pore f o r m a t i o n , and second, the resealing of pores. This was clearly not the case. If one incubated a s a m p l e , t r e a t e d with a v o l t a g e pulse greater than the threshold potential, for a longer period of time (e.g. a few hours), all cells were e v e n t u a l l y lysed. This means that the pores generated by voltage pulses were irreversible, contrary to the view that these pores 494 TSONG are rapidly reversible. The distinction of reversibility and irreversib i l i t y is essential if one is to develop the method for biological applications. Indeed, irreversibly damaged membranes can be resealed if suitable conditions can be found. A misjudgement of the pore r e v e r s i b i l i t y usually leads to a doomed experiment because of the destruction of the cells. As mentioned, the hemolysis of voltagep e r f o r a t e d e r y t h r o c y t e s is due to the colloid osmotic pressure of cytoplasmic hemoglobin. The pressure amounts to roughly 25 m i l l i osmolal (mOsm). If one adds to the suspending medium 25 mOsm of molecules larger than the pore size, the colloid osmotic pressure of hemoglobin can be balanced, and, under such conditions, ceils should not swell. Hence, the hemolysis would be prevented indefinitely. We have used the tetrasaccharide, stachiose, or small proteins, such as r i b o n u c l e a s e or c y t o c h r o m e c, to compensate for the hemoglobin pressure. Voltage-perforated red cells were stable in the osmotically balanced medium. No swelling, and hence no hemolysis, was detected. The pores were found to be stable for several days if the temperature was kept low, e.g. at 4~ Small molecules or drugs could be loaded into the erythrocytes, which retained their full hemoglobin content. In an osmotically balanced medium, and at higher temperature, e.g. 37~ these pores spontaneously resealed within 2 h (37), again, without losing their cytoplasmic content. Loading of contents molecules into cells without loss of cytoplasmic Because electrically perforated cell membranes can be resealed, it will be possible to load molecules into a cell without killing the ceil. Radioactive oligosaccharides have been loaded into voltage-perforated erythrocytes in our laboratory. In the case of sucrose loading, the resealed erythrocytes (that retained fuji hemoglobin content) were then injected back into the mouse circulation to demonstrate that these ceils were indistinguishable from normal cells in both l i f e t i m e and function (3g). The dissipation of radioactive tracer from the circulation had a halflife of approx. 20 days, compared to less than I h if the tracer is directly administered. Radioactive-tracer-loaded erythrocytes, without going through a normal resealing procedure, were unable to retain the tracer molecules, indicating that pores induced by the voltage pulse were indeed not reversible (Fig. 4). While in other cell types, because of stronger membrane structures or the presence of a cell wail, no Iysis would accompany voltage perforation of the membranes, i t is i m p o r t a n t to r e c o g n i z e t h a t these pores are irreversible, and the resealing of these pores requires special attention. Usually, this does not require more than balancing the osmolality of solvent to that of the cytoplasmic fluid, and incubating voltage-treated cells at the growth temperature for a few hours. Ceils are able to repair the perforated membranes. Once the perforated membranes are resealed, these cells behave like ordinary ceils. The above experiment immediately suggested to us that erythrocytes could be used as carriers for drug delivery. The use of liposomes or erythrocyte ghosts as drug or enzyme carriers for the targeting of specific cell types have been described (26,39), but intact erythrocytes should be better carriers (though not for enzymes). The ELECTRIC FIELD ON CELLS 0 #95 Time after injection (d) |0 20 30 lOO e~ 10 o e~ 1 m o o.1 100 2 6 0 / / 1,000 I Time after injection (min) Fig. 4. Dissipation of sucrose tracer from mouse circulation. Sucrose was loaded in electric-pulsetreated mouse erythrocytes which were subsequently resealed by the method described in the text. These erythrocytes were then injected back into the mouse circulation~ and the dissipation of radioactivity from the circulation was monitored: O ~ completely resealed sample; 9 ~ incompletely reseated sample; A free sucrose administered directly. Upper abscissa is for the data in O and 9 and lower abscissa is for the data in A. (After Kinosita and Tsong (38)). advantage is t h a t e r y t h r o c y t e s from one's own body will not be rejected. In practice, it would be necessary to modify the erythrocytes for a controlled release or for the targeting of specific cell types. The problem that we encountered was that most drugs are p e r m e a n t to c e l l membranes~ a l b e i t slowly (Except for surfacer e c e p t o r drugs, can one imagine drugs that are not permeant to membranes, yet are effective?). This, however, would be a common problem, whether liposomes, intact erythrocytes, or ghosts are used. The problem could be alleviated if drugs can be modified to include a sugar moiety, since we know sucrose did not leak out once it was entrapped within the erythrocytes. As m e n t i o n e d , not all cell types r e q u i r e the resealing step. Dictyostelium, yeast, mouse L cells, or sea-urchin eggs are able to 496 TSONG sustain a voltage perforation of membranes without lysis (40-43). Rossignol et al. (40) were able to poke sea-urchin eggs with pores that allowed permeation of Ca2+ into the eggs. W h e n the medium contained CaZ+, the cells developed partial fertilization envelopes. Without the voltage treatment, the presence of Ca2+ in the medium did not trigger development of these partial fertilization envelopes. This means t h a t the development of the fertilization envelope in f e r t i l i z a t i o n required Ca2+, although this Ca2+ could be supplied through sperm or from the mobilization of a Ca 2+ store within the egg. Knox et al. (41) have used the method to load Dictyostelium with radioactive ATP. The ceils developed normally after loading. Neumann and coworkers (44,45) have employed the voltage-perforation method to load a restriction fragment of DNA, which contained a gene for t h y m i d i n e kinase, into mouse lyoma cells. The efficiency of loading was thousands of times higher than that of using conventional methods ( 4 5 ) , and the loaded gene was expressed. The example i l l u s t r a t e s the p o t e n t i a l application of the high-voltage-pulsation method for genetic engineering. In fact, for genetic engineering, the voltage-pulse method is simpler than the cell-fusion method which we will mention briefly at the end of this article. Specific sites of pore formation in voltage-treated erythrocytes The question of whether the voltage perforation of the membrane occurred at random or at specific sites is especially relevant when one is dealing with a biological membrane which is full of ion-transport apparatus in its structure. One may suspect that certain membrane channels or transport pumps are more susceptible to voltage perforation than other parts of a cell membrane. Lipid bilayers break down at a transmembrane potential between 100 and 300 mV, and, if the composition of the bitayers is right, the membrane can reseal within microseconds (17,36,46). The fact that a high-voltage breakdown of biological membranes is irreversible in this time scale means that protein components are likely candidates for the voltage action. In order to test this idea, a device was set up to measure the time evolution of transmembrane current during and after the voltage pulsation (47). The device took advantage of the fact that the resistance of a dense cell suspension was high when cell membranes were intact, but decreased upon pore formation. By measuring the excess conductance of the cell suspension when a voltage pulse was applied, it was possible to follow the kinetics of the pore formation. The transmembrane current was observed only if the magnitude of the voltage pulse exceeded the threshold value, and the kinetics of pore formation were biphasic. A reaction in less than I ps was interpreted as being due to the formation of pores, while the slower reaction, in 50 ps, was due to the expansion of pores. Various transport inhibitors were then added to the red-cell suspension to see whether they could block or reduce the signal of the voltage-induced transmembrane current. Of roughly one dozen of transport inhibitors tested, only ouabain, a potent inhibitor of ( N a , K ) A T P a s e , p a r t i a l l y blocks the m e m b r a n e c u r r e n t in a m a n n e r c o n s i s t e n t with the d r u g ' s physiological e f f e c t (48). The h a l f - s a t u r a t i o n of the ouabain e f f e c t was 0.15 pM. At a s a t u r a t i o n c o n c e n t r a t i o n , ouabain blocked 30% of the t o t a l v o l t a g e - i n d u c e d m e m b r a n e c u r r e n t . This would m e a n t h a t roughly 30% ELECTRIC FIELD ON CELLS #97 of the membrane current resulted from perforation of the (Na,K) channels. Another 70% of the transmembrane current came through pores which have not been identified. Investigators using a Coulter Counter often observe a change in the cell size distribution when the applied electric-field strength exceeds a certain value. It is important, however, to distinguish between the electric size and the physical size of the cells. The former is used in Coulter counting, and depends not only on the true dimension of the cells, but also on the conductance properties of the cell membranes. When membranes become conductive, their electric size diminishes. The physical size, on the other hand, reflects the true volume and shape of the cells. Only when the physical size is unchanged can one measure voltage-induced transmembrane conductance. The number of pores per c e l l could be estimated if certain assumptions are made. Pore size was determined by the permeability of membranes to oligosaccharides, and membrane conductance was measured in KCI solution. If one assumed that membrane conductance after voltage-perforation of the red cells was due to the movement of K + ion9 the number of pores could be estimated. For erythrocytes treated with a 3.7-kV/cm 20-1Js pulse in isotonic saline, this number was around 200 per celt (#7). Since the pore sizes were most likely non-uniform, this estimate must be taken as a rough approximation. The number of (Na, K)ATPases in erythrocytes is around 300 per cell (#9). In this regard~ it is interesting to note that hypotonic shock induces only a single pore in the red cells (50,51). 2. Voltage Activation of Membrane-Bound ATPases (Na,K)ATPase of erythrocytes Living cells maintain a steady-state transmembrane potential by an asymmetric distribution of ionic species on both sides of the membrane. This maintenance of a membrane potential is an energyconsuming process, and it usually requires ATP-dependent pumping a c t i v i t y of the membrane. One of these energy-dependent ionic pumps is the (Na,K)ATPase. In the erythrocyte, for each ATP consumed, the enzyme pumps out 3 Na + ions from the cytoplasm in exchange of 2 K + ions (52). Because of this unbalanced charge transport, the enzyme is electrogenic (53). For human erythrocytes under normal c o n d i t i o n s , the a c t i v a t i o n of ( N a , K ) A T P a s e h y p e r p o l a r i z e s the membrane by several m i l l i v o l t s (53). In the previous section we mentioned that high-voltage pulses of several kilovolts per centimeter could induce irreversible membrane pores~ and 30% of these pores might have occurred at the (Na,K)ATPase sites. Because of the e l e c t r o g e n i c character of the pump, it is not surprising that the enzyme should be perforated by a voltage pulse. The question has been asked, why, after the opening of the pump, should i t be irreversibly denatured; and, if we can prevent its denaturation, would it be possible for us to reversibly activate this pump by an a r t i f i c i a l l y imposed transmembrane potential? Because a few kV/cm can generate roughly 1 V of transmembrane potential, and this value is two orders of magnitude larger than the physiological potential of the erythrocytes, it is likely that once the pores were opened, a strong transmembrane current would follow, which could g e n e r a t e intense local #98 TSONG heating which might then modify the protein structure irreversibly. It follows that only by imposing a membrane potential comparable to the physiological potential (i.e. 10 mY) might we be able to activate the enzyme without denaturing the protein. Teissie and I then employed a low-voltage AC stimulation method to induce a membrane current that was f u l l y reversible, and 25% of this membrane current was inhibited by ouabain (5#). Because the concentration for half inhibition by ouabain agreed with the inhibition constant for the (Na,K)ATPase, and the effect of ouabain diminished if 10 mM K + was present in the incubation medium, we concluded that the ouabain-sensitive part of the membrane current was due to the reversible opening of (Na,K)ATPase (5#). Serpersu and I monitored the movement of Rb + and Na + ions in both d i r e c t i o n s of AC-stimulated red cells, and compared it with u n s t i m u l a t e d samples and o u a b a i n - p r e t r e a t e d , stimulated samples. Indeed, at 3~ a voltage-stimulated Rb + uptake was observed with an AC field of 16 V/cm, and this uptake was completely inhibited by ouabain (Fig. 5A). The uptake was against a chemical concentration g r a d i e n t , i n d i c a t i n g t h a t a 'pump' a c t i v i t y was involved. The surprising result was that no Rb + efflux or Na + movement in either direction could be stimulated with an AC field (55). The voltageinduced Rb + u p t a k e was sensitive to the field strength and AC frequency, excluding 3oule heating as the cause of the observed effect. The o p t i m u m s t i m u l a t i o n occurred at 20 V/cm (that generated a transmembrane potential of 12 mV), and at 1 kHz (Fig. 5B,C). At 3~ in a low-ionic-strength medium, the maximum uptake was 26 amole/RBC-s, or roughly 22 ions per pump per s, if one assumes that the uptake was mediated by the (Na,K) pump (Fig. 5B and C). That the voltage-stimulated Rb + uptake involved the a c t i v i t y of (Na,K)ATPase has now been established by several c r i t e r i a . First, the u p t a k e was c o m p l e t e l y inhibited by ouabain, a potent inhibitor of (Na,K)ATPase. Second, although the Rb + uptake required no Na + efflux activity of the enzyme, it did require the presence of internal Na + and external K + ions. The K m of cellular Na + was roughly 5 raM, and the K m of external K + was 1.5 raM, consistent with the values for (Na,KIATPase activity. Third, the uptake was against a c h e m i c a l c o n c e n t r a t i o n g r a d i e n t (12.5 mM external vs 100 mM internal). Thus, a pump activity must be involved. Yet, the question of whether the e f f e c t of ouabain was specific has been raised. The data in Fig. 5A,B,C indicate, however, t hat t here was no non-specific e f f e c t of ouabain (see the background Rb + uptake in the presence and absence of ouabain). The above result is non-orthodox for the following reason. The Na + and K+ pumping activities of (Na,K)ATPase are believed to be coupled, that is, they do not function separately (56). Yet, our result shows t h a t at 3~ when t h e r e was no d e t e c t a b l e Na + pumping sensitive to ouabain, t her e was a voltage-stimulated Rb + uptake which was mediated by the (Na,K)ATPase. Vanadate inhibited Na + pumping at 25~ but it did not block AC-stimulated Rb + uptake. These r e s u l t s led us to suggest that whereas the transport of Na + ion requires the consumption of ATP, the m ovem ent of K+ ion is probably driven by an e l e c t r i c a l potential. This potential is generat ed by the electrogenic component of the (Na,K)ATPase activity. Work in our ELECTRIC FIELD ON CELLS i 499 --19 i + s [ m I I ~ m ++..i/3B~/*+[o~+ "..~p+dfl ~ t A~ t AJ 0 s V gg 4.1 9 * ~o o ~ ~ .~ ~ ~ I 0 mO I I ........ I b~ ~~ z s , I m ! .~ ~+~ ~~ o 500 TSONG l a b o r a t o r y has shown t h a t electrogenic transport ATPases can be s t i m u l a t e d by electric fields. Sarcoplasmic Ca-ATPase is another example (57) of this process. The electrical pulsation method allows for the biochemical study of these transport ATPases. Voltage-driven ATP synthesis by mitochondrial ATPase Not only can an a r t i f i c i a l l y imposed transmembrane potential activate transport ATPases, it can also induce synthesis of ATP by ATP synthetases. Witt and coworkers have reported that chloroplasts exposed to an electric field on the order of 1 kV/cm synthesized ATP in the dark. Thus, electrical energy could be converted to the c h e m i c a l - b o n d energy of ATP (58) by this light-energy-transducing system. Since then investigators from different laboratories have reported similar observations using different energy-transducing systems (59-61). The following example is taken from our own work, and serves to illustrate the requirement of the activity of FoFIATPase for the voltage induction of ATP synthesis in submitochondrial particles (61). Submitochondrial particles (SMP) were prepared from rat liver and beef heart. The size of these particles depended on the preparation, and was roughly 80 nm in diameter for the rat liver SMP and 200 nm for the beef heart SMP. SMP suspended in a medium containing I-3 mM ADP and I-3 mM 32Pi were exposed to voltage pulses in the range of 5-35 kV/cm and of duration 5-I00 ps. ATP formed was then assayed by two independent methods, the luciferin/luciferase bioluminescence measurement and the radioactivity counting of [32p]ATP formed. In all experiments, either i mM NaCN or 10 pg/ml of rotenone was present in the sample to completely inhibit the respiration. It was found that ATP synthesis was induced when the electric field exceeded I0 kV/cm. A threshold membrane potential of roughly 60-I00 mV was required for the synthesis (61). The yield of ATP reached 10 ATP per F0F I complex per 30-kV/cm 100-ps pulse. Fig. 6A shows ATP synthesis vs applied-field strength and Fig. 6B shows the ATP yield when 30-kV/cm 100-ps pulses were used in the experiment with beef heart SMP (62). The synthesis was shown to be due to effects of the electric field, and was unrelated to 3oule heating by variation of the ionic strength of the medium, as was discussed earlier in our experiment with erythrocyte hemolysis (see Figs. I A and IB). That the electric-field-induced ATP synthesis is biologically relevant was demonstrated by studying the effects of FoFIATPase inhibitors, the e l e c t r o n - t r a n s p o r t - c h a i n uncouplers, and other ionophores. Oligomycin, N , N ' - d i c y c l o h e x y l carbodiimide (DCCD), potent and specific inhibitors of FoFIATPase , completely blocked the voltage induction of ATP synthesis. Proton-conducting ionophores FCCP (carbonyl cyanide p-trifluoromethoxyphenylhydrazone), and 2,4-dinitrophenol also blocked the synthesis. Other ionophores, such as v a l i n o m y c i n , nigericin, and monensin, displayed varying degrees of effectiveness in inhibiting the synthesis. These observations indicate that while the synthesis required the activity of FoFIATPase, the energy source for the synthesis was derived from the voltage-generated transmembrane potential. ELECTRIC FIELD ON CELLS 501 Fig. 6. (A) Voltage400 induced ATP synthesis by beef heart submitochondrial particles (SMP). SMP (mean ~ 300 d i a m e t e r of 200 nm) were suspended in a medium containing 3 mM sodium phosphate, 1 mM 200 MgCl2, 2.5 mM NaADP, 5 | mM NaHEPES, 20 mM glucose, 71 I U / m l hexokinase, 2 mM NaCN, 1 mg/ml BSA, 0.25 M 100 sucrose, 10.8 cpm/pmol 32p i. 4.8 mg of SMP in 0.70 ml was exposed to three successive 0 v o l t a g e p u l s e s of a given field strength E|eo~.rio Field, kV/om (with a pulse decay time of i00 ~s). The amount of Pi esterified 5 was determined and is B expressed as pmoles of ATP per mg proteins per 4 pulse. The difference between the pulsed and unpulsed levels of ATP is plotted against the ~ 3 magnitude of the applied electric field E (in kV/cm). The 2 initial temperature of the sample was 15~ and the final temperI ature did not exceed 25ec. Each point represents the average of t h r e e separate 9 I I I I experiments. The error bars give the standard Number of Pu]ee8 deviations. (B) ATP synthesis depended on the number of applied electric pulses. 30-kV/cm pulses with a field decay time of I00 ps were used. Experimental conditions were similar to A. See text for details. (After Knox & Tsong (62)). I I I I The kinetics of the synthesis were investigated by changing the electric-pulse duration and monitoring the ATP yield. Electric pulses of duration shorter than I0 ps were found to be ineffective, and there was a minimum pulse width of roughly 15 IJs required for the ATP .SO2 TSONG synthesis (61,62). The synthesis reached a steady state within #0 ps. Other experiments have demonstrated that the ATP d e t e c t e d did not originate from the nucleotide-translocating activity of the membrane. Neither did it come from the release of tightly bound nucleotides. In fact, as was mentioned, the yield under our experimental conditions reached l0 ATP per enzyme complex per 30-kV I00-ps pulse. Thus, a few turnovers of the enzyme occurred within 100 ps. An important consideration in this type of experiment is the distinction between a synthesis driven by a chemical potential and a synthesis driven by an electrical potential. The former is simply the product of a certain concentration of ATP according to the chemical equilibrium constant in e f f e c t when ADP and Pi are mixed) and would have no relevance to our discuss[0n here. The p h o s p h o r y l a t i o n p o t e n t i a l , defined as ( A T P ) / ( A D ~ ) ( P i ) , is 5 x 10=6 M=t for a chemically equilibrated system, and ;is between 200 and 800 M=t in actively respiring ceils (63). In our experiment, a value of roughly 2.5 M-I was obtained (62). Obviously this was not the highest value we could obtain, as the quantity of ATP synthesized had not yet reached a plateau with the increasing number of applied pulses (Fig. 6B). Voltage induction of ATP synthesis has now been demonstrated in c h l o r o p l a s t s , m i t o c h o n d r i a , and E s c h e r i c h i a coli (6#). These experiments, are important for clarification of some basic concepts in bioenergetics. According to the chemiosmotic hypothesis of Mitchell (65), a crucial, and possibly the final product of electron transport is the f o r m a t i o n of a proton gradient across the inner mitochondrial m e m b r a n e . The proton electrochemical potential thus generated is then utilized by FoFtATPase for the synthesis of ATP. The proton electrochemical potential is composed of two terms, the ApH and the membrane potential, A0. The experiments described here, in principle, allow estimation of the relative contribution of the two terms, if ApH can be measured in microsecond time range. In a photosynthetic system, Witt and coworkers have used electrochromic properties of membrane protein to monitor the generation of a membrane potential. Surprisingly, they have observed that although ATP synthesis paralleled the rise of membrane potential and reached a steady-state level in 500 ps, the appearance of a measurable pH change occurred much slower, in a 100-ms time range (66,67). We are continuing our investigation Of the voltage induction of ATP synthesis in microsecond time scale by using very short electric pulses. 3. Other R e c e n t D e v e l o p m e n t s A recent finding that has a t t r a c t e d much attention among cell biologists is that high electric pulses can induce fusions of clustered ceils. Neumann and coworkers have demonstrated that D i c t ] ] o s t e l i u m d i s c o i d e u m in certain developmental stages can be induced to fuse when exposed to electric pulses (#3). Other workers have shown that electric pulses can induce cell fusions in various cell types when these cells are in a close contact (6,61,65,69). 3T3 cells, for example, in a confluent monolayer culture, have been shown to fuse by exposing them to electric pulses (61). To bring contact of ceils, various tricks have been used. The most fascinating is the use of the dielectrophoresis technique ( l l , 6 g ) . Cells exposed to a nonuniform electric ELECTRIC FIELD ON CELLS 503 field in the r a n g e of 10-100 V/cm and in the megacycle range aggregate and orient themselves to form 'pearl-chain' (68). When an electric pulse is applied through the pearl-chain, these cells fuse to form an elongated cell rod (68). Giant ceils can also form with randomly clustered celIs. Although fused cells are viable in many cases (68,69), application of this technique for genetic engineering remains to be proven. It would seem that the technique which uses electric pulses to induce cell uptake of DNA, as we discussed earlier, is a simpler and a more viable way of introducing genetic materials into a cell (t~4,~5). On the other hand, the cell fusion method should be especially suitable for producing hybridoma cells in immunochemistry research (69). A low electric field in the range of millivolts per centimeter has been found to stimulate tissue or bone regeneration (6,70,71). Many patients have benefited directly from this discovery. Electric fields in t h e s a m e m i l l i v o l t s - p e r - c e n t i m e t e r range are also found to align tubulin polymerization (72). Since the field strength is too weak to induce dipole orientation , the e f f e c t must be a highly cooperative phenomenon. 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