Abstract
Aim:
TRPV4-C1 heteromeric channels contribute to store-operated Ca2+ entry in vascular endothelial cells. However, the negative regulation of these channels is not fully understood. This study was conducted to investigate the inhibitory effect of PKG1α on TRPV4-C1 heteromeric channels.
Methods:
Immuno-fluorescence resonance energy transfer (FRET) was used to explore the spatial proximity of PKG1α and TRPC1. Phosphorylation of endogenous TRPC1 was tested by phosphorylation assay. [Ca2+]i transients and cation current in MAECs were assessed with Fura-2 fluorescence and whole-cell recording, respectively. In addition, rat mesenteric arteries segments were prepared, and vascular relaxation was examined with wire myography.
Results:
In immuno-FRET experiments, after exposure of these cells to 8-Br-cGMP, more PKG1α was observed in the plasma membrane, and PKG1α and TRPC1 were observed to be in closer proximity. TAT-TRPC1S172 and TAT-TRPC1T313 peptide fragments, which contain the PKG targeted residues Ser172 and Thr313, respectively, were introduced into isolated endothelial cells to abrogate the translocation of PKG1α. Furthermore, a phosphorylation assay demonstrated that PKG directly phosphorylates TRPC1 at Ser172 and Thr313 in endothelial cells. In addition, PKG activator 8-Br-cGMP markedly reduced the magnitude of the 4αPDD-induced and 11,12-EET-induced [Ca2+]i transients, the cation current and vascular relaxation.
Conclusion:
This study uncovers a novel mechanism by which PKG negatively regulates endothelial heteromeric TRPV4-C1 channels through increasing the spatial proximity of TRPV4-C1 to PKG1α via translocation and through phosphorylating Ser172 and Thr313 of TRPC1.
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Introduction
Vascular endothelial cells provide a crucial interface between circulating blood and vascular tissue. They respond to numerous humoral and physical stimuli by secreting relaxing and contracting factors, which modulate the contractility of vascular smooth muscle cells1. In many cases, one of the early responses of endothelial cells to these diverse signals involves changes in the endothelial cytosolic Ca2+ concentration ([Ca2+]i). Endothelial Ca2+ homeostasis depends on both intracellular Ca2+-store release and Ca2+ influx across the plasma membrane. One of the major Ca2+ influx pathways is store-operated Ca2+ entry, which is triggered by the depletion of the intracellular Ca2+ store2.
Store-operated Ca2+ entry in vascular endothelial cells not only serves to refill the intracellular Ca2+ stores but also acts to stimulate the synthesis of nitric oxide (NO), a key vasodilatory factor3,4,5. Previously, we have examined the role of cGMP in regulating store-operated Ca2+ entry in aortic endothelial cells and demonstrated that cGMP, via a protein kinase G (PKG)-dependent mechanism, plays a key role in the regulation of store-operated Ca2+ entry6. However, the mechanism related to the inhibitory effects of PKG-sensitive store-operated Ca2+ channel remains unclear.
Recently, our group showed that TRPC1 can co-assemble with TRPV4 to form TRPV4-C1 heteromeric channels7. In vascular endothelial cells, heteromeric TRPV4-C1 channels contribute to store-operated Ca2+ entry and flow-induced Ca2+ influx6,7. In the present study, we studied the regulation of this channel by the NO/cGMP pathway and the underlying mechanism. By blocking the PKG-mediated phosphorylation of TRPC1 with TAT-S172/T313-fragment peptides, we demonstrated that the function of the TRPV4-C1 channel can be negatively modulated by PKG-mediated phosphorylation on Ser172 and Thr313 of TRPC1. Taken together, our findings indicate that the TRPV4-C1 heteromeric channel serves as a PKG-inhibitable Ca2+ entry channel through increasing the spatial proximity of TRPV4-C1 to PKG1α via translocation and through phosphorylating Ser172 and Thr313 of TRPC1 in endothelial cells.
Materials and methods
Animals
All of the animal experiments were conducted in conformity with the Guide for Animal Care and Use of Laboratory Animals published by the US National Institute of Health (NIH publication No 8523), and the procedures were approved by the Animal Experimentation Ethics Committee of the Chinese University of Hong Kong. Sprague-Dawley rats or mice were placed in a chamber and were killed by exposure to carbon dioxide.
Antibodies and chemicals
Endothelial cell growth medium (EGM), endothelial cell basal medium, and bovine brain extract (BBE) were from Lonza. Anti-TRPC1 antibody (ACC-010) was from Alomone Labs. Anti-TRPC1 (sc-133076) and anti-TRPV4 (sc-47527) antibodies were from Santa Cruz Biotechnology. Anti-PKG1α antibody (KAS-PK005) was from Stressgen. Anti-pSer/Thr antibody (ab17464) was from Abcam. Fura-2/AM, Fluo-4 AM and pluronic F127 were from Molecular Probes Inc. Fetal bovine serum (FBS), Dulbecco's modified Eagle's medium, and phosphate-buffered saline (PBS) were from Invitrogen. 4α-Phorbol 12,13-didecanoate (4α-PDD), KT5823 and Ruthenium red were from Calbiochem. 11,12-EET was from Cayman. Protein A agarose was from Roche. Nonidet P-40, trypsin, bovine serum albumin (BSA), collagenase, and poly-L-lysine were from Sigma.
Cell culture
Primary mesenteric artery endothelial cells (MAECs) were isolated from TRPC1 knock-out and wild-type (WT) 129/Sv mice from Prof Lutz BIRNBAUMER (NIH/NIEHS) (8–12 weeks of age). Briefly, the abdomen was opened, the small intestine was dissected out, and the mesenteric bed containing blood vessels along the small intestine was completely and carefully excised. The remaining arterial branches were digested with 0.02% collagenase in EBM for 45 min at 37 °C. After centrifugation at 3000 r/min for 5 min, the pelleted cells were resuspended in ECM medium supplemented with 5% FBS and 1% ECGS and were cultured in a flask at 37 °C with 5% CO2. Nonadherent cells were removed 2 h later. The adherent endothelial cells were cultured with ECM medium at 37 °C with 5% CO2 for 1–2 d. These cells were used for experiments without further cell passage. The identity of endothelial cells was verified by immunostaining with an antibody against von Willebrand Factor7,8.
[Ca2+]i measurement
[Ca2+]i in cultured cells was measured as described elsewhere7. Briefly, primary cultured MAECs were loaded with 10 μmol/L Fura-2/AM and 0.02% pluronic F-127 for 0.5 h in the dark at 37 °C in normal physiological saline solution (NPSS). In 4αPDD-stimulated Ca2+-influx experiments, the [Ca2+]i change in response to 4αPDD (5 μmol/L) was measured. NPSS contained the following: 140 mmol/L NaCl, 5 mmol/L KCl, 1 mmol/L CaCl2, 1 mmol/L MgCl2, 10 mmol/L glucose, and 5 mmol/L HEPES, pH 7.4. Fura-2 fluorescence was measured using dual excitation at 340 and 380 nm using an Olympus fluorescence imaging system. Changes in [Ca2+]i were calculated as the change in the Fura-2 ratio.
Endothelial [Ca2+]i was also measured in situ in freshly isolated mouse thoracic aortas. An arterial segment was cut open along its longitudinal axis and pinned onto a Sylgard-coated dish with the lumen side upward. Vessels were incubated with 10 μmol/L Fluo-4 AM at room temperature for 60 min, followed by the Ca2+ assay in modified Krebs solution containing the following: 119 mmol/L NaCl, 4.7 mmol/L KCl, 25 mmol/L NaHCO3, 2.5 mmol/L CaCl2, 1 mmol/L MgCl2, 1.2 mmol/L KH2PO4, and 11 mmol/L D-glucose. The experiments were performed at 37 °C unless otherwise indicated. Fluo-4 fluorescence was measured using an excitation at 488 nm with a LSM 5 Pascal confocal microscope (Zeiss). Changes in [Ca2+]i were calculated as the change in the Fluo-4 ratio.
Whole-cell patch clamp
Whole-cell current was measured with an EPC-9 patch-clamp amplifier as described elsewhere9. Cells were clamped at 0 mV. The whole-cell current density (pA/pF) was recorded in response to successive voltage pulses of +80 mV and −80 mV for 100-ms duration. The whole-cell current values were plotted versus time. The recordings were made before and after 4α-PDD (5 μmol/L) application. For the 4αPDD-operated current, the pipette solution contained the following: 20 mmol/L CsCl, 100 mmol/L Cs+-aspartate, 1 mmol/L MgCl2, 4 mmol/L ATP, 0.08 mmol/L CaCl2, 10 mmol/L BAPTA, and 10 mmol/L HEPES, pH 7.2. The bath solution contained the following: 150 mmol/L NaCl, 6 mmol/L CsCl, 1 mmol/L MgCl2, 1.5 mmol/L CaCl2, 10 mmol/L glucose, and 10 mmol/L HEPES, pH 7.4.
TAT-mediated peptide transduction
Small peptides that contain the PKG phosphorylation sites on TRPC1 (TAT-TRPC1S172, NKKDSLRHS; TAT-TRPC1T313, RRKPTCKKI) or the corresponding scrambled peptide (TAT-scrambled, NHRLDKSKS) were conjugated to an NH2-terminal 11-amino acid HIV Tat protein transduction domain (YGRKKRRQRRR) (Alpha Diagnostic International, USA; China-Peptides, PRC)7,10. In some experiments, after the transduction process, the arterial segments were washed and cut open, and the intimal surfaces of the segments were placed upside down between two coverslips on the microscope. Images were captured using excitation at 488 nm with a LSM 5 Pascal confocal microscope (Zeiss).
Arterial tension measurement
Two-millimeter segments of the third or fourth branches of the rat mesenteric arteries were mounted in a DMT myograph (model 610M; Danish Myo Technology, Aarhus, Denmark), and the changes in the isometric tension of arteries were measured. The rings were stretched to an optimal baseline force of 2 mN for 2-mm artery segments. The force and wall tension relationship is defined as follows: tension=force/2×segment length. The optimal force is equivalent to that generated at 0.9 times the diameter of the vessel at 100 mmHg. After equilibration, the segments were pre-treated with phenylephrine (3–10 μmol/L). When appropriate, arterial segments were pre-incubated with 8-Br-cGMP (2 mmol/L) at 37 °C for 40 min. In the experiments intended to reverse the action of 8-Br-cGMP, S172A/T313A (TAT-TRPC1S172A and TAT-TRPC1T313A) was added at least 20 min before the addition of 8-Br-cGMP. The bath solution is the modified Krebs solution.
TRPC1 phosphorylation assay
TRPC1 phosphorylation was measured as described elsewhere11,12. Briefly, primary cultured MAECs were treated with 8-Br-cGMP (2 mmol/L) for 30 min. If needed, KT5823 (2 μmol/L), a protein kinase G (PKG) inhibitor12, was included 20 min before the addition of 8-Br-cGMP (2 mmol/L). TAT-scrambled (600 nmol/L) or TAT-TRPC1 (600 nmol/L) was included 30 min before the addition of 8-Br-cGMP (2 mmol/L). Two milligrams of isolated proteins was incubated overnight with 7 μg of anti-TRPC1 (Alomone Labs) antibody and 100 μL of Protein A agarose. The phosphorylation levels were detected using an anti-pSer/Thr antibody (Abcam).
Immunofluorescence resonance energy transfer (FRET)
MAECs were treated with 8-Br-cGMP for 10 min. If needed, TAT-scrambled (control) or TAT-TRPC1S172 (S172A) or TAT-TRPC1T313 (T313A) or TAT-TRPC1S172+TAT-TRPC1T313 (S172/T313A) was incubated 30 min before the addition of 8-Br-cGMP (2 mmol/L), and then the MAECs were fixed. Paraformaldehyde-fixed MAECs were incubated with primary anti-TRPC1 and anti-PKG1 antibodies. Cells were then labeled with the secondary antibodies Cy2-conjugated for TRPC1 or TRPV4 and Cy3-conjugated for PKG1α. Following washing and mounting, fluorescence images were acquired using a Leica TCS SP5 laser-scanning confocal microscope. Cy2 and Cy3 were excited at 488 and 543 nm, respectively, with emissions at 505-530 and >560 nm, respectively. First, images of the donor and acceptor distributions were taken. The acceptor dyes were then bleached by repetitive scans with the 514-nm laser at maximal laser power. After photobleaching, a donor image was recorded again. The LSM data acquisition software (Leica TCS SP5 LAS AF Version 1.7.0) was used to define ROIs and calculate the mean cellular fluorescence intensities in each channel13,14.
Preparation of T1E3 and preimmune IgG
The T1E3 antibody was raised in rabbits using a strategy developed by Xu et al7. Briefly, a peptide corresponding to the E3 region near the ion permeation pore, between the transmembrane regions S5 and S6, of TRPC1 (CVGIFCEQQSNDTFHSFIGT) was synthesized and conjugated to keyhole limpet hemocyanin (KLH) at Alpha Diagnostic International (USA). The coupled T1E3 peptide was injected into the back of a rabbit (d 0), and this was followed by two booster doses, at d 21 and 42. Antiserum was collected four weeks after the second boost. Immunoglobulin G was purified from the T1E3 antiserum using a HiTrap Protein G column (GE Healthcare). As a control, pre-immune serum was purified with a HiTrap Protein G column to obtain immunoglobulin G, which was then used in the experiments.
Statistics
Data are expressed as the mean±SEM. Statistical analysis was performed using repeated measures one-way or two-way ANOVA followed by Newman–Keuls or Bonferroni's test for multiple-group comparisons, respectively, using GraphPad Prism software. Differences were considered statistically significant when P<0.05.
Results
PKG phosphorylation of TRPC1 due to translocation-induced spatial proximity
First, we examined the subcellular localization of PKG1α and TRPC1 with or without 8-Br-cGMP treatment. In double-labeled immunofluorescence experiments, primary MAECs isolated from TRPC1 WT mice were stained for TRPC1 and PKG1α. TRPC1 was mainly distributed on the plasma membrane, while PKG1α was abundant intracellularly. An increase in the proportion of PKG1α in the plasma membrane was observed after exposure to 8-Br-cGMP, indicating translocation to the plasma membrane (Figure 1A). To further explore the spatial proximity of PKG1α and TRPC1, we used FRET in primary MAECs. As shown in Figure 1A, an immuno-FRET signal between PKG1α and TRPC1 was detected in MAECs. 8-Br-cGMP exposure markedly increased this signal. PKG phosphorylates specific residues on TRPC3 and TRPC6 and thereby modulates channel function15,16. These phosphorylation sites are conserved at Ser172 and Thr313 in TRPC17. To directly investigate the molecular mechanism of the negative regulation of the TRPC1 channel by PKG in primary MAECs, two fusion peptides were synthesized by fusing TRPC1 peptide fragments that contain these two sites with the membrane translocation signals from the HIV-1 tat protein, resulting in S172A (TAT-TRPC1S172) and T313A (TAT-TRPC1T313); TAT-scrambled was used as a control17. This allowed efficient and abundant intracellular delivery of the exogenous PKG substrates S172A/T313A (TAT-TRPC1S172 and TAT-TRPC1T313) and blocked the PKG-mediated phosphorylation of endogenous TRPC1 channels. Application of S172A (TAT-TRPC1S172) or T313A (TAT-TRPC1T313) alone, or S172A/T313A (TAT-TRPC1S172 plus TAT-TRPC1T313), abolished the enhancing effect of 8-Br-cGMP. No immuno-FRET signal between PKG1α and TRPV4 was detectable in primary MAECs isolated from TRPC1 KO mice (Figure 1B). We next assessed the direct PKG-mediated phosphorylation of TRPC1 in primary cultured MAECs. The activation of PKG by 8-Br-cGMP enhanced TRPC1 phosphorylation, and KT5823 inhibited TRPC1 phosphorylation in MAECs (Figure 2A). In addition, S172A/T313A (TAT-TRPC1S172 plus TAT-TRPC1T313) suppressed the PKG-mediated phosphorylation of TRPC1 proteins in MAECs (Figure 2B). As controls, KT5823 and control (TAT-scrambled) alone had no effect on the PKG-mediated phosphorylation of TRPC1 proteins in MAECs (Figure 2). These data suggest that 8-Br-cGMP induces the translocation of PKG1α, bringing it close to TRPC1, and that this translocation is dependent on the Ser172 and Thr313 phosphorylation sites of TRPC1.
Inhibitory effect of the PKG activator 8-Br-cGMP on 4αPDD-stimulated [Ca2+]i transient and cation current
4αPDD is a synthetic phorbol ester that activates TRPV4-C1 heteromeric channels18,19. We used 4αPDD to stimulate Ca2+ influx into primary MAECs (Figure 3). Pretreatment with the PKG activator 8-Br-cGMP (2 mmol/L) for 10 min markedly reduced the magnitude of the 4αPDD-induced [Ca2+]i transient (Figure 3A–3C) and cation current (Figure 3E–3F). The 4αPDD-induced [Ca2+]i transient was inhibited by Ruthenium red (RuR) (a blocker of TRPV4-C1 channels), as shown in Figure 3B and 3C7. The 4αPDD-induced cation current was inhibited by T1E3 (a TRPC1-specific blocking antibody, diluted by 1:100) (Figure 3G)7. On the other hand, KT5823 (2 μmol/L) and DT3 (1 μmol/L), which are potent and highly-specific PKG inhibitors, abolished the inhibitory action of 8-Br-cGMP (Figure 3C and 3F). 11,12-EET (3 μmol/L) is a major type of physiological epoxyeicosatrienoic acid (EET) that activates TRPV4-C1 heteromeric channels20,21,22. 8-Br-cGMP also inhibited 11,12-EET-induced [Ca2+]i transients, and the inhibitory effects of 8-Br-cGMP on the action of 11,12-EET were reversed by KT5823 (Figure 3D). Endothelial [Ca2+]i was also measured in situ in freshly isolated mouse thoracic aortas. The inhibitory effects of 8-Br-cGMP on the action of 4αPDD or 11,12-EET were also reversed by KT5823 (2 μmol/L) or DT3 (1 μmol/L) (Figure 3H–3K). These data demonstrate that the activation of PKG is necessary to inhibit the 4αPDD- or 11,12-EET-induced [Ca2+]i transients and cation current in endothelial cells.
TRPC1 phosphorylation sites Ser172 and Thr313 are required for the inhibitory effect of 8-Br-cGMP on the 4αPDD-stimulated cation current
We showed that the treatment of MAECs with both fusion peptides, S172A/T313A, abolished the inhibitory effect of 8-Br-cGMP on the 4αPDD-induced [Ca2+]i transients (Figure 4A, 4B) and cation current (Figure 4C, 4D) in primary MAECs. In addition, S172A/T313A also reversed the inhibitory effect of 8-Br-cGMP on the 4αPDD-induced [Ca2+]i transients in situ (Figure 4E, 4F). These data strongly suggest that cGMP/PKG phosphorylates TRPC1, thereby suppressing the 4αPDD-stimulated endothelial Ca2+ influx.
8-Br-cGMP inhibits vasodilation by phosphorylating Ser172 and Thr313 of TRPC1 in intact arterial segments
In a wire myography study, the segments were pre-treated with phenylephrine (Phe) (3–10 μmol/L). 4αPDD induced vascular relaxation in a concentration-dependent manner in small rat mesenteric artery segments (Figure 5A). However, 4αPDD failed to induce relaxation in arteries that were endothelium denuded, indicating that 4αPDD-induced relaxation is endothelium dependent (Figure 5B). In artery segments with intact endothelium, 8-Br-cGMP (2 mmol/L) markedly reduced 4αPDD-induced relaxation. The application of TAT-TRPC1S172, TAT-TRPC1T313, or TAT-TRPC1S172 plus TAT-TRPC1T313 abolished the inhibitory effect of 8-BrcGMP (Figure 5B). Together, these data also suggest that PKG phosphorylates TRPC1 and thereby inhibits 4αPDD-induced vascular relaxation.
Discussion
In the present study, we found that the cGMP/PKG pathway inhibits endothelial cell Ca2+ entry and vasodilation induced by 4αPDD through the PKG-targeted residues Ser172 and Thr313 of TRPC1 in TRPV4-C1 channels. PKG-mediated phosphorylation of TRPC1 was found in native endothelial cells. More interestingly, we demonstrated that the PKG-mediated phosphorylation of TRPV4-C1 channels was due to translocation-induced spatial proximity between PKG1α and TRPC1.
Endothelial cell Ca2+ entry is known to stimulate the production of NO, which subsequently activates guanylate cyclase, leading to the elevation of cellular cGMP5. The elevated cGMP may, in turn, inhibit Ca2+ entry via a PKG-dependent pathway, thereby providing a negative feedback mechanism through which Ca2+-influx is finely regulated. However, the molecular identity of such PKG-inhibitable Ca2+-entry channels is unknown. In the present study, we demonstrated that, in primary endothelial cells, 8-Br-cGMP increased the plasma membrane distribution of PKG1α and enhanced the FRET efficiency of TRPC1 and PKG1α. The action of 8-Br-cGMP on the spatial proximity of PKG1α and TRPC1 was abrogated by blocking TRPC1-PKG phosphorylation sites with an excessive supply of the exogenous PKG substrates TAT-TRPC1S172 and TAT-TRPC1T313. Furthermore, phosphorylation assays demonstrated that PKG phosphorylated TRPC1 at Ser172 and Thr313 in native endothelial cells. Our data support the speculation that the phosphorylation of TRPC1 recruits PKG to the plasma membrane. However, the mechanism by which PKG translocation regulates other downstream targets requires further study. The TRPV4-C1 heteromeric channel is important for Ca2+ influx and flow-induced vasodilation6,7,8. We next determined the action of the cGMP/PKG pathway on the function of the TRPV4-C1 heteromeric channel. 8-Br-cGMP prevented 4αPDD-induced endothelial cell Ca2+ influx and cation current. This inhibition was reversed by KT5823, thereby suggesting the involvement of PKG. Furthermore, another publication by our group has demonstrated that EET targets the TRPV4-C1 heteromeric channel22. In this study, we found that 8-Br-cGMP inhibits 11,12-EET-induced Ca2+ influx through PKG, an effect that is consistent with that on 4αPDD. The inhibitory action of 8-Br-cGMP on 4αPDD-induced Ca2+ influx and vascular relaxation were abrogated by shielding TRPC1-PKG phosphorylation sites with an excessive supply of the exogenous PKG substrates TAT-TRPC1S172 and TAT-TRPC1T313. As a result, we established that the cGMP/PKG pathway enables the phosphorylation of TRPC1 in TRPV4-C1 channels, thereby causing the inhibition of 4αPDD-induced Ca2+ influx and vascular relaxation. It has already been well established that the TRPV4-C1 heteromeric channel in endothelial cells prolongs Ca2+ influx, thus producing more NO, cGMP and active PKG. Our study provides novel evidence that cGMP/PKG can act on TRPC1 in the TRPV4-C1 channel and thereby counter the function of the TRPV4-C1 channel, perhaps further inhibiting the cGMP/PKG pathway. The presence of two separate control mechanisms, one that positively stimulates Ca2+ entry via Ca2+ influx channels and another that negatively attenuates Ca2+ entry through PKG, allows intracellular Ca2+ concentrations to be finely regulated.
Conclusion
In the present study, we demonstrated that the plasma membrane distribution of PKG1α is dependent on Ser172 and Thr313 of TRPC1. Closer spatial proximity between PKG1α and TRPC1 is also dependent on Ser172 and Thr313 of TRPC1, and PKG inhibits endothelial Ca2+-entry and vasodilation by phosphorylating Ser172 and Thr313 of TRPC1, indicating an important role for TRPC1 in the regulation of vascular tone and blood pressure.
Author contribution
Xin MA, Xiao-qiang YAO, and Jian JIN conceived the project and designed the experiments; Peng ZHANG, Ai-qin MAO, and Chun-yuan SUN performed the experiments with help from Xiao-dong ZHANG, Qiong-xi PAN, Dan-tong YANG, Chun-lei TANG, Zhen-yu YANG, and Xiao-jie LU; Peng ZHANG, Ai-qin MAO, and Chun-yuan SUN analyzed the data; Xin MA and Peng ZHANG wrote the manuscript.
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Acknowledgements
We thank Prof IC BRUCE for critical reading of the manuscript. This work was supported by National Natural Science Foundation of China (91439131 and 81572940 to Xin MA), (21305051 to Chun-lei TANG); the National High-Technology Research and Development Program (863 Program) of China (2015AA020948 to Xin MA); the Natural Science Foundation for Distinguished Young Scholars of Jiangsu Province BK20140004 (to Xin MA); the Program for New Century Excellent Talents in University of Ministry of Education of China NCET-12-0880 (to Xin MA).
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Zhang, P., Mao, Aq., Sun, Cy. et al. Translocation of PKG1α acts on TRPV4-C1 heteromeric channels to inhibit endothelial Ca2+ entry. Acta Pharmacol Sin 37, 1199–1207 (2016). https://doi.org/10.1038/aps.2016.43
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DOI: https://doi.org/10.1038/aps.2016.43
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