We studied the receptor-effector coupling mechanism responsible for al
pha(1)-adrenergic receptor-induced increases in abnormal automaticity
(AA) occurring at low membrane potentials in ''ischemic'' Purkinje fib
ers, superfused with Tyrode's solution containing [K+](o) 10 mmol/L, p
H 6.8, PO2 <25 mm Hg. To exclude beta-adrenergic actions, propranolol
was added to all solutions. We derived membrane slope resistance (R(s1
)) from the current-voltage relation obtained with two microelectrodes
for intracellular current injection and transmembrane voltage recordi
ng. We also measured the membrane time constant, T-m, to assess change
s in membrane resistance (R(m)). Phenylephrine effects on R(s1) in sim
ulated ischemia were studied in the absence or presence of the alpha(1
)-subtype blockers WB 4101 (WB) or chloroethylclonidine (CEC), both 0.
1 mu mol/L, and in Purkinje fibers from dogs injected with pertussis t
oxin (PTX) (30 mu g/kg IV, 60 to 72 hours before study). There were no
significant differences in mean values of R(s1) before phenylephrine
superfusion among all groups of Purkinje fibers. T-m increased by 23%
during phenylephrine 0.1 mu mol/L superfusion, and R(s1) increased by
11%. These two results suggest a 23% increase in R(m) with no concorda
nt change in longitudinal resistance. In the presence of CEC, phenylep
hrine increased R(s1) by 12%. In contrast, WB blocked phenylephrine ef
fects on R(s1) (0.3%). In PTX-treated Purkinje fibers, the levels of P
TX-sensitive G protein as well as phenylephrine effects on R(s1) (3%)
were significantly reduced. In the absence of WB and of CEC, the pheny
lephrine effects both on R(s1) and on the incidence of AA were directl
y related to the level of PTX-sensitive substrate. BaCl2 10 mu mol/L i
ncreased R(s1) by 22% and augmented phenylephrine effects on AA. Hence
, an alpha(1)-receptor subtype that is blocked specifically by WB and
inhibits K conductance via a PTX-sensitive G protein underlies the alp
ha(1)-adrenergic stimulation of AA during ischemia.