Although the skeletal muscle sodium channel is a good substrate for cAMP-de
pendent protein kinase (PKA), no functional consequence was observed for th
is channel expressed in heterologous systems. Therefore, we investigated th
e effect of 8-(4-chlorophenylthio)adenosine 3',5'-cyclic monophosphate (CPT
-cAMP), a membrane-permeable cAMP analog, on the native sodium channels of
freshly dissociated rat skeletal muscle fibers by means of the cell-attache
d patch-clamp technique. Externally applied CPT-cAMP (0.5 mM) reduced peak
ensemble average currents by similar to 75% with no change in kinetics. Sin
gle-channel conductance and normalized activation curves were unchanged by
CPT-cAMP. In contrast, steady-state inactivation curves showed a reduction
of the maximal available current and a negative shift of the half-inactivat
ion potential. Similar effects were observed with dibutyryl adenosine 3',5'
-cyclic monophosphate but not with cAMP, which does not easily permeate the
cell membrane. Incubation of fibers for 1 h with 10 mu M H-89, a PKA inhib
itor, did not prevent the effect of CPT-cAMP. Finally, the beta-adrenorecep
tor agonist isoproterenol mimicked CPT-cAMP when applied at 0.5 mM but had
no effect at 0.1 mM. These results indicate that cAMP inhibits native skele
tal muscle sodium channels by acting within the fiber, independently of PKA
activation.