The KCNQ family of channel proteins (also known as Kv7) form K⁺-selective, voltage-gated channels (Hille, 2001) that are slowly activating delayed rectifier K⁺ (I_Ks) channels. Four members of the KCNQ family are neuronal (KCNQ2-5), and one (KCNQ1) is expressed in cardiac tissue. KCNQ1 as well as the hERG K⁺ (I_Kr) channel is responsible for repolarization in the heart, and both are involved in cardiac diseases such as arrhythmia (Sanguinetti et al., 1996). Channels formed from KCNQ proteins consist of homomeric tetramers or heteromeric tetramers containing KCNQ as the α-subunit, and each KCNQ subunit is composed of six α-helical transmembrane segments (S1-S6). KCNQ channel proteins also co-assemble with KCNE1-4 subunits (McCrossan and Abbott, 2004). It has been shown that cells expressing KCNQ1 in the absence of KCNE1 exhibit outward K⁺ currents with unique activation kinetics (Salata et al., 1998). In addition, the C terminus of KCNQ1 contains binding sites for the intracellular Ca²⁺/calmodulin (CaM) complex, which regulates KCNQ1 channel activity (Ghosh et al., 2006; Tohse, 1990). It has been reported that LQT syndrome in humans is caused by defective interaction of the Ca²⁺/CaM complex with the KCNQ1 C terminus (Ghosh et al., 2006; Shamgar et al., 2006). Thus, the Ca²⁺/CaM interaction sites in KCNQ1 are important for normal cardiac activity.

Panax ginseng root has been commonly used for centuries as a tonic that has pharmacological effects on multiple organs (Attele et al., 1999). For example, ginseng extract has been shown to protect against cardiac ischemia-reperfusion injury (Furukawa et al., 2006) and to shorten action potential duration by enhancing the I_Ks current (Bai et al., 2003). Bai et al. (2003) also showed that ginsenoside Re, a ginseng saponin, might protect against cardiac ischemia-reperfusion injury; however, the molecular mechanisms for this activity at the level of the cell membrane were not well explained. Recent reports have shown that ginseng also contains a ligand for the G protein-coupled lysophosphatidic acid (LPA) receptor called gintonin (Hwang et al., 2012; Pyo et al., 2011). Gintonin exerts its effects through induction of [Ca²⁺]_i transients, resulting in the regulation of Kv1.2 channel activity (Lee et al., 2013). In the present study, we used the Xenopus oocyte gene expression system to investigate the molecular mechanisms underlying how gintonin-mediated [Ca²⁺]_i transients are coupled to the regulation of I_Ks channel activity. Next, we also examined gintonin effect on I_Ks in guinea pig cardiac myocytes to know whether gintonin could directly regulate the intrinsic I_Ks in mammalian cardiac myocytes. The results show that gintonin enhances I_Ks channel currents through the interaction of the Ca²⁺/CaM complex with KCNQ1 IQ motifs and that gintonin also increases I_Ks currents in guinea pig cardiac myocytes. We further discuss the pharmacological roles and applications of gintonin in the regulation of KCNQ1 channel activity in the heart.

Materials

Gintonin was prepared from Panaxginseng according to the method described in Pyo et al. (2011). Prior to use, gintonin was dissolved in dimethyl sulfoxide (DMSO), the final concentration of which was less than 0.01%. This stock was then added to the bath medium buffer. The cDNAs for the human KCNQ1 and KCNE1 channels (GenBank ID: NM_000218) were kindly provided by Dr. Pongs (University of Hamburg, Germany). All other agents were purchased from Sigma-Aldrich (USA).

Preparation of Xenopus oocytes and microinjection

Xenopuslaevis frogs were purchased from Xenopus I (USA). Their care and handling were in accordance with the highest standards of the institutional guidelines of Konkuk University. For isolation of oocytes, frogs were anesthetized with an aerated solution of 3-amino benzoic acid ethyl ester, after which the ovarian follicles were removed. The oocytes were treated with collagenase and then agitated for 2 h in Ca²⁺-free medium containing 82.5 mM NaCl, 2 mM KCl, 1 mM MgCl₂, 5 mM HEPES, 2.5 mM sodium pyruvate, 100 units/ml penicillin, and 100 μg/ml streptomycin. Stage V?VI oocytes were collected and stored in ND96 medium (96 mM NaCl, 2 mM KCl, 1 mM MgCl₂, 1.8 mM CaCl₂, and 5 mM HEPES, pH 7.5) supplemented with 50 μg/mlgentamicin. The oocyte-containing solution was maintained at 18°C with continuous gentle shaking and renewed every day. Electrophysiological experiments were performed within 5?6 days of oocyte isolation, with gintonin applied to the bath. For K⁺ channel experiments, cRNAs encoding KCNQ1 + KCNE1 (40 nl) were injected into the animal or vegetal pole of each oocyte one day after isolation, using a 10 μl microdispenser (VWR Scientific, USA) fitted with a tapered glass pipette tip (15?20 μm in diameter) (Lee et al., 2005).

Site-directed mutagenesis of human KCNQ1

Single amino acid substitutions were made using the QuikChange™ XL Site-Directed Mutagenesis Kit (Stratagene, USA), along with Pfu DNA polymerase and sense and antisense primers encoding the desired mutations. Overlap extension of the target domain by sequential polymerase chain reaction (PCR) was carried out according to the manufacturer’s protocol. The final PCR products were transformed into E. coli DH5α, screened by PCR, and confirmed by sequencing of the target regions. The mutant DNA constructs were linearized at their 3′ ends by digestionwithXhoI, and run-off transcripts were prepared using the methylated cap analog m⁷G(5′)ppp(5′)G. The cRNAs were prepared using the mMessagemMachinein vitro transcription kit (Ambion, USA) with T7 RNA polymerase. The absence of degraded RNA was confirmed by denaturing agarose gel electrophoresis followed by ethidium bromide staining. Similarly, recombinant plasmids containing human KCNQ cDNA inserts were linearized by digestion with the appropriate restriction enzymes, and cRNAs were obtained using the mMessagemMachine transcription kit with SP6 RNA polymerase or T7 polymerase. The final cRNA products were resuspended at a concentration of 1 μg/μl in RNase-free water and stored at ?80°C (Lee et al., 2008).

Guinea pig ventricular myocyteisolation

Ventricular cells were isolated from hearts of guinea pigs (body weights of 250?300 g) using the enzymatic dissociation technique (Fujisawa et al., 2000). All experimental procedures were conducted in accordance with the guidelines of the Sungkyunkwan University School of Medicine Institutional Animal Care and Use Committee (Approval No. IACUC-11-39). Briefly, guinea pigs were injected with heparin (1.0 units/kg) and euthanized by stunning-induced coma with loss of all reflex-responses, followed by cardiac excision. The heart was cannulated by a 18-gauge needle and then retrogradely perfused via the aorta on a Langendorff apparatus. During coronary perfusion all perfusates were maintained at 37°C and equilibrated with 100% O₂. Initially the heart was perfused with normal Tyrode solution for 2?3 min to clear the blood. The heart was then perfused with Ca²⁺-free solution for 2 min. Finally the heart was perfused with enzyme solution for 14?16 min. Enzyme solution contains 1 mg/ml collagenase (Worthington Type 2) and 0.1mg/ml protease (Sigma) in Ca²⁺-free solution. After perfusion with enzyme solution, the ventricles were separated with the atria and chopped into small pieces. Single cells were dissociated in high K⁺, low Cl^? solution from these small pieces using blunt-tip glass pipette and stored in the same solution at 4°C until use.

Voltage-clamp recording

Membrane currents were recorded from single isolated myocytes in a perforated patch configuration by using nystatin (200 μg/ml; ICN) at 35 ± 1°C. Voltage clamp was performed by using an EPS-8 amplifier (HEKA Instruments) and filtered at 5 kHz. The patch pipettes (World Precision Instruments) were made by a Narishige puller (PP-830; Narishige, Japan). The patch pipettes used had a resistance of 2?3 mega ohms when filled with the below pipette solutions. The bath solution (or normal Tyrode solution) contained (mM): NaCl 140, KCl 5.4, MgCl₂ 0.5, CaCl₂ 1.8, glucose 10, HEPES 5, titrated to pH 7.4 with NaOH. Ca²⁺ free solution contained (mM): NaCl 140, KCl 5.4, MgCl₂ 0.5, glucose 10, HEPES 5, titrated to pH 7.4 with NaOH. The high-K⁺ and low-Cl^? solution contained (mM): KOH 70, KCl 40, L-glutamic acid 50, taurine 20, KH₂PO₄ 20, MgCl2 3, glucose 10, HEPES 10, EGTA 0.5. The pipette solution for perforated patches contained (mM): KCl 140, HEPES 10, MgCl₂ 1, EGTA 5, titrated to pH 7.2 with KOH.

Two-electrode voltage clamp recording

A custom-made Plexiglas net chamber was used for two-electrode voltage-clamp recordings as previously reported (Lee et al., 2005). The oocytes were impaled with two microelectrodes filled with 3 M KCl (0.2?0.7 MΩ), and electrophysiological experiments were carried out at room temperature using an Oocyte Clamp (OC-725C, Warner Instruments, USA). Stimulation and data acquisition were controlled with a pClamp 8 (Axon Instruments, USA). For most electrophysiological experiments, oocytes were perfused initially with a Cl^?- and Ca²⁺-free solution (96 mM NaOH, 2 mM KOH, 8 mM Mg-gluconate, 5 mM HEPES, and 5 mM EGTA, pH 7.4 with methanesulfonic acid) in the presence of a Cl^? channel blocker (500 μM anthracene-9-carboxylicacid) to inhibit endogenous Cl^? channels (Choi et al., 2011). The oocytes were then clamped at a holding potential of ?80 mV, the membrane potential was depolarized to +30 mV for 2.5 s at 10-s intervals, and currents were recorded.

Data analysis

To obtain the concentration-response curves showing the effect of gintonin on I_Ks currents, the peak amplitudes at different concentrations of gintonin were plotted, and Origin software (Origin, USA) was used to fit the plot to the Hill equation y / y_max = [A]^nH / ([A]^nH + [IC₅₀]^nH), where y is the peak current at a given concentration of gintonin, y_max is the maximal peak current, EC₅₀ is the concentration of gintonin producing a half-maximal effect, [A] is the concentration of gintonin, and nH is the Hill coefficient. All values are presented as mean ± S.E.M. The significance of differences between mean control and treatment values was determined using Student’s t-test. P < 0.05 was considered statistically significant.

Gintonin increases I_Ks channel currents in a concentration-and voltage-dependent manner and shifted the steady-state activation curves leftward

We examined the effect of gintonin on the activities of I_Ks channels expressed in Xenopus oocytes. The channel currents were elicited by a 2.5-s depolarization to a test potential of +30 mV at10-s intervals from a holding potential of ?80 mV. Gintonin activates I_Ks channels in a concentration-dependent and reversible manner. The maximum mean activation values for I_Ks are 10.89% ± 8.71%, 32.76% ± 9.64%, 78.78% ± 26.26%, 104.3% ± 22.49%, and 112.12% ± 24.1% at 0.01, 0.03, 0.1, 0.3, and 1 μg/ml, respectively (Fig. 2A). The EC₅₀ for gintonin on the I_Ks channel is 0.05 ± 0.01 μg/ml (Fig. 2A). The current-voltage relationship curves (10 mV increments from ?60 mV to +30 mV) show that the enhancement of I_Ks channels by gintonin is voltage-dependent (Fig. 2B). To study steady-state activation of these channels, cells were held at ?80 mV and then pulsed with voltages ranging from ?70 mV to +30 mV. The voltage-activation relationships for the I_Ks channels were determined from tail current analysis. Tail currents were normalized to the maximal currents and fitted with a Boltzmann equation. A representative trace is shown in Fig. 2C. The steady-state activation V_1/2 for I_Ks is 0.64 ± 0.78 mV in the control, and k for this relationship is 10.03 ± 0.70 mV (Fig. 2C). The higher the gintonin concentration used, the more the activation curves of the I_Ks channel shift leftward (control: V_1/2 = 0.64 ± 0.78 mV, n = 6; 0.03 μg/mlgintonin: ?2.61 ± 0.82 mV, n = 7; 0.1 μg/mlgintonin: ?16.90 ± 2.08 mV, n = 6; 0.3 μg/ml gintonin: ?19.96 ± 1.47 mV, n = 10).

Ki16425 attenuates gintonin-mediated activation of the I_Ks channels

Because Xenopusoocytes express endogenous LPA receptors (Kimura et al., 2001), oocytes expressing I_Ks channels were first pretreated with the LPA1/3 antagonist Ki16425 (1 μM, 30 min) and then challenged with gintonin (0.1 or 1 μg/ml). As shown in Fig. 2D, 0.1 μg/mlgintonin activates I_Ks channels by 55.5%; however, Ki16425 abolishes gintonin-mediated activation of I_Ks channels (n = 6, P < 0.001). Thus, gintonin activates these potassium channels via endogenous LPA receptors (Fig. 2D).

Activation of the G protein-coupled LPA receptor by gintonin up-regulates I_Ks channel currents by activating the PLC-IP₃-[Ca²⁺]_i pathway

Next, we pretreated cells with U73122, an active inhibitor of phospholipase C. As a result of this treatment, gintonin-mediated activation of I_Ks channels is completely eliminated. In contrast, when we pretreated cells with U73343, an inactive analog, gintonin-mediated activation is not significantly affected (Figs. 3A and 3B). These data indicate that the Gα_q/11-PLC pathway is involved in gintonin-mediated activation of I_Ks channels.

To investigate the role of IP₃ receptors on gintonin action, the effect of the IP₃ receptor inhibitor 2-APB on gintonin-mediated activation of I_Ks channels was examined (Fig. 3C). We found that gintonin-mediated activation of I_Ks channels is blocked completely by 2-APB. These data also demonstrate that gintonin-mediated activation of I_Ks channels requires signaling through the IP₃ receptor. To determine whether [Ca²⁺]_i transients from intracellular Ca²⁺ stores play a role in gintonin-mediated activation of I_Ks channels, we used the calcium chelator BAPTA. As shown in Fig. 3D, we treated oocytes with 10 μM BAPTA-AM, a membrane permeable Ca²⁺chelator, to chelate free cytosolic Ca²⁺ and almost abolishes gintonin action on I_Ks channels. These results indicate that gintonin-mediated [Ca²⁺]_i transients are required for activation of I_Ks channels.

Involvement of Ca²⁺/CaM in gintonin-mediated activation of I_Ks channels

KCNQ1 has two CaM-binding IQ motifs (Fig. 1; Yus-Najera et al., 2002). CaM regulates the activity of I_Ks channels through interactions with two CaM-binding IQ motifs (Ghosh et al., 2006; Shamgar et al., 2006). To examine the role of CaM in gintoninmediated activation of I_Ks channels, we first treated cells with calmidazolium, a CaM inhibitor. As shown in Fig. 4A, gintonin has almost no effect on either channel current in the presence of calmidazolium. Next, we constructed channels using KCNQ1 subunits that had been mutated in the C-terminalCaM-binding IQ motifs: S373P or W392R in the IQ₁ region and R539W in the IQ₂ region. Mutations of CaM-binding IQ motifs reduced the amplitude of both the I_Ks channel currents. Gintonin-mediated activation of the I_Ks channels is also attenuated (Fig. 4B, insets). The EC₅₀ values for the wild-type, S373P, W392R, and R539W I_Ks channels are 0.06 ± 0.01, 3.66 ± 0.41, 4.36 ± 0.67, and 2.30 ± 0.05 μg/ml, respectively (Fig. 4B). Mutations in the KCNQ1 C terminus cause a rightward shift in the concentration-response curves, indicating that gintonin-mediated activation of I_Ks channels is achieved through Ca²⁺/CaM binding to the IQ motifs in KCNQ1. Interestingly, gintonin has no effect on hERG K⁺ (I_Kr) channel activity in I_hERG and I_tail, although gintonin slightly inhibits I_{deactivating-tail} compared to the control (Fig. 5). Thus, gintonin selectively regulates I_Ks but not I_Kr channels.

I_Ks of guinea-pig ventricular myocytes is modulated by gintonin

Finally, we investigated whether gintonin could modulate I_Ks in guinea-pig ventricular myocytes. Myocytes were depolarized from ?50 to +50 mV for 500 ms at 0.05 Hz. Under these experimental conditions, the time-dependent outward current developed during depolarization and the outward tail current that deactivated during repolarization was almost exclusively composed of I_Ks (Missan et al., 2006). We confirmed that the amplitude of the tail current was unaffected by acute application of the rapidly activating K⁺ channel blocker E4031 (50 μM, data not shown). As indicated by the representative data in the time plot of Fig. 6A, the tail I_Ks current was significantly increased by gintonin (3 μg/ml). In the present study, The average of gintonin-mediated amplitude increase of the tail current was 55.34 ± 3.21% (n = 10). We applied a family of voltage steps from a holding potential of ?50 mV, and measured the amplitude of the tail current at ?30 mV following each test current. As indicated by the current records obtained during the example gintoinin experiment and mean I?V relationships, gintonin increased I_Ks without altering I?V relationships (Fig. 6B).

To confirm that the LPA receptor was involved in gintonin effecton I_Ks in guinea-pig ventricular myocytes, we repeated similar experiments in the presence of LPA1/3 antagonist Ki16425 (10 μM). As shown in Fig. 7A, Ki16425 almost completely blocked gintonin-mediated modulation of I_Ks in guinea-pig ventricular myocytes. Summarized data in Fig. 7B showed that in the presence of Ki16425, the I_Ks was not enhanced but rather reduced (25.13 ± 13.64%, n = 3) by subsequent bath application of gintonin. Taken together, these data suggest that gintonin modulates I_Ks in native cardiac myocytes possibly via endogenous LPA receptors.

DISCUSSION

KCNQ1 (I_Ks) and hERG K⁺(I_Kr) channels are the main K⁺ channels in cardiac myocytes and both contribute to heart repolarization after cardiac action potential and shorten the action potential duration (Robbins, 2001). Although both channels are closely associated with cardiac activities, regulation of the two channels differs. For example, the C terminus of KCNQ1 contains Ca²⁺/CaMcomplex interaction sites whereas the hERG K⁺ (I_Kr) channel subunit does not (Ghosh et al., 2006; Tohse, 1990); it has been shown that mutations that disrupt the KCNQ1-Ca²⁺/CaMcomplex interactions cause LQT syndrome (Ghosh et al., 2006; Shamgar et al., 2006). It has been reported that ginseng root has a beneficial effect on a variety of cardiovascular diseases, including hypertension (Attele et al., 1999). In previous reports, we have shown that gintonin but not ginsenosides, another class of active ingredient in ginseng, elicits [Ca²⁺]_i transients via G protein-coupled LPA receptors (Hwang et al., 2012) and that gintonin regulates Ca²⁺-dependent K⁺ (BK_Ca) and Kv1.2 channels (Choi et al., 2013; Lee et al., 2013). However, thus far, little was known about the molecular mechanisms through which gintonin regulates I_Ks activity.

In this study, we have demonstrated that gintonin activates I_Ks channels through the LPA receptor-Gα_q/11-PLC-IP₃-Ca²⁺/CaM signal pathwayusing human I_Ks channels in Xenopus oocytes. We also demonstrated a similar gintonin/LPA receptor-dependent regulation of I_Ks in guinea-pig ventricular myocytes (Figs. 6 and 7). Gintonin-mediated activation of I_Ks channels is concentration- and voltage-dependent. In addition, gintonin treatment causes the steady-state activation curves for these channels to shift leftward in a dose-dependent manner. Interestingly, the EC₅₀ for the effect of gintonin on I_Ks activation was about nine times less than for KCNQ1-only channels (data not shown). Thus, the KCNE1 subunit might be necessary for full activation of I_Ks induced by Ca²⁺/CaM complex after gintonin treatment. We also examined the effect of gintonin on hERG (I_Kr) channel activity. However, gintonin only has a slight inhibitory effect on I_{deactivating-tail} (Fig. 5). Consequently, our study shows a possibility that gintonin-mediated [Ca²⁺]_i transients via LPA receptor activation might govern I_Ks rather than I_Krin the regulation of K⁺ channels in cardiac myocyte repolarization.

The presence of BAPTA, a calcium chelator, or calmidazolium, a CaM inhibitor, attenuated the gintonin-mediated activation of I_Ks channels. In addition, mutation of the amino acid residues in the Ca²⁺/CaM-binding sites (IQ₁ and IQ₂) in the C terminus of KCNQ1 also attenuated gintonin-mediated activation of I_Ks channels (Fig. 4). These results show that Ca²⁺, CaM, or binding of Ca²⁺/CaM complex to the C terminus of KCNQ1 is required to activate I_Ks. In further studies on the role of these Ca²⁺/CaM-binding sites, mutations of IQ motifs exhibited differential effects on gintonin-mediated activation of I_Ks channels. The EC₅₀ in theW392R, S373P, and R539R mutant I_Ks channels was increased by 72-, 61-, and 38-fold as compared to the wild-type channels, respectively. The EC₅₀ for IQ₁ (W393R and S373P) and IQ₂ (R539W) mutants was about 1.5-fold less than that of the IQ₂ site (Fig. 4B). These results indicate that mutations in individual residues in the Ca²⁺/CaM-binding sites might affect the conformation of the three-dimensional structure of the KCNQ1 C terminus and change Ca²⁺/CaM binding in a differential manner.

In a previous study, we demonstrated that ginsenoside Rg₃, a ginseng saponin, also enhances I_Ks channel currents following depolarization (Choi et al., 2010). We found that gintonin differs from ginsenoside Rg₃in the regulatory patterns for I_Ks channel activation. Ginsenoside Rg₃-induced enhancement of I_Ks channel currents is not achieved through receptor-mediated [Ca²⁺]_i transients as shown in schematic diagram in Fig. 6. Thus, ginsenoside Rg₃-induced I_Ks current enhancement does not act via a membrane receptor signaling transduction pathway. Instead, ginsenoside Rg₃-induced enhancement of I_Ks channels currents was abolished by substitution of the K318 and V319 residues located at the channel pore entrance (Choi et al., 2010). Thus, ginsenoside Rg₃ regulates I_Ks activity through direct interaction with channel proteins at the channel pore entrance. In contrast, gintonin amplifies I_Ks activation through a signaling pathway mediated by a membrane-bound G protein-coupled LPA receptors (Fig. 6). Supporting this observation is that fact that gintonin, even at much lower concentrations than ginsenoside Rg₃, induces greater amplitudes of outward I_Ks channel currents (by 4- to 5-fold) than does ginsenosideRg₃ (Fig. 6). The EC₅₀ of gintonin is approximately 35nM (under the assumption that the molecular weight of gintonin is 20 kDa) (Hwang et al., 2012), whereas that of the ginsenoside Rg₃ was about 15 μM for I_Ks activation (Choi et al., 2010). In addition, interruption of the receptor signaling pathway by inhibitors or mutations abolished or attenuated gintonin-mediated but not ginsenoside Rg_3-mediated I_Ks channel activation (data not shown). These results indicate that ginseng contains two agents with two different action modes for the regulation of I_Ks activity. However, gintonin is more efficient for I_Ks activation than ginsenoside Rg₃ because gintonin exerts its effects through LPA receptors whereas but ginsenoside Rg₃ does not (Fig. 6).

Gintonin comprises about 0.2% of ginseng (Pyo et al., 2011). Gintonin is shown to contain two proteins, ginseng major latex-like protein 151 (GLP151) and ginseng ribonuclease-like storage proteins (Hwang et al., 2012). GLP 151 belongs to the Bet v1 family of proteins and exhibits similar properties to other members of Bet v1 families (Hwang et al., 2012). GLP151 has hydrophobic ligand-binding sites (Hwang et al., 2012). GLP151 contains hydrophobic ligand-binding sites and a glycine-rich region that binds to phosphate groups (Hwang et al., 2012). Currently, we are investigating the possibility that GLP151 could be a main candidate for LPA binding protein of gintonin.

The previous reports have shown that ginseng extract or ginseng components, including ginsenosides, exhibit beneficial effects against cardiovascular diseases by relaxation of blood vessels constricted by adrenergic receptor stimulations (Chen and Zhang, 2009; Kang et al., 1995; Kim et al., 1999). In a study using a single cell, ginsenosides inhibit L-type Ca²⁺ channel currents in cardiac myocytes (Bai et al., 2003; ²⁰⁰⁴). We have also shown in a previous study that ginsenoside Rg₃ inhibits L-type Ca²⁺ channel currents through interactions with the amino acid residues L427, N428, and L431 in the transmembrane domain I segment 6 (Choi et al., 2009). In addition to L-type Ca²⁺ channel regulation by ginsenosides, recent reports showed that ginsenoside Re regulates I_Ks in cardiac myocytes (Bai et al., 2004), and we have also demonstrated that ginsenoside Rg₃ enhances I_Ks through interaction with K318 and V319 residues (Choi et al., 2010). In the present study, we have demonstrated that gintonin activates I_Ks channels in cardiac myocytesthrough LPA receptors. Thus, although gintonin and ginsenosides differ from each other for the activation of I_Ks channel, the enhancing effect of both gintonin and ginsenosides on I_Ks channel currents might contribute to a facilitation of repolarization of cardiac action potential and shorten action potential duration. These results show the possibility that both ginsenosides and gintonin could be candidates against cardiovascular diseases. However, we do not know currently how the actions of gintonin on I_Ks currents might be coupled toalleviation of arrhythmia, which is caused by I_Ks and I_Kr channel dysfunctions. More investigations might be required for application of gintonin to heart dysfunction.

In summary, we found that gintonin induces activation of I_Ks channels via a membrane G protein-coupled LPA receptor signaling pathway. Using site-directed mutagenesis, we further confirmed the role of the Ca²⁺/CaM complex in gintonin-mediated I_Ks channel regulation. These novel findings provide insight into the molecular basis of the pharmacological effects of ginseng in cardiovascular systems.