Authors: Zidan Gao (Department of Cardiovascular Physiology, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan), Keiji Naruse (Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan), Masatoshi Morimatsu (Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan)
Categories: Research Article, calcium wave, Connexin 43, hypotonic pressure, osmotic pressure, ryanodine receptor
Source: FEBS Open Bio
Authors: Zidan Gao, Keiji Naruse, Masatoshi Morimatsu
Osmotic pressure is essential for maintaining cellular homeostasis; however, the mechanisms by which cells sense and respond to acute osmotic stress remain incompletely understood. Here, we applied rapid osmotic pressure stimulation to cultured HEK293T cells and observed dynamic intracellular calcium responses. Acute hypotonic stimulation evoked calcium response patterns, whereas hypertonic and isotonic stress did not elicit similar effects. Mechanistically, these calcium signals originated from the endoplasmic reticulum via ryanodine receptor 2 and propagated to neighboring cells through Connexin 43‐mediated gap junctions. These findings reveal a previously unrecognized role for calcium signaling in the acute cellular response to osmotic stress, providing new insights into the mechanisms of intercellular communication during osmotic adaptation.
Cells detect and respond to mechanical environmental stimuli, such as stiffness, shear stress, and stretch [1]. Osmotic pressure is one of these mechanical stimuli and an essential physiological process for maintaining homeostasis [2]. Osmotic dysregulation can also lead to certain diseases. For example, hyperglycemic hyperosmolar state and diabetes insipidus are kidney diseases associated with hypertonicity. The most common hypotonic osmolar disorder is a syndrome of inappropriate antidiuresis (SIAD) [3, 4]. The physiological osmolarity of human plasma extracellular fluid is 275–295 mOsm·kg^−1^ H2O [5]. However, in pathological states, such as inflammation, ischemia, or tumor microenvironments, extracellular osmotic pressure may significantly increase due to the accumulation of solutes, cytokines, lactate, and cell debris [6, 7, 8]. For instance, studies have reported that tumor interstitial osmolarity may exceed 330–350 mOsm·kg^−1^ H2O, and renal medullary interstitial fluid can reach up to 1200 mOsm·kg^−1^ H2O during countercurrent concentration [9]. Furthermore, acute osmotic changes regulate cellular functions, such as cell proliferation, apoptosis, metabolism, epithelial transport, and migration [10]. A hypotonic solution induces an influx of water molecules into the extracellular solution [11]. This process results in cell volume expansion. In contrast, a hypertonic solution shrinks the cellular volume due to the outflow of water molecules into the extracellular solution [12]. Under isotonic conditions, cell volume remains stable. Drastic changes in the cellular environment trigger functional adaptations; however, the mechanisms by which cells sense and transduce signals in response to acute osmotic pressure changes remain unclear. Calcium ions (Ca^2+^) are critical mediators in several signaling pathways [13, 14, 15]. Some groups have reported that hypotonic conditions induce the fluctuation (oscillation or shock) of intracellular calcium concentration ([Ca^2+^]i) in chondrocytes, endothelial cells, glioma cells, and odontoblasts [16, 17, 18, 19]. Despite its relevance, the calcium signaling responses to graded osmotic stress are also poorly defined. This study investigated the cellular response to acute osmotic changes and reported the osmotic calcium response states.
HEK293T cells and Piezo KO HEK293T cells were gifted by Dr. Nonomura (Kyoto University). Human umbilical vein endothelial cells (HUVEC; Lonza, Basel, Switzerland), Madin–Darby canine kidney cells (MDCK/NBL‐2; Japanese Collection of Research Bioresources [JCRB], Osaka, Japan), and human renal proximal tubule epithelial cells (RPTEC/TERT1; ATCC, Manassas, VA, USA) were cultured following the manufacturer's instructions. DMEM medium (No. 043–30085; Fujifilm Wako, Osaka, Japan) with 10% fetal bovine serum (FBS) (Sigma‐Aldrich, St.Louis, MO, USA) and 0.02% penicillin–streptomycin solution (Sigma‐Aldrich, St. Louis, MO, USA) was used for normal cell culture. This standard cell medium is ‘an isotonic solution’ in this study. Cells were cultured in a 100 mm plastic plate (TPP, Trasadingen, Swizerland) at 37 °C and 5% CO2 in an incubator. HEK 293 T cells were subcultured twice a week at 0.2 and 0.3 × 10^6^ cells·mL^−1^ densities. After coating the surface of the 48‐well plate with 0.1% fibronectin (CORNING, Corning, NY, USA), cells were seeded in the 48‐well plate (TPP, Trasadingen, Swtizerland) at a density of 1 × 10^5^ cells·mL^−1^ and cultured overnight before the osmolarity experiment.
100 mm sucrose (Fujifilm Wako, Osaka, Japan) was added to DMEM with FBS to make a hypertonic solution. In the case of a hypotonic solution, we mixed the DMEM with distilled water at several concentrations and maintained CaCl2 and Mg2SO4 at 200 mg·L^−1^ and 97.67 mg·L^−1^, respectively (followed by the original DMEM composition). For example, a 50 % hypotonic solution consisted of 50 % distilled water, 30 % DMEM, 10 % FBS, 2 % HEPES (pH 7.4, NaOH), CaCl2 and Mg2SO4. Calcium (−) DMEM (Nacalai Tesque, Kyoto, Japen) was used for calcium‐free conditions. An automatic freezing point osmometer (OM815; VOGEL, Fenwald, Germany) was used to measure the osmolarity of all solutions.
For intracellular [Ca^2+^]i imaging, the cells were incubated with 4.5 μm Cal‐520 dye (ATT Bioquest, Sunnyvale, CA, USA) for 30 min, and, after removing the medium, a hypotonic/hypertonic solution was slowly added along the bottom wall. Microscopic observations were made with a microscope (IX‐83; Evident, Tokyo, Japan). Bright‐field and epifluorescence images were recorded with a sCMOS camera (ORCA‐Fusion BT; Hamamatsu, Hamamatsu, Japan). All microscopic images were analyzed using the fiji/imagej software (https://imagej.net/Fiji).
Cells were incubated with chemical inhibitors before acute osmotic pressure stimulation (see details in Table 2). HEK293T cells were transfected at 70 % confluence using Lipofectamine RNAiMAX Transfection Reagent (Thermo Fisher Scientific, Waltham, MA, USA). Ryanodine receptor 2 (RyR2) siRNA duplex (NIPPON GENE, Tokyo, Japan) was added according to the manufacturer's protocol.
Total RNA was extracted and purified using the Monarch Total RNA Miniprep Kit (New England Biolabs, Ipswich, MA, USA) per the manufacturer's instructions. cDNA was then synthesized using the ReverTra Ace qPCR RT Master Mix with gDNA Remover (TOYOBO, Osaka, Japan) according to the manufacturer's instructions. The gene expression level was analyzed using real‐time PCR, which was performed with KAPA SYBR FAST dye (Kapa Biosystems, Wilmington, MA, USA) under the 96‐well cycler qTOWER^3^G Real‐Time PCR System (Analytik Jena, Jena, Germany).
RyR2 Primer sequence (5′ → 3′):
Forward primer (CTTGAGGTTGGCTTTCTGCCAG), Reverse primer(TGTGCCAGCAAAGAGAGGAGCA).
GAPDH Primer sequence (5′ → 3′):
Forward primer (GTCTCCTCTGACTTCAACAGCG), Reverse primer (ACCACCCTGTTGCTGTAGCCAA).
Cells were cultured on a glass‐bottom dish (AGC Thechno Glass, Shizuoka, Japan) and fixed with 4% paraformaldehyde. RyR2 was stained with an anti‐RyR2 antibody (Proteintech, Rosemont, IL, USA, 1 : 400) and secondary antibody (Invitrogen, Carlsbad, CA, USA, 1 : 1000). Endoplasmic reticulum (ER) was stained with ER indicator (ER Seeing;Funakoshi, Tokyo, Japan). After stimulation with a 50 % hypotonic solution, cells were incubated for 5 min in the incubator and then fixed with 4 % paraformaldehyde. Microscopic observations were performed with a confocal microscope (FV3000; Evident, Tokyo, Japan). Images were deconvolved using cellSens (Evident, Tokyo, Japan).
For each sample, one wave (usually the one closest to the center) was tracked, and the difference between the wave's initial fluorescence intensity area and its final fluorescence intensity area was taken as an apparent circular shape to calculate the radius using the circle calculation formula. Finally, velocity was calculated using the following Velocity=Area2−Area1π/t
For comparisons between two groups, an unpaired two‐tailed Student's t‐test was used for normally distributed data, while the Mann–Whitney U‐test was applied for non‐normally distributed data. For multiple group comparisons, one‐way ANOVA followed by Tukey's post hoc test was used for normally distributed data, and the Kruskal–Wallis test followed by Dunn's post hoc test was used for nonparametric data. Statistical significance was set at P ≤ 0.05 (GraphPad Prism 5). Supplement part figures applied in R (v4.5.0) using the ggplot2 package.
We prepared several osmotic solutions to stimulate HEK293T cells and measured the osmolarity values across several experimental conditions (Table 1, Fig. 1A, Methods). The osmolarity of our standard cell culture medium with FBS was approximately 370 mOsm·kg^−1^ H2O, which is higher than the osmolarity of human plasma (285 mOsm·kg^−1^ H2O) (Table 1). The addition of the isotonic solution did not cause any changes to the cell morphology. However, cells expanded in low osmotic pressure conditions and shrank in high osmotic pressure conditions (Fig. 1B, Fig. S1).

Next, we observed the cellular calcium response to acute osmotic pressure changes (Fig. 2A). Hypertonic conditions (450 mOsm·kg^−1^ H2O) did not increase [Ca^2+^]i (silent mode) (Fig. 2A, Fig. S2). Under isotonic conditions (O), cells displayed a spontaneous calcium activation reaction (spontaneous activation mode) (Fig. 2A, Fig. S2). Under hypotonic conditions (< 300 mOsm·kg^−1^ H370 mOsm·kg^−1^ H22O), cells displayed a wave‐like calcium activation for over a few minutes. Some showed a rapid, sporadic wave activation mode, while others displayed a one‐core wave activation mode (we defined these as wave activation modes) (Fig. 2A, Video S1, Fig. S2). We named these three modes osmotic pressure‐induced calcium response states (OSCARS). The OSCARS stimulated by solutions with different osmotic pressures were counted (Fig. 2B). As the osmotic pressure declines, the frequency of the spontaneous activation mode concomitantly decreases, while the frequency of the wave activation mode increases until approximately 200 mOsm·kg^−1^ H2O. The velocity of calcium wave activation mode is 12.3 ± 3.9 μm·s^−1^ under the 200 mOsm·kg^−1^ H2~O condition (Fig. 2C, Methods). In addition, the velocity of calcium waves exhibited no statistically significant variations across a range of osmotic pressure conditions (Fig. 2C). Moreover, we found that MDCK cells, RPTECs, and HUVECs did not show the calcium wave activation modes under the same hypotonic condition as the HEK293T experiments (Fig. 3, Fig. S3).


We consider the mechanism of the calcium wave activation mode. Since the cells showed a reliable calcium wave activation mode, we selected the 200 mOsm·kg^−1^ H2O condition in the following experiments. Blocking of membrane channels did not inhibit the calcium wave activation mode (Table 2). Furthermore, we still observed the wave activation mode if calcium‐free medium was used (Fig. 4A, Table 2, Fig. S4). This result suggests that calcium influx originates from the intracellular regions. The ER is one of the calcium storage sites. The ERs were widely distributed in the cytoplasmic region of HEK 293 T cells (Fig. 4B). However, the morphology of the ER under O hypotonic solution does not change compared with 200 mOsm·kg^−1^ H2370 mOsm·kg^−1^ H2~O isotonic solution (Fig. 4B). Ryanodine receptor 2 (RyR2) is a calcium release channel located on the ER membrane. Blocking of RyR2 with JTV‐519 inhibited the wave activation mode (Fig. 4A, Table 2, Fig. S4). We also observed that reducing the expression level of RyR2 by siRNA leads to a decreased rate of calcium wave activation mode (Fig. 4C, Figs S5, S6), reinforcing its critical function. Cell–cell communication is required for the calcium wave activation mode. Gap 27 and 18‐glycyrrhetinic acid, a blocking connexin 43 and a gap junction protein, inhibited the acute calcium wave activation mode (Fig. 4A, Table 2, Fig. S4).

These results suggest that low osmotic pressure propagates [Ca^2+^]i increase signal through gap junctions. Our findings indicate that calcium release from the ER through RyR2 drives calcium wave activation mode in response to acute hypotonic osmolarity and propagates the [Ca^2+^]i increase signal to other cells through gap junctions (Fig. 4D).
As an intracellular second messenger, calcium plays a remarkably diverse role in various biological processes [20] and can be mobilized from both extracellular and intracellular sources [21]. Our results showed that calcium mediated the signal transduction induced by osmotic stress. OSCARS observed here should be related to the protective states for cells [22, 23]. HEK 293 T cells exhibited rapid calcium wave activation mode in response to lower osmotic changes, but not to hypertonic conditions. The silent mode of OSCAR has been reported in other studies [24].
In general, external stimuli activate ion channels on cell membranes, inducing calcium flux from the extracellular matrix. The voltage‐gated calcium channels are the primary regulators of calcium entry [25]. This influx triggers calcium release from the sarcoplasmic reticulum (SR) or ER [26]. A process known as calcium‐induced calcium release (CICR) is critical for muscle contraction [27, 28]. However, in our study, calcium wave activation mode was still observed in the absence of extracellular Ca^2+^. Calcium entry is not essential for calcium wave activation mode. A previous study also reported that calcium oscillations originate from the ER [29]. The ER is the prominent calcium‐storing organelle in the cell. Our results showed that the ER in HEK293T cells was widely distributed, which may explain its sensitivity to osmotic pressure stress. Several kinds of stress induce calcium release from intracellular stores, such as the ER [29]. Osmotic pressure stimulation may be one of the ER stresses.
The function of ryanodine receptor is a key molecule of the calcium release channel in response to mechanical stress, although the role in mechanosensing has not been fully established [30]. Our results indicate that RyR2 is essential to calcium wave activation mode. The Ca^2+^ is also released through IP3R in the ER membrane [20]. However, inhibiting IP3R cannot prevent calcium wave activation mode (Table 2). Calcium activation wave mode is effective for signal transduction to neighboring cells [31]. Gap junctions and Cx43 naturally correlate with cell signaling, facilitating cell communication. Our results demonstrate that gap junction families, especially Cx43, play critical roles in propagating calcium activation signaling. Calcium wave activation mode appears to be an exceptional form of calcium elevation and transmission. The velocity of the wave was independent of osmolarity. Compared with our wave activation velocity (12.3 ± 3.9 μm·s^−1^), other cells showed waves that were slower, at 5–8 μm·s^−1^ [32]. It could be due to the different cell types [16, 17, 18, 19]. At 120 mOsm·kg^−1^ H2O, the ratio of wave activation mode decreased (Fig. 2B). Under this condition, mechanosensitive channels, such as Piezo1, were activated [29] and increased [Ca]i before ER activation. This may account for our observation that Piezo1 knockout (KO) cells exhibited 100 % calcium wave activation mode at 120 mOsm·kg^−1^ H2O (Fig. S7).
Our results demonstrated that calcium serves as a second messenger in response to changes in osmotic pressure in HEK293T cells, confirming that hypotonic conditions trigger rapid calcium release through RyR2 on the ER, which then propagates to neighboring cells via Cx43. RyR2 is a key molecule triggering an osmotic‐related calcium wave. Calcium wave activation mode is the most special form of OSCARS. These findings contribute to the broader understanding of how cells respond to osmotic challenges and may inform future studies of epithelial coordination, tissue‐level homeostasis, or pathological states involving dysregulated calcium signaling.
The authors declare no conflict of interest.
MM designed the project. GZD and MM constructed all experiments and analyzed the results. GZD wrote the original manuscript, and MM edited it. All authors discussed the results. KN supervised the study.