umor necrosis factor-alpha (TNF-) is a proinflammatory cytokine with a broad range of pleiotropic effects. 1 The adult human heart expresses both mRNA and receptor proteins for type I and type II TNFreceptors. 2 TNF-is also expressed de novo by cardiac myocytes after certain forms of stress 3 and plays a fundamental role in various pathophysiological conditions, including acute myocarditis, myocardial infarction, sepsisassociated cardiac dysfunction, and advanced congestive heart failure. [4][5][6][7] It seems likely that different processes are responsible for the early and late cardiac effects of TNF-. 8,9 Excessive production of inducible nitric oxide synthase (iNOS) has been shown to cause the late onset of functional depression in the heart, 9-11 but the mechanisms underlying the early onset of cardiac depression remain controversial.Finkel et al postulated that TNF-depressed contractility of isolated papillary muscles within 5 min and that the effects were reversed by NG-monomethyl-L-arginine, speculating that the early cardiodepressant effects of TNFwere mediated by a constitutive NOS (cNOS) action in the myocardium. 12 tile Ca 2+ transients in rat cardiac myocytes. 13 A more recent report has also demonstrated that sphingosine mediates the immediate negative inotropic effects of TNF-in adult feline cardiac myocytes. 14 As mentioned earlier, although a large number of studies have been done on the intracellular signaling mechanisms that contribute to the early cardiac effects of TNF-, the modulation of the -adrenergic responses, including the ion channel regulation, remains unclear. The purpose of this study was to test the hypothesis that TNF-rapidly antagonizes the -adrenergic responses, and to provide additional information about the intracellular mechanisms underlying the rapid anti-adrenergic action of TNF-.In cardiac myocytes, activation of -adrenergic receptors stimulates the activity of a number of different ion currents, including those conducted by L-type Ca 2+ channels and cAMP-dependent Cl -channels. Although there is a report showing TNF--induced direct inhibition of L-type Ca 2+ channels, 13 the modulation of cAMP-dependent Cl -channels has never been studied. The activation mechanism of the Cl -channels is well known: the response is mediated by a cAMP-dependent cascade, which leads from the agonistreceptor binding to the final phosphorylation of the channel protein. [15][16][17][18] Therefore we monitored the cAMP-dependent Cl -channels as a reliable parameter of -adrenergic regulation. The purpose of this study was to test the hypothesis that tumor necrosis factor-(TNF-) rapidly antagonizes the -adrenergic responses of the chloride current and to clarify the intracellular mechanisms responsible for the anti-adrenergic action. The whole-cell patch-clamp technique was used to monitor the anti-adrenergic effects of TNF-on the cAMP-dependent chloride current (ICl) recorded from isolated guinea-pig ventricular myocytes. Ramp pulses (±120 mV; dv/dt = ±0.4 V/s) were applied from the holding pot...