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From the Laboratory of Experimental Cardiology (K.R.S., F. Van de W.), University of Leuven (Belgium), and the Laboratory of Electrobiology (M.M.), University of Antwerp (Belgium).
Correspondence to Karin R. Sipido, MD, PhD, Laboratory of Experimental Cardiology, K.U.L., Campus Gasthuisberg O/N 7th Floor, Herestraat 49, B-3000 Leuven, Belgium. E-mail Karin.Sipido{at}med.kuleuven.ac.be.
Abstract It has been proposed that Ca2+ entry through the Na+-Ca2+ exchanger can contribute significantly to the trigger for Ca2+ release from the sarcoplasmic reticulum (SR). We have compared the characteristics of Ca2+ release triggered by reverse-mode Na+-Ca2+ exchange and by L-type Ca2+ current (ICaL) during depolarizing steps in single guinea pig ventricular myocytes (whole-cell voltage clamp, fluo 3 and fura-red as [Ca2+]i indicators, 36±1°C, K+-based pipette solution with 20 mmol/L [Na+]). Conditioning pulses to +60 mV ensured comparable Ca2+ loading of the SR. In the presence of ICaL, [Ca2+]i transients typically have an early and rapid rising phase reflecting Ca2+ release, which has a bell-shaped voltage dependence with a peak at +10 mV. With Ca2+ entry through Na+-Ca2+ exchange only (20 µmol/L nisoldipine), Ca2+ release flux from the SR is decreased and directly related to the amplitude of the depolarizing step. Ca2+ release is preceded by a significant delay (81±21 ms at +20 mV, 24±4 ms at +70 mV) related to Ca2+ entry through the exchanger. Triggered release interrupts Ca2+ entry, as evidenced by reversal of the exchanger current. At potentials positive to +40 mV, Ca2+ influx through Na+-Ca2+ exchange, calculated from the outward exchange current, reaches magnitudes comparable to ICaL, but Ca2+ release due to reverse-mode Na+-Ca2+ exchange still has a significant delay. We calculated trigger efficiency as the ratio between the maximal rate of Ca2+ release and the Ca2+ influx preceding this release; efficiency of reverse-mode Na+-Ca2+ exchange is approximately four times less than that of ICaL. With both ICaL and reverse-mode Na+-Ca2+ exchange present, Ca2+ release is triggered by ICaL, and a contribution of reverse-mode Na+-Ca2+ exchange to the trigger could not be detected at potentials below +60 mV. These characteristics of reverse-mode Na+-Ca2+ exchange predict that its role as a trigger for Ca2+ release during the action potential is likely to be negligible.
Key Words: Na+-Ca2+ exchange sarcoplasmic reticulum Ca2+ channel cardiomyocyte
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