Review |
From the Department of Physiology, Loyola University Chicago, Maywood, Ill.
Correspondence to Donald M. Bers, PhD, Department of Physiology, Loyola University Medical School, 2160 S First Ave, Maywood, IL 60153. E-mail dbers@luc.edu
| Introduction |
|---|
Calcium Fluxes Involved in Control of Cardiac Myocyte Contraction
C. William Balke, Guest Editor
Intracellular Ca2+ is the central
regulator of cardiac contractility. Moreover, it is
becoming increasingly apparent that alterations in myocyte
Ca2+ regulation may be critically important in
both the mechanical dysfunction and arrhythmogenesis associated with
congestive heart failure.1 2 Thus, it is imperative to
have a clear and relatively quantitative understanding of how cellular
Ca2+ levels are regulated during the normal
contraction-relaxation cycle. The scope and relevant references in this
field are far too large for this format, so my focus here is narrower
and more personal than elsewhere.3 4 5 Figure 1A
shows the key pathways involved in
myocyte Ca2+ transport. During the cardiac action
potential (AP) L-type Ca2+ channels are
activated and Ca2+ enters the cell via
Ca2+ current (ICa)
and also a much smaller amount enters via
Na+-Ca2+ exchange (NCX).
Ca2+ influx triggers Ca2+
release from the sarcoplasmic reticulum (SR) and, to some extent, can
also contribute to activation of the myofilaments directly. The
Ca2+ entry plus the amount released from the SR
via Ca2+-induced Ca2+
release (CICR) raises cytosolic free [Ca2+]
([Ca2+]i), causing
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S. M. Pogwizd, K. Schlotthauer, L. Li, W. Yuan, and D. M. Bers Arrhythmogenesis and Contractile Dysfunction in Heart Failure : Roles of Sodium-Calcium Exchange, Inward Rectifier Potassium Current, and Residual {beta}-Adrenergic Responsiveness Circ. Res., June 8, 2001; 88(11): 1159 - 1167. [Abstract] [Full Text] [PDF] |
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K. Ito, X. Yan, X. Feng, W. J. Manning, W. H. Dillmann, and B. H. Lorell Transgenic Expression of Sarcoplasmic Reticulum Ca2+ ATPase Modifies the Transition From Hypertrophy to Early Heart Failure Circ. Res., August 31, 2001; 89(5): 422 - 429. [Abstract] [Full Text] [PDF] |
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B. M. Wolska, G. M. Arteaga, J. R. Pena, G. Nowak, R. M. Phillips, S. Sahai, P. P. de Tombe, A. F. Martin, E. G. Kranias, and R. J. Solaro Expression of Slow Skeletal Troponin I in Hearts of Phospholamban Knockout Mice Alters the Relaxant Effect of {beta}-Adrenergic Stimulation Circ. Res., May 3, 2002; 90(8): 882 - 888. [Abstract] [Full Text] [PDF] |
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