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Circulation Research. 2007
Published online before print March 15, 2007, doi: 10.1161/01.RES.0000264071.11619.47
A more recent version of this article appeared on April 13, 2007
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Submitted on January 12, 2007
Revised on February 15, 2007
Accepted on March 6, 2007

H+ Ion Activation and Inactivation of the Ventricular Gap Junction. A Basis for Spatial Regulation of Intracellular pH

Pawel Swietach ; Alessandra Rossini ; Kenneth W. Spitzer ; and Richard D. Vaughan-Jones *

From The Burdon Sanderson Cardiac Science Centre (P.S., A.R., R.D.V.-J.), Department of Physiology, Anatomy and Genetics, University of Oxford, UK; and The Nora Eccles Harrison Cardiovascular Research and Training Institute (K.W.S.), University of Utah, Salt Lake City.

* To whom correspondence should be addressed. E-mail: richard.vaughan-jones{at}physiol.ox.ac.uk.

H+ ions are powerful modulators of cardiac function, liberated during metabolic activity. Among their physiological effects is a chemical gating of cell-to-cell communication, caused by H+-mediated closure of connexin (Cx) channels at gap junctions. This protects surrounding tissue from the damaging effects of local intracellular acidosis. Cx proteins (largely Cx-43 in ventricle) form multimeric pores between cells, permitting translocation of ions and other solutes up to {approx}1 kDa. The channels are essential for electrical and metabolic coordination of a tissue. Here we demonstrate that, contrary to expectation, H+ ions can induce an increase of gap-junctional permeability. This occurs during modest intracellular acid loads in myocyte pairs isolated from mammalian ventricle. We show that the increase in permeability allows a local rise of [H+]i to dissipate into neighboring myocytes, thereby providing a mechanism for spatially regulating intracellular pH (pHi). During larger acid loads, the increased permeability is overridden by a more familiar H+-dependent inhibition (H+ inactivation). This restricts cell-to-cell H+ movement, while allowing membrane H+ transporters such as Na+/H+ exchange, to extrude the acid from the cell. The H+ sensitivity of Cx channels therefore defines whether junctional or sarcolemmal mechanisms are selected locally for the removal of an acid load. The bell-shaped pH dependence of permeability suggests that, in addition to H+ inactivation, an H+-activation process regulates the ensemble of Cx channels open at the junction. As well as promoting spatial pHi regulation, H+ activation of junctional permeability may link increased metabolic activity to improved myocardial coupling, the better to meet mechanical demand.


Key words: connexin 43 • gap junction channel • intracellular pH • ventricular myocytes