Functional role of L-type Cav1.3 Ca2+ channels in cardiac pacemaker activity

ME Mangoni, B Couette, E Bourinet… - Proceedings of the …, 2003 - National Acad Sciences
ME Mangoni, B Couette, E Bourinet, J Platzer, D Reimer, J Striessnig, J Nargeot
Proceedings of the National Academy of Sciences, 2003National Acad Sciences
The spontaneous activity of pacemaker cells in the sino-atrial node (SAN) controls the heart
rhythm and rate under physiological conditions. Pacemaker activity in SAN cells is due to the
presence of the diastolic depolarization, a slow depolarization phase that drives the
membrane voltage from the end of an action potential to the threshold of a new action
potential. SAN cells express a wide array of ionic channels, but we have limited knowledge
about their functional role in pacemaker activity and we still do not know which channels …
The spontaneous activity of pacemaker cells in the sino-atrial node (SAN) controls the heart rhythm and rate under physiological conditions. Pacemaker activity in SAN cells is due to the presence of the diastolic depolarization, a slow depolarization phase that drives the membrane voltage from the end of an action potential to the threshold of a new action potential. SAN cells express a wide array of ionic channels, but we have limited knowledge about their functional role in pacemaker activity and we still do not know which channels play a prominent role in the generation of the diastolic depolarization. It is thus important to provide genetic evidence linking the activity of genes coding for ionic channels to specific alterations of pacemaker activity of SAN cells. Here, we show that target inactivation of the gene coding for α1D (Cav1.3) Ca2+ channels in the mouse not only significantly slows pacemaker activity but also promotes spontaneous arrhythmia in SAN pacemaker cells. These alterations of pacemaker activity are linked to abolition of the major component of the L-type current (ICa,L) activating at negative voltages. Pharmacological analysis of ICa,L demonstrates that Cav1.3 gene inactivation specifically abolishes ICa,L in the voltage range corresponding to the diastolic depolarization. Taken together, our data demonstrate that Cav1.3 channels play a major role in the generation of cardiac pacemaker activity by contributing to diastolic depolarization in SAN pacemaker cells.
National Acad Sciences