Activation of reverse Na+–Ca2+ exchange by the Na+ current augments the cardiac Ca2+ transient: evidence from NCX knockout mice

R Larbig, N Torres, JHB Bridge… - The Journal of …, 2010 - Wiley Online Library
R Larbig, N Torres, JHB Bridge, JI Goldhaber, KD Philipson
The Journal of physiology, 2010Wiley Online Library
The hypothesis that Na+ influx during the action potential (AP) activates reverse Na+–Ca2+
exchange (NCX) and subsequent entry of trigger Ca2+ is controversial. We tested this
hypothesis by monitoring intracellular Ca2+ before and after selective inactivation of INa
prior to a simulated action potential in patch‐clamped ventricular myocytes isolated from
adult wild‐type (WT) and NCX knockout (KO) mice. First, we inactivated INa using a ramp
prepulse to− 45 mV. In WT cells, inactivation of INa decreased the Ca2+ transient amplitude …
The hypothesis that Na+ influx during the action potential (AP) activates reverse Na+–Ca2+ exchange (NCX) and subsequent entry of trigger Ca2+ is controversial. We tested this hypothesis by monitoring intracellular Ca2+ before and after selective inactivation of INa prior to a simulated action potential in patch‐clamped ventricular myocytes isolated from adult wild‐type (WT) and NCX knockout (KO) mice. First, we inactivated INa using a ramp prepulse to −45 mV. In WT cells, inactivation of INa decreased the Ca2+ transient amplitude by 51.1 ± 4.6% (P < 0.001, n= 14) and reduced its maximum release flux by 53.0 ± 4.6% (P < 0.001, n= 14). There was no effect on diastolic Ca2+. In striking contrast, Ca2+ transients in NCX KO cardiomyocytes were unaffected by the presence or absence of INa (n= 8). We obtained similar results when measuring trigger Ca2+ influx in myocytes with depleted sarcoplasmic reticulum. In WT cells, inactivation of INa decreased trigger Ca2+ influx by 37.8 ± 6% and maximum rate of flux by 30.6 ± 7.7% at 2.5 mm external Ca2+ (P < 0.001 and P < 0.05, n= 9). This effect was again absent in the KO cells (n= 8). Second, exposure to 10 μm tetrodotoxin to block INa also reduced the Ca2+ transients in WT myocytes but not in NCX KO myocytes. We conclude that INa and reverse NCX modulate Ca2+ release in murine WT cardiomyocytes by augmenting the pool of Ca2+ that triggers ryanodine receptors. This is an important mechanism for regulation of Ca2+ release and contractility in murine heart.
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