Abstract
Increased diastolic SR Ca$^2+$ leak (J(leak)) could depress contractility
in heart failure, but there are conflicting reports regarding the
J(leak) magnitude even in normal, intact myocytes. We have developed
a novel approach to measure SR Ca$^2+$ leak in intact, isolated
ventricular myocytes. After stimulation, myocytes were exposed to
0 Na$^+$, 0 Ca$^2+$ solution +/-1 mmol/L tetracaine (to block
resting leak). Total cell Ca$^2+$ does not change under these
conditions with Na$^+$-Ca$^2+$ exchange inhibited. Resting
Ca$^2+$i declined 25\% after tetracaine addition (126+/-6 versus
94+/-6 nmol/L; P<0.05). At the same time, SR Ca$^2+$ (Ca$^2+$(SRT))
increased 20\% (93+/-8 versus 108+/-6 micromol/L). From this Ca$^2+$
shift, we calculate J(leak) to be 12 micromol/L per second or 30\%
of the SR diastolic efflux. The remaining 70\% is SR pump unidirectional
reverse flux (backflux). The sum of these Ca$^2+$ effluxes is
counterbalanced by unidirectional forward Ca$^2+$ pump flux.
J(leak) also increased nonlinearly with Ca$^2+$(SRT) with
a steeper increase at higher load. We conclude that J(leak) is 4
to 15 micromol/L cytosol per second at physiological Ca$^2+$(SRT).
The data suggest that the leak is steeply Ca$^2+$(SRT)-dependent,
perhaps because of increased Ca$^2+$i sensitivity of the ryanodine
receptor at higher Ca$^2+$(SRT). Key factors that determine
Ca$^2+$(SRT) in intact ventricular myocytes include (1) the
thermodynamically limited Ca$^2+$ gradient that the SR can develop
(which depends on forward flux and backflux through the SR Ca$^2+$
ATPase) and (2) diastolic SR Ca$^2+$ leak (ryanodine receptor
mediated).
- 12364387
- animals,
- calcium
- calcium,
- cardiovascular,
- cells,
- channels,
- congestive,
- contraction,
- cultured,
- diastole,
- failure,
- gov't,
- heart
- heart,
- ion
- kinetics,
- models,
- myocardial
- myocardium,
- non-u.s.
- p.h.s.,
- rabbits,
- research
- reticulum,
- sarcoplasmic
- support,
- tetracaine,
- transport,
- u.s.
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