Abstract
The role of sodium-calcium exchange at the sarcolemma in the release
of calcium from cardiac sarcoplasmic reticulum was investigated in
voltage-clamped, isolated cardiac myocytes. In the absence of calcium
entry through voltage-dependent calcium channels, membrane depolarization
elicited release of calcium from ryanodine-sensitive internal stores.
This process was dependent on sodium entry through tetrodotoxin-sensitive
sodium channels. Calcium release under these conditions was also
dependent on extracellular calcium concentration, suggesting a calcium-induced
trigger release mechanism that involves calcium entry into the cell
by sodium-calcium exchange. This sodium current-induced calcium release
mechanism may explain, in part, the positive inotropic effects of
cardiac glycosides and the negative inotropic effects of a variety
of antiarrhythmic drugs that interact with cardiac sodium channels.
In response to a transient rise of intracellular sodium, sodium-calcium
exchange may promote calcium entry into cardiac cells and trigger
sarcoplasmic calcium release during physiologic action potentials.
- 1848371
- action
- animals,
- calcium,
- carrier
- channels,
- conductivity,
- contraction,
- electric
- exchanger,
- gallopamil,
- gov't,
- guinea
- myocardial
- myocardium,
- nisoldipine,
- non-u.s.
- p.h.s.,
- pigs,
- potentials,
- proteins,
- research
- reticulum,
- sarcoplasmic
- sodium
- sodium,
- sodium-calcium
- support,
- tetrodotoxin,
- u.s.
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