Abstract
Spontaneous sarcoplasmic reticulum (SR) Ca$^2+$ release causes
delayed afterdepolarizations (DADs) via Ca$^2+$-induced transient
inward currents (I:(ti)). However, no quantitative data exists regarding
(1) Ca$^2+$ dependence of DADs, (2) Ca$^2+$ required to depolarize
the cell to threshold and trigger an action potential (AP), or (3)
relative contributions of Ca$^2+$-activated currents to DADs.
To address these points, we evoked SR Ca$^2+$ release by rapid
application of caffeine in indo 1-AM-loaded rabbit ventricular myocytes
and measured caffeine-induced DADs (cDADs) with whole-cell current
clamp. The SR Ca$^2+$ load of the myocyte was varied by different
AP frequencies. The cDAD amplitude doubled for every 88+/-8 nmol/L
of DeltaCa$^2+$(i) (simple exponential), and the DeltaCa$^2+$(i)
threshold of 424+/-58 nmol/L was sufficient to trigger an AP. Blocking
Na$^+$-Ca$^2+$ exchange current (I(Na/Ca)) by removal of
Na(o) and Ca$^2+$(o) (or with 5 mmol/L Ni$^2+$) reduced
cDADs by >90\%, for the same DeltaCa$^2+$(i). In contrast,
blockade of Ca$^2+$-activated Cl$^-$ current (I(Cl(Ca)))
with 50 micromol/L niflumate did not significantly alter cDADs. We
conclude that DADs are almost entirely due to I(Na/Ca), not I(Cl(Ca))
or Ca$^2+$-activated nonselective cation current. To trigger
an AP requires 30 to 40 micromol/L cytosolic Ca$^2+$ or a Ca$^2+$(i)
transient of 424 nmol/L. Current injection, simulating I(ti)s with
different time courses, revealed that faster I:(ti)s require less
charge for AP triggering. Given that spontaneous SR Ca$^2+$ release
occurs in waves, which are slower than cDADs or fast I(ti)s, the
true DeltaCa$^2+$(i) threshold for AP activation may be approximately
3-fold higher in normal myocytes. This provides a safety margin against
arrhythmia in normal ventricular myocytes.
- 11055973
- acid,
- action
- animals,
- caffeine,
- calcium,
- cations,
- chlorides,
- electric
- gov't,
- heart
- membrane
- myocardium,
- niflumic
- non-u.s.
- p.h.s.,
- patch-clamp
- potentials,
- rabbits,
- research
- reticulum,
- sarcoplasmic
- sodium,
- stimulation,
- support,
- techniques,
- u.s.
- ventricles,
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