Article,

Sarcoplasmic reticulum Ca$^2+$ release causes myocyte depolarization. Underlying mechanism and threshold for triggered action potentials.

, and .
Circ. Res., 87 (9): 774--780 (October 2000)

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.

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