Alterations in early action potential repolarization causes localized failure of sarcoplasmic reticulum Ca2+ release

Circ Res. 2005 Mar 18;96(5):543-50. doi: 10.1161/01.RES.0000158966.58380.37. Epub 2005 Feb 10.

Abstract

Depressed contractility of failing myocytes involves a decreased rate of rise of the Ca2+ transient. Synchronization of Ca2+ release from the junctional sarcoplasmic reticulum (SR) is responsible for the rapid rise of the normal Ca2+ transient. This study examined the idea that spatially and temporally dyssynchronous SR Ca2+ release slows the rise of the cytosolic Ca2+ transient in failing feline myocytes. Left ventricular hypertrophy (LVH) with and without heart failure (HF) was induced in felines by constricting the ascending aorta. Ca2+ transients were measured in ventricular myocytes using confocal line scan imaging. Ca2+ transients were induced by field stimulation, square wave voltage steps, or action potential (AP) voltage clamp. SR Ca2+ release was significantly less well spatially and temporally synchronized in field-stimulated HF versus control or LVH myocytes. Surprisingly, depolarization of HF cells to potentials where Ca2+ currents (ICa) were maximal resynchronized SR Ca2+ release. Correspondingly, decreases in the amplitude of ICa desynchronized SR Ca2+ release in control, LVH, and HF myocytes to the same extent. HF myocytes had significant loss of phase 1 AP repolarization and smaller ICa density, which should both reduce Ca2+ influx. When normal myocytes were voltage clamped with HF AP profiles SR Ca2+ release was desynchronized. SR Ca2+ release becomes dyssynchronized in failing feline ventricular myocytes because of reductions in Ca2+ influx induced in part by alterations in early repolarization of the AP. Therefore, therapies that restore normal early repolarization should improve the contractility of the failing heart.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Action Potentials / physiology
  • Animals
  • Aortic Diseases / complications
  • Calcium / metabolism*
  • Calcium Signaling / physiology*
  • Cats
  • Constriction, Pathologic / complications
  • Heart Failure / etiology
  • Heart Failure / pathology
  • Heart Failure / physiopathology*
  • Hypertrophy, Left Ventricular / complications
  • Hypertrophy, Left Ventricular / pathology
  • Ion Transport
  • Myocardial Contraction / physiology*
  • Myocytes, Cardiac / physiology*
  • Patch-Clamp Techniques
  • Sarcoplasmic Reticulum / metabolism*

Substances

  • Calcium