Molecular correlates of repolarization alternans in cardiac myocytes

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• 作者：Xiaoping Wan ; Kenneth R. Laurita ; Etienne J. Pruvot and David S. Rosenbaum
• 关键词：Alternans ; Repolarization ; Action potentials ; Intracellular calcium
• 刊名：Journal of Molecular and Cellular Cardiology
• 出版年：2005
• 期刊代码：171_00222828
• 类别：bio
• 出版时间：2005
• 卷：39
• 期：3
• 页码：419-428
• 文件大小：418 K

摘要

Arrhythmogenic action potential alternans (APD-ALT) is thought to arise from beat to beat alteration in cellular Ca²⁺ cycling. Previously, we found that spatial heterogeneity in APD-ALT between ventricular myocytes is key to the mechanism linking APD-ALT to cardiac arrhythmogenesis. However, the cellular and molecular basis for APD-ALT is poorly understood. To test the hypothesis that spatial heterogeneities in expression and function of calcium cycling proteins underlies heterogeneities in APD-ALT, endocardial and epicardial myocytes were isolated from left ventricular free wall of 20 guinea pig hearts. APD-ALT and Ca²⁺ transient alternans (Ca-ALT) were measured simultaneously as stimulus rate was increased progressively. Endocardial myocytes exhibited greater susceptibility to cellular alternans than epicardial myocytes as evidenced by a significantly lower pacing rate threshold for APD-ALT (113 ± 9 bpm vs. 151 ± 8 bpm, respectively, P < 0.05) and for Ca-ALT (110 ± 8 bpm vs. 149 ± 8 bpm, respectively, P < 0.05). APD-ALT never occurred without Ca-ALT, whereas Ca-ALT was readily induced in the absence of APD-ALT by repetitive constant action potential waveform, suggesting that Ca-ALT was not secondary to APD-ALT. Importantly, there were significant voltage-independent differences in Ca²⁺ cycling between endocardial and epicardial myocytes as evidenced by weaker Ca²⁺ release (32%lower Ca²⁺ amplitude, and 16%longer rise time), and slower Ca²⁺ reuptake (24%larger Ca²⁺ decay time constant, and 9%longer Ca²⁺ transient duration) in endocardial compared to epicardial myocytes. Taken together these data indicate that myocytes that are most susceptible to APD-ALT exhibit impaired Ca²⁺ release and reuptake. Moreover, transmural differences in Ca²⁺ cycling function was associated with significantly reduced endocardial expression of ryanodine release channel (by 22%) and SERCA2 (by 40%), suggesting a potential molecular basis for spatially heterogeneous APD-ALT. Moreover, transmural differences in expression and function of key SR Ca²⁺ cycling proteins may underlie spatial heterogeneity of APD-ALT that has been closely linked to cardiac arrhythmogenesis.