Fauconnier Jérémy, Bedut Stéphane, Le Guennec Jean-Yves, Babuty Dominique, Richard Sylvain
INSERM U-390, Physiopathologie Cardiovasculaire, CHU Arnaud de Villeneuve, Montpellier, France.
Cardiovasc Res. 2003 Mar;57(3):670-80. doi: 10.1016/s0008-6363(02)00731-9.
Pacing rate regulates the duration of the cardiac action potential (AP). It also regulates the decay kinetics of the L-type Ca(2+) current (I(Ca-L)) which occurs via modulation of Ca(2+)-dependent inactivation. We investigated whether and how this latter process contributes to frequency-dependent (FD) changes in the AP waveform in rat ventricular cells.
We recorded APs using a microelectrode technique in rat papillary muscles, and using the whole-cell current patch-clamp technique in single rat ventricular cells.
The AP duration (APD) was increased by high rates encompassing the physiological range (0.1-5.7 Hz) in both papillary muscles and single cells. This prolongation was accompanied by concomitant depolarisation (approximately 7 mV at 5.7 Hz) of the membrane potential (MP) in papillary muscles. Equivalent artificial depolarisation of the MP enhanced the FD prolongation in single cells. The FD prolongation was enhanced in presence of the K(+) current blocker 4-aminopyridine (5 mmol/l), and decreased in absence of extracellular Ca(2+). It was antagonised by Ca(2+) channel blockers (Co(2+), nifedipine, nitrendipine) and decreased by use of high EGTA (10 vs. 0.5 mmol/l EGTA) or BAPTA (20 mmol/l) in the patch-pipette. It was prevented by ryanodine or thapsigargin, two drugs that reduce or abolish SR-Ca(2+) function.
I(Ca-L) contributes to the FD modulation of the AP, which occurs following a sudden change in cardiac frequency in rat ventricular cells. This highly dynamic physiological process is related to SR-Ca(2+) release and occurs through beat-to-beat adaptation of Ca(2+)-dependent inactivation of I(Ca-L).
起搏频率调节心脏动作电位(AP)的持续时间。它还通过调节钙依赖失活来调节L型钙电流(I(Ca-L))的衰减动力学。我们研究了后一过程是否以及如何促成大鼠心室细胞AP波形的频率依赖性(FD)变化。
我们在大鼠乳头肌中使用微电极技术记录AP,并在单个大鼠心室细胞中使用全细胞电流膜片钳技术。
在乳头肌和单个细胞中,涵盖生理范围(0.1 - 5.7 Hz)的高频率均增加了AP持续时间(APD)。这种延长伴随着乳头肌膜电位(MP)的同时去极化(5.7 Hz时约7 mV)。MP的等效人工去极化增强了单个细胞中的FD延长。在存在钾电流阻滞剂4 - 氨基吡啶(5 mmol/l)时,FD延长增强,而在无细胞外钙时则降低。它被钙通道阻滞剂(Co(2+)、硝苯地平、尼群地平)拮抗,并且在膜片吸管中使用高EGTA(10对0.5 mmol/l EGTA)或BAPTA(20 mmol/l)时降低。它被ryanodine或毒胡萝卜素阻止,这两种药物可减少或消除肌浆网 - 钙(SR - Ca(2+))功能。
I(Ca-L)促成大鼠心室细胞中AP的FD调节,这发生在心脏频率突然变化之后。这个高度动态的生理过程与SR - Ca(2+)释放有关,并通过I(Ca-L)的钙依赖失活的逐搏适应而发生。