Eisner David A, Caldwell Jessica L, Kistamás Kornél, Trafford Andrew W
From the Unit of Cardiac Physiology, Division of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of Manchester, United Kingdom.
Circ Res. 2017 Jul 7;121(2):181-195. doi: 10.1161/CIRCRESAHA.117.310230.
Cardiac contractility is regulated by changes in intracellular Ca concentration ([Ca]). Normal function requires that [Ca] be sufficiently high in systole and low in diastole. Much of the Ca needed for contraction comes from the sarcoplasmic reticulum and is released by the process of calcium-induced calcium release. The factors that regulate and fine-tune the initiation and termination of release are reviewed. The precise control of intracellular Ca cycling depends on the relationships between the various channels and pumps that are involved. We consider 2 aspects: (1) structural coupling: the transporters are organized within the dyad, linking the transverse tubule and sarcoplasmic reticulum and ensuring close proximity of Ca entry to sites of release. (2) Functional coupling: where the fluxes across all membranes must be balanced such that, in the steady state, Ca influx equals Ca efflux on every beat. The remainder of the review considers specific aspects of Ca signaling, including the role of Ca buffers, mitochondria, Ca leak, and regulation of diastolic [Ca].
心脏收缩力受细胞内钙离子浓度([Ca])变化的调节。正常功能要求[Ca]在收缩期足够高而在舒张期足够低。收缩所需的大部分钙离子来自肌浆网,并通过钙诱导的钙释放过程释放。本文综述了调节和微调钙释放起始与终止的因素。细胞内钙循环的精确控制取决于所涉及的各种通道和泵之间的关系。我们考虑两个方面:(1)结构偶联:转运体在二联体中组织排列,连接横小管和肌浆网,并确保钙离子进入部位与释放部位紧密相邻。(2)功能偶联:所有膜上的通量必须平衡,以便在稳态下,每次心跳时钙离子内流等于钙离子外流。综述的其余部分考虑了钙信号的具体方面,包括钙缓冲剂、线粒体、钙泄漏以及舒张期[Ca]调节的作用。