Ionic currents contributing to the action potential in single ventricular myocytes of the guinea pig studied with action potential clamp

With the action potential clamp procedure we studied the contribution of various ionic currents to the action potential in single ventricular myocytes. Action potentials were elicited by a current pulse through the suction pipette and recorded by a computer. A representative action potential was then repetitively replayed to the same cell under voltage-clamp conditions. Successive pharmacological blocks of ionic currents allowed for the first time the measurement of the contribution of the L-type calcium current (I _Ca) and the [Ca²⁺]_i-activated currents as well as the potassium current to the action potential. Experiments using caffeine as a tool to increase calcium release from the sarcoplasmic reticulum supported the idea that I _NaCa contributes to the plateau during the second half of the action potential and even lasts into diastole, whereas strong elevation of the intracellular [Ca]_i during the action potential additionally activated the non-specific cation channel.     

Influence of postnatal changes in action potential duration on Na-Ca exchange in rabbit ventricular myocytes

 Cardiac Na-Ca exchanger (NCX) expression and current density are significantly greater in newborn rabbit hearts compared with adults. However, the relatively short action potential (AP) at birth may limit the impact of increased NCX expression by diminishing Ca²⁺ entry via Na-Ca exchange current (I _NaCa). To address the interdependence of AP duration and NCX activity, we voltage-clamped newborn (NB, 1–5 day), juvenile (JV, 10–14 day) and adult (AD) rabbit myocytes with a series of APs of progressively increasing duration (APD₉₀: 108–378 ms) under nominally chloride-free conditions. In each age group we quantified an increase in outward (Q _Exout) and inward (Q _Exin) Ni²⁺-sensitive charge movement in response to AP prolongation. Q _Exout and Q _Exin measured during age-appropriate APs declined postnatally [Q _EXout: NB (2 day) 0.19 ± 0.02, JV (10 day) 0.10 ± 0.01, AD 0.04 ± 0.002; Q _EXin: NB –0.2 ± 0.01, JV –0.11 ± 0.02; AD –0.04 ± 0.003 pC/pF] despite the significantly shorter APD₉₀ of newborn myocytes (NB 122 ± 10; AD 268 ± 22 ms). When Ca²⁺ fluxes by other transport pathways were blocked with nifedipine, ryanodine and thapsigargin, age-appropriate APs elicited contractions in NB and JV but not AD myocytes (NB 4.8 ± 0.5, JV 1.2 ± 0.3% resting length). These data demonstrate that a shorter AP does not negate the impact of increased NCX expression at birth. Received: 23 September 1997 / Received after revision: 2 January 1998 / Accepted: 5 January 1998     

Regulation of calcium release by calcium inside the sarcoplasmic reticulum in ventricular myocytes

 To study the effects of changes in sarcoplasmic reticulum (SR) intraluminal Ca²⁺ on the Ca²⁺ release mechanism, we correlated the activity of single cardiac ryanodine receptor (RyR) channels, monitored in planar bilayers, with the properties of spontaneous elementary Ca²⁺ release events (sparks) in intact ventricular myocytes, monitored by scanning confocal microfluorimetry. Under both normal conditions and Ca²⁺ overload, induced by elevation of extracellular [Ca²⁺], Ca²⁺ sparks represented single populations of events. During Ca²⁺ overload, the frequency of sparks increased from 0.8 to 3.1 events per second per 100 μm line scanned, and their amplitude increased from 100 nM to 400 nM. The duration of the Ca²⁺ sparks, however, was not altered. Changes in the properties of Ca²⁺ sparks were accompanied by only an ≈ 30% increase in the SR Ca²⁺ content, as determined by emptying the intracellular Ca²⁺ stores using caffeine. When single Ca²⁺ release channels were incorporated into lipid bilayers and activated by cytoplasmic Ca²⁺ (≈ 100 nM) and ATP (3 mM), elevation of Ca²⁺ on the luminal side from 20 μM to 0.2–20 mM resulted in a 1.2-fold to 7-fold increase, respectively, in open probability (P _o). This potentiation of P _o was due to an increase in mean open time and frequency of events. The relative effect of luminal Ca²⁺ was greater at low levels of cytoplasmic [Ca²⁺] than at high levels of cytoplasmic [Ca²⁺], and no effect of luminal Ca²⁺ was observed to occur in channels activated by 0.5–50 μM cytoplasmic Ca²⁺ in the absence of ATP. Our results suggest that SR Ca²⁺ release channels are modulated by SR intraluminal Ca²⁺. These alterations in properties of release channels may account for, or contribute to, the mechanism of spontaneous Ca²⁺ release in cardiac myocytes Received: 15 May 1996 / Received after revision: 5 June 1996 / Accepted: 8 July 1996     

The peptide ”FRCRCFa”, dialysed intracellularly, inhibits the Na/Ca exchange in rabbit ventricular myocytes with high affinity

 We investigated the effect in rabbit ventricular myocytes of ”FRCRCFa”, a newly developed peptide inhibitor of the Na/Ca exchange. Myocytes were whole-cell patch clamped and experiments were carried out at 36°C. The Na/Ca exchange was measured selectively, by blocking interfering ion channel currents and the Na/K pump, as the membrane current which could be inhibited by 5 mM nickel (Ni; a known blocker of the Na/Ca exchange). Increasing concentrations of FRCRCFa dialysed into the cell from the patch-pipette inhibited the Na/Ca exchange current. The dose/response curve could be fitted by a function for co-operative ligand binding, which predicted a K_D for FRCRCFa-mediated inhibition of 22.7 ± 3.7 nM, with a Hill coefficient of 0.61 ± 0.06. Pipette FRCRCFa concentrations of 1 μM and above were sufficient to cause complete inhibition of Na/Ca exchange current. The inhibitory effect of FRCRCFa was independent of membrane potential and relatively selective: 10 μM FRCRCFa dialysed into the cell had no effect on the L-type Ca current and delayed rectifier and inward rectifier K currents. Thus FRCRCFa appears to be a potent and relatively selective inhibitor of the Na/Ca exchange in intact cardiac myocytes, and may be of value for studies of the Na/Ca exchange. Received: 9 July 1996 / Received after revision: 18 September 1996 / Accepted: 20 September 1996     

A novel, rapid and reversible method to measure Ca buffering and time-course of total sarcoplasmic reticulum Ca content in cardiac ventricular myocytes

 This paper outlines a simple method of estimating both the Ca-buffering properties of the cytoplasm and the time-course of changes of sarcoplasmic reticulum (s.r.) Ca concentration during systole. The experiments were performed on voltage-clamped ferret single ventricular myocytes loaded with the free acid of fluo-3 through a patch pipette. The application of caffeine (10 mM) resulted in a Na-Ca exchange current and a transient increase of the free intracellular Ca concentration ([Ca²⁺]_i). The time-course of change of total Ca in the cell was obtained by integrating the current and this was compared with the measurements of [Ca²⁺]_i to obtain a buffering curve. This could be fit with a maximum capacity for the intrinsic buffers of 114±18 μmol l^–1 and K _d of 0.59±0.17 μM (n=8). During the systolic rise of [Ca²⁺]_i, the measured changes of [Ca²⁺]_i and the buffering curve were used to calculate the magnitude and time-course of the change of total cytoplasmic Ca and thence of both s.r. Ca content and Ca release flux. This method provides a simple and reversible mechanism to measure Ca buffering and the time-course of both total cytoplasmic and s.r. Ca. Received: 14 October 1998 / Accepted: 6 November 1998     

Reopening of L‐type calcium channels in human ventricular myocytes during applied epicardial action potentials

Aims: Present study was performed to compare the dynamics of human L‐type calcium current (I_Ca,L) flowing during rectangular voltage pulses, voltage ramps, and action potentials (APs) recorded from epicardiac and endocardiac canine ventricular cells. Methods: I _Ca,L was recorded in single myocytes isolated from undiseased human hearts using the whole cell voltage clamp technique. Results: The decay of I_Ca,L was monotonic when using rectangular pulses or endocardial APs as voltage commands, whereas the current became double‐peaked (displaying a second rise and fall) during epicardial (EPI) APs or voltage ramps used to mimic EPI APs. These I_Ca,L profiles were associated with single‐hooked and double‐hooked phase‐plane trajectories, respectively. No sustained current was observed during the AP commands. Kinetics of deactivation and recovery from inactivation of human I_Ca,L were determined using twin‐pulse voltage protocols and voltage ramps, and the results were similar to those obtained previously in canine cells under identical experimental conditions. Conclusions: I _Ca,L can inactivate partially before and deactivate during the phase‐1 repolarization of the epicardiac AP, and reopening of these channels seems to be associated with formation of the dome.     

Cell swelling causes the action potential duration to shorten in guinea-pig ventricular myocytes by activating I KATP

 In guinea-pig ventricular myocytes, cell swelling by incubation in hypotonic solution caused a pronounced shortening of the action potential duration (APD₉₀: 15.5±14.6% compared to control; mean ± SD) after a latency of 12 min when the intracellular ATP concentration was 2 mM. This shortening was partially reversible within 10 min after reperfusion with isotonic solution (APD₉₀: 80.5±12.1% compared to control). With 5 mM intracellular ATP in the pipette electrode, the effect of cell swelling on the action potential was significantly reduced. Incubation with 1 μM glibenclamide, a blocker of the ATP-dependent K⁺ current (I _KATP), abolished the swelling-induced shortening of the action potential duration, whereas incubation with 0.5 mM 4,4’-diisothiocyanatostilbene-2,2’-disulphonic acid (DIDS), a blocker of the swelling-induced Cl^– current (I _Cl,swell), had no effect on the action potential duration in hypotonic solution. Simultaneous measurements of membrane currents substantiate that I _KATP is the current that underlies this effect. These results suggest that in the ischaemic myocardium I _KATP may be partially activated by cell swelling, resulting in a shortening of the action potential duration before the intracellular ATP concentration has fallen below 2 mM. Received: 30 March 1998 Received after revision: 7 July 1998 Accepted: 25 July 1998     

Internal free magnesium modulates the voltage dependence of contraction and Ca transient in rabbit ventricular myocytes

 We investigated the effect of altering internal free magnesium concentration (Mg_i) on the contraction and Ca_i transient of patch-clamped rabbit ventricular myocytes. Experiments were performed at 35°C; cells were held at –40 mV to inactivate Na channels and T-type Ca channels, and at this potential (and in the absence of cyclic AMP) ”Ca-induced Ca release” is the primary trigger mechanism. Cells dialysed with a low Mg_i (2.9 μM) had a large and fast phasic contraction and Ca_i transient at positive potentials (+60, +80 mV). Cells dialysed with a high Mg_i (7.1 mM) had a small or absent phasic contraction and Ca_i transient at positive potentials. These effects were due to a change in free Mg_i, and not due to a change in [Mg.ATP]. In cells dialysed with a low Mg_i, application of Ca channel blockers (32 μM nifedipine with 10 μM D600) for a single beat abolished current through L-type Ca channels (I _Ca,L); however, 53% of the Ca_i transient was still elicited. Adding 5 mM Ni to Ca channel blockers abolished the remaining Ca_i transient, indicating that (in the absence of I _Ca,L) the transient might be triggered by reverse Na/Ca exchange. In cells dialysed with a high Mg_i, a single-beat switch to Ca channel blockers was sufficient alone to abolish the Ca_i transient, indicating that under these conditions Ca entry via I _Ca,L is the primary sarcoplasmic reticulum trigger mechanism. These results suggest that raised free Mg_i might partially inhibit the activity of the Na/Ca exchange, or might limit its ability to trigger Ca release. Received: 29 August 1997 / Received after revision: 12 November 1997 / Accepted: 13 November 1997     

Potentiation of the contraction following a prolonged depolarization in isolated ferret myocardium

The contractile force was studied in ferret papillary muscles during voltage clamp depolarizations, using the single sucrose gap method. Prolongation of a test depolarization within a train produced potentiation of the following contraction. The effects of varied duration and membrane potential of the test depolarization upon the potentiated force of the following beat were studied. We assumed that force of a beat was an index of calcium entry on the previous depolarization. The relationship between the peak contractile force of the following potentiated beat and the systolic membrane potential of the test depolarization revealed an equilibrium around ?18 mV. This was manifest after l00 ms of no effect. Positive potentials caused potentiation of force of the following beat; negative potentials caused suppression of force of the following beat. Calcium entry, if carried by an electrogenic exchange mechanism, would be revealed as a membrane current developing after l00 ms. Membrane current at these times was always outward. When the duration of the test depolarization was prolonged, outward current prior to repolarisation progressively increased. When the duration of the test depolarization was held constant, outward current was varied by variation in membrane potential. Force of the following beat was proportional to the test clamp membrane potential. The potentiation of the contraction following a prolonged depolarization was abolished by substituting 75% of the sodium in the perfusion medium with lithium. These results are compatible with the hypothesis that potentiation of force following a prolonged depolarization is derived from calcium entry into myocardial cells by reversed sodium-calcium exchange.     

Effects of cytosolic Ca2+ on the Ca2+ content of the sarcoplasmic reticulum in saponin-permeabilized rat ventricular trabeculae

 Rat ventricular trabeculae were mounted for isometric tension recording, and then permeabilized with saponin. The Ca²⁺ concentration ([Ca²⁺]) within the permeabilized preparation (cytosolic [Ca²⁺]) was monitored continuously using Indo-1 and the integrals of Ca²⁺ transients resulting from brief caffeine application used as an index of the sarcoplasmic reticulum (SR) Ca²⁺ content. The relationship between SR Ca²⁺ content and cytosolic [Ca²⁺] was studied within the reported physiological range (i.e. 50–250 nmol · l^–1 Ca²⁺). Increasing cytosolic [Ca²⁺] from 50 nmol · l^–1 to 250 nmol · l^–1 increased the steady-state SR Ca²⁺ content about threefold. However, increasing [Ca²⁺] above 250 nmol · l^–1 typically resulted in spontaneous SR Ca²⁺ release, with no further increase in SR Ca²⁺ content. The SR Ca²⁺ content increased only slowly when cytosolic [Ca²⁺] was increased; it was unchanged 20 s after a rapid increase in cytosolic [Ca²⁺], but increased progressively to a new steady-state level during the following 1–2 min. In a parallel series of experiments using intact papillary muscles, increasing extracellular [Ca²⁺] (from 0.5 to 5 mmol · l^–1) significantly increased twitch tension within 20 s of the solution change. These results support previous suggestions that the SR Ca²⁺ content may increase when diastolic cytosolic [Ca²⁺] rises during inotropic interventions such as increased stimulus rate or extracellular [Ca²⁺]. However, the rate at which SR Ca²⁺ responds to changes in cytoplasmic [Ca²⁺] within the diastolic range does not appear rapid enough to explain the early potentiation of twitch tension in intact preparations after an increase in extracellular [Ca²⁺]. Received: 26 August 1997 / Accepted: 28 October 1997     

The polycationic compound gentamicin inhibits the calcium paradox in guinea-pig hearts

Gödicke , J., Jacobsen , L., Lüllmann , H. & Mülder , G. 1992. The polycationic compound gentamicin inhibits the calcium paradox in guinea-pig hearts. Acta Physiol Scand 144 , 349–354. Received 2 July 1 991 , accepted 13 October 1991. ISSN 0001–6772. Department of Pharmacology, University of Kiel, Germany. The polycationic drug gentamicin and two calcium antagonists were studied with respect to their protecting action against the calcium paradox in perfused guinea-pig hearts. Besides the mechanograms the release of creatine kinase was recorded; in parallel experiments the Na⁺-content of the hearts was measured before and at the end of the Ca²⁺lack period, and during re-exposure to normal [Ca²⁺]₀. The calcium paradox was induced by perfusion, for 50 s, with Ca²⁺-free solution containing EGTA (3 × 10^-4 m) . Nifedipine and verapamil in concentrations which reduced the equilibrium contractile force by 50%, only mitigated the extent of the calcium paradox, whereas gentamicin applied in a concentration also reducing the contractile amplitude by 50% was able to suppress the calcium paradox completely. The doseresponse curves for nifedipine, with respect to the reduction of contractile force and contracture, were identical. In contrast, gentamicin was more effective in attenuating the contracture of the paradox than in reducing the equilibrium contractile force. The large gain of Na⁺ during the Ca²⁺-lack period was diminished by both nifedipine and gentamicin. The partial protection of calcium antagonists can be related to their interference with the uptake of Na⁺ through L-type Ca²⁺-channels during the Ca²⁺-lack period, whereas gentamicin seems to act by an additional inhibition of the Na/Ca exchange during the re-exposure to normal [Ca²⁺]₀.     

Multiple effects of caffeine on calcium current in rat ventricular myocytes

Caffeine exerts a number of different effects on L-type calcium current in rat ventricular myocytes. These include: (1) a slowing of inactivation that is comparable to, but not additive to, that produced by prior treatment of the cells with ryanodine (a selective sarcoplasmic reticulum Ca²⁺ releaser) or high concentrations of intracellular 1,2-bis[2-aminophenoxy]ethane-N,N,N,N-tetraacetic acid (BAPTA) (a fast Ca²⁺ chelator), (2) a stimulation of peak I _Ca that is comparable to, but not additive to that produced by prior treatment with isobutylmethylxanthine (a selective phosphodiesterase inhibitor), and (3) a dose-dependent decrease of peak I _Ca that is not prevented by pretreatment with any of these agents. None of the caffeine actions could be mimicked or prevented by administration of 8-phenyltheophylline, a specific adenosine receptor antagonist. We conclude that only the slowing of I _Ca inactivation is due to caffeine's ability to deplete the sarcoplasmic reticulum of calcium. The stimulatory effect of caffeine on peak I _Ca is probably due to phosphodiesterase inhibition, while caffeine's inhibitory effect on I _Ca is independent of these processes and could be a direct effect on the channel. The multiplicity of caffeine actions independent of its effects on the sarcoplasmic reticulum lead to the conclusion that ryanodine, though slower acting and essentially irreversible, is a more selective agent than caffeine for probing sarcoplasmic reticulum function and its effects on other processes.The experimental part of this work was published during the postdoctoral stay of I. Zahradník in the Department of Physiology and Biophysics, The University of Texas Medical Branch, Galveston, TX 77555, USA     

Electrical restitution in rat ventricular muscle

The mechanism of electrical restitution was studied in isolated rat ventricular muscle using drugs that inhibit specific ion currents. The effect of transient changes in cytosolic Ca concentration and Na/Ca exchange in relation to the restitution process was also studied in single ventricular cardiomyocytes. Conventional microelectrode techniques were applied to record action potentials having gradually increasing coupling intervals, each evoked following a train of stimuli with a frequency of 1 Hz. Ion currents were recorded from enzymatically isolated cells using the whole cell patch clamp technique. Ca transients were monitored in myocytes loaded with the fluorescent dye, indo-1. The electrical restitution process in multicellular rat ventricular preparations at 37 °C was described as a sum of three exponential components: an early positive component, a subsequent fast negative component and a late negative component, having time constants of 21.9±1.9, 73.1±6.0 and 1053±61 ms, respectively (n=9). Inhibition of the transient outward K current, the delayed rectifier K current, or the chloride current did not substantially alter these time constants. The early positive and fast negative components were fully abolished by nifedipine or MnCl₂. In the presence of caffeine, the fast negative component was absent, while the time constant of the early positive component increased to 39.5±5.8 ms (n=5). In single myocytes loaded with indo-1, the Ca transients decayed with a time constant of 151±12 ms at room temperature (n=5). These Ca transients were accompanied by inward current tails, identified as a Na/Ca exchange current, having a decay time constant of 140±4.5 ms. It is concluded that electrical restitution in rat ventricular muscle is relatively little affected by recovery from voltage-dependent inactivation of ion channels, it is rather governed by transient changes in cytosolic Ca concentration possible via Ca-dependent inactivation of the L-type Ca current and activation of the Na/Ca exchange current.     

Participation of Na/Ca‐exchanger and sarcoplasmic reticulum in the high [K]o‐protection against ischaemia‐reperfusion dysfunction in rat hearts

Aim: Na/Ca‐exchanger (NCX) and sarcoplasmic reticulum (SR) roles during the protection by a cardioplegic solution (25 mm K and 0.5 mm Ca, CPG) against ischaemia‐reperfusion was studied. Methods: Contractile performance (CP) and high energy phosphates contents (HEP) were evaluated in isolated ventricles from rats. They were pre‐treated with Krebs (C) or CPG and submitted to no‐flow ischaemia and reperfusion (I–R). KB‐R7943 5 μm (inhibitor of NCX in reverse mode), 8 mm caffeine and ionic changes were used pre‐ischaemically to evaluate each pathway role. Results: During R, CP recovered to 77 ± 8% of basal in CPG‐hearts vs. 55 ± 8% (P < 0.05) in C‐ones. CPG avoided the increases in end diastolic pressure (LVEDP) and in PCr/ATP ratio during I–R. Low [Na]_o (78 mm ) under both, CPG‐2 mm Ca and C, increased further the LVEDP during I–R. LVEDP was also transiently increased by caffeine‐CPG, but not modified by KB‐R7943. The recovery of CP during reperfusion of CPG‐hearts was decreased either, by caffeine (to ～75%), low [Na]_o‐2 mm Ca‐CPG (to ～40%) and KB‐R7943 (to ～16%). Conclusions: CPG protected hearts from ischaemic contracture by attenuating the fall in ATP and removing diastolic Ca by means of NCX in forward mode. Moreover, CPG induces higher CP recovery during reperfusion by participation of SR and NCX in reverse mode. This work remarks the use of CPG based on the functional role of these Ca handling‐mechanisms in a pathophysiological condition as ischaemia‐reperfusion.     

Ionic mechanisms of desflurane on prolongation of action potential duration in rat ventricular myocytes

Purpose

Despite the fact that desflurane prolongs the QTC interval in humans, little is known about the mechanisms that underlie these actions. We investigated the effects of desflurane on action potential (AP) duration and underlying electrophysiological mechanisms in rat ventricular myocytes.

Materials and Methods

Rat ventricular myocytes were enzymatically isolated and studied at room temperature. AP was measured using a current clamp technique. The effects of 6% (0.78 mM) and 12% (1.23 mM) desflurane on transient outward K⁺ current (I_to), sustained outward current (I_sus), inward rectifier K⁺ current (I_KI), and L-type Ca²⁺ current were determined using a whole cell voltage clamp.

Results

Desflurane prolonged AP duration, while the amplitude and resting membrane potential remained unchanged. Desflurane at 0.78 mM and 1.23 mM significantly reduced the peak I_to by 20±8% and 32±7%, respectively, at +60 mV. Desflurane (1.23 mM) shifted the steady-state inactivation curve in a hyperpolarizing direction and accelerated inactivation of the current. While desflurane (1.23 mM) had no effects on I_sus and I_KI, it reduced the L-type Ca²⁺ current by 40±6% (p<0.05).

Conclusion

Clinically relevant concentrations of desflurane appear to prolong AP duration by suppressing I_to in rat ventricular myocytes.     

Effect of catecholamines on the ventricular myocyte action potential in raised extracellular potassium

We describe the relationship between catecholamines and raised extracellular potassium ([K⁺]_o) on action potential parameters and calcium currents in isolated ventricular myocytes of the guinea-pig and relate these findings to the problem of understanding how the heart is protected from exercise-induced hyperkalaemia ([K⁺]_a up to 8.5 mm ). Action potential duration (APD₉₀), amplitude and upstroke velocity were recorded in stimulated (2Hz) guinea-pig ventricular myocytes using whole-cell patch electrode recordings (37 ±C). Cells were superfused with normal K⁺Tyrode and with raised K⁺Tyrode in the presence of either noradrenaline, adrenaline or raised calcium. Inward calcium current was measured using voltage clamp. Raised K⁺(8, 12, 16 mm K⁺Tyrode) caused a significant (P < 0.01) depolarisation, shortened the APD₉₀ and decreased the action potential amplitude and upstroke velocity. In raised K⁺Tyrode addition of noradrenaline (0.08–0.1 μm ) or adrenaline (0.1–0.2 μm ) increased action potential amplitude (P < 0.01), APD₉₀ (P < 0.01) and upstroke velocity (P < 0.01) (measured only in 16 mm K⁺Tyrode). In 12 mm K⁺Tyrode raised Ca²⁺(5–6 mm ) increased action potential amplitude (P < 0.05) and shortened APD₉₀ (P < 0.05). Addition of NA (0.08–0.1 μm ) increased the inward Ca²⁺current. All effects were fully reversible. In raised [K⁺]_o increases in catecholamines and [Ca²⁺]_o cause changes in action potential parameters that would be expected to maintain propagation of the cardiac action potential in the whole heart. Thus, in the ventricular myocyte the increase in conductance to Ca²⁺caused by catecholamines may be one factor that is important in minimising the potentially adverse effects of exercise-induced hyperkalaemia.     

The late component of L-type calcium current during guinea-pig cardiac action potentials and its contribution to contraction

 L-Type Ca²⁺ current (I _Ca,L) elicited during the action potential (AP) of guinea-pig ventricular myocytes exhibits an early and a late component. The whole-cell patch-clamp technique was used to characterize the process regulating the late I _Ca,L component and to assess its contribution to excitation-contraction coupling. A stepwise decrease in repolarization rate of AP-like voltage-clamp pulses led to an exponential increase in Ca²⁺ charge carried by I _Ca,L. This saturation behaviour was significantly reduced or absent when Ba²⁺ or monovalent cations were used as charge carriers, which suggests that the late component of I _Ca,L is controlled mainly by Ca²⁺-dependent processes. Simultaneously recording I _Ca,L and zero-load shortening or the internal Ca²⁺ concentration (fura-2) revealed that Ca²⁺ carried by the late component of I _Ca,L markedly contributes to the Ca²⁺ content of the sarcoplasmic reticulum (SR). Reducing the charge transfer by late I _Ca,L during a series of AP-like conditioning clamp pulses by 48% reduced the shortening amplitude during a subsequent test stimulation by 56%. This relationship was absent during long rectangular depolarizing conditioning clamps, during which Na⁺/Ca²⁺ exchange increased its influence on SR Ca²⁺ loading. The late component of I _Ca,L developed only a minor direct influence on the simultaneous cell shortening. Thus, the main contribution of the late I _Ca,L component is to supply Ca²⁺ for SR loading. Received: 5 November 1997 / Received after revision: 12 June 1998 / Accepted: 15 June 1998     

Effect of ethanol on action potential and ionic membrane currents in rat ventricular myocytes

Aim: Even though alcohol intoxication is often linked to arrhythmias, data describing ethanol effect on cardiac ionic channels are rare. In addition, ethanol is used as a solvent of hydrophobic compounds in experimental studies. We investigated changes of the action potential (AP) configuration and main ionic membrane currents in rat cardiomyocytes under 20–1500 mm ethanol. Methods: Experiments were performed on enzymatically isolated rat right ventricular myocytes using the whole cell patch-clamp technique at room temperature. Results: Ethanol reversibly decelerated the upstroke velocity and decreased AP amplitude and duration at 0.2 and 3 Hz. The fast sodium current I_Na, l -type calcium current I_Ca and transient outward potassium current I_to were reversibly inhibited in a concentration-dependent manner (50% inhibition at 446 ± 12, 553 ± 49 and 1954 ± 234 mm , respectively, with corresponding Hill coefficients 3.1 ± 0.3, 1.1 ± 0.2 and 0.9 ± 0.1). Suppression of I_Na and I_Ca magnitude was slightly voltage dependent. The effect on I_Ca and I_to was manifested mainly as an acceleration of their apparent inactivations with a decreased slow and fast time constant respectively. As a consequence of marked differences in n_H, sensitivity of the currents to ethanol at 10% inhibition decreases in the following order: I_Ca (75 mm , 3.5‰), I_to (170 mm , 7.8‰) and I_Na (220 mm , 10.1‰). Conclusion: Our results suggest a slight inhibition of all the currents at ethanol concentrations relevant to deep alcohol intoxication. The concentration dependence measured over a wide range may serve as a guideline when using ethanol as a solvent.