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1 Institute of Cardiovascular Sciences, St. Boniface General Hospital Research Center, University of Manitoba, Winnipeg, Manitoba, Canada R2H 2A6; and 2 Cardiovascular Research Laboratory and Departments of Physiology and Medicine, University of California, Los Angeles, California 90095
Na+/Ca2+
exchange is the primary mechanism mediating
Ca2+ efflux from cardiac myocytes
during diastole and, thus, can prominently influence contractile force.
In addition to transporting Na+
and Ca2+, the exchanger is also
regulated by these ions. Although structure-function studies have
identified protein regions of the exchanger subserving these regulatory
processes, their physiological importance is unknown. In this study, we
examined the electrophysiological and mechanical consequences of
cardiospecific overexpression of the canine cardiac exchanger NCX1.1
and a deletion mutant of NCX1.1 (
680-685), devoid of
intracellular Na+
(Na+i)- and
Ca2+
(Ca2+i)- dependent regulatory
properties, in transgenic mice. Using the giant excised
patch-clamp technique, normal ionic regulation was observed in membrane
patches from cardiomyocytes isolated from control and transgenic mice
overexpressing NCX1.1. In contrast, ionic regulation was nearly
abolished in mice overexpressing
680-685, indicating that the
native regulatory processes could be overwhelmed by expression of the
transgene. To address the physiological consequences of ionic
regulation of the
Na+/Ca2+
exchanger, we examined postrest force development in papillary muscles
from NCX1.1 and
680-685 transgenic mice. Postrest potentiation was found to be substantially greater in
680-685 than in NCX1.1 transgenic mice, supporting the notion that ionic regulation of Na+/Ca2+
exchange plays a significant functional role in cardiac contractile properties.
giant excised patch; sodium-calcium exchange; ionic regulation; postrest potentiation
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