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Todd Franklin Cardiac Research Laboratory, Sibley Children's Heart Center, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia 30322
Submitted 24 October 2003 ; accepted in final form 2 January 2004
We investigated differences in L-type Ca2+ current (ICa) between infant (INF, 112 mo old), young adult (YAD, 1418 yr old), and older adult (AD) myocytes from biopsies of right atrial appendages. Basal ICa was smaller in INF myocytes (1.2 ± 0.1 pA/pF, n = 29, 6 ± 1 mo old, 11 patients) than in YAD (2.5 ± 0.2 pA/pF, n = 20, 16 ± 1 yr old, 5 patients) or AD (2.6 ± 0.3 pA/pF, n = 19, 66 ± 3 yr old, 9 patients) myocytes (P < 0.05). Maximal ICa produced by isoproterenol (Iso) was similar in INF, YAD, and AD cells: 8.4 ± 1.1, 9.6 ± 1.0, and 9.2 ± 1.3 pA/pF, respectively. Efficacy (Emax) was larger in INF (607 ± 50%) than for YAD (371 ± 29%) or AD (455 ± 12%) myocytes. Potency (EC50) was 8- to 10-fold higher in AD (0.82 ± 0.09 nM) or YAD (0.41 ± 0.14 nM) than in INF (7.6 ± 3.5 nM) myocytes. Protein levels were similar for Gi
2 but much greater for Gi
3 in INF than in AD or YAD atrial tissue. When Gi
3 activity was inhibited by inclusion of a Gi
3 COOH-terminal decapeptide in the pipette, basal ICa and the response to 10 nM Iso were increased in INF, but not in YAD, cells. We propose that basal ICa and the response to low-dose
-adrenergic stimulation are inhibited in INF (but not YAD or AD) cells as a result of constitutive inhibitory effects of Gi
3.
-adrenergic receptors; human atrium; atrial function; isoproterenol
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