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Am J Physiol Heart Circ Physiol (January 9, 2009). doi:10.1152/ajpheart.01118.2008
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Submitted on October 24, 2008
Revised on December 15, 2008
Accepted on January 4, 2009

Synergism of coupled subsarcolemmal Ca2+ clocks and sarcolemmal voltage clocks confers robust and flexible pacemaker function in a novel pacemaker cell model

Victor A Maltsev and Edward G Lakatta1*

1 Gerontology Research Center, National Institute on Aging, National Institutes of Health

* To whom correspondence should be addressed. E-mail: lakattae{at}grc.nia.nih.gov.

Recent experimental studies have demonstrated that sinoatrial node cells (SANC) generate spontaneous, rhythmic, local subsarcolemmal Ca2+ releases (Ca2+clock), which occur during late diastolic depolarization (DD) and interact with the classical sarcolemmal voltage oscillator (membrane clock) by activating Na+/Ca2+ exchanger current (INCX). This and other interactions between clocks, however, are not captured by existing essentially membrane-delimited cardiac pacemaker cell numerical models. Using wide-scale parametric analysis of classical formulations of membrane clock and Ca2+ cycling, we have constructed and initially explored a prototype rabbit SANC model featuring both clocks. Our coupled oscillator system exhibits greater robustness and flexibility than membrane clock operating alone. Rhythmic spontaneous Ca2+ releases of sarcoplasmic reticulum (SR)-based Ca2+clock ignite rhythmic action potentials via late DD INCX over much broader ranges of membrane clock parameters (e.g. ICaL and/or If conductances). The system Ca2+clock includes SR and sarcolemmal Ca2+ fluxes, which optimize cell Ca2+ balance to increase amplitudes of both SR Ca2+ release and late DD INCX as SR Ca2+ pumping rate increases, resulting in a broad pacemaker rate modulation (1.8-4.6Hz). In contrast, the rate modulation range via membrane clock parameters is substantially smaller when Ca2+clock is unchanged or lacking. When Ca2+clock is disabled, the system parametric space for fail-safe SANC operation considerably shrinks: without rhythmic late DD INCX ignition signals membrane clock substantially slows, becomes dys-rhythmic, or halts. Conclusion: The Ca2+clock is a new critical dimension in SANC function. A synergism of the coupled function of Ca2+ and membrane clocks confers fail-safe SANC operation at greatly varying rates.




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