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Am J Physiol Cell Physiol 290: C1572-C1582, 2006. First published January 18, 2006; doi:10.1152/ajpcell.00226.2005
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MEMBRANE TRANSPORTERS, ION CHANNELS, AND PUMPS

Store-operated Ca2+ entry modulates sarcoplasmic reticulum Ca2+ loading in neonatal rabbit cardiac ventricular myocytes

Jingbo Huang,1,2 Casey van Breemen,2,3 Kuo-Hsing Kuo,3 Leif Hove-Madsen,4 and Glen F. Tibbits1,2

1Cardiac Membrane Research Laboratory, Simon Fraser University, Burnaby; 2Cardiovascular Sciences, Child and Family Research Institute, Vancouver; 3Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada; and 4Laboratorio de Fisiología Celular, Cardiología, Hospital de Sant Pau, Barcelona, Spain

Submitted 11 May 2005 ; accepted in final form 5 January 2006


    ABSTRACT
 TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Store-operated Ca2+ entry (SOCE), which is Ca2+ entry triggered by the depletion of intracellular Ca2+ stores, has been observed in many cell types, but only recently has it been suggested to occur in cardiomyocytes. In the present study, we have demonstrated SOCE-dependent sarcoplasmic reticulum (SR) Ca2+ loading (loadSR) that was not altered by inhibition of L-type Ca2+ channels, reverse mode Na+/Ca2+ exchange (NCX), or nonselective cation channels. In contrast, lowering the extracellular [Ca2+] to 0 mM or adding either 0.5 mM Zn2+ or the putative store-operated channel (SOC) inhibitor SKF-96365 (100 µM) inhibited loadSR at rest. Interestingly, inhibition of forward mode NCX with 30 µM KB-R7943 stimulated SOCE significantly and resulted in enhanced loadSR. In addition, manipulation of the extracellular and intracellular Na+ concentrations further demonstrated the modulatory role of NCX in SOCE-mediated SR Ca2+ loading. Although there is little knowledge of SOCE in cardiomyocytes, the present results suggest that this mechanism, together with NCX, may play an important role in SR Ca2+ homeostasis. The data reported herein also imply the presence of microdomains unique to the neonatal cardiomyocyte. These findings may be of particular importance during open heart surgery in neonates, in which uncontrolled SOCE could lead to SR Ca2+ overload and arrhythmogenesis.

cardiac ontogeny; cardiac excitation-contraction coupling; calcium homeostasis


IT IS WELL DOCUMENTED that the depletion of intracellular Ca2+ stores (sarcoplasmic reticulum/endoplasmic reticulum, SR/ER) triggers Ca2+ entry (store-operated Ca2+ entry, SOCE) in many nonexcitable cells, vascular smooth muscle cells (7, 8, 30), and skeletal muscle cells (22, 23). The mechanisms for linking intracellular stores to the plasma membrane are not well understood (33). One hypothesis proposed by Putney (31) that has gained some acceptance is that intracellular Ca2+ stores are linked by the release of a Ca2+ influx factor (CIF). After the depletion of Ca2+ stores, CIF is postulated to diffuse to the plasma membrane and activate the store-operated channels (SOCs). Fasolato et al. (10) suggested the exocytosis model, in which channels may be inserted into the membrane by vesicle fusion in response to Ca2+ store depletion. Another hypothesis put forth is that Ca2+ regulation or the depletion of stores might result in a fall in [Ca2+]i in a restricted space between the plasma membrane and closely associated ER, which in turn activates the channels (3). At present, the favored model for SOCE is the conformational coupling model, in which the discharge of Ca2+ stores causes a conformational change that triggers direct protein-protein interaction between Ca2+ stores and the SOCs. It is distinctly possible that there are different mechanisms for SOCE in different cell types. It has been demonstrated that SOCE plays an important role in a variety of physiological functions, such as contraction, secretion, cell growth, and proliferation in different cell types. However, until its recent demonstration in murine cardiomyocytes (19, 20, 37), it had generally been accepted that SOCE does not exist in cardiomyocytes. The present study was based on our observation that the SR in neonatal myocytes was refilled with Ca2+ within 10 s after caffeine (CAF)-induced depletion of SR Ca2+ while voltage clamped at –80 mV. Our results reported herein demonstrate the robust presence of SOCE in neonatal rabbit ventricle myocytes, which decreases significantly with ontogeny.


    MATERIALS AND METHODS
 TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
Isolation of ventricular myocytes. Ventricular myocytes were isolated from the hearts of New Zealand White rabbits of either sex from three distinct age groups, 3 days (3d), 10 days (10d), and 56 days (56d) postpartum, using methods described previously (17, 34). In the 56d group, 25 mg of Yakult collagenase in 150 ml of a nominally Ca2+-free solution, 5 mg of protease in 50 ml of storage solution, and a pump speed of 4 ml/min were used. The experiments described in this study were approved by the University Animal Care Committee at Simon Fraser University (permit no. 698K-96) and conformed to the guidelines established by the Canadian Council on Animal Care.

Whole cell perforated patch-clamp voltage. A whole cell amphotericin-perforated voltage-clamp technique was used at room temperature as described previously (17). The internal pipette solution contained (in mM) 110 CsCl, 5 MgATP, 1 MgCl2, 20 tetraethylammonium (TEA), 5 Na2 phosphocreatine, and 10 HEPES at pH 7.1 adjusted with CsOH. The standard external solution contained (in mM) 130 NaCl, 5 CsCl, 1 MgCl2, 2.0 CaCl2, 5 Na+-pyruvate, 10 glucose, and 10 HEPES at pH 7.4 adjusted with NaOH. In some experiments, the cells were perfused with a nominally Ca2+-free solution (referred to herein as 0 mM) or with different internal and external Na+ concentrations ([Na+]i and [Na+]o, respectively, and 125 and 14 mM, respectively, with the difference from standard external solution being replaced with CsCl). Only cells in which the access resistance was <20 M{Omega} were used in these experiments.

Measurement of Ca2+ fluorescence. Cytosolic Ca2+ concentration ([Ca2+]i) was measured using the fluorescent Ca2+ indicator fluo-3 AM as described previously (17). F0 was assumed to be the difference between background fluorescence determined in the absence and presence of a cell in the area of measurement. {Delta}F is the increment measured from baseline or the background fluorescence in the presence of a cell-free area. Fmax was the fluorescence acquired after the cell was depolarized to +200 mV for 10–20 s to flood the cytosol with Ca2+ at the end of each experiment.

Electron microscopy. Images of the cross sections of the ventricular muscle myocytes were obtained with a Phillips 300 electron microscope as described previously (13). Briefly, each heart was perfused for 15 min using a Langendorff apparatus at age-appropriate perfusion speeds (37°C). After initial fixation, the hearts were removed from the Langendorff apparatus. The ventricle was trimmed into small blocks of ~0.5 x 0.5 x 0.5 mm and immersed in the fixative for 2 h at 4°C on a shaker. The blocks were then washed three times in 0.1 M sodium cacodylate (10 min each). In the process of secondary fixation, the blocks were placed into 1% OsO4-0.1 M sodium cacodylate buffer for 2 h and then were washed three times with distilled water (10 min each). The blocks were then treated with 1% uranyl acetate for 1 h (en bloc staining), followed by being washed with distilled water. Increasing concentrations of ethanol (50%, 70%, 80%, 90%, and 95%) were used (10 min each) in the process of dehydration. Ethanol (100%) and propylene oxide were used (three 10-min washes each) for the final process of dehydration. The blocks were infiltrated overnight in the resin (TAAB 812) and then embedded in molds and polymerized in an oven at 60°C for 8–10 h. The embedded blocks were sectioned on a microtome using a diamond knife and placed on 400-mesh copper grids. The section thickness was ~80 nm. The sections were then stained with 1% uranyl acetate (4 min) and Reynolds lead citrate (3 min) and imaged using a Phillips 300 electron microscope. Twenty-five sections from each of three hearts for each of two age groups (3d and 56d) were used for statistical analysis.

Data analysis. Data are means ± SE. The statistical significance of the results was tested using one-way ANOVA with SPSS version 11.0 software (SPSS, Chicago, IL) or Student's t-test for paired or unpaired samples. Post hoc tests were performed using Tukey's multiple-comparison test. P ≤ 0.05 was considered statistically significant.


    RESULTS
 TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
SR Ca2+ loading after clearance of SR Ca2+ content was prominent in newborns and diminished with age. To determine whether there was significant SOCE-dependent sarcoplasmic reticulum (SR) Ca2+ loading (loadSR) after clearance of the SR Ca2+ content, the protocol shown in Fig. 1A was used. The first rapid 10 mM CAF application was used to clear the Ca2+ stored in the SR before the protocol indicated. The integrals of Na+/Ca2+ exchanger current (INCX) elicited by the second and third CAF applications were used to determine the loadSR during the preceding 10- and 60-s intervals. During the entire experiment, the cell was voltage clamped at –80 mV (resting condition). The duration of CAF application was limited to 8 s to prevent a possible increase in intracellular cAMP concentration that could potentially result from longer exposure times (36) and confound the results. Figure 1B shows representative traces of membrane current and [Ca2+]i in 3d, 10d, and 56d myocytes superfused with control solution (CON). There was measurable loadSR after clearance of SR Ca2+ content in the 3d and 10d myocytes and substantially less loadSR in 56d cells. LoadSR was significantly enhanced when the perfusion time was increased from 10 to 60 s as shown in Fig. 1C. There were significant decreases in loadSR with age with regard to both the 10- and 60-s intervals.


Figure 1
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Fig. 1. Time and age dependence of store-operated Ca2+ entry (SOCE)-dependent sarcoplasmic reticulum (SR) Ca2+ loading (loadSR) under resting conditions. A: protocol used to measure loadSR during 10- and 60-s intervals. The integrals of Na+/Ca2+ exchanger current (INCX) induced by second and third caffeine (CAF) applications were used to determine the amount of loadSR. B: 3 representative traces measured using the protocol described in A in ventricular myocytes isolated from hearts of New Zealand White rabbits of either sex from three distinct age groups: 3 days (3d), 10 days (10d), and 56 days (56d) postpartum. Ca2+ transients are traced in black, and membrane potentials (Em) are traced in gray. C: bar graphs of loadSR after 10- and 60-s intervals in 3d (solid bars), 10d (gray bars), and 56d (open bars). There were significant differences in loadSR (normalized by Em) between 3d and 56d myocytes (***P < 0.0001 for 10- and 60-s loading) and between 10d and 56d myocytes (**P < 0.005 for 10 s and *P < 0.05 for 60-s loading). There were also significant differences between 10- and 60-s loading for each age group. n = 15; P < 0.0001.

 
LoadSR at rest depends on sarcolemmal Ca2+ entry but not on ICa or reverse mode NCX. To investigate whether the prominent loadSR at rest was due to Ca2+ entry through Ca2+ current (ICa) or reverse mode NCX, loadSR during the 60-s interval was determined in the presence of 10 µM nifedipine (NIF), an L-type Ca2+ channel blocker, and 5 µM KB-R 7943 (KB-R), a blocker primarily of reverse mode NCX and to a lesser degree of ICa, as shown in Fig. 2A. Figure 2A, top, shows the sequence of events during the experimental protocol. With this design, the integrals of the second and third CAF-induced INCX (shown in gray) reflected the loadSR in the 60-s interval in CON and in NIF + KB-R solutions, respectively. There were no reductions in loadSR with NIF + KB-R for both 3d and 56d myocytes compared with CON solution. Furthermore, there were no appreciable changes in the fluorescence baseline ({Delta}F/F0) during 60-s loadSR (data not shown).


Figure 2
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Fig. 2. LoadSR is dependent on extracellular Ca2+ concentration ([Ca2+]o) but is not the result of SOCE through L-type Ca2+ current (ICa) and/or reverse mode INCX. A: representative membrane current (gray trace) and Ca2+ transient (black trace) of 60-s interval loading in presence of control (CON) and 10 µM nifedipine (NIF) + 5 µM KB-R7943 (KB-R) (NIF + KB-R) solutions in sequence. The first CAF-induced INCX was used to clear sarcoplasmic reticulum (SR) Ca2+ content. The integrals of the second and third CAF-induced INCX were used to evaluate loadSR in CON and NIF + KB-R, respectively, during 60-s interval. B: 3 representative Em traces induced by CAF application after 10-s loading intervals with 2 mM (left), 0 mM (middle), and 2 mM [Ca2+]o (right) in a 3d myocyte.

 
To determine whether loadSR at rest was due to another source of sarcolemmal Ca2+ entry, the effect of removal of extracellular [Ca2+] ([Ca2+]o) on loadSR was examined in 3d cells in which loadSR was significantly more robust. Figure 2B shows three representative membrane current traces induced by CAF application after a 10-s loading period, with either 2.0 or 0 mM [Ca2+]o in a 3d myocyte. External Mg2+ concentration ([Mg2+]o) was increased to 3 mM in the 0 mM [Ca2+]o solution to improve seal stability. As shown in Fig. 2, CAF-induced INCX was abolished by perfusion with 0 mM [Ca2+]o and was restored after reperfusion with 2 mM [Ca2+]o.

Increased [Ca2+]i as consequence of SOCE. The results shown in Figs. 1 and 2 suggest that loadSR at rest occurs through SOCE or nonselective cation channels (NSCCs). To test this hypothesis, a classical approach based on readdition of 2 mM [Ca2+]o after transient extracellular Ca2+ removal (32) was used to evaluate the role of SOCE. Figure 3, A and B, shows representative Ca2+ transient traces measured during fast switching from 0 to 2 mM [Ca2+]o for 3d and 56d myocytes, respectively. These data were collected in the presence of 10 µM NIF and 5 µM KB-R, both with and without SR Ca2+ depletion. SR Ca2+ depletion was achieved by continuous stimulation of the cell with depolarization (from –80 mV to +10 mV for 400 ms every 5 s) in the presence of 25 µM cyclopiazonic acid (CPA), a blocker of the SR Ca2+ pump, and 10 µM ryanodine (Ry), which locks the Ry receptor (RyR) in a subconducting open state. CAF (10 mM) was applied rapidly to verify that SR Ca2+ depletion was complete (see Supplemental Fig. 1; http://ajpcell.physiology.org/cgi/content/full/00226.2005/DC1). SOCE was then induced by a 10-s perfusion of 0 mM [Ca2+]o solution, followed by readdition of 2 mM [Ca2+]. This caused a substantial increase in [Ca2+]i in the 3d myocyte (Fig. 3A) but a significantly smaller increase in the 56d myocyte (Fig. 3B). [Ca2+]i reached a steady state within ~100 s of switching solutions. It is important to note that an increase in [Ca2+]i was not observed when the SR was fully loaded with Ca2+, which is clearly shown in Fig. 3, AC.


Figure 3
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Fig. 3. Intracellular [Ca2+] ([Ca2+]i) increase as a consequence of SOCE in cardiac myocytes. A and B: representative Ca2+ transient traces measured with both depleted SR Ca2+ [cyclopiazonic acid (CPA) + ryanodine (Ry)+, gray trace] and fully loaded SR Ca2+ [(CPA + Ry), black trace]. A: 3d myocyte preperfused with and without CPA + Ry as well as with 10 µM NIF + 5 µM KB-R. [Ca2+]o was switched from 0 mM (for 10 s) to 2 mM (arrow). B: response of [Ca2+]i in a 56d myocyte to conditions shown in A. C: magnitude of [Ca2+]i rise after [Ca2+]o was switched from 0 to 2 mM in both (CPA + Ry)+ and (CPA + Ry) in 3d (solid bar), 10d (gray bar), and 56d (open bar), respectively. [Ca2+]i was significant greater in 3d than in 56d myocytes (***P < 0.0001) and in 10d than in 56d myocytes (*P < 0.05) in the presence of CPA and Ry. An increase of [Ca2+]i was not observed in the absence of CPA and Ry. n = 6.

 
Pharmacological inhibition of loadSR and SOCE. Because little evidence of SOCE was observed in the 56d group, the effects of different blockers on loadSR and SOCE were investigated in 3d myocytes only, using a 60-s SR loading interval as described in Fig. 1A. We investigated 30 µM KB-R, a blocker of both reverse mode and forward mode NCX at this concentration (1); 50–200 µM SKF-96365 (SKF) and 50–150 µM 2-aminoethoxydiphenyl borate (2-APB), both putative blockers of SOCE (25, 26); 30–100 µM (R,S)-(3,4-dihydro-6,7dimethoxy-isoquinoline-1-yl)-2-phenyl-N,N-di[2-(2,3,4-trimethoxyphenyl)ethyl]acetamide (LOE-908), a blocker of NSCC (21); and 0.5 mM ZnCl2, a competitive cation inhibitor. It should be noted, however, that 30 µM KB-R is a relatively high dose of this lipophilic drug, and one must consider possible nonspecific effects in the interpretation of these results. As shown in Fig. 4, loadSR decreased significantly in the presence of 100 µM SKF and 0.5 mM ZnCl2. However, up to 100 µM LOE-908 and up to 150 µM 2-APB did not change loadSR significantly. Surprisingly, 30 µM KB-R significantly increased loadSR under these conditions. Application of 10 µM nifedipine did not have a significant effect on loadSR (data not shown).


Figure 4
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Fig. 4. Effect of blockers on loadSR in 3d myocytes. Effects of blockers on 60-s loadSR were normalized to that of CON (taken as unity). LoadSR significantly increased in the presence of 30 µM KB-R (**P < 0.01) and decreased in the presence of either 100 µM SKF-96365 (SKF) or 0.5 mM ZnCl2 (*P < 0.05 for both). 100 µM (R,S)-(3,4-dihydro-6,7-dimethoxy-isoquinoline-1-yl)-2-phenyl-N,N-di[2-(2,3,4-trimethoxyphenyl)ethyl]acetamide (LOE-908), a blocker of nonselective cation channels (NSCCs), and 150 µM 2-aminoethoxydiphenyl borate (2-APB) did not show any significant effect on loadSR. n = 10.

 
To corroborate the results shown in Fig. 4, the effects of the different blockers were also tested using the method described in Fig. 3. As shown in Fig. 5A, the increase in [Ca2+]i was significantly inhibited in the presence of SKF. Figure 5B shows that there was a substantial rise in [Ca2+]i that eventually reached the steady state after [Ca2+]o was switched from 0 to 2 mM while the cell was voltage clamped at –80 mV. [Ca2+]i increased further after the application of 30 µM KB-R, and hyperpolarizing the membrane potential (Em) from –80 to –120 mV caused an additional rise in [Ca2+]i. However, the rate of [Ca2+]i rise with 30 µM KB-R (at –80 mV or –120 mV) was slower than that observed under control conditions because of higher [Ca2+]i. Figure 5C shows the steady-state [Ca2+]i (expressed as {Delta}F/F0) after [Ca2+]o was switched from 0 to 2 mM in control solution, 30 µM KB-R, or 100 µM SKF. The magnitude of the rise in [Ca2+]i in the presence of KB-R and SKF was significantly different from that observed under control conditions. Neither LOE-908 nor 2-APB had a significant effect on [Ca2+]i compared with the control group (data not shown).


Figure 5
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Fig. 5. Effect of blockers on SOCE in 3d myocytes. A and B: representative Ca2+ transient traces measured in response to switching [Ca2+]o from 0 to 2 mM in the presence of 10 µM NIF and 5 µM KB-R after clearance of SR Ca2+ as described in Fig. 3. A: trace from a cell voltage clamped at –80 mV and pretreated and perfused with 100 µM SKF. B: holding potential of –80 mV (black trace at left) followed by application of 30 µM KB-R (gray trace) and hyperpolarization to –120 mV (black trace at right). C: effect of blockers on Ca2+ transient rise ({Delta}F/F0) induced by switching [Ca2+]o from 0 to 2 mM after depletion of SR Ca2+. Magnitude of rise in [Ca2+]i in the presence of KB-R and SKF was significantly different from that observed under control conditions. n = 8; ***P < 0.001.

 
Modulation of loadSR by NCX activity. To investigate further the modulation of loadSR by NCX, loadSR during 10- and 60-s intervals was investigated with different [Na+]o and [Na+]i. Three different groups of [Na+]o and [Na+]i combinations were used: 140/10, 125/10, and 125/14 mM, respectively, for [Na+]o/[Na+]i. As shown in Fig. 6A, there were significant differences in loadSR measured on the basis of the CAF-induced INCX integral for the 10-s interval between 125/14 vs. 125/10 mM and 140/10 mM concentration combinations and for the 60-s interval between 140/10 vs. 125/14 mM concentration combinations. As shown in Fig. 6B, loadSR during the 10-s interval was significantly increased in the presence of 30 µM KB-R for both the 125/10 and 140/10 concentration combination groups. The magnitude of increase was significantly greater in the 140/10 group compared with the 125/10 group.


Figure 6
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Fig. 6. LoadSR (normalized by Em) was affected by NCX activity in 3d myocytes. A: loadSR in 10-s (gray bars) and 60-s (solid bars) intervals were determined using 3 different [Na+]o/[Na+]i ratios (in mM): 125/14, 125/10, and 140/10. Significant differences were noted regarding loadSR for 10-s interval between 125/14 and 125/10 mM and 140/10 mM (***P < 0.005 and {dagger}P < 0.001, respectively) and for the 60-s interval between 140/10 vs. 125/14 mM (*P < 0.05). No significant differences were observed regarding the 10-s interval between 125/10 and 140/10 mM or regarding the 60-s interval between 125/10 vs. 125/14 mM and 140/10 mM. n = 15. B: 10-s loadSR was significantly increased in the presence of 30 µM KB-R (solid bars) in both 125/10 and 140/10 mM groups compared with control groups (gray bars). {dagger}P < 0.001. Magnitude of the increase was significantly greater in 140/10 than in 125/10 mM [Na+]o/[Na+]i ratios. n = 5; *P < 0.05.

 
Voltage dependence of loadSR. Because the driving forces for reverse mode NCX- and SOCE-mediated loadSR have opposite voltage dependencies, loadSR was examined in 3d myocytes as a function of Em (Fig. 7C). Em was switched from –80 mV to –50 mV, –80 mV, –110 mV, or –140 mV for 10 s. CAF application before each depolarization was used to clear SR Ca2+, and the INCX integral induced by the second CAF application was used to determine loadSR at the four different Em values. Figure 7B shows representative CAF-induced INCX at the indicated loading voltages in CON and with 10 µM NIF plus 30 µM KB-R (NIF + KB-R). For the test potentials –140 mV, –110 mV, and –80 mV, loadSR was significantly greater in the presence of NIF + KB-R (Fig. 7C). LoadSR in the control group showed a parabolic increase with Em held at less negative potentials. With NIF + KB-R, however, there was an inverse relationship between loadSR and Em that was well fitted (R2 = 0.98) using linear regression analysis.


Figure 7
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Fig. 7. Voltage dependence of loadSR in 3d myocytes. A: protocol used for determination of voltage dependence of loadSR. The integral of INCX induced by the second CAF application was used to calculate loadSR. B: representative membrane traces induced by second CAF, with CON, and with 10 µM NIF plus 30 µM KB-R (NIF + KB-R). C: loadSR (normalized by Em) as a function of voltage in both CON (black traces) and NIF + KB-R (gray traces). There were significant increases in loadSR by less negative membrane potentials (Em). **P < 0.005 and *P < 0.05 for –80 mV vs. –50 mV and –80 mV vs. –110 mV, respectively. Conversely, there were significant decreases in loadSR induced by less negative Em in the presence of NIF + KB-R. {dagger}P < 0.05. Slope of regression line (dashed gray line) was –0.20 amol·pF–1·mV–1. n = 8.

 
Subsarcolemma cisternal structure during development. Figure 8A shows representative cross-sectional electron photomicrographs of 3d and 56d myocytes. For clarification, x1.67 magnification of the subsarcolemma cisternal (SSC) structure is shown (Fig. 8A, insets). The cleft between the sarcolemma (SL) and the SSC was ~20 nm for both 3d and 56d myocytes. The SSC in the 56d myocytes form a tubulelike appearance as documented previously for a variety of adult mammalian species. The SSC in the 3d myocytes appeared to form sheetlike structures that extended along the apposing SL and were determined to be, on average, about three times longer than those in the 56d myocytes.


Figure 8
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Fig. 8. Cross-sectional electron photomicrographs of subsarcolemmal cisternae (SSCs) from 3d and 56d ventricular tissue. A: representative cross-sectional images showing 3d and 56d myocytes. Scale bar, 1 µm; insets: SSCs shown at greater (x1.67) magnification. Abundant sheetlike and tubular SSCs (arrows) were observed in the 3d and 56d myocytes, respectively. Cleft between sarcolemma (SL) and SR is ~20 nm for both 3d and 56d myocytes. B: bar graph showing average SSC length, which was significantly greater (~3-fold) in 3d than in 56d myocytes. n = 3 hearts; 25 sections from each heart were used for analysis. ***P < 0.001.

 

    DISCUSSION
 TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
LoadSR under resting conditions as a consequence of SL Ca2+ entry. The observation that the SR loaded with Ca2+ during the 10- and 60-s intervals after CAF-induced SR Ca2+ depletion while the cell was voltage clamped at –80 mV (Fig. 1) is difficult to explain on the basis of present knowledge of the mechanisms of transsarcolemmal Ca2+ influx in cardiomyocytes, because one assumes that voltage-gated Ca2+ channels are not activated and reverse mode NCX activity is not favored under these conditions (see Supplemental Table 1). These assumptions were supported by the lack of a detectable membrane current during these loading periods. The Ca2+ source for loadSR could be from organelles or from the extracellular space. In this study, we present strong evidence that the loadSR was due to Ca2+ entry from external Ca2+ as demonstrated by the [Ca2+]o dependence of loadSR (Fig. 2B). Furthermore, because the loadSR was observed at –80 mV and was resistant to 5 µM KB-R and 10 µM NIF (Fig. 2A), Ca2+ entry is unlikely to have occurred through reverse mode NCX or ICa.

SOCE in cardiac myocytes. The notion that the depletion of SR or ER could initiate the activation of plasma membrane Ca2+ entry through SOCs was first proposed in smooth muscles more than two decades ago, and the time of activation has been investigated in a variety of nonexcitable (7) and excitable cells, including smooth muscle (7, 8, 30, 42) and skeletal muscle cells (23). Another type of plasma membrane Ca2+ entry appears to be selective predominantly for Na+ over Ca2+ via the NSCC. Ca2+ influx through most SOCs can be blocked by the divalent cations Zn2+, Cd2+, Mn2+, Ni2+, and Ba2+ and by the trivalent cations La3+ and Gd3+ (2). Although it could be argued that Zn2+ may have some effect on Na+ and K+ channels, the presence of Zn2+ under our experimental conditions (–80 mV and K+ replacement) is unlikely to introduce any confounding consequences. Unfortunately, the lack of highly specific pharmacological tools has considerably impaired the identification of SOCs. SKF and 2-APB have been demonstrated as putative blockers of SOCE. LOE-908 has been implicated as an inhibitor of Ca2+-permeable NSCCs, but it did not inhibit SOCE in our present experiments.

In the current study, the two basic experimental protocols based on SR Ca2+ reloading after CAF exposure and readdition of Ca2+ after exposure to Ca2+-free extracellular solution both provided strong support for a robust SOCE in resting neonatal cardiac myocytes. Furthermore, significant inhibition of loadSR during the 60-s interval by both Zn2+ and SKF (Fig. 4), as well as the significant reduction of [Ca2+]i caused by SKF (Fig. 5A) but insensitivity to LOE-908, provides strong support for SOCE rather than nonspecific Ca2+ entry.

The interpretation of the effects of 2-APB is more complex. It has been known for some time that 2-APB is an inhibitor of inositol 1,4,5-trisphosphate (IP3) receptors (IP3Rs) (25) and at doses of 50–100 µM, 2-APB has been exploited to examine the role of IP3-mediated SOCE. However, 2-APB within the same concentration range also has been reported to inhibit a variety of transient receptor potential (TRP) channels, including subclasses of TRP melastatin (TRPM) channels and TRP vanilloid-related (TRPV) channels, some of which are purported to be responsible for SOCE (5, 6, 20, 37). Furthermore, higher doses of 2-APB increased Ca2+ influx in rat basophilic leukemia (RBL)-2H3 mast cells (≥100 µM) (6) and heterologously expressed TRPV1–TRPV3 channels (>200 µM) (16). In the present study, we found that there were no significant differences in loadSR between 0, 50, 75, and 150 µM 2-APB (see Supplemental Fig. 2). Therefore, although the data in this study clearly support SOCE in the regulation of loadSR, the evidence for a role of IP3 in SOCE in cardiomyocytes is equivocal and requires further experimentation.

It has been reported that changes in intracellular [Mg2+] ([Mg2+]i) have an inhibitory effect on SOCE mediated by certain TRPCs (12, 38) by the binding of Mg2+ to the channel pore. However, extracellular [Mg2+]o has not yet been shown to have an effect on SOCs. For example, Warnat et al. (39) found that a change of [Mg2+]o from 0 to 2 mM had no effect SOCE in TRP4 channels expressed in Chinese hamster ovary (CHO) cells. In the present study, the substitution of [Ca2+]o with [Mg2+]o from 1 to 3 mM was consistently applied in all age groups for a short time (~10 s) to improve seal stability. Therefore, the transient increase of [Mg2+]o is not likely to have an effect on the interpretation of our conclusions.

Role of NCX in SOCE in cardiac myocytes. Theoretically, the SOCE observed upon readdition of Ca2+ after exposure to Ca2+-free extracellular solution could result from reverse mode NCX if the NCX reversal potential (ENCX) at 2 mM [Ca2+]o and 150 nM [Ca2+]i in 3d myocytes (17) becomes more negative than –80 mV. This in turn would require that the subsarcolemmal [Na+] ([Na+]s) exceed 18 mM during prolonged perfusion with 0 mM [Ca2+]o (see Supplemental Table 1). We used two different approaches to limit [Na+]s accumulation. First, SR Ca2+ depletion was achieved by perfusing the cell with 25 µM CPA, 10 µM Ry, and 2 mM [Ca2+]o instead of pretreatment with 0 mM [Ca2+]o, because the time needed to reach SR Ca2+ depletion in this manner may result in [Na+]s >18 mM. Second, a 10-s perfusion time of 0 mM [Ca2+]o (Figs. 3 and 5) resulted in a change of [Ca2+]i that was <10% of the observed [Ca2+]i after switching to 2 mM [Ca2+]o. We submit, therefore, that the [Ca2+]i rise after switching [Ca2+]o from 0 to 2 mM in the present study was a consequence of SOCE only (Figs. 3 and 5).

In addition, loadSR was [Na+]o and [Na+]i dependent (Fig. 6A), which is explained by the resultant changes in ENCX (estimated to be –40, –50 and –77 mV for 140/10, 125/10, and 125/14 mV combinations, respectively; see Supplemental Table 1), and this dependence was abolished by 30 µM KB-R (Fig. 6B). One might argue that this slight modification of [Na+]o and [Na+]i might have an effect on either the Na+/K+ pump or Na+/H+ exchanger (NHE), which could have altered intracellular Ca2+ homeostasis in our experiments. However, experiments performed at the laboratories of Bers and Vaughn-Jones (4, 41) showed that variations in [Na+]i from 7 to 16 mm have little or no effect on NHE. Furthermore, both loadSR (Fig. 2A) and elevation of [Ca2+]i (Fig. 3A) under resting conditions were not blocked by 5 µM KB-R, a dose that effectively inhibited reverse mode NCX (see Supplemental Fig. 3), but instead were significantly increased in the presence of 30 µM KB-R, a dose reported to inhibit both reverse and forward mode NCX (1, 40) (Figs. 4 and 5, B and C), with the caveat that 30 µM KB-R is a relatively high dose. Therefore, this evidence strongly supports the notion that forward mode NCX efficiently competes with the SR Ca2+ pump for Ca2+ entering through SOC and agrees with a study by Chernaya et al. (9), who used transfected CHO cells that expressed bovine cardiac NCX. The present study was conducted at room temperature to preserve myocyte function and to prevent potential temperature gradients created by the rapid application of various solutions. This nonphysiological temperature results in an attenuation of both sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA) and NCX activities. However, we think that our conclusions would remain qualitatively the same, although there might be quantitative differences, if the experiments had been conducted at physiological temperatures (37°C).

However, such a predominant role of forward mode NCX in limiting SOCE-dependent loadSR is contrary to observations in smooth muscle, neuronal, and nonexcitable cells, in which SR/ER Ca2+ refilling occurs primarily by reverse mode NCX activity (24). The reasons for this difference are not clear but may be related to different underlying mechanisms of SOCE. In particular, the selectivity of Ca2+ over Na+ and the fact that the activity of NCX in cardiac myocytes is more than 10-fold greater than that in smooth muscle (35), combined with the much slower kinetics of smooth muscle contraction, could critically alter the role of NCX in SOCE-dependent SR refilling.

Voltage dependence of SOCE. Assuming that the contribution of the sarcolemmal Ca2+ pump is minimal, the magnitude of loadSR appears to depend on competition between the SR Ca2+ pump and forward mode NCX for the SOCE. Thus more negative voltages increase the driving force for both SOCE (Fig. 5B) and forward mode NCX (Fig. 7). At a holding potential of –50 mV, the greater loadSR appears to be the consequence of Ca2+ entry by reverse mode NCX and/or L-type ICa, because it is dramatically reduced by the presence of 10 µM NIF and 5 µM KB-R. LoadSR exhibited linear voltage dependence on Em in the presence of 30 µM KB-R, consistent with an increased driving force for SOCE at more negative Em values and with the fact that SOCs are not voltage-gated channels. Therefore, loadSR in the presence of 30 µM KB-R is more likely to reflect the actual SOCE, which is about twofold greater than that observed without KB-R.

Developmental changes in SOCE. Both the rise in [Ca2+]i when [Ca2+]o was switched from 0 to 2 mM (Fig. 3) and the loadSR observed during resting conditions (Fig. 1) were significantly greater in 3d than in 56d myocytes, even though the 60-s loadSR was only ~50% of the steady-state loadSR in 3d myocytes (61.9 amol/pF) (17). In the present study, loadSR after the 10-s interval was ~10 and 2 amol/pF in 3d and 56d myocytes, respectively, producing average SOC currents of 0.2 and 0.04 pA/pF, respectively, assuming that SOC exhibits high Ca2+ selectivity that is too small to be detected using the whole cell voltage patch-clamp technique. These values are considerably lower than the SOC density of ~0.7 pA/pF at –90 mV in rat cardiomyocytes reported recently by Hunton and colleagues (19, 20). It should be taken into consideration that SOC density of 0.7 pA/pF is similar to the peak INCX density elicited by 10 mM CAF in the rat and that it would load the adult rat SR at rest within 20–30 s. This suggests that the reported SOC density of 0.7 pA/pF is likely overestimated, possibly because of prolonged exposure to Ca2+-free extracellular solution and the use of Ca2+ chelators and ionophores. Furthermore, the likelihood of higher surface-to-volume ratios in the younger age groups could yield appreciable [Ca2+]i changes as well as the underestimation of loadSR normalized by cell membrane surface (pF) (14). Therefore, although the increased [Ca2+]i (Fig. 3) might be overestimated, it would not change the conclusion of developmental change in SOCE due to the strong support from the developmental change in loadSR.

Close spatial relationships between SOC, NCX, and SERCA2A within a microdomain are unique to neonatal myocytes. In the absence of SR Ca2+ pump inhibition during the 60-s period of loadSR (Figs. 1B and 2A), there was no detectable increase in Ca2+ fluorescence (Fig. 3). Therefore, it is likely that Ca2+ influx into a microdomain between the sarcolemma and the SR through the SOCs is pumped back to the SR by SERCA before it reaches the bulk phase cytosol (29). As predicted, blockade of SERCA with CPA revealed SOCE as a rise in [Ca2+]i. The efficiency of transfer of Ca2+ from SOCE to SERCA depends on the spatial relationship between SERCA and SOC and the kinetics of SR Ca2+ uptake and SOCE. SOCE has an overall lower rate compared with SR Ca2+ uptake rate (11), presumably as a consequence of their relative densities (15). Thus little or no increase in [Ca2+]i would be expected if SOCs were in proximity to the SR Ca2+ pump. Page and Buecker (28) found that before the development of a T-system (~10 days after birth), the surface density of dyads as well as total dyad areas per unit of cell volume and per unit of myofibrillar volume increase progressively during embryogenesis until they approach constancy at near-adult rabbit values 1 day after birth. Furthermore, in the present study, we have presented the novel finding of the abundant sheetlike SSCs in 3d myocytes in contrast to tubular SSCs in 56d myocytes. This finding, as well as the narrow cleft (20 nm) between SL and SR (Fig. 8), provides strong structural support for the existence of a distinct SL microdomain and thus the functional link between SOC, SERCA2A, and NCX in neonatal cardiomyocytes. The functional studies conducted at our and other laboratories have shown that there is a much greater SR Ca2+ content than previously recognized and that reverse mode NCX plays a more important role in excitation-contraction (E-C) coupling in the early developmental stages (17, 18). Furthermore, we have demonstrated a significantly greater time delay between the peaks of INCX and Ca2+ transient induced by rapid CAF application in myocytes from the youngest age groups (287 ms in 3d vs. 64 ms in 20d), as well as a significantly greater amount of Ca2+ already pumped out at the time of peak Ca2+ transient (50% of total Ca2+ in 3d vs. 17% of total Ca2+ in 20d) (17). These results support the hypothesis that there are ultrastructural differences in the subsarcolemma SR microdomain (17, 34) as a function of ontogeny. We propose, therefore, that NCX, SOC, and SERCA are in proximity to each other in the 3d myocyte as reported with regard to mature smooth muscle (27). We postulate that the depletion of SR Ca2+ in neonatal ventricular myocytes triggers SOCs, which brings Ca2+ into a restricted microdomain between the SL and peripheral SR membrane in the neonatal heart. Because NCX has a substantive impact on SOCE-dependent loadSR, it must be close enough to the SOC to be able to compete effectively with SERCA for SOCE. In addition, both NCX and SERCA might contribute to normal heart function by preventing an increase in [Ca2+]i during SR Ca2+ refilling. Further examination of the proximity of the proteins proposed in this model is required.

Mechanism and function of SOCE. Because it has commonly been accepted that SOCE does not exist in cardiomyocytes, the mechanism and function of SOCE in heart was not investigated until Hunton et al. (19) suggested that SOC might be involved in Ca2+-mediated hypertrophy in rat cardiomyocytes. The present study is the first report of developmental regulation of SOCE, and these findings may be consistent with the observations of the latter study in that this period of ontogeny is characterized by substantial cardiomyocyte hypertrophic growth. In our study, myocyte surface area increased by >470% during the 3d–56d period on the basis of measurement of membrane capacitance (14.2 ± 0.5 vs. 68.0 ± 0.9 pF, respectively).

As a result of the apparently low unitary conductance and density of SOC, SOCE is unlikely to make a significant contribution to E-C coupling even in the neonatal myocyte. Thus the SOCE-dependent loadSR of ~10 amol·pF–1·10 s–1 in the 3d myocyte corresponds to an uptake rate of 6.4 µM/s (assuming a conversion factor of 6.44 pF/pl), which is ~10% of the total Ca2+ transient. However, the data suggest that SOCE is likely to play an important role in maintaining SR Ca2+ homeostasis, especially in the neonatal heart.

In conclusion, our results show that in the newborn rabbit, there is a robust reloading of SR Ca2+ (after CAF-induced clearance of SR Ca2+ content) mediated by SOCE and strongly modulated by NCX activity, suggesting that SOC, SERCA2A, and NCX are colocalized within a subsarcolemmal microdomain. Although the SOCE-dependent loadSR is estimated to be too slow to contribute significantly to cytosolic Ca2+ cycling on a beat-to-beat basis, SOCE-dependent loadSR, together with NCX, may play an important role in SR Ca2+ homeostasis in the neonatal heart. This orchestrated interplay between SOCE, NCX, and SERCA2A may be of particular importance during open heart surgery in the neonate, in which an alteration of this balance could lead to uncontrolled SOCE-dependent loadSR and arrhythmogenesis.


    GRANTS
 TOP
 ABSTRACT
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 GRANTS
 REFERENCES
 
The generous support of the Canadian Institutes of Health Research and the Heart and Stroke Foundation of British Columbia and Yukon (to G. F. Tibbits) is gratefully acknowledged. J. Huang is the recipient of a Canada Research Scholarship from the Canadian Institutes of Health Research. L. Hove-Madsen is the recipient of a "Ramon y Cajal" grant from the Spanish Ministry of Science and Technology, and G. F. Tibbits is the recipient of a Tier I Canada Research Chair.


    FOOTNOTES
 

Address for reprint requests and other correspondence: G. F. Tibbits, Cardiac Membrane Research Laboratory, Simon Fraser Univ., 8888 University Dr., Burnaby, BC, Canada V5A 1S6 (e-mail: tibbits{at}sfu.ca)

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.


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