Fast sodium influx provides an initial step to trigger contractions in cat ventricle. Vites, Ana-Maria, and J. Andrew Wasserstrom. Reingold ECG Center (Division of Cardiology, Department of Medicine), Department of Molecular Pharmacology and Biological Chemistry, Feinberg Cardiovascular Research Institute, Northwestern University Medical School, Chicago, Illinois, 60611, U.S.A.
APStracts 3:0004H, 1996.
It has been proposed that both fast sodium entry via TTX-sensitive current (INa) and calcium entry via L-type calcium current (ICa) are initial steps to trigger the release of calcium from the sarcoplasmic reticulum during the upstroke of a cardiac action potential. Fast sodium entry via INa could transiently reverse the Na/Ca-exchanger and promote calcium entry which triggers Ca2+-induced Ca2+ release (CICR) and contraction. We examined the possibility that INa may play a role in excitation-contraction (E-C) coupling in cat ventricular myocytes. A voltage step from -70mV to -40mV was used to produce a fast INa, which was followed by a small transient inward current, a brief loss in voltage control to more positive potentials and a transient contraction. We established that, under similar conditions, exposure to nifedipine (10_M) completely blocked ICa but did not prevent this contraction, causing only a small reduction of approx. 15% in the size of the contraction. This nifedipine-insensitive contraction was abolished by ryanodine (1-10[mu]M) and by micromolar concentrations of saxitoxin (STX) and submillimolar concentrations of Cd2+. The size of these contractions was dependent on the holding potential, i.e. the more hyperpolarized the VH, the larger the contraction (_L) triggered by a step to -40mV until a maximum was achieved at approximately VH=-70mV (_L-VH relation). Anthopleurin-A (AP-A, 3-10nM), which selectively slows inactivation of INa, increased the size of the nifedipine-insensitive contraction at all the VH tested. Thus, producing a shift in the _L-VH relation towards more positive VH (_V +7mV) and an increase in the maximal _L at VH= -70mV. The shift produced by AP-A was not prevented by application of conditioning pulses that replenish the SR with calcium, but the increase in the maximal _L at VH=-70mV was no longer observed. All the effects of AP-A could be prevented by preexposure to STX. The state of the SR calcium stores did not appear to affect the presence of a nifedipine-insensitive contraction but did determine its magnitude. Therefore, this contraction was not associated with calcium overload. Cat ventricular myocytes are like guinea pig ventricular myocytes in that they both exhibit prominent and distinct INa-dependent contractions. Whether these contractions are due to a sudden increase in subsarcolemmal Na+ as a result of fast INa, or due to the depolarization of the membrane potential and reversal of the Na/Ca exchange as a result of the large and inward INa, remains undetermined.

Received 3 October 1994; accepted in final form 19 December 1995.
APS Manuscript Number H889-4.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 22 January 96