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ENVIRONMENTAL, EXERCISE AND RESPIRATORY PHYSIOLOGY
1Unit of Cardiac Physiology and 2School of Biological Sciences, The University of Manchester, Manchester, United Kingdom
Submitted 8 September 2004 ; accepted in final form 1 November 2004
| ABSTRACT |
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calcium; sarcoplasmic reticulum; torpor; action potential
In the Siberian hamster, prolonged (
12 wk) exposure to short-day lengths (SD) results in a number of physiological alterations, including weight loss, appearance of winter pelage, gonadal regression, and ultimately the occurrence of bouts of daily torpor (12, 32). During the torpor cycle, the animal's body temperature drops spontaneously by
20°C, thereby considerably reducing energy requirements during harsh winter conditions. Unlike those species in which hibernation and torpor do not occur, cardiac contractility is maintained at these low temperatures (5, 23). In addition to exhibiting preserved cardiac contractility during exposure to low temperatures, the hearts of hibernating and torpid animals are also extremely resistant to the induction of ventricular tachyarrhythmias (10, 11). This latter effect (resistance to ventricular fibrillation) is clearly an adaptive response because it occurs in torpid animals after exposure to SD, whereas in summer [in long-day length (LD)-adapted animals], it is still possible to induce arrhythmias (10).
At the cellular level, the sarcoplasmic reticulum (SR) is pivotal to determining both the inotropic (27, 29) and arrhythmogenic (8, 14) status of the heart. Ultrastructural studies have provided evidence that the amount of SR in the Golden hamster (a hibernator) is greater than in the rat (a nonhibernator) and is increased still further during hibernation (28). Furthermore, the Ca2+ uptake rate and the maximal Ca2+ binding capacity of SR vesicles also change with photoperiod and hibernation, being higher in SD- than in LD-acclimated animals and greater still in hibernating animals (4). The enhanced Ca2+ binding capacity of SR in hibernators may be the result of increased glycosylation of calsequestrin (CSQ) (24). Thus available evidence suggests that reprogramming of the cardiac SR is a key step in preparing the myocardium for the rigors of hibernation and low-temperature torpor. Indeed, an increase in SR Ca2+ content has recently been measured in the hibernating woodchuck (Marmota monax), although these data were obtained after stimulation under nonphysiological conditions of temperature, stimulation rate, and square voltage-clamp pulses (35).
Thus, whereas altered SR function may be key to the adaptive responses of the heart to maintain contractility in hibernation, the increased SR Ca2+ content does not support the concept of increased resistance to arrhythmias (8, 14). However, the SR Ca2+ release channel, the ryanodine receptor (RyR), also undergoes a series of biochemical and functional alterations in the heart of hibernators, including decreased Ca2+ sensitivity (21) and greater RyR density (24). Although these changes increase the sensitivity of contraction in the heart of hibernators to ryanodine (19), their contribution to increased resistance to arrhythmias remains undetermined.
In the present study, we utilized an animal model that exhibits low-temperature torpor after prolonged exposure to SD to determine whether photoperiod per se results in a reprogramming of the cellular mechanisms controlling cardiac excitation-contraction coupling, cellular Ca2+ homeostasis, and the cardiac action potential. We assessed these using conditions of temperature, stimulation frequency, and minimal intracellular dialysis, which mimicked the physiological situation as closely as possible. Our data show that in response to SD acclimation profound changes in cardiac excitation-contraction coupling occur, including an increase in the amplitude of the systolic Ca2+ transient and an enhanced SR Ca2+ content. We propose that, as a result of SD photic entrainment, the function of sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA) is increased, resulting in the increased SR Ca2+ content and enhanced systolic Ca2+ transient, and that such changes may be a necessary prerequisite to the maintenance of cardiac function during periods of low-temperature torpor and hibernation. Understanding the molecular switches that induce such changes may have future therapeutic benefits in protecting the hearts of nonhibernating species against cardiac arrhythmias.
| MATERIALS AND METHODS |
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Animal model. Siberian hamsters (Phodopus sungorus) were maintained under controlled laboratory conditions (21 ± 1°C, 80% relative humidity) as described previously (2). Experimental animals were group housed in light-controlled environmental chambers lit by a 70-W fluorescent white strip (100400 lux) with continuous dim red light (<1 lux) throughout. Animals were either entrained to an SD photoperiod of 8 h of white light [Zeitgeber time (ZT) 08] and 16 h of dim red light (ZT 824) or an LD photoperiod of 16 h of white light (ZT 016) and 8 h of dim red light (ZT 1624) for a period of 12 wk.
Cardiac myocyte isolation.
Animals were killed by cervical dislocation at midlight phase (ZT 4 for SD and ZT 8 for LD), and single ventricular myocytes were isolated by a modified collagenase and protease digestion technique (29). The heart was rapidly excised and placed in warmed (37°C) Ca2+-free medium containing (in mmol/l) 134 NaCl, 11 glucose, 10 HEPES, 4 KCl, 1.2 MgSO4, and 1.2 Na2HPO4 (pH 7.34 with NaOH). The heart was then cannulated via the aorta and retrogradely perfused with the Ca2+-free medium for 67 min before 0.5 mg/ml collagenase H (Boehringer) and 0.05 mg/ml protease XIV (Sigma) were recirculated through the heart until the ventricles became flaccid (
9 min). The heart was then perfused with a taurine solution for 15 min before the ventricles were dissected, minced, and single myocytes released into the taurine solution by gentle trituration. The taurine solution contained (in mmol/l) 113 NaCl, 50 taurine, 11 glucose, 10 HEPES, 4 KCl, 1.2 MgSO4, 1.2 Na2HPO4, and 0.1 CaCl2 (pH 7.34 with NaOH).
Measurements of intracellular Ca2+ concentration. Cells were loaded with the membrane-permeant acetoxymethyl ester of the Ca2+-sensitive fluorescent indicator fluo 3 at a final concentration of 5 µmol/l for 5 min at room temperature (9, 29) before resuspension in the experimental modified Tyrode solution containing (in mmol/l) 140 NaCl, 10 glucose, 10 HEPES, 4 KCl, 2 probenecid, 1 CaCl2, and 1 MgCl2 (pH 7.34 with NaOH). Cells were allowed to deesterify for at least 30 min before being placed in the experimental chamber of an inverted fluorescence microscope (Nikon), and intracellular Ca2+ concentration ([Ca2+]i) was measured as described previously, assuming a Kd for [Ca2+]i of 864 nmol/l (9, 16, 29). The temperature of the superfusate was maintained at 37 ± 0.1°C by a microperfusion apparatus (Cell Microcontrols).
Action potentials and SR Ca2+ content.
Cells were voltage clamped by using the perforated patch technique with amphotericin B (240 µg/ml) as previously described (9, 29). The switch-clamp facility of the Axoclamp-2B voltage-clamp amplifier (Molecular Devices) was used to overcome access resistance problems of the perforated patch method (rate of 23 kHz). Action potentials were measured in bridge mode and elicited with a 2-ms duration depolarizing current pulse (12 nA). SR Ca2+ content was measured after steady-state current clamp stimulation by rapidly switching from bridge to voltage-clamp mode and holding membrane potential at 80 mV before applying 10 mmol/l caffeine to the superfusate to discharge the SR Ca2+ store. Integration of the resulting inward Na+/Ca2+ exchange current was performed to assess the SR Ca2+ content as described previously (9, 29, 31) assuming a surface area-to-volume ratio of 6.76 pF/pl. Glass microelectrodes had resistances of <3 M
when filled with (in mmol/l) 125 KCH303S, 20 KCl, 10 NaCl, 10 HEPES, and 5 MgCl2 (pH 7.2 with KOH).
Statistics. All values are presented as means ± SE for n experiments. Differences between groups were tested with either Student's t-tests or by two-way repeated measures ANOVA or two-way ANOVA where appropriate and considered significant when P < 0.05.
| RESULTS |
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Action potential properties. Changes in action potential duration are known to influence the amplitude of the systolic Ca2+ transient (17). Thus, in the next series of experiments, we sought to determine whether increases in action potential duration were responsible for the larger systolic Ca2+ transients observed in the SD-acclimated hamster under physiological conditions. Figure 2A illustrates a typical action potential obtained from an LD-acclimated animal at a stimulation frequency of 4 Hz. Figure 2B demonstrates that neither the resting membrane potential at 4-Hz stimulation frequency (78 ± 1 vs. 75 ± 1 mV) nor the peak membrane potential (23 ± 2 vs. 17 ± 1 mV) was altered by photoperiod (LD vs. SD, n = 1314 cells, 45 animals; P > 0.3). Furthermore, no differences in action potential shape were detected, as the repolarization time was similar in both groups (Fig. 2C).
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SR Ca2+ content. Given the strong dependence of the systolic Ca2+ transient on SR Ca2+ content (3, 29) and the absence of any change in action potential duration to offer an explanation for the larger systolic Ca2+ transients observed in the SD animals, we have determined whether changes in photoperiod alter SR Ca2+ content. After steady-state stimulation with action potentials elicited at either 4 or 6 Hz, cells were placed under voltage-clamp control and 10 mmol/l caffeine was rapidly applied to discharge the SR store (31). The resulting Na+/Ca2+ exchange current was integrated to give a measure of the SR Ca2+ content. Figure 3A shows that, in a typical SD myocyte, the amplitude of the caffeine-evoked Ca2+ transient, the peak inward Na+/Ca2+ exchange current, and the resultant integral are larger than these results in the LD myocyte, indicating an increase in SR Ca2+ content. On average, SR Ca2+ content is 34% greater in the SD-acclimated animals (Fig. 3B; 110 ± 5 vs. 141 ± 15 µmol/l at 4 Hz and 139 ± 9 vs. 196 ± 11 µmol/l at 6 Hz; P < 0.05, n = 611 cells, 45 hearts).
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Na+/Ca2+ exchange function. At the cellular level, the arrhythmogenic potential of the heart is controlled by both the state of loading of the SR and the efflux of Ca2+ across the sarcolemma by the electrogenic Na+/Ca2+ exchanger. Although the increase in SR Ca2+ content in SD-acclimated animals potentially increases the probability of spontaneous SR Ca2+ release and thus arrhythmias, it is possible that photoperiod may also alter the function of the Na+/Ca2+ exchanger, thus negating the effects of the increased SR Ca2+ content. We have examined Na+/Ca2+ exchange function by determining the relationship between [Ca2+]i and Na+/Ca2+ exchange current during the decay phase of the caffeine-evoked Ca2+ transient. During this period, both [Ca2+]i and Na+/Ca2+ exchange current should be in equilibrium (7, 30). The data of Fig. 3D illustrate typical examples of this relationship, and the mean data of Fig. 3E demonstrate that the slope between Na+/Ca2+ exchange current and [Ca2+]i is unchanged by photoperiod (0.32 ± 0.02 and 0.29 ± 0.05 pA·nmol1·l1 in the LD and SD groups, respectively; P > 0.5, n = 810, 4 animals/group). Thus the apparent decreased susceptibility to cardiac arrhythmias in SD-acclimated (or hibernating) animals does not occur because of decreased Na+/Ca2+ exchange function or because of diminished SR Ca2+ content.
SR Ca2+ uptake and fractional release. The purpose of the final series of experiments was twofold: 1) to determine whether changes in fractional release of Ca2+ from the SR are responsible for increased Ca2+ transient amplitude in SD animals and 2) to determine at the cellular level whether SERCA function was upregulated in response to SD, thus leading to the increased SR Ca2+ content. SR fractional release was determined qualitatively after steady-state current clamp stimulation at 4 Hz by assessing the ratio of the amplitude of the systolic Ca2+ transient (indicated by a in Fig. 4A) to the amplitude of the caffeine-evoked Ca2+ transient (indicated by b in Fig. 4A) (3). Figure 4B summarizes the mean data and shows that SR fractional release increases in SD animals (0.33 ± 0.04 vs. 0.56 ± 0.1, P < 0.05, n = 1011 cells, 45 hearts).
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| DISCUSSION |
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Systolic Ca2+ and photic entrainment. In the present study, cardiac cellular Ca2+ homeostasis was determined under conditions designed to be as physiological as possible, i.e., action potentials elicited at a stimulation frequency of 48 Hz (15), physiological temperature (37°C), and with minimal perturbation of the intracellular environment through use of the perforated patch technique. The key observation is that entrainment to SD resulted in an increase in the amplitude of the systolic Ca2+ transient (Fig. 1C), which decayed more quickly (Fig. 4C). To our knowledge, this is the first demonstration that photoperiod induces alterations in cardiac cellular Ca2+ homeostasis in normothermic animals. It is possible that the discrepancy among our results, earlier observations of increased force production during hibernation (38), and the data of Yatani et al. (35) is due to differences in temperature (32 ± 2°C) and stimulation rates (1 Hz) used by Yatani et al. Indeed, our study failed to detect a difference in Ca2+ transient amplitude when very slow (1 Hz) stimulation frequencies were used (Fig. 1C). Our finding of an increased Ca2+ transient amplitude in response to SD is, however, consistent with an earlier observation of increased force production in papillary muscles isolated from SD-acclimated (nonhibernating) Asian chipmunks (20) and suggests that the alterations to cardiac excitation-contraction coupling leading to increased force production during low-temperature conditions (38) are present even before the animal enters the hibernating or torpid state.
Photoperiod, the action potential, and Na+/Ca2+ exchange function. In response to acclimation to SD over many weeks, we find that there are no alterations to the action potential in the Siberian hamster (Fig. 2, B, C, and E). The lack of change in the duration and shape of the action potential is important from at least two perspectives: 1) the larger Ca2+ transient observed in the SD animals cannot be explained by an increased action potential duration (17), and 2) it is unlikely that there will be profound changes in Ca2+ entry via the L-type Ca2+ (ICa-L) as balancing alterations in repolarizing K+ currents would be required to maintain an identical action potential morphology; however, we cannot totally exclude this possibility from the data obtained in the present study. Finally, from an arrhythmogenic aspect, the lack of increase in action potential duration does not increase the likelihood of arrhythmias, nor however does it decrease it. Thus the available data suggest that the changes in cardiac excitation-contraction coupling and reduced sensitivity to ventricular tachyarrhythmias occurring in response to SD entrainment are likely the result of changes to the steps governed by intracellular sources and sinks of Ca2+, i.e., the SR.
In actively hibernating animals, action potential duration is decreased (20, 35). Reductions in ICa-L density, as reported in the hibernating woodchuck (35) and ground squirrel (Citellus undulates) (1), likely contribute to this observation. Whether changes in action potential duration occur in the acutely torpid hamster has not been determined. Because action potential duration is also largely determined by the properties of the transient outward current, it is interesting to speculate whether known circadian variations in gene expression, protein levels, and current densities of the molecular determinants of transient outward current, Kv4.2 and Kv1.5 (34), would be sufficient to lead to such reductions in action potential duration over the short time frame of torpor exhibited by the Siberian hamster.
A key electrophysiological component initiating cardiac arrhythmias is the efflux of Ca2+ by the electrogenic Na+/Ca2+ exchanger. Here, spontaneous release of Ca2+ from the SR activates forward-mode Na+/Ca2+ exchange, and the inward current leads to depolarization and thus potentially triggered arrhythmias. Theoretically, it is possible to increase the arrhythmogenic effect of the Na+/Ca2+ exchanger either by increasing the amplitude of the initiating spontaneous release event or by increasing the amount of inward depolarizing current produced for a given change in [Ca2+]i. From previous studies conducted by our group (8), we know that, once a certain threshold SR Ca2+ content is reached and spontaneous Ca2+ release occurs, the amount of Ca2+ pumped out of the cell by the Na+/Ca2+ exchanger per spontaneous release event remains constant and attempting to further overload the SR only increases the frequency of such events. In this study, we have specifically examined the latter possibility by determining the relationship between [Ca2+]i and arrhythmogenic inward Na+/Ca2+ exchange current (Fig. 3, D and E) and find that this relationship is not altered in the SD-acclimated animal. This method also directly assesses Na+/Ca2+ exchange function in a physiological manner and accounts for any allosteric regulation of the Na+/Ca2+ exchanger by changes in [Ca2+]i or intracellular Na+ concentration. Our findings are consistent with the recent demonstration of constancy of reverse-mode Na+/Ca2+ exchange current density (hyperpolarizing current) produced by removal of extracellular Na+ in myocytes isolated from the hibernating woodchuck (35). Together, these results do not implicate the Na+/Ca2+ exchanger as a key element in the reduced sensitivity to ventricular tachyarrhythmias at low body temperatures.
Enhanced SR Ca2+ content and Ca2+ uptake in SD-acclimated animals. The major determinant of the inotropic and lusitropic properties of the heart is the function of the SR. In the present study, we find that both the Ca2+ content of the SR (Fig. 3, AC) and the SR-dependent rate of Ca2+ removal from the cytosol (Fig. 4D) are increased in the SD-acclimated animal. A similar increase in SR Ca2+ content has been very recently reported in the hibernating woodchuck (35), although no data regarding SR Ca2+ uptake rate were provided. Possible explanations for the increased SR-dependent rate of Ca2+ uptake and thus the enhanced SR Ca2+ content include changes in the relationship between SERCA and its inhibitory peptide phospholamban such that either phospholamban is more phosphorylated or the ratio of SERCA to phospholamban is increased. Indeed, biochemical studies support this latter hypothesis in the hibernating animal (35).
If we assume that in the hamster the relationship between the amplitude of the systolic Ca2+ transient and SR Ca2+ content is the same as we have previously reported for the rat and ferret (7, 29), then the increase in SR Ca2+ content between the LD and SD animals at a given stimulation frequency observed in the present study would increase the Ca2+ transient amplitude 2.5-fold as opposed to the 1.4-fold increase observed. There are a number of factors that could contribute to this apparent alteration in the effectiveness of the Ca2+-induced Ca2+ release mechanism, including 1) changes in the glycosylation of CSQ (24) and 2) reduced RyR Ca2+ sensitivity (24). Although we have no direct assessments of either of these, it is worthwhile to speculate as to their potential physiological implications and role in preparing the myocardium for torpor or hibernation.
Enhanced glycosylation of CSQ by increasing the Ca2+ affinity of CSQ should reduce the power of the relationship between SR Ca2+ content and Ca2+ transient amplitude. Furthermore, this could also serve to increase the arrhythmogenic threshold of the myocardium by increasing the SR Ca2+ content required to initiate the spontaneous release of Ca2+ from the SR. The second possible explanation, reduced RyR Ca2+ sensitivity or altered coupling between sarcolemmal Ca2+ entry and SR Ca2+ release, would not in itself be expected to produce maintained changes in the amplitude of the systolic Ca2+ transient due to compensatory changes in net sarcolemmal Ca2+ fluxes and SR Ca2+ content (25); however, the relationship between SR Ca2+ content and Ca2+ transient amplitude would be altered in the manner observed in the present study, and once again the threshold for spontaneous SR Ca2+ release and thus arrhythmias would be increased. Thus both CSQ glycosylation and reduced RyR Ca2+ sensitivity offer potential explanations for the paradox of increased SR Ca2+ content and reduced propensity for arrhythmias in hibernating animals.
Finally, we should consider that the power of the relationship between Ca2+ transient amplitude and SR Ca2+ content may simply be lower in the hamster than in the rat and ferret since comparable SR Ca2+ contents (4 Hz in SD and 6 Hz in LD animals) yield similarly sized Ca2+ transients (Fig. 1C). Thus there may be no need to invoke changes in the efficiency of SR Ca2+ release of the nature described above. Nevertheless, regardless of the mechanisms by which the relationship between SR Ca2+ content and Ca2+ transient amplitude is altered in response to photoperiod, the present study demonstrates that the increase in SR Ca2+ content results in a greater fractional release of Ca2+ from the SR of the SD-acclimated hamster (Fig. 4, A and B) and that this occurs independently of any change in action potential duration or morphology. Thus we would suggest that changes in SERCA function are responsible for the enhanced excitation-contraction coupling observed in the Siberian hamster in response to acclimation to SD.
Study limitations. In the present study, we have not directly addressed the molecular mechanisms responsible for increased SERCA function and ultimately the larger systolic Ca2+ transient observed in response to SD. However, there is a consensus of either direct measurements of SERCA mRNA or protein and functional measurements of SERCA turnover in vesicles to support our tenet that enhanced SR function is an adaptive response employed by hibernating or torpid animals to facilitate survival under conditions in which the hearts of nonhibernating animals would cease to function. Our data demonstrate an enhanced fractional release of Ca2+ from the SR, and we conclude that this arises as a consequence of the increased SR Ca2+ content rather than through alterations in sarcolemmal Ca2+ entry due to the identical action potentials in the LD and SD animals; however, of course such a conclusion regarding sarcolemmal Ca2+ entry requires future verification. Nevertheless, we do postulate that there may be changes in action potential duration in the acutely torpid hamster. Finally, given the increased Ca2+ transient amplitude and that myofilament Ca2+ sensitivity increases during hibernation (22), we would predict that cardiac contractility would also be increased in vivo after prolonged exposure to SD.
In conclusion, we demonstrate that prolonged changes in photoperiod cause marked alterations to cardiac cellular Ca2+ homeostasis in nontorpid animals. The results show the SR to be the key intracellular organelle responsible for the enhanced systolic Ca2+ transients. To the best of our knowledge, this is the first such study to demonstrate that many of the adaptive changes to cardiac excitation-contraction coupling required to facilitate maintained cardiac contractility during low-temperature hibernation and torpor are present before the animal enters these physiological states. We would suggest that understanding the molecular and cellular adaptations employed by animals exhibiting true hibernation and low-temperature torpor will have profound implications for our understanding of the susceptibility of humans and other nonhibernating species to ventricular tachyarrhythmias and thus be of future therapeutic benefit.
| GRANTS |
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| FOOTNOTES |
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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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