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COMPARATIVE AND EVOLUTIONARY PHYSIOLOGY
1Faculty of Life Sciences, The University of Manchester, Core Technology Facility, Manchester, United Kingdom; and 2School of Biosciences, The University of Birmingham, Birmingham, United Kingdom
Submitted 15 June 2006 ; accepted in final form 2 August 2006
| ABSTRACT |
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reptile; excitation-contraction coupling; sarcoplasmic reticulum; Na+/Ca2+ exchanger; L-type Ca2+ channel
SR and sarcolemmal Ca2+ cycling can vary between species (3, 6, 16, 21, 32, 33, 36), different stages of development (14, 27, 28), and regionally within the heart (6, 25). In most fish and amphibians, transsarcolemmal Ca2+ influx is the primary source of activator Ca2+ responsible for initiating contraction (1, 26, 31, 39, 44). The majority of this extracellular Ca2+ enters the cell through L-type Ca2+ channels, although in some species, the NCX may also contribute significant amounts of activator Ca2+ (19, 34, 42). The contribution of intracellular Ca2+ cycling through the sarcoplasmic reticulum (SR) is minimal in most ectothermic vertebrates and varies subject to experimental conditions (6, 12, 13, 21, 31). In contrast, activation of the myofilaments in most adult mammalian hearts occurs mainly through the mobilization of the intracellular Ca2+ stores of the SR, with sarcolemmal Ca2+ influx primarily acting as a trigger for SR Ca2+ release (6).
The regulation of contraction with respect to Ca2+ cycling has never been studied on a cellular level in any reptilian species. Recently, we have shown isolated turtle ventricular muscle to be relatively insensitive to ryanodine, a compound that inhibits the SR Ca2+ release channel. These results suggest that, similar to fish, the SR contributes little Ca2+ to turtle heart contraction and relaxation (12). In the absence of a functional SR, we would hypothesize that sarcolemmal Ca2+ transport is the primary source of Ca2+ and that the NCX is the primary Ca2+ efflux pathway. The aim of the present study was to confirm this hypothesis experimentally. Here, we have examined the contribution of the cardiac L-type Ca2+ channel, the NCX, and the SR to contraction and relaxation in single isolated ventricular myocytes from the turtle heart. Our results confirm our hypothesis that transsarcolemmal flux is the primary route for Ca2+ transport in turtle ventricular myocytes. Moreover, our data provide the groundwork for future studies on ion regulation of contractility in reptilian cardiomyocytes.
| MATERIALS AND METHODS |
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Yellow-bellied turtles, Trachemys scripta scripta (body mass = 218.5 ± 23.9 g, heart mass = 0.61 ± 0.1 g, n = 12) were obtained from Monkfield Nutrition Ltd (Hertfordshire, UK). Turtles were held in 1.5 x 0.5 x 0.5 m plastic tanks containing water maintained at 2021°C (40 cm depth) and dry basking platforms, allowing access to heating lamps for behavioral thermoregulation.
Solutions
The isolation solution contained (in mM) 100 NaCl, 10 KCl, 1.2 KH2PO4, 4 MgSO4, 50 taurine, 20 glucose, and 10 HEPES, with pH adjusted to 6.9 via KOH. For enzymatic digestion, 1.5 mg/ml collagenase (type 1A), 1 mg/ml trypsin (type IX), and 1.5 mg/ml fatty acid-free BSA were added to the solution. The extracellular solution perfusing the myocytes contained (in mM) 150 NaCl, 5.4 CsCl, 1.5 MgSO4, 0.4 NaH2PO4, 2 CaCl2, 10 glucose, 10 HEPES, with pH adjusted to 7.7 via CsOH. For whole cell voltage-clamp electrophysiological measurements, the pipette solution contained (in mM) 130 CsCl, 1 MgCl2, 5 MgATP, 5 Na2-phosphocreatine (unless stated otherwise), 10 HEPES, 15 tetraethylammonium chloride (TEA), and 0.03 Na2GTP. The EGTA concentration was 0.025 mM unless stated otherwise. The pH was adjusted to 7.2 with CsOH. Including TEA and CsOH abolished all K+ currents. In perforated-patch, voltage-clamp experiments, 240 µg/ml amphoteracin was added to the pipette solution. To be certain that cells were indeed perforated and not in the whole cell configuration, a high concentration of CaCl2 (10 mM) was also included in the pipette solution. All drugs were purchased from Sigma Aldrich.
Isolated Myocyte Preparation
Myocytes were obtained by adaptation of isolation protocols previously described for fish (32, 34, 42). All procedures were made in accordance with UK Home Office regulations. Briefly, turtles were euthanized by decapitation, and the head was immediately submerged into liquid nitrogen to fully destroy all neural connections. A 2 cm x 2 cm piece of the ventral plastron was removed above the heart using a bone saw. The heart was excised and a cannula was inserted into the right aortic arch and advanced into the ventricle for perfusion. The heart was retrogradely perfused for 10 min at room temperature first with isolation solution to clear the heart of blood and to stop the heart contracting and then with proteolytic enzymes (BSA, collagenase, and trypsin) for a further 20 min. The enzyme solution was retained for use later. Ventricular tissue was separated from the atria, cut into small pieces with scissors, and placed in the collected enzyme solution and shaken at 34°C (Grant OLS200 water bath shaker). To check for viable myocytes, aliquots of tissue suspension were taken every 5 min and placed under a microscope. Once viable myocytes were observed, the suspension was removed from the shaker, left to settle, and resuspended in fresh isolation solution. Healthy viable cells were usually obtained after 1520 min of heating and shaking. Myocytes were agitated gently, filtered through a nylon mesh, and stored in fresh isolation solution at room temperature for up to 8 h.
Myocyte Morphometrics
To obtain measurements of myocyte dimensions, cells were imaged using confocal microscopy. The sarcolemmal membrane of the myocytes were visualized by loading cells for 10 min with the lipophilic fluorescent indicator di-8-ANNEPS (5 µM, Molecular Probes). Cells were then resuspended in fresh isolation solution and imaged using a laser scanning confocal microscope (Leica, Germany) with 488-nm excitation light and detection at >505 nm. Consecutive plane scans (x-y) were made through the cell to make a three-dimensional model (z stack), from which cell length, width, depth, and volume were calculated using the Zeiss LSM image browser 5.0 software program (see Table 1).
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To record changes in [Ca2+]i, ventricular myocytes were loaded with the AM form of the Ca2+-sensitive fluorescent dye Fura-2 (Molecular Probes) to a final concentration of 4 µmol/l. Myocytes were shaken gently for 10 min to allow loading; then a sample of the cells were placed on the stage and left to settle for a further 5 min. Cells were then perfused for 1520 min with extracellular solution for deesterification. All fluorescent measurements were conducted at room temperature. To examine the contribution of the SR to Ca2+ flux in turtle myocytes, cells were field stimulated to contract at 0.2 and 0.5 Hz in the presence and absence of SR blockade [10 µmol/l ryanodine and 2 µmol/l thapsigargin (Sigma Aldrich)]. To ensure complete inhibition of the SR, cells were perfused with ryanodine and thapsigargin for a period of 5 min before measurements were commenced. The ratio of the fluorescence emitted at 510 nm in response to alternate illumination with light at 340 and 380 nm (Cairn Research) was used as our index of [Ca2+]i.
Electrophysiological Measurements of Sarcolemmal Currents
Samples of myocytes were added to the recording chamber and left to settle and attach to the bottom. Cells were perfused with extracellular solution at a rate of 12 ml/min at room temperature (
21°C). Both whole cell and perforated-patch, voltage-clamp experiments were performed using an Axopatch 200B amplifier (Axon Instruments) with a CV 203BU headstage (Axon Instruments). Patch pipettes were pulled with borosilicate glass (Harvard Apparatus) and had a resistance of 2.4 ± 0.02 M
when filled with pipette solution. In perforated-patch, voltage-clamp experiments, once a gigaohm seal had formed, patch pipette resistance (56 M
) was compensated for, and Ra was monitored using the membrane test function to assess the extent of perforation. Once electrical access to the cell was gained, the cell capacitive currents were compensated for by manually adjusting series resistance (Ra) and the cell capacitance compensation circuits. Series resistance [whole cell Ra = 8.2 ± 0.9 M
(n = 38); perforated Ra = 17.2 ± 1.5 M
(n = 40)] and capacitance [Cm = 42.4 ± 1.9 pF (n = 78)] were measured using the membrane test function of pClamp 9.0 software (Axon Instruments). In the perforated-patch configuration, Ra was monitored throughout the experiments. Signals were analyzed offline using Clampfit 9.0 software (Axon Instruments).
The voltage-clamp waveform protocols for each experiment are provided in the figures. The amplitude of ICa was calculated as the difference between peak inward current and the current at the end of the depolarizing pulse. ICa was normalized to the cell area by dividing the amplitude of ICa by the cell capacitance to give pA/pF. To assess the rate of inactivation of ICa, tau fast (
f) and tau slow (
s) inactivation components were derived by fitting a second-order exponential function to the decaying portion of ICa using the Chebyshev procedure (Clampfit software, Axon Instruments). Steady-state kinetic parameters were determined by fitting steady-state activation and inactivation data to Boltzmann equations to calculate the half-activating and half-inactivating potential (Vh) and the slope of activation and inactivation (k), as previously described (44). Recovery from inactivation of ICa was assessed by normalizing current amplitude at a constant test pulse (500 ms, 70 to 0 mV) to the constant prepulse value (500 ms, 70 to 0 mV) after various interpulse durations (50350 ms, 70 mV, see ![]()
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Fig. 6). The contribution of ICa to total cellular [Ca2+] was calculated from the transferred charges and cell volume. Charge transfer was determined by integrating the inactivating portion of the Ca2+ current for 500-ms square-wave voltage pulses from 70 mV to 0 mV. Cell volume was calculated from the measured cell capacitance (42.4 ± 1.9) and the surface-to-volume ratio of the cells. The myocytes were considered to be flat elliptical cylinders with an axis ratio of 1.2 for the elliptical cross section (34, 43, 44). The change in total cellular Ca2+ due to Ca2+ influx through L-type Ca2+ channels was expressed as a function of nonmitochondrial volume (34, 44).
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With the exception of original traces and voltage protocols, data are given as mean values ± SE. N values are for number of cells in which the minimum number of animals is n = 4. Statistical tests are supplied in the appropriate figure legends.
| RESULTS |
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Dissociation of the turtle heart required a higher concentration of digestive enzymes, longer perfusion times, and higher temperatures than those used previously for various fish species (32, 34, 43, 44). These differences may be due to variation in the structure of the extracellular matrix of the turtle heart compared with the fish heart or may relate to the complication of perfusing a three-chambered ventricle. Light and confocal microscopy images of isolated turtle ventricular myocytes are displayed in Fig. 1. Ventricular myocytes were typically spindle-shaped, being
190 µm in length and 57 µm in width and depth (Table 1). When comparing the light and confocal images, it is apparent that the sarcomeres of the myocytes are not associated with T-tubules. Myocytes had a small cell volume (
2 pl), leading to a large surface area-to-volume ratio, typical of ectothermic vertebrates.
Turtle Ca2+ Transients and the Functional Significance of the SR
The functional significance of the SR was assessed via pharmacological blockade with ryanodine and thapsigargin (10 µM and 2 µM, respectively). Turtle myocytes were loaded with Fura 2 and field stimulated at 0.2 Hz in the absence and presence of SR blockade (Fig. 2). The amplitude of [Ca2+]i was not significantly altered following inhibition of the SR (Fig. 2B), indicating the SR plays a small role in Ca2+ cycling on a beat-to-beat basis.
L-Type Ca2+ Channel Properties
Characterization of inward currents. A depolarizing voltage step from 80 mV to 40 mV elicited a fast-inactivating Na+ current (INa) (Fig. 3A). As both INa and the L-type Ca2+ current (ICa) are activated within the same voltage range, we used TTX, a specific Na+ channel blocker, to inhibit INa (Fig. 3A). Thus a voltage step from 80 mV to 0 mV in the presence of TTX gave rise to a slower activating and inactivating ICa (Fig. 3B). In previous studies on ectotherms, less than 1 µM TTX is sufficient to totally abolish INa (20, 32, 43). However, in turtle ventricular myocytes, we found much higher doses (2540 µM) were necessary to abolish INa completely. Similar doses are used in mammalian preparations (6). Therefore, rather than blocking INa pharmacologically with high [TTX], prepulses from 70 mV to 40 mV were applied before each test pulse in all subsequent protocols to fully inactivate INa and experimentally isolate ICa. To be certain that the remaining current originated from L-type Ca2+ channels, we used 50 µM nifedipine, a specific L-type Ca2+ channel blocker, to inhibit ICa (Fig. 3B). A similar inhibition of ICa could be achieved with 100 µM CdCl2 or 1 mM NiCl2. The required dose of nifedipine is unusual for cardiac L-type Ca2+ channels (20, 32, 43) and may relate to the subunit composition of the L-type Ca2+ channel (see discussion).
In many species, ICa is known to deteriorate or "rundown" over time, particularly when measured in the whole-cell configuration. We assessed ICa rundown in turtle myocytes using the whole cell voltage-clamp technique (with various intracellular Ca2+ buffering) compared with the perforated-patch, voltage-clamp method (Fig. 4). Cells were depolarized from 70 mV to 0 mV, and ICa density was measured over a period of 12 min. In the whole cell configuration, ICa deteriorated to 50% of its original value within
2 min, and to 20% after 12 min, regardless of the level of intracellular Ca2+ buffering (Fig. 4). In the perforated-patch configuration, ICa remained relatively stable and was only reduced by 10% over the entire 12-min period. Therefore, the perforated-patch, voltage-clamp technique was used in all subsequent experiments when measuring ICa. Interestingly, when using 5 mM EGTA or 5 mM BAPTA, the ICa density (3.8 ± 1.0 pA/pF and 4.2 ± 0.3 pA/pF, respectively) was similar to perforated-patch ICa density (3.2 ± 0.5 pA/pF). However, when using 25 µM EGTA, ICa density was considerably lower (1.54 ± 0.36 pA/pF). This suggests the buffering capacity of turtle myocytes is greater than 25 µM EGTA.
ICa density, kinetics and voltage relations.
The current-voltage relationship for turtle ventricular myocytes is shown in Fig. 5. ICa activated at approximately 40 mV, peaked at 0 mV, and reversed at 60 mV. At peak ICa density (3.2 ± 0.5 pA/pF), the time constant for fast inactivation (
f) and slow inactivation (
s) was 28.7 ± 1.5 ms and 169.2 ± 8.6 ms, respectively (n = 15). Because of this relatively slow inactivation time, charge transfer, and therefore total Ca2+ influx through L-type Ca2+ channels, was particularly high in turtle myocytes (Table 2).
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ICa recovery from inactivation.
The recovery of ICa from inactivation at 70 mV following 1-s prepulses to 0 mV is shown in Fig. 7. The number of recovered channels increased as the duration between the prepulse and the test pulse was lengthened. The time constant of recovery from inactivation (
) was 157.3 ± 18.6 ms, thus at physiologically relevant frequencies of contraction (0.21 Hz), incomplete restitution of turtle L-type Ca2+ channels is unlikely to occur.
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Characterization of INCX. The capacity of the NCX to transfer charge is highly dependent on the intracellular [Na+]. In mammalian cardiac myocytes, resting intracellular Na+ concentration ([Na+]i) varies between species with a range of 415 mM (7) Because in vivo [Na+]i is not known for turtle myocytes, we investigated the capacity of the NCX at a low (7 mM) and a high (14 mM) amount of Na+ in the patch pipette. Membrane current was measured in the presence of 50 µM nifedipine to block ICa, and a combination of 10 µM ryanodine and 2 µM thapsigargin was used to inhibit possible SR Ca2+ release and reuptake. Under these conditions, a square-wave voltage pulse from 70 mV to 0 mV for 500 ms gave rise to a maintained outward current, which could be blocked with 10 mM NiCl2, confirming the presence of a Ni+-sensitive Na+/Ca2+ exchange current (INCX). The Ni2+-sensitive currents elicited with 14 mM and 7 mM [Na+]i are shown in Fig. 8. INCX was integrated to give a measure of charge transfer so that total Ca2+ influx through the NCX could be calculated. At 14 and 7 mM, intracellular Na+, NCX charge transfer was 0.24 ± 0.1 and 0.12 ± 0.1, respectively, giving a total Ca2+ influx through the NCX at 0 mV of 58.5 ± 7.7 µmol/l and 26.7 ± 3.2 µmol/l, respectively (n = 9 and 7, Fig. 8). Total Ca2+ influx through the NCX was significantly greater with 14 mM than with 7 mM [Na+]i (P = 0.004).
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30 mV, regardless of the intracellular Na+ concentration (Fig. 9). The calculated ENCX under the present experimental conditions is 28.29 mV for 14 mM [Na+]i and 80.68 mV for 7 mM [Na+]i. Thus, although the experimentally derived ENCX at 14 mM [Na+]i agrees well with the calculated value, it is expected that decreasing [Na+]i will increase ENCX. A possible explanation for this discrepancy is that diastolic Ca2+ levels may also change when altering [Na+]i, which will also affect the measured ENCX.
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| DISCUSSION |
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The importance of extracellular Ca2+ cycling in turtles, and the apparent lack of SR involvement has a clear ultrastructural basis. The morphological design of turtle myocytes reveals a system primed for transsarcolemmal Ca2+ flux. Turtle myocytes are spindle-shaped (long and thin) and lack T-tubules, which is typical of ectothermic vertebrates (45). The surface area-to-volume ratio (18.3) is high compared with mammalian ventricular myocytes (rabbit, 4.6; rat, 68) (2, 30), but similar to other ectotherms (trout, 18.2; crucian carp, 19.2; bluefin tuna, 1417; mackerel, 1822) (32, 42). This large surface area-to-volume ratio will enhance the efficacy of sarcolemmal Ca2+ transport by reducing the diffusional distance that Ca2+ has to travel to the myofilaments. Moreover, the myofilaments of ectothermic myocytes are subsarcolemmal (42), further promoting the close association of the sarcolemmal membrane and the contractile elements of the cell.
In most ectotherms, the majority of extracellular Ca2+ enters the cell through L-type Ca2+ channels (18, 34, 42). The central role of these channels can be demonstrated by an almost complete inhibition of force production by L-type Ca2+ channel blockers in fish (1). Our study demonstrates the turtle is no exception to this trend and relies strongly on this form of Ca2+ influx for contraction. The density and kinetics of turtle ICa are typical of other ectothermic species (20, 32, 42, 43). Steady-state activation and inactivation curves and the time taken for recovery from inactivation also coincide with those found in fish (32, 34, 42, 43). A sizeable window current exists at room temperature, which probably contributes to the prolongation of the action potential, and may be important in Ca2+ cycling at lower body temperatures (see Ref. 34).
Interestingly, although the density and kinetics of turtle ICa, with the exception of ICa time course of inactivation (see below), may be similar to other ectothermic species, the pharmacology suggests the turtle heart may predominantly contain L-type Ca2+ channels composed of a different subunit than most vertebrate cardiac L-type channels. The L-type Ca2+ channel is made up of a number of subunits, but the
1-subunit is the main functional unit of the channel, responsible for pore formation and voltage sensitivity (35). In cardiac muscle, it exists as two main isoforms:
1C and
1D (8). The
1C subunit is most commonly found in the mammalian myocardium and is characteristically sensitive to dihydropyridines (24). Conversely, the
1D is found abundantly in neurons or pacemaker regions of the heart and requires a higher dose of dihydropyridines (
1020-fold higher) to completely inhibit ICa (4, 22, 38, 46). Thus the pharmacology of the turtle L-type Ca2+ channel current may suggest the heart contains a large complement of
1D subunits in their L-type Ca2+ channels. It is not clear what the functional significance of these channels may be in turtle ventricular myocytes; however, L-type Ca2+ channels containing the
1D subunit have been linked with conduction of the action potential in the mammalian heart (23, 37, 47).
Our results indicate the turtle L-type Ca2+ channel is the predominant source of extracellular Ca2+, with a total Ca2+ influx of 64.1 ± 9.3 of nonmitochondrial (n = 15) space. This value is 5 times that found in adult mammalian ventricular myocytes (5, 29) and approximately double that of certain fish ventricular cells (34, 42, 43). This difference is probably due to the relatively slow time course of inactivation of turtle ICa and may be a direct result of less Ca2+-induced inactivation of the L-type Ca2+ channel and the lack of a functional SR. However, it must be noted that in similar experiments with fish, measurements were made in the whole cell configuration with intracellular buffering, which can increase the amplitude of ICa and therefore the rate of Ca2+-dependent inactivation of the channel. Nevertheless, when compared with mammalian studies using a perforated-patch configuration, our results indicate the turtle L-type Ca2+ channel can contribute an enormous amount of Ca2+ for contraction, probably enough to support myocyte contraction independently of other cellular cycling mechanisms.
The large amount of Ca2+ that enters the cell during contraction via the L-type channels has to be removed to allow relaxation, and if the SR is not involved in the relaxation process, then another mechanism must be in place. In mammals, the SR and the NCX compete for the removal of Ca2+ during relaxation (6). Thus, in the absence of a functional SR, it is expected that the NCX will now act as the primary Ca2+ efflux pathway in turtle ventricular myocytes. In some species the NCX also contributes to contraction by entering "reverse mode" (Ca2+ in, Na+ out) during the upsweep of the action potential. In the hearts of neonatal mammals, which are similar to turtle cardiac myocytes in both structure and function, the NCX accounts for 6575% of total Ca2+ influx (27, 28), and among ectotherms, the NCX alone can activate contraction in the crucian carp or rainbow trout, with up to 50% of Ca2+ entry mediated through this reverse NCX activity (19, 44). Thus, in ectothermic vertebrates, and also mammalian neonates, the NCX may provide a substantial proportion of the activator Ca2+ necessary for contraction.
Measurement of NCX activity is complicated by the lack of information regarding the intracellular concentration of Na+ in turtle ventricular myocytes. In fish, varying [Na+]i greatly influences the activity of the NCX, with a reduction from 16 to 10 mM [Na+]i leading to a 58% reduction in Ca2+ entry through the NCX (19). Thus we have measured the capacity of the NCX at two different concentrations of [Na+]i; 14 and 7 mM. Depolarizing voltage steps to 0 mV in the presence of L-type channel and SR blockade led to a nickel-sensitive outward current corresponding to a total Ca2+ influx of 58.5 ± 7.7 µmol/l (n = 9) and 26.7 ± 3.2 µmol/l (n = 7) at 14 and 7 mM [Na+]i, respectively. Importantly, at either concentration of [Na+]i, NCX Ca2+ entry was sufficient to support myocyte contraction independently. If we speculate that [Na+]i in turtle ventricular myocytes is somewhere between 7 and 14 mM and we combine these figures with Ca2+ entry via L-type channels, we could expect a total Ca2+ influx at 0 mV via both mechanisms to amount to
100 µmol/l. Of this,
35% of activator Ca2+ originates from the NCX. This percentage is slightly higher than that seen in the crucian carp (
26%) when NCX activity was measured using similar voltage protocols and intracellular constituents. It is important to note that in the present study, L-type Ca2+ channels were inhibited with nifedipine, while measuring NCX activity. Previous studies measuring NCX activity in fish have suggested the presence of an intact Ca2+ current via L-type channels will increase forward mode NCX activity, due to the concentration-dependent nature of the exchanger and the reduced driving force for Ca2+ entry (19, 44). Thus our study may have overestimated the amount of Ca2+ entry via the NCX, although Hove-Madsen et al. (19) found that preserving ICa during depolarizing voltage steps had little effect on NCX Ca2+ entry at 0 mV. In any case, it seems clear that the NCX is capable of contributing activator Ca2+ for contraction in turtle myocytes, and importantly, it is able to support myocyte contraction independent of the SR and L-type Ca2+ channels.
Perspectives
This is the first study to address cellular Ca2+ cycling in any reptilian species. Our results show that turtles, similar to most fish, rely predominantly on the L-type Ca2+ channel for delivering extracellular Ca2+ for contraction under routine environmental conditions. We also show that the NCX is a powerful route for both Ca2+ entry and Ca2+ removal. Freshwater turtles are renowned for their ability to tolerate a wide range of environmental challenges, and some species hibernate in aquatic habitats for up to 6 mo, subjecting themselves to large temperature fluctuations, long periods of hypoxia and anoxia, and consequential acidosis (15, 40). The mammalian myocardium is particularly sensitive to environmental change (6, 9, 11), which suggests the turtle heart may have physiological specializations in E-C coupling, which allow them to cope with their changing environment. The present study provides the groundwork for cellular studies on ion regulation of contractility in reptilian cardiomyocytes. Thus future studies should be aimed at investigating how these Ca2+ flux pathways are affected by temperature, hypoxia, and acidosis to provide mechanistic insight into the stress tolerance of the turtle heart.
| GRANTS |
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| ACKNOWLEDGMENTS |
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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.
| REFERENCES |
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