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1 Department of Pharmacology, Columbia University, New York, New York 10032; 2 Department of General Physiology and Biochemistry, Universita di Milano; and Istituto Nazional Milano University Unit, di Fisica della Materia, 20133 Milan, Italy
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ABSTRACT |
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Although the neonatal
sinus node beats at a faster rate than the adult, when a sodium current
(INa) present in the newborn is blocked, the
spontaneous rate is slower in neonatal myocytes than in adult myocytes.
This suggests a possible functional substitution of
INa by another current during development. We
used ruptured [T-type calcium current (ICa,T)]
and perforated [L-type calcium current
(ICa,L)] patch clamps to study developmental
changes in calcium currents in sinus node cells from adult and newborn
rabbits. ICa,T density did not differ with age,
and no significant differences were found in the voltage dependence of
activation or inactivation. ICa,L density was
lower in the adult than newborn (12.1 ± 1.4 vs. 17.6 ± 2.5 pA/pF, P = 0.049). However, activation and inactivation midpoints were shifted in opposite directions, reducing the potential contribution during late diastolic depolarization in the newborn (activation midpoints
17.3 ± 0.8 and
22.3 ± 1.4 mV in
the newborn and adult, respectively, P = 0.001;
inactivation midpoints
33.4 ± 1.4 and
28.3 ± 1.7 mV for
the newborn and adult, respectively, P = 0.038).
Recovery of ICa,L from inactivation was also
slower in the newborn. The results suggest that a smaller but more
negatively activating and rapidly recovering
ICa,L in the adult sinus node may contribute to
the enhanced impulse initiation at this age in the absence of
INa.
Ca current; automaticity; development; diastolic depolarization
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INTRODUCTION |
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IN THE VENTRICLE, the expression of L-type (ICa,L) and T-type calcium current (ICa,T) changes during ontogenesis. In most mammalian species studied, the current density of ICa,L increases during development (10, 17, 24, 25, 32; see also 9). The results on ICa,T are not definitive, with studies (17, 31, 46) in the rat ventricle reporting a postnatal decrease in current density and studies in the rabbit ventricle finding either a developmental increase (44) or an absence of the current at all ages (36). In addition, Nuss and Marban (35) recorded strong ICa,T in newborn mice, whereas no current was found in fetal mice (10).
There is no information about the developmental changes of calcium currents in sinus node cells (SNC). In the adult central sinus node, which has little or no functional fast sodium current (INa) (2, 11), ICa,L contributes not only to plateau potential as in the ventricle but also to action potential upstroke and perhaps late diastole (47). ICa,T is more pronounced than in ventricular myocytes and may participate in impulse initiation (13, 20). Because of the specific functional role of calcium currents in SNC, any developmental change in their biophysical characteristics could have significant impact on impulse initiation and automaticity.
The importance of studying these changes is emphasized by the recent finding that SNC from newborn rabbits have a prominent TTX-sensitive fast INa (2). In that study (2), TTX markedly prolonged the cycle length of newborn cells but did not change it in adult cells, demonstrating that INa plays a key role in impulse initiation in the newborn sinus node. Additional data indicate that INa directly contributes to diastolic depolarization in newborn SNC (3). The observation that newborn (but not adult) SNC exhibited pronounced slowing of spontaneous rate after block of INa suggests that, during development, another current (or currents) functionally substitutes for INa with respect to impulse initiation. The present study tested the hypothesis that ICa,L and/or ICa,T serve this purpose. Accordingly, one would expect an age-dependent increase in calcium current density and/or changes in biophysical characteristics resulting in increased contribution to impulse initiation. Unexpectedly, we did not find any developmental increase but rather a decrease in ICa,L current density with age. However, the activation curve of ICa,L was shifted negative in adult cells, whereas the inactivation curve was shifted positive; these opposite shifts should result in increased "window" current in adult cells compared with newborn cells. The wider window current, and in particular the more negative position of the activation curve, can increase inward current during late diastole and reduce the threshold potential for impulse initiation by ICa,L in adult SNC. An additional mechanism to increase the role of ICa,L in action potential initiation may be the faster recovery from inactivation found in adult SNC in this study.
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METHODS |
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SNC were prepared using a previously described method (12). Newborn (3-10 days old) and adult (41-48 days old) female rabbits were anesthetized with a mixture of ketamine (60 mg/kg) and xylazine (4.6 mg/kg) and then euthanized in accordance with protocols approved by the Animal Care and Use Committee of Columbia University. The heart was removed, and the sinus node was isolated and cut into four to six strips. Strips were rinsed for 5 min in a glass tube with a solution containing (in mM) 140 NaCl, 5.4 KCl, 0.5 MgCl2, 1.2 KH2PO4, 5 HEPES-NaOH, 50 taurine, and 5.5 glucose (pH 6.9) and then triturated for 15-20 min in 5 ml of the same solution including enzymes and 200 µM CaCl2. The amount of the following enzymes varied depending on the individual activity of samples and the age of the rabbits: 1.8-6 mg (600-2,000 units) collagenase (Worthington Biochem), 0.32-0.65 mg (1.5-3 units) protease (Sigma), and 0.05-0.10 mg (4.75-9.5 units) elastase (Sigma). Strips were rinsed for 5 min in K+-rich solution (see composition in Ref. 47) and triturated in a fresh 5-ml volume of this solution to disperse cells mechanically. Both enzymatic and mechanical digestions were performed at 37°C. During the following 20 min, the concentrations of Na+ and Ca2+ were gradually increased while the concentration of K+ was decreased to achieve final concentrations of 100, 1.3, and 35 mM, respectively. Cells were kept in this solution at 4-6°C and used in experiments 1-8 h after complete isolation.
During experiments, cells were placed in a heated (35°C) bath and
superfused with a physiological saline solution of the following composition (in mM): 140 NaCl, 5.4 KCl, 2 CaCl2, 1 MgCl2, 5 HEPES, and 10 glucose (pH 7.4). Only single,
spindle-shaped, spontaneously beating cells were chosen for
electrophysiological measurements. Membrane currents were recorded by
the whole cell or perforated patch techniques using an IBM-compatible
computer equipped with pCLAMP software (versions 6.0.3 or 8; Axon
Instruments), a DigiData 1200 series interface (Axon Instruments), and
an Axopatch 1C amplifier (Axon instruments). Borosilicate glass
pipettes (Sutter Instrument) were filled with a solution of the
following composition (in mM): 90 aspartic acid, 10 NaCl, 100 CsOH, 30 CsCl, 2 MgCl2, 5 EGTA, 2 CaCl2, 10 HEPES, 2 ATP
Na2, and 0.1 GTPNa2; pH 7.2 (pCa = 7). Pipette resistance was 3-4 M
.
The whole cell configuration of the patch clamp was used to study
ICa,T. After a seal was formed, the membrane was
ruptured, and capacitance currents were compensated; the cell was
superfused with a low-Na+ solution of the following
composition (in mM): 50 NaCl, 5 CsCl, 90 triethylammonium chloride, 0.5 MgCl2, 10 HEPES, 2 CaCl2, 5.5 glucose, and 0.01 TTX (pH 7.4). After ICa,L rundown had ceased (see RESULTS), the current-voltage
(I-V) relationship was determined from a holding
potential of
80 mV using two protocols. The first protocol included a
50-ms step to
50 mV to inactivate ICa,T and then 200-ms steps to potentials ranging from
70 to 50 mV (increment, 10 mV). The second protocol was the same except that the step to
50
mV was omitted. ICa,T was found by subtracting
currents obtained with the first protocol from those obtained with the second one. Linear leakage and capacitative transients were corrected by proportional subtraction of mean current recorded during steps from
80 to
60 mV (n = 10 records).
To study the steady-state inactivation of ICa,T,
the potential was held at
40 mV, and a 600-ms conditioning pulse (to
voltages from
100 to
40 mV, 10-mV steps) was applied followed by a
100-ms pulse to
30 mV. In these experiments, 10 µM nifedipine
(Sigma) was added to the control low-Na+ solution to
suppress ICa,L.
To study ICa,L, the perforated patch technique
was employed by adding 100-200 µg/ml amphotericin B (Sigma) to
the pipette solution. Two to ten minutes after the seal was formed,
when series resistance was reduced to 15-20 M
, the normal
superfusate was exchanged for one containing (in mM) 135 NaCl, 10 CsCl,
1.8 CaCl2, 1 MgCl2, 5 HEPES, 10 glucose, and
0.003 TTX. With the use of the perforated patch, the rundown of
ICa,L in either adult or newborn SNC was only
4% when checked every 5 s using 100-ms pulses to 20 mV from
holding potential of
50 mV over a period of 4 min (data not shown).
To construct I-V curves, 200-ms steps ranging from
45 to 55 mV were applied from a holding potential of
50 mV in
the absence and in the presence of 10 µM nifedipine.
ICa,L was measured as the nifedipine-sensitive current.
The perforated patch and solutions described above also were used to
study steady-state inactivation of ICa,L and
recovery of ICa,L from inactivation. In this
case, 100 µM NiCl2 and 10 µM TTX were added to the
cesium-containing solution. To study inactivation of
ICa,L, we used a 1,000-ms conditioning pulse (to voltages from
80 to 10 mV, 10-mV steps) followed by a 2-ms step to
50 mV before the 300-ms test pulse to 10 mV. Holding potential was
50 mV. Currents were measured relative to the peak current at the
test potential after the conditioning potential of
80 mV
(Imax). Linear leakage and capacitative
transients were eliminated by a standard subtraction method.
To study the recovery from inactivation, a two-pulse protocol was used.
The holding potential was
50 mV; both pulses were from
50 to 20 mV
and of 100-ms duration. The interval between the pulses was increased
from 10 to 2,800 ms. The protocol was run twice in the absence and
presence of nifedipine, and ICa,L was measured
as the nifedipine-sensitive current.
For the voltage-dependent activation and inactivation kinetics of ICa,T and ICa,L, we assumed a single-exponential relation, as employed previously in the sinoatrial node (15, 20, 48). Activation and inactivation were analyzed according to Boltzmann fitting analysis, and recovery from inactivation was according to exponential analysis (Microcal Origin, version 6.0). Data are presented as mean ± SE. Statistical significance was determined by ANOVA or Student's t-test as appropriate. A value of P < 0.05 was regarded as significant.
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RESULTS |
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T-Type Calcium Current
Current density.
After the patch was ruptured, the cell was adapted to the new
conditions for several minutes, during which time the rundown of
ICa,L was estimated. The rundown of
ICa,L during whole cell patch-clamp recording is
a well-known phenomenon (see, for example, Ref. 5). The
rundown of ICa,T was negligible or lacking
(16, 34, 41) . Moreover, Wetzel et al. (44)
found in rabbit ventricular myocytes that with rundown of
ICa,L, ICa,T became more
prominent. However, if ICa,L rundown has not
stabilized before the measurement of ICa,T the
value for ICa,T found as a difference current
may be distorted. To estimate the dynamics of
ICa,L rundown, 200-ms pulses to 20 mV preceded
by short steps to
50 mV from a holding potential of
80 mV were
repeated every 5 s. Generally, the current stabilized in 2 min at
~70% of the initial magnitude (data not shown). After this time, two
I-V protocols were run as described in
METHODS. A typical result is shown in Fig.
1, which depicts the family of current
traces with and without the conditioning step to
50 mV (Fig. 1,
A and B) as well as the calculated difference current traces (offset for clarity; Fig. 1C). At both ages
studied, the I-V curves constructed from the
difference current had a threshold between
60 and
50 mV and a peak
at
20 mV (Fig. 2). The peak current in
cells from newborn and adult animals was
4.4 ± 0.7 (n = 6) and
4.3 ± 0.7 pA/pF (n = 5), respectively. No significant difference between
ICa,T I-V curves
constructed for these two ages was found (two-way ANOVA,
P = 0.49). Nickel, which is reported to preferentially
inhibit ICa,T in SNC (20), was used
at a concentration of 100 µM and reduced peak current density at
20
mV by 80 ± 4% and 65 ± 9% in newborn and adult animals,
respectively (data not shown). The I-V data were
used to construct activation curves for adult and newborn SNC.
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Activation of ICa,T.
Activation curves were constructed according to the equation
d(V) = g(V)/gmax = [I/(Vrev
V)]/gmax, where
d(V) is channel activation,
g(V) is conductance, gmax
is maximal conductance, Vrev is the reversal
potential, and V is the test potential. The linear portion
of the positive limb of the I-V curve was
extrapolated to obtain Vrev, which was 36 and 37 mV for newborn and adult SNC, respectively. As shown in Fig.
2B, the activation curves are similar at both ages, with no
significant difference in either the midpoint (V1/2;
33 ± 2 mV, n = 6, for newborn SNC and
35 ± 2 mV, n = 5, for adult
SNC, P = 0.483) or inverse slope factor (7.1 ± 0.6 and 5.6 ± 0.7 mV, respectively, P = 0.135).
Steady-state inactivation.
Steady-state inactivation of ICa,T was expressed
as f(V) = I(V)/Imax, where
I is peak current at the test potential after any given
conditioning potential and Imax is the peak
current after a conditioning potential of
100 mV (Fig.
3). We found no developmental differences
in the availability of ICa,T
(V1/2:
65 ± 2.1 mV, n = 6, for newborn SNC and
65.1 ± 2.4 mV, n = 6, for adult SNC, P = 0.943; inverse slope factor:
9.7 ± 0.7 for newborn SNC and 10.5 ± 0.7 mV for adult SNC,
P = 0.464). In both adult and newborn SNC,
ICa,T was inactivated by ~20% at
80 mV (Fig. 3C), indicating that the current density in the
I-V relationship of ICa,T
in SNC held at
80 mV was slightly but equivalently underestimated at
both ages.
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L-Type Calcium Current
Current density.
Representative current traces in the absence and presence of nifedipine
(10 µM) and the calculated difference current are shown in Fig.
4, A-D, for an adult
cell. The I-V relations of the current in the two
age groups are shown in Fig. 4E. Both curves were bell
shaped but peaked at different voltages: approximately 0 mV for newborn
and approximately
5 mV for adult SNC. Peak current density in newborn
SNC (
17.58 ± 2.46 pA/pF, n = 15) was
significantly (P = 0.049) greater than that in adult
SNC (
12.15 ± 1.42 pA/pF, n = 8). According to
two-way ANOVA, the two I-V curves are
significantly different (P < 0.01).
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Kinetics of decay.
Figure 4F shows the voltage dependence of half-decay time
(T1/2) of ICa,L in
newborn and adult SNC. The two curves have a similar shape, with the
fastest T1/2 in the range of
20 to 0 mV.
Two-way ANOVA revealed no significant difference (P = 0.739) between the curves.
Activation of ICa,L.
For ICa,L, Vrev was 55 mV
for both newborn and adult. As shown in Fig.
5, the ICa,L
activation curve for adult SNC was parallel to that for newborn SNC
(inverse slope factor: 6.9 ± 0.2, n = 8-10,
and 7.3 ± 0.1 mV, n = 14-15, respectively),
but the curve for adult SNC was shifted to more negative potentials by
~5 mV (V1/2:
22.3 ± 1.4 mV in the
adult and
17.3 ± 0.8 mV in the newborn, P = 0.001).
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Steady-state inactivation.
As apparent in Fig. 5, the threshold for inactivation was approximately
60 mV for both the newborn and adult; at
40 mV, 30% and 15% of
ICa,L was inactivated in newborn and adult SNC, respectively. Boltzmann curves best fitting the data from newborn and
adult SNC were parallel (inverse slope factors: 6.6 ± 0.3, n = 7, and 7.1 ± 0.4 mV, n = 7, respectively) but contrary to the results on activation, the curve for
adult SNC shifted to more positive potentials; the shift was
significant (V1/2:
33.4 ± 1.4 and
28.3 ± 1.7 for newborn and adult SNC, respectively, P = 0.038).
Recovery from inactivation.
The results of these experiments are presented in Fig.
6, with individual current traces for a
10-day-old SNC shown in Fig. 6A and the mean time dependence
of recovery plotted in Fig. 6B. In newborn SNC,
ICa,L recovered more slowly than in adult SNC. The time course of recovery was best described by a biexponential function, the time constant (
) for the fast component being
significantly different (112.2 ± 13.4 ms, n = 6, and 63.1 ± 8.5 ms, n = 5, for newborn and adult
SNC, respectively, P = 0.017).
of the slow component also tended to be larger in newborn than adult SNC
(2,538 ± 1,476 vs. 958 ± 254 ms), but the difference was
not significant (P = 0.363).
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DISCUSSION |
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We studied the functional expression of two types of calcium channels in SNC to assess their possible role in action potential generation in young and adult hearts. The results show no differences in current density, activation, or availability of ICa,T in newborn SNC compared with adult SNC. On the contrary, significant developmental changes were found in ICa,L.
In this study, ICa,T was identified as a difference between current containing both ICa,T and ICa,L and current containing only ICa,L. As expected for a specific dissection of the ICa,T component, the difference current had fast activation and decay and sensitivity to nickel. As previously mentioned, adult rabbit SNC have very little or no fast INa (2). The current identified as ICa,T was not the TTX-sensitive INa expressed in newborn SNC, because 1) the difference current in newborn SNC had the same properties as in adult SNC, 2) 100 µM nickel does not inhibit the fast INa of newborn SNC (2), and 3) the superfused solution contained reduced Na+ and 30 µM TTX, a concentration three orders of magnitude greater than the IC50 for INa block in newborn SNC (26 nM) (4).
In our study, no significant age-related differences were found in
ICa,T density, activation, and availability.
These results differ from those in several studies of rabbit
ventricular myocytes. In one study (36), no
ICa,T was found in both newborn and adult rabbit
ventricular myocytes. In another study (44),
ICa,T was detected and reduced in neonatal
compared with adult cells; however, a detailed analysis of activation
and inactivation relations was not included. In the case of rabbit SNC,
further studies are required to determine which subunits of the T-type
calcium channel are expressed developmentally. It was recently shown
(6) that the adult mouse sinus node has transcripts for
two T-type calcium channel isoforms, Cav3.1 and Cav3.2
(
1G- and
1H-subunits, respectively; see
Ref. 23), with a dominant expression of Cav3.1. The
pattern of expression of the isoforms in the newborn sinus node is not known. However, the two isoforms do differ in their sensitivity to
nickel when tested in heterologous expression systems, with Cav3.2
being the more sensitive (29). Given that we did not observe a significant difference either in the percent block by 100 µM nickel or any biophysical difference in current characteristics in
newborn SNC versus adult SNC, there is no reason to propose the
presence of a different isoform expression pattern in the newborn.
The relatively large density of ICa,T in adult SNC and the sensitivity of SNC action potentials to nickel (which blocks ICa,T in SNC) led to the suggestion that ICa,T contributes to the later two-thirds of diastolic depolarization and plays an important role in impulse initiation in SNC (20). The present study did not directly address this issue. However, the observation that ICa,T is functionally mature in the newborn SNC and yet cells at this age exhibit slow or no spontaneous rate in the absence of INa (2) suggests that ICa,T is not sufficient to assure normal impulse initiation. The lack of developmental changes in ICa,T found in our experiments also makes ICa,T an unlikely candidate as a current substituting for INa in the adult SNC. In terms of the specific biophysical characteristics of ICa,T in SNC, the activation data reported here agree with those reported by two other groups (20, 30). The inactivation relation in our study was more shallow than that reported by Hagiwara et al. (20) but comparable with that of Lei et al. (30).
The following differences in ICa,L were found in this study for adult SNC versus newborn SNC: 1) current density decreased, 2) activation curve shifted to the left, 3) steady-state inactivation (availability) curve shifted to the right, and 4) recovery from inactivation became faster. Despite the greater current density in the newborn, there was no difference in the time course of inactivation. Because this time course includes a calcium-dependent component, this suggests that the local calcium concentration at the inner surface of the channel may not differ with age. This might argue against either a greater calcium influx per channel in the neonate or a significant channel clustering. However, one should remember that studies (21, 39, 40) in adult SNC have provided evidence of a contribution of intracellular calcium regulation to automaticity and that there is evidence in the ventricle (but not yet in the sinus node) for developmental regulation of calcium regulatory mechanisms (18). Therefore, the possibility of developmental differences in calcium homeostasis and/or its contribution to automaticity in SNC merits future consideration.
The opposite developmental shift in activation and inactivation curves
results in a wider window current in adult SNC, potentially providing
more current in the voltage range of diastolic depolarization. However,
this is opposed by a smaller current density in adult SNC. To estimate
the current available at window voltages, we calculated
ICa,L density multiplied by corresponding values
of ICa,L availability (Fig.
7). This current represents the size of
ICa,L that would be available in steady-state
conditions. Available ICa,L was greater in adult
SNC than in newborn SNC at voltages from
45 to
5 mV. Voltages
corresponding to the diastolic depolarization range (
50 to
35 mV)
are of particular interest. At
40 mV, the calculated available
current in adult SNC was 1.9 times that in newborn SNC (
1.38 and
0.74 pA/pF, respectively). Verheijck et al. (42)
suggested that ICa,L activates at more negative
potentials than those reported here in adult SNC and thus could
contribute to the entire range of diastolic depolarization.
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In agreement with our results on rabbit SNC, Wetzel et al. (45) have shown that, in adult rabbit ventricular myocytes, ICa,L inactivates at more positive potentials than in fetal and neonatal myocytes, resulting in a wider window current and suggesting that increasing availability of ICa,L may be a common feature of developing rabbit cardiac cells. On the other hand, Osaka and Joyner (36) found no difference in activation or inactivation of ICa,L in ventricular myocytes in newborn versus adult rabbits.
In addition to steady-state inactivation and the threshold of
activation, the kinetics of recovery from inactivation may further limit the contribution of ICa,L to impulse
initiation in newborn SNC. We found that, in adult SNC,
ICa,L recovers significantly faster than in
newborn SNC (
of the fast component of recovery was 63.1 ± 8.5 ms in adult SNC vs. 112 ± 13.4 ms in newborn SNC). ICa,L can effectively recover from inactivation
beginning with the end of action potential repolarization. On the basis
of a study (22) in newborn and adult intact sinus nodes of
rabbits, the time from the end of repolarization to the point at which diastolic depolarization reaches action potential threshold can be
estimated to be 150 ms at physiological temperature. If recovery kinetics during diastolic depolarization mirror the data shown in Fig.
6 (which is based on a fixed potential of
50 mV), then one would
predict that ICa,L recovers to 60% and 75% of
maximal values in newborn and adult SNC, respectively. Thus, in the
newborn, the negative shift of the steady-state inactivation relation
(Fig. 5) combined with the slower recovery from inactivation in the newborn are likely to result in less ICa,L
available in late diastole, whereas the positive shift of the
activation relation will require depolarization to less negative
voltages to achieve threshold for ICa,L activation.
There are several possible explanations for the observed changes in
parameters of ICa,L with development. There
could be an age-dependent isoform switch of one or more channel
subunits. Four isoforms have been described for the pore-forming
1-subunit of L-type calcium channels, among them
1C (cardiac form) and
1D (neuroendocrine
form) (23) as well as splice variants (14). Bohn et al. (6) demonstrated that the adult mouse sinus
node has clearly detectable mRNAs for Cav1.2
(
1C-subunit) as well as a low level of Cav1.3
(
1D-subunit). As noted by these authors, Cav1.3 may be
of functional importance in SNC because mice lacking
1D
have abnormalities in sinus rhythm (38). If rabbit SNC
also have more than one type of
1-subunit, it would be
important to assess the relative prevalence of the isoforms as a
function of development. One also must consider alterations in the
relative abundance or isoform expression of other channel subunits.
Furthermore, changes in membrane localization and/or cytoskeletal
interaction are reported to impact on the functional expression of
currents, including Na+ (8), K+
(7, 33), and Ca2+ currents (28,
37).
In addition, changes in calcium channel function may be secondary to
the developmental changes of other calcium signaling components and/or
their interaction with calcium channels. Recently, it has been shown
that inhibition of Ca2+/calmodullin-dependent protein
kinase II (CaMKII) in adult rabbit SNC shifted the
ICa,L availability curve negative by 11 mV
(43) and significantly prolonged recovery from
inactivation. The data suggest the existence of strong control of
steady-state inactivation of ICa,L by CaMKII. In
the rat heart, the predominant expression of the functionally important
-subunit of CaMKII switches from the
4-isoform in
fetal and neonatal hearts to the
3-isoform in adult
hearts (19), which, in theory, can provide a basis for
functional modification of calcium current. Furthermore, other signaling cascades that regulate the basal phosphorylation level of
calcium channels are known to be subject to developmental changes in
the rabbit ventricle (26, 27), and a similar age-dependent regulation could occur in the sinus node. In this regard, it is worth
remembering that ICa,L was measured with the
perforated patch technique. Thus the intracellular environment was
minimally disrupted, and measured differences in ionic currents could
in part be secondary to differences in the intracellular environment (e.g., divalent cation concentration) as a function of age.
In conclusion, we found significant developmental changes in ICa,L but not ICa,T in rabbit SNC that could contribute to the deficiencies in neonatal automaticity after block of INa. There are changes in activation, steady-state inactivation, and recovery from inactivation of ICa,L, resulting in the likely higher availability of this current in adult SNC during late diastole at an age when INa no longer significantly contributes to SNC diastolic depolarization (3) or impulse initiation. Finally, it should be noted that this does not rule out additional differences in other currents in the sinus node as a function of age. A previous study (1) reported that the pacemaker current exhibited greater current density with no change in the voltage dependence in the neonate, thus arguing against a deficiency of that current in the newborn. However, the role of developmental changes in potassium currents in the sinus node remains unexplored. In addition, it is known that the adult sinoatrial node exhibits regional heterogeneity with respect to ion channel expression and function (48); the extent of heterogeneity within the neonatal sinoatrial node has not been fully explored.
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ACKNOWLEDGEMENTS |
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This study was supported by National Heart, Lung, and Blood Institute Grant P01-HL-28958 and by North American Treaty Organization Travel Grant CRG-973022.
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FOOTNOTES |
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Address for reprint requests and other correspondence: R. B. Robinson, Columbia Univ., Dept. of Pharmacology, 630 W. 168th St., New York, NY 10032 (E-mail: rbr1{at}columbia.edu).
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.
Received 26 December 2000; accepted in final form 9 May 2001.
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