Key result
In silico modeling demonstrates that T-tubular constrictions significantly delay membrane depolarization, while T-tubular sodium currents induce negative intraluminal potentials that self-attenuate sodium channel function.
Why the study?
To better understand the electrical behavior of cardiac T-tubules in health and disease by addressing the delay of T-tubular membrane depolarization and the effects of T-tubular sodium current on T-tubular potentials.
Computational modeling reveals that T-tubule constrictions significantly delay depolarization and that T-tubular sodium currents generate negative intraluminal potentials leading to self-attenuation, which may impact excitation-contraction coupling.
T-tubular effects on depolarization remain hypothesis-generating in heart failure; leaves open in vivo relevance and therapeutic implications pending validation.
T-tubules are invaginations of the lateral membrane of striated muscle cells that provide a large surface for ion channels and signaling proteins, thereby supporting excitation-contraction coupling. T-tubules are often remodeled in heart failure. To better understand the electrical behavior of T-tubules of cardiac cells in health and disease, this study addresses two largely unanswered questions regarding their electrical properties: (1) the delay of T-tubular membrane depolarization and (2) the effects of T-tubular sodium current on T-tubular potentials. Here, we present an elementary computational model to determine the delay in depolarization of deep T-tubular membrane segments as the narrow T-tubular lumen provides resistance against the extracellular current. We compare healthy tubules to tubules with constrictions and diseased tubules from mouse and human, and conclude that constrictions greatly delay T-tubular depolarization, while diseased T-tubules depolarize faster than healthy ones due to tubule widening. Increasing the tubule length non-linearly delays the depolarization. We moreover model the effect of T-tubular sodium current on intraluminal T-tubular potentials. We observe that extracellular potentials become negative during the sodium current transient (up to -40 mV in constricted T-tubules), which feedbacks on sodium channel function (self-attenuation) in a manner resembling ephaptic effects that have been described for intercalated discs where opposing membranes are very close together. The intraluminal potential and sodium current self-attenuation however greatly depend on sodium current conductance. These results show that (1) the changes in passive electrical properties of remodeled T-tubules cannot explain the excitation-contraction coupling defects in diseased cells; and (2) the sodium current may modulate intraluminal potentials. Such extracellular potentials might also affect excitation-contraction coupling and macroscopic conduction.
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Vermij et al. (2019) studied Cardiac T-tubule electrical properties. T-tubular constrictions and sodium currents vs. Unconstricted/healthy T-tubules was evaluated on Depolarization delay and extracellular potential. In silico modeling demonstrates that T-tubular constrictions significantly delay membrane depolarization, while T-tubular sodium currents induce negative intraluminal potentials that self-attenuate sodium channel function.
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