Key result
Ca2+ acts in both 'push' and 'pull' pathways to maintain metabolic homeostasis and increase oxygen consumption in response to increased electrical stimulation rates in atrial cells.
Why the study?
It was unclear whether both Ca2+ push and pull pathways are necessary to maintain atrial ATP supply-to-demand matching.
This study provides computational and experimental evidence that Ca2+ regulates ATP supply-to-demand matching in atrial cells through both 'push' and 'pull' pathways to maintain metabolic homeostasis during increased workload.
Computational support for dual Ca2+ push-pull atrial energetics; leaves open in vivo relevance to arrhythmia or HF.
To maintain atrial function, ATP supply-to-demand matching must be tightly controlled. Ca 2+ can modulate both energy consumption and production. In light of evidence suggesting that Ca 2+ affects energetics through “push” (activating metabolite flux and enzymes in the Krebs cycle to push the redox flux) and “pull” (acting directly on ATP synthase and driving the redox flux through the electron transport chain and increasing ATP production) pathways, we investigated whether both pathways are necessary to maintain atrial ATP supply-to-demand matching. Rabbit right atrial cells were electrically stimulated at different rates, and oxygen consumption and flavoprotein fluorescence were measured. To gain mechanistic insight into the regulators of ATP supply-to-demand matching in atrial cells, models of atrial electrophysiology, Ca 2+ cycling and force were integrated with a model of mitochondrial Ca 2+ and a modified model of mitochondrial energy metabolism. The experimental results showed that oxygen consumption increased in response to increases in the electrical stimulation rate. The model reproduced these findings and predicted that the increase in oxygen consumption is associated with metabolic homeostasis. The model predicted that Ca 2+ must act both in “push” and “pull” pathways to increase oxygen consumption. In contrast to ventricular trabeculae, no rapid time-dependent changes in mitochondrial flavoprotein fluorescence were measured upon an abrupt change in workload. The model reproduced these findings and predicted that the maintenance of metabolic homeostasis is due to the effects of Ca 2+ on ATP production. Taken together, this work provides evidence of Ca 2+ “push” and “pull” activity to maintain metabolic homeostasis in atrial cells.
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Keidar et al. (2023) studied Atrial cell energetics. Electrical stimulation vs. 1 Hz stimulation or quiescent was evaluated on Oxygen consumption and flavoprotein fluorescence (p=<0.05). Ca2+ acts in both 'push' and 'pull' pathways to maintain metabolic homeostasis and increase oxygen consumption in response to increased electrical stimulation rates in atrial cells.
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