Key result
The Na-Ca exchange system is responsible for 20-30% of cytoplasmic Ca removal during normal relaxation in rabbit, guinea-pig, and rat ventricular muscle, with fundamental species differences in Ca fluxes.
Species differences in Na-Ca exchange urge caution extrapolating to humans; leaves open precise Ca fluxes in human ventricular relaxation.
During normal relaxation in rabbit, guinea-pig, and rat ventricular muscle, the Na-Ca exchange system competes with the SR Ca pump, with the former being responsible for about 20-30% of the Ca removal from the cytoplasm. Ca extrusion via Na-Ca exchange is Em-sensitive, whereas Ca uptake by the SR is not. Neither the sarcolemmal Ca-ATPase pump nor mitochondrial Ca uptake appear to contribute significantly to the decline of [Ca]i during relaxation. Furthermore, the diastolic efflux of Ca from cardiac muscle cells appears to be primarily attributable to Na-Ca exchange and not the sarcolemmal Ca-ATPase pump. In rabbit ventricle Ca entry via Na-Ca exchange is favored thermodynamically during much of a normal twitch contraction and Ca extrusion occurs primarily between beats. In rat ventricle Ca efflux via Na-Ca exchange occurs during the contraction and net Ca influx may occur between beats. This fundamental difference in Ca fluxes during the cardiac cycle in rat versus rabbit ventricle may be a simple consequence of the shorter action potential duration and higher aNai in rat ventricle (due to the effects of Em and [Na] and [Ca] gradients on Na-Ca exchange).
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Donald M. Bers (1991) studied Cardiac muscle relaxation. The Na-Ca exchange system is responsible for 20-30% of cytoplasmic Ca removal during normal relaxation in rabbit, guinea-pig, and rat ventricular muscle, with fundamental species differences in Ca fluxes.
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