Key result
The selectivity sequence of sarcolemmal Ca2+ binding sites for various cations matches the effective uncoupling sequence, suggesting these sites control Ca2+ availability for myocardial contractility.
Ca2+ bound to sarcolemmal sites likely plays a critical role in controlling the amount of Ca2+ available to myofilaments, thereby regulating myocardial contractility.
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Hypothesis-generating for sarcolemmal Ca2+ control of contractility; leaves open any therapeutic targeting.
Studies have been performed correlating the effects of cationic uncouplers on intact cardiac muscle and on Ca2+ bound to isolated cardiac plasma membranes. Sarcolemmal vesicles were isolated from neonatal rat hearts. Ca2+ binding experiments were performed and Scatchard plot analysis indicated two classes of Ca2+ binding sites. The ability of certain cations to displace Ca2+ bound to these vesicles was measured. The effects of these same cations on the tension developed by neonatal rat papillary muscles and on the Ca2+ content of tissue culture cells (from neonatal rat heart) were measured. The results show that a) the selectivity sequence (Y3+ greater than Nd3+ greater than La3+, Cd2+ greater than Co2+ greater than Mg2+) of sarcolemmal Ca2+ binding sites is the same as the effective uncoupling sequence; b) the amount of Ca2+ bound at these sites (approximately 700 micromol/kg wet wt) is more than adequate to support tension development; c) the dependence of sarcolemmal Ca2+ binding at low-affinity sites and tension development on [Ca2+]o is essentially the same. It is then reasonable to propose that the Ca2+ bound to these sarcolemmal sites plays an important role in controlling the amount of Ca2+ available to the myofilaments and thus myocardial contractility.
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Bers et al. (1979) studied this question. Cationic uncouplers was evaluated on Sarcolemmal Ca2+ binding and tension development. The selectivity sequence of sarcolemmal Ca2+ binding sites for various cations matches the effective uncoupling sequence, suggesting these sites control Ca2+ availability for myocardial contractility.
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