Key result
Aging reduces the firing rate of cardiac pacemaker cells by decreasing the clustering and open probability of L-type calcium channels, a dysfunction that can be reversed by the calcium channel agonist Bay K 8644.
Why the study?
All mammals experience an age-associated linear slowdown of cardiac pacemaker rate that can become pathological in humans, but the underlying mechanisms are not well understood.
Does Bay K 8644 improve action potential firing rate in isolated sinoatrial pacemaker cells from old C57BL/6J mice?
Does Bay K 8644 improve action potential firing rate in isolated sinoatrial pacemaker cells from old C57BL/6J mice?
Aging impairs the clustering and function of L-type calcium channels in cardiac pacemaker cells, contributing to a slowdown in pacemaker rate that can be pharmacologically reversed.
May guide future therapies for age-related bradycardia; leaves open clinical translation of channel modulation.
Every heartbeat is initiated by a spontaneous electrical signal generated inside the cardiac pacemaker. The generation of this electrical signal depends on the coordinated opening and closing of different ion channels, where voltage-gated L-type calcium channels play a central role. Despite the reliability of the pacemaker, all mammals experience a linear slowdown of the pacemaker rate with age. In humans, this slowing can become pathological and constitutes the main cause for the requirement of the implantation of artificial pacemakers. However, the mechanisms behind the age-associated slowdown of the pacemaker are not well understood. Here, we show that age alters L-type calcium channels in pacemaker cells from mice. The age-associated alterations include: i) a reduction in the density of the channels at the plasma membrane, ii) a reduction in the clustering of the channels, and iii) a decrease in channel open probability. Altogether, these age-associated alterations result in a global reduction of the L-type calcium current density and in a slowdown of the pacemaker diastolic depolarization. Remarkably, increasing the open probability of L-type calcium channels pharmacologically was enough to restore pacemaker rate in old cells to the same levels observed in the young. Overall, our findings provide evidence that proper organization and function of L-type calcium channels is impaired by aging and that this dysfunction contributes to the slowdown of pacemaker cells in old animals.
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Vivas et al. (2022) studied Aging-associated pacemaker dysfunction. Aging vs. Young mice (4-6 months) was evaluated on Action potential firing rate (bpm) (p=0.002). Aging reduces the firing rate of cardiac pacemaker cells by decreasing the clustering and open probability of L-type calcium channels, a dysfunction that can be reversed by the calcium channel agonist Bay K 8644.
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