Key result
Sino-atrial node pacemaking cells show sparse sarcoplasmic reticulum content, occupying only ~0.07% of cell volume.
The very low sarcoplasmic reticulum volume in primary pacemaking cells suggests current biophysical models relying heavily on internal calcium stores for pacemaking may need to be reconsidered.
Challenges biophysical models reliant on internal calcium stores for pacemaking; leaves open human sinoatrial node relevance.
The main mammalian heart pacemakers are spindle-shaped cells compressed into tangles within protective layers of collagen in the sino-atrial node (SAN). Two cell types, "dark" and "light," differ on their high or low content of intermediate filaments, but share scarcity of myofibrils and a high content of glycogen. Sarcoplasmic reticulum (SR) is scarce. The free SR (fSR) occupies 0.04% of the cell volume within ~0.4 µm wide peripheral band. The junctional SR (jSR), constituting peripheral couplings (PCs), occupies 0.03% of the cell volume. Total fSR + jSR volume is 0.07% of cell volume, lower than the SR content of ventricular myocytes. The average distance between PCs is 7.6 µm along the periphery. On the average, 30% of the SAN cells surfaces is in close proximity to others. Identifiable gap junctions are extremely rare, but small sites of close membrane-to-membrane contacts are observed. Possibly communication occurs via these very small sites of contact if conducting channels (connexons) are located within them. There is no obvious anatomical detail that might support ephaptic coupling. These observations have implications for understanding of SAN cell physiology, and require incorporation into biophysically detailed models of SAN cell behavior that currently do not include such features.
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Iyer et al. (2020) studied this question. Sino-atrial node ultrastructural analysis was evaluated on Total sarcoplasmic reticulum (fSR + jSR) volume as percentage of cell volume. Ultrastructural analysis of rabbit sino-atrial node pacemaking cells revealed a limited sarcoplasmic reticulum content of 0.07% of cell volume, significantly lower than in ventricular myocytes.
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