Key result
Reduction of extracellular pH from 7.4 to 6.4 reversibly reduced intracellular pH by about 0.4 pH units, mediated by a novel Cl(-)-dependent acid influx pathway and Cl(-)-HCO3- exchange.
The study identifies a novel Cl(-)-dependent acid influx pathway (likely a Cl(-)-OH- exchanger) that, alongside Cl(-)-HCO3- exchange, forms a dual acid-loading mechanism in cardiomyocytes.
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Acidosis lowers myocyte pHi by ~0.4 units; leaves open relevance to human ischemia or arrhythmias.
The fall of intracellular pH (pH1) following the reduction of extracellular pH (pH0) was investigated in guinea-pig isolated ventricular myocytes using intracellular fluorescence measurements of carboxy-SNARF-1 (to monitor pH1). Cell superfusates were buffered either with a 5% CO2-HCO3- system or were nominally CO2-HCO3-free. 2. Reduction of pH0 from 7.4 to 6.4 reversibly reduced pH1 by about 0.4 pH units, independent of the buffer system used. 3. In HCO3(-)-free conditions, acid loading in low pH0 was not dependent on Na(+)-H+ exchange or on the presence of Na+. It was unaffected by high-K+ solution, by voltage-clamp depolarization, by various divalent cations (Zn2+, Cd2+, Ni2+ and Ba2+) and by the organic Ca2+ channel blocker diltiazem, thus ruling out proton influx through H(+)-or Ca(2+)-conductance channels or influx via a K(+)-H+ exchanger. The fall also persisted in the presence of glycolytic inhibitors, or the lactate transport inhibitor, alpha-cyano-4-hydroxy cinnamate. 4. In HCO3(-)-free conditions, acid loading in low pH0 was reversibly inhibited (by up to 85%) by Cl(-)0 removal and was slowed by the stilbene drug DBDS (dibenzamidostilbene disulphonic acid). In contrast, the Cl(-)-HCO3-exchange inhibitor DIDS (4,4'-diisothiocyanatostilbene-2,2'-disulphonic acid) had no inhibitory effect. Acid loading is therefore mediated by a novel Cl(-)-dependent, acid influx pathway. 5. After switching to CO2-HCO3(-)-buffered conditions, acid loading was doubled. It was still not inhibited by Na(+)-free or high-K+ solutions but was once again inhibited (by 78%) in Cl(-)-free solution. The HCO3(-)-stimulated fraction of acid loading was inhibited by DIDS. 6. We propose a model of acid loading in the cardiomyocyte which consists of two parallel carriers. One is Cl(-)-HCO3-exchange, while we suggest the other to be a novel Cl(-)-OH-exchanger (although we do not rule out the alternative configuration of H(+)-Cl-co-influx). The proposed dual acid-loading mechanism accounts for most of the sensitivity of pH1 to a fall of pH0.
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Sun et al. (1996) studied guinea-pig isolated ventricular myocytes. Reduction of extracellular pH (pH0) from 7.4 to 6.4 vs. Normal extracellular pH (7.4) was evaluated on Fall of intracellular pH (pH1). Reduction of extracellular pH from 7.4 to 6.4 reversibly reduced intracellular pH by about 0.4 pH units, mediated by a novel Cl(-)-dependent acid influx pathway and Cl(-)-HCO3- exchange.
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