The study identifies CaV1.3 channels as the essential molecular components of the voltage-dependent, DHP-sensitive Ist Na+ current in sinoatrial node pacemaker cells.
No immediate change to SAN arrhythmia management; extends CaV1.3's role in pacemaker currents for future study.
The spontaneous activity of sinoatrial node (SAN) pacemaker cells is generated by a functional interplay between the activity of ionic currents of the plasma membrane and intracellular Ca 2+ dynamics. The molecular correlate of a dihydropyridine (DHP)-sensitive sustained inward Na + current ( I st ), a key player in SAN automaticity, is still unknown. Here we show that I st and the L-type Ca 2+ current ( I Ca,L ) share Ca V 1.3 as a common molecular determinant. Patch-clamp recordings of mouse SAN cells showed that I st is activated in the diastolic depolarization range, and displays Na + permeability and minimal inactivation and sensitivity to I Ca,L activators and blockers. Both Ca V 1.3-mediated I Ca,L and I st were abolished in Ca V 1.3-deficient (Ca V 1.3 −/− ) SAN cells but the Ca V 1.2-mediated I Ca,L current component was preserved. In SAN cells isolated from mice expressing DHP-insensitive Ca V 1.2 channels (Ca V 1.2 DHP−/− ), I st and Ca V 1.3-mediated I Ca,L displayed overlapping sensitivity and concentration–response relationships to the DHP blocker nifedipine. Consistent with the hypothesis that Ca V 1.3 rather than Ca V 1.2 underlies I st , a considerable fraction of I Ca,L was resistant to nifedipine inhibition in Ca V 1.2 DHP−/− SAN cells. These findings identify Ca V 1.3 channels as essential molecular components of the voltage-dependent, DHP-sensitive I st Na + current in the SAN.
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Toyoda et al. (2017) studied this question.
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