Key result
Acute and pathological tubular remodeling significantly affected TATS electrical conductivity in isolated rat cardiomyocytes, potentially explaining defects in action potential propagation.
FRAP microscopy can be used to evaluate the electrical conductivity of the T-tubular system, revealing that structural remodeling in heart failure impairs passive electrical spread.
May link TATS remodeling to conduction defects; hypothesis-generating for arrhythmia mechanisms and requires human validation.
Well-coordinated activation of all cardiomyocytes must occur on every heartbeat. At the cell level, a complex network of sarcolemmal invaginations, called the transverse-axial tubular system (TATS), propagates membrane potential changes to the cell core, ensuring synchronous and uniform excitation-contraction coupling. Although myocardial conduction of excitation has been widely described, the electrical properties of the TATS remain mostly unknown. Here, we exploit the formal analogy between diffusion and electrical conductivity to link the latter with the diffusional properties of TATS. Fluorescence recovery after photobleaching (FRAP) microscopy is used to probe the diffusion properties of TATS in isolated rat cardiomyocytes: A fluorescent dextran inside TATS lumen is photobleached, and signal recovery by diffusion of unbleached dextran from the extracellular space is monitored. We designed a mathematical model to correlate the time constant of fluorescence recovery with the apparent diffusion coefficient of the fluorescent molecules. Then, apparent diffusion is linked to electrical conductivity and used to evaluate the efficiency of the passive spread of membrane depolarization along TATS. The method is first validated in cells where most TATS elements are acutely detached by osmotic shock and then applied to probe TATS electrical conductivity in failing heart cells. We find that acute and pathological tubular remodeling significantly affect TATS electrical conductivity. This may explain the occurrence of defects in action potential propagation at the level of single T-tubules, recently observed in diseased cardiomyocytes.
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Scardigli et al. (2017) studied Failing heart cells (isolated rat cardiomyocytes). Acute and pathological tubular remodeling was evaluated on TATS electrical conductivity and apparent diffusion coefficient. Acute and pathological tubular remodeling significantly affected TATS electrical conductivity in isolated rat cardiomyocytes, potentially explaining defects in action potential propagation.
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