Abstract
Stable calcium-induced calcium release (CICR) is critical for maintaining normal cell contraction during cardiac excitation-contraction (EC) coupling in heart cells. The fundamental element of CICR in heart is the calcium (Ca2+) spark which arises from the regenerative release of Ca2+ from a cluster of ryanodine receptors (RyR2) in the junctional sarcoplasmic reticulum membrane. We have shown how stochastic gating of RyR2s could produce an SR Ca2+ leak capable of balancing SR Ca2+-ATPase (SERCA2a) activity under quiescent conditions (Williams et al. BJ 2011). This investigation suggested the surprising finding that a single, or even multiple, RyR2 openings could fail probabilistically to trigger a Ca2+ spark. To further investigate this effect, we expanded upon that formulation to create a detailed, local control model of EC coupling in mouse heart. A number of features were added or modified, including the addition of a novel seven-state Markov chain model of the sarcolemmal L-type Ca2+ channel (LCC). This model features dynamic action-potential (AP) generation, robust Ca2+ spark initiation and termination, realistic [Ca2+]i transients, and true SR Ca2+ pump/leak balance. The model suggests that numerous LCC openings are often required to trigger a single Ca2+ spark. This is consistent with our prior work where multiple RyR2 openings were needed to trigger a spontaneous Ca2+ spark during quiescent conditions. We also investigated how RyR2 mutations associated with catecholaminergic polymorphic ventricular tachycardia (CPVT) influence the dynamics of Ca2+ sparks, “invisible” non-spark Ca2+ leak, [Ca2+]i transients, and SR Ca2+ content. We observe that CPVT mutations can lead to unstable Ca2+ spark dynamics, altering SR Ca2+ content and promoting [Ca2+]i signaling instability. Our new model provides significant insights into the dynamics of local control of CICR under physiological and pathological conditions.
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