A modern view on regulation of cardiac pacemaker cell function postulates that local calcium releases (LCRs) contribute to diastolic depolarization via electrogenic sodium/calcium exchanger. An unresolved problem, however, remains: how intrinsically stochastic and heterogeneously distributed release channels (RyR) generate a strong, synchronized ensemble LCR signal and how this signal is effectively regulated by autonomic system to insure pacemaker rate flexibility.We measured calcium dynamics by a high-speed camera in isolated, single rabbit sinoatrial node cells (SANC) and assessed the kinetics of local calcium-pumping synchronization by examining the distributions of time constants (τ) of calcium-transient decay among cell neighborhoods at baseline and during stimulation of either beta-adrenergic receptors or cholinergic receptors.Beta-adrenergic receptor stimulation (isoproterenol) not only decreased cycle length (CL) and average τ vs. baseline, but also decreased the standard deviation (SD) of all τ's across all neighborhoods, suggesting a shift into a less heterogeneous, i.e. more synchronized calcium pumping throughout SANC. Conversely, cholinergic receptor stimulation (carbachol) not only increased CL and average τ vs. baseline, but also increased the local SD(τ), suggesting a shift into a more heterogeneous, i.e. less synchronized calcium pumping within SANC. Furthermore, on a beat-to-beat basis, the relationship between either τ or SD(τ) and CL was linear under both baseline conditions and autonomic stimulation.Conclusions: The degree of heterogeneity of local calcium pumping is a new universal factor that affects the CL and insures effective rate and rhythm regulation of the coupled-clock pacemaker system via autonomic modulation. More synchronized and faster calcium pumping is presumably achieved via phospholamban phosphorylation and allows cell neighborhoods to reach the calcium release threshold quicker and more synchronously, thereby synchronizing LCRs and amplifying their ensemble diastolic signal, accelerating pacemaker rate.
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