See article by Dirksen et al. [10] (pages 69–78) and Faber and Rudy [15] (pages 79–88) in this issue. In heart muscle, excitation contraction coupling (ECC) relies on proper release of Ca2+ from the sarcoplasmic reticulum (SR), which is accomplished by the activation of SR Ca2+ release channels (also known as ryanodine receptors, RyR) upon Ca2+ binding, a process termed calcium-induced calcium release [1]. The spontaneous activation of a cluster of RyRs produces local Ca2+ release seen under confocal fluorescence microscopy as minuscule flashes of light called Ca2+ sparks, the elementary Ca2+ release events [2]. SR release units are never totally quiescent. They keep on releasing Ca2+ randomly even during diastole, when sparks are rare in time and spatially separable [3]. During ECC, thousands of intracellular release events are synchronized by Ca2+ influx during the action potential, which causes both spatial and temporal overlap of elementary events in a way to produce a global intracellular transient increase in Ca2+ concentration ([Ca2+] i ) that initiates cell contraction. For relaxation to occur, [Ca2+] i must be reduced to the resting levels. This is accomplished by a number of transport systems that compete for Ca2+, mainly the SR Ca2+-ATPase and the Na+/Ca2+exchanger (NCX) [3]. The amount of Ca2+ released is strongly regulated by the SR Ca2+ content, both during systole [4] and diastole [5], so that release ceases at critically low SR loads, a condition in which a significant amount of Ca2+ (more than 40% of maximum load) can still be found in the organelle [4]. SR Ca2+ content, in turn, is regulated under normal physiological conditions by … *Centro de Engenharia Biomedica/UNICAMP, Caixa Postal 6040, 13084-971 Campinas, SP, Brazil. Tel.: +55 19 3521 9287; fax: +55 19 3289 3346. bassani{at}ceb.unicamp.br
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