Background-In ventricular myocytes, the majority of structures that couple excitation to the systolic rise of Ca 2ϩ are located at the transverse tubular (t-tubule) membrane. In the failing ventricle, disorganization of t-tubules disrupts excitation contraction coupling. The t-tubule membrane is virtually absent in the atria of small mammals resulting in spatiotemporally distinct profiles of intracellular Ca 2ϩ release on stimulation in atrial and ventricular cells. The aims of this study were to determine (i) whether atrial myocytes from a large mammal (sheep) possess t-tubules, (ii) whether these are functionally important, and (iii) whether they are disrupted in heart failure. Methods and Results-Sheep left atrial myocytes were stained with di-4-ANEPPS. Nearly all control cells had an extensive t-tubule network resulting in each voxel in the cell being nearer to a membrane (sarcolemma or t-tubule) than would otherwise be the case. T-tubules decrease the distance of 50% of voxels from a membrane from 3.35Ϯ0.15 to 0.88Ϯ0.04 m. During depolarization, intracellular Ca 2ϩ rises simultaneously at the cell periphery and center. In heart failure induced by rapid ventricular pacing, there was an almost complete loss of atrial t-tubules. The distance of 50% of voxels from a membrane increased to 2.04Ϯ0.08 m, and there was a loss of early Ca 2ϩ release from the cell center. Conclusion-Sheep atrial myocytes possess a substantial t-tubule network that synchronizes the systolic Ca 2ϩ transient. In heart failure, this network is markedly disrupted. This may play an important role in changes of atrial function in heart failure. (Circ Heart Fail. 2009;2:482-489.)

Richards MA, Clarke JD, Saravanan P, Voigt N, Dobrev D, Eisner DA, Trafford AW, Dibb KM. Transverse tubules are a common feature in large mammalian atrial myocytes including human. Am J Physiol Heart Circ Physiol 301: H1996 -H2005, 2011. First published August 12, 2011; doi:10.1152 doi:10. /ajpheart.00284.2011 tubules are surface membrane invaginations that are present in all mammalian cardiac ventricular cells. The apposition of L-type Ca 2ϩ channels on t tubules with the sarcoplasmic reticulum (SR) constitutes a "calcium release unit" and allows close coupling of excitation to the rise in systolic Ca 2ϩ . T tubules are virtually absent in the atria of small mammals, and therefore Ca 2ϩ release from the SR occurs initially at the periphery of the cell and then propagates into the interior. Recent work has, however, shown the occurrence of t tubules in atrial myocytes from sheep. As in the ventricle, Ca 2ϩ release in these cells occurs simultaneously in central and peripheral regions. T tubules in both the atria and the ventricle are lost in disease, contributing to cellular dysfunction. The aim of this study was to determine if the occurrence of t tubules in the atrium is restricted to sheep or is a more general property of larger mammals including humans. In atrial tissue sections from human, horse, cow, and sheep, membranes were labeled using wheat germ agglutinin. As previously shown in sheep, extensive t-tubule networks were present in horse, cow, and human atrial myocytes. Analysis shows half the volume of the cell lies within 0.64 Ϯ 0.03, 0.77 Ϯ 0.03, 0.84 Ϯ 0.03, and 1.56 Ϯ 0.19 m of t-tubule membrane in horse, cow, sheep, and human atrial myocytes, respectively. The presence of t tubules in the human atria may play an important role in determining the spatio-temporal properties of the systolic Ca 2ϩ transient and how this is perturbed in disease.atria; t-tubule heart T TUBULES ARE INVAGINATIONS of the surface membrane that penetrate deep within the cell. They occur at the z-line and are present in ventricular myocytes of all mammalian species studied to date. Many of the proteins involved in excitation contraction coupling are located on, or in close proximity to, the t-tubule membrane (16). In cardiac muscle, excitation contraction coupling is initiated by opening of L-type Ca 2ϩ channels and subsequent Ca 2ϩ entry (I Ca,L ) triggering release of Ca 2ϩ from the intracellular Ca 2ϩ store, the sarcoplasmic reticulum (SR). T tubules allow close coupling of I Ca,L to ryanodine receptors (RyRs) on the SR membrane resulting in rapid triggered Ca 2ϩ release in the cell interior upon electrical excitation. Thus, in ventricular cells, which have a regular t-tubule network penetrating the entire cell, the rise in intracellular Ca 2ϩ responsible for contraction is both rapid and synchronous throughout the entire cell. Chemically induced t-tubule removal with formamide results in this initial rise in intracellular Ca 2ϩ concentration being localized to the periphery and then propagating to the cell center (46).To ...

Non-technical summary Heart failure is where the heart is unable to pump sufficient blood in order to meet the requirements of the body. Symptoms of heart failure often first present during exercise. During exercise the blood levels of a hormone, noradrenaline, increase and activate receptors on the muscle cells of the heart known as β-receptors causing the heart to contract more forcefully. We show that in heart failure the response to β-receptor stimulation is reduced and this appears to be due to a failure of the β-receptor to signal correctly to downstream targets inside the cell. However, by-passing the β-receptor and directly activating one of the downstream targets, an enzyme known as adenylyl cyclase, inside the cell restores the function of the muscle cells in failing hearts. These observations provide a number of potential targets for therapies to improve the function of the heart in patients with heart failure.Abstract Reduced inotropic responsiveness is characteristic of heart failure (HF). This study determined the cellular Ca 2+ homeostatic and molecular mechanisms causing the blunted β-adrenergic (β-AR) response in HF. We induced HF by tachypacing in sheep; intracellular Ca 2+ concentration was measured in voltage-clamped ventricular myocytes. In HF, Ca 2+ transient amplitude and peak L-type Ca 2+ current (I Ca-L ) were reduced (to 70 ± 11% and 50 ± 3.7% of control, respectively, P < 0.05) whereas sarcoplasmic reticulum (SR) Ca 2+ content was unchanged. β-AR stimulation with isoprenaline (ISO) increased Ca 2+ transient amplitude, I Ca-L and SR Ca 2+ content in both cell types; however, the response of HF cells was markedly diminished (P < 0.05). Western blotting revealed an increase in protein phosphatase levels (PP1, 158 ± 17% and PP2A, 188 ± 34% of control, P < 0.05) and reduced phosphorylation of phospholamban in HF (Ser16, 30 ± 10% and Thr17, 41 ± 15% of control, P < 0.05). The β-AR receptor kinase GRK-2 was also increased in HF (173 ± 38% of control, P < 0.05). In HF, activation of adenylyl cyclase with forskolin rescued the Ca 2+ transient, SR Ca 2+ content and SR Ca 2+ uptake rate to the same levels as control cells in ISO. In conclusion, the reduced responsiveness of the myocardium to β-AR agonists in HF probably arises as a consequence of impaired phosphorylation of key intracellular proteins responsible for regulating the SR Ca 2+ content and therefore failure of the systolic Ca 2+ transient to increase appropriately during β-AR stimulation.

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