Key points
Prevailing dogma holds that activation of the β‐adrenergic receptor/cAMP/protein kinase A signalling pathway leads to enhanced L‐type Ca
V
1.2 channel activity, resulting in increased Ca
2+
influx into ventricular myocytes and a positive inotropic response. However, the full mechanistic and molecular details underlying this phenomenon are incompletely understood.
Ca
V
1.2 channel clusters decorate T‐tubule sarcolemmas of ventricular myocytes. Within clusters, nanometer proximity between channels permits Ca
2+
‐dependent co‐operative gating behaviour mediated by physical interactions between adjacent channel C‐terminal tails.
We report that stimulation of cardiomyocytes with isoproterenol, evokes dynamic, protein kinase A‐dependent augmentation of Ca
V
1.2 channel abundance along cardiomyocyte T‐tubules, resulting in the appearance of channel ‘super‐clusters’, and enhanced channel co‐operativity that amplifies Ca
2+
influx.
On the basis of these data, we suggest a new model in which a sub‐sarcolemmal pool of pre‐synthesized Ca
V
1.2 channels resides in cardiomyocytes and can be mobilized to the membrane in times of high haemodynamic or metabolic demand, to tune excitation–contraction coupling.
Abstract
Voltage‐dependent L‐type Ca
V
1.2 channels play an indispensable role in cardiac excitation–contraction coupling. Activation of the β‐adrenergic receptor (βAR)/cAMP/protein kinase A (PKA) signalling pathway leads to enhanced Ca
V
1.2 activity, resulting in increased Ca
2+
influx into ventricular myocytes and a positive inotropic response. Ca
V
1.2 channels exhibit a clustered distribution along the T‐tubule sarcolemma of ventricular myocytes where nanometer proximity between channels permits Ca
2+
‐dependent co‐operative gating behaviour mediated by dynamic, physical, allosteric interactions between adjacent channel C‐terminal tails. This amplifies Ca
2+
influx and augments myocyte Ca
2+
transient and contraction amplitudes. We investigated whether βAR signalling could alter Ca
V
1.2 channel clustering to facilitate co‐operative channel interactions and elevate Ca
2+
influx in ventricular myocytes. Bimolecular fluorescence complementation experiments reveal that the βAR agonist, isoproterenol (ISO), promotes enhanced Ca
V
1.2–Ca
V
1.2 physical interactions. Super‐resolution nanoscopy and dynamic channel tracking indicate tha...