“…The cardiac RyR is modulated by various endogenous modulators, among which perhaps the most important are Mg 2ϩ and ATP (10,33) and luminal Ca 2ϩ (7,18,49). The cytoplasm of resting cardiac muscle contains ϳ3-5 mM total ATP and 0.5-1.2 mM free Mg 2ϩ (2,16,21,37,38). Although the ATP and Mg 2ϩ concentrations are thought not to change rapidly during EC coupling (2), under ischemic conditions, Mg 2ϩ concentration is known to become as high as 2-4 mM, whereas ATP concentration falls nearly to zero (22,37,38 (18,25,27,56).…”