Bond RC, Bryant SM, Watson JJ, Hancox JC, Orchard CH, James AF. Reduced density and altered regulation of rat atrial L-type Ca 2ϩ current in heart failure. Am J Physiol Heart Circ Physiol 312: H384 -H391, 2017. First published December 6, 2016; doi:10.1152/ ajpheart.00528.2016.-Constitutive regulation by PKA has recently been shown to contribute to L-type Ca 2ϩ current (ICaL) at the ventricular t-tubule in heart failure. Conversely, reduction in constitutive regulation by PKA has been proposed to underlie the downregulation of atrial ICaL in heart failure. The hypothesis that downregulation of atrial ICaL in heart failure involves reduced channel phosphorylation was examined. Anesthetized adult male Wistar rats underwent surgical coronary artery ligation (CAL, Nϭ10) or equivalent sham-operation (Sham, Nϭ12). Left atrial myocytes were isolated~18 wk postsurgery and whole cell currents recorded (holding potentialϭ-80 mV). ICaL activated by depolarizing pulses to voltages from -40 to ϩ50 mV were normalized to cell capacitance and current density-voltage relations plotted. CAL cell capacitances were~1.67-fold greater than Sham (P Յ 0.0001). Maximal ICaL conductance (Gmax) was downregulated more than 2-fold in CAL vs. Sham myocytes (P Ͻ 0.0001). Norepinephrine (1 mol/l) increased Gmax Ͼ50% more effectively in CAL than in Sham so that differences in ICaL density were abolished. Differences between CAL and Sham Gmax were not abolished by calyculin A (100 nmol/l), suggesting that increased protein dephosphorylation did not account for ICaL downregulation. Treatment with either H-89 (10 mol/l) or AIP (5 mol/l) had no effect on basal currents in Sham or CAL myocytes, indicating that, in contrast to ventricular myocytes, neither PKA nor CaMKII regulated basal ICaL. Expression of the L-type ␣1C-subunit, protein phosphatases 1 and 2A, and inhibitor-1 proteins was unchanged. In conclusion, reduction in PKA-dependent regulation did not contribute to downregulation of atrial ICaL in heart failure.
NEW & NOTEWORTHY Whole cell recording of L-type Ca 2ϩcurrents in atrial myocytes from rat hearts subjected to coronary artery ligation compared with those from sham-operated controls reveals marked reduction in current density in heart failure without change in channel subunit expression and associated with altered phosphorylation independent of protein kinase A. atrial remodeling; coronary artery ligation; voltage-gated Ca 2ϩ channel ATRIAL FIBRILLATION (AF) is the most common clinical arrhythmia and is associated with significant mortality, primarily through stroke and heart failure (2, 3). There are many causes of AF and although patients generally show multiple predisposing risk factors, Ͼ70% of patients have some form of underlying structural heart disease (2, 3). Evidence from animal models of heart diseases that predispose to AF indicates that disease-associated remodeling of the atria, presumably due to mechanical overload of the atrial wall, creates an arrhythmic substrate in which AF is more likely to arise and be sustained ...