2020
DOI: 10.1161/circresaha.119.315891
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The Control of Diastolic Calcium in the Heart

Abstract: Normal cardiac function requires that intracellular Ca 2+ concentration be reduced to low levels in diastole so that the ventricle can relax and refill with blood. Heart failure is often associated with impaired cardiac relaxation. Little, however, is known about how diastolic intracellular Ca 2+ concentration is regulated. This article first discusses the reasons for this ignorance before reviewing the basic mechanisms that control diastolic intracellular Ca … Show more

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Cited by 114 publications
(64 citation statements)
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“…Whereas the ISO-evoked increase of the Ca 2+ transient was significantly larger in TRPM4 −/− cardiomyocytes in the 129SvJ strain compared to TRPM4 +/+ controls, which reinforces our previous analysis [21], we could not find a significant difference between the two genotypes in the C57Bl/6 N background. In our attempts to gain mechanistic insights into the differences in TRPM4dependent Ca 2+ signaling between the two strains, we analysed protein expression of the L-Type Ca 2+ channel subunit Ca V β 2 and SERCA2a proteins, whose expression level and activity regulate diastolic SR Ca 2+ load [7]. However, our findings show neither divergences in Ca V β 2 and SERCA2a protein expression nor differences in caffeine-induced SR Ca 2+ depletion in cardiomyocytes from 129SvJ compared to C57Bl/6N mice indicating that SR Ca 2+ load is not different in ventricular cardiomyocytes between the strains.…”
Section: Discussionmentioning
confidence: 99%
“…Whereas the ISO-evoked increase of the Ca 2+ transient was significantly larger in TRPM4 −/− cardiomyocytes in the 129SvJ strain compared to TRPM4 +/+ controls, which reinforces our previous analysis [21], we could not find a significant difference between the two genotypes in the C57Bl/6 N background. In our attempts to gain mechanistic insights into the differences in TRPM4dependent Ca 2+ signaling between the two strains, we analysed protein expression of the L-Type Ca 2+ channel subunit Ca V β 2 and SERCA2a proteins, whose expression level and activity regulate diastolic SR Ca 2+ load [7]. However, our findings show neither divergences in Ca V β 2 and SERCA2a protein expression nor differences in caffeine-induced SR Ca 2+ depletion in cardiomyocytes from 129SvJ compared to C57Bl/6N mice indicating that SR Ca 2+ load is not different in ventricular cardiomyocytes between the strains.…”
Section: Discussionmentioning
confidence: 99%
“…In support of this mechanism, istaroxime, a newer intracellular Na + enhancer, has been demonstrated to improve both diastolic and systolic function in patients with decompensated HF with reduced ejection fraction (HFrEF), along with increasing systolic blood pressure while reducing heart rate, with no evidence of increases in the probability of cardiac arrhythmias [100][101][102][103]. Notwithstanding this, a note of caution must be taken concerning intracellular Na + overload as a consequence of chronic P2X4R activation, since increases in diastolic Ca 2+ concentration may worsen the diastolic dysfunction in HF conditions [104]. Another caveat is related to rhythm disturbances that may arise from perturbations of Na + and Ca 2+ -handling resulting from prolonged activation of the P2X4R.…”
Section: Benefits From the P2x4 Receptor Activation In The Heartmentioning
confidence: 99%
“…Deterioration in contractile mechanics of a heart that is hypertrophied, dilated, or fibrotic correlates with altered excitation-contraction coupling and failing bioenergetics (Franz et al, 1992;Nishimura et al, 2006). Contractile force generation requires calcium signaling; while intracellular SR calcium is reviewed in detail elsewhere (Eisner et al, 2020), in this section, we will specifically provide a brief overview of mitochondrial calcium handling. Mitochondrial calcium dynamics are determined by ATP/ADP ratio, transporter expression levels, and other regulatory signals (Zhou and Tian, 2018).…”
Section: Pathological Mitochondrial Function Mitochondrial Calcium Handlingmentioning
confidence: 99%