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Biophys J, March 2001, p. 1230-1237, Vol. 80, No. 3
and
*Cardiology Division and
Nora Eccles Harrison
Cardiovascular Research and Training Institute, University of Utah
Health Sciences Center, Salt Lake City, Utah 84132 USA
To investigate whether activity of the sarcolemmal Na
pump modulates the influence of sodium current on
excitation-contraction (E-C) coupling, we measured
[Ca2+]i transients (fluo-3) in single
voltage-clamped mouse ventricular myocytes
([Na+]pip = 15 or 0 mM) when the Na pump
was activated (4.4 mM K

80 to 0 mV)
caused a significant increase (15 ± 2%; n = 16; p < 0.01) in peak systolic
[Ca2+]i when
[Na+]pip was 15 mM. In the absence of sodium
current (INa, which was blocked by 60 µM
tetrodotoxin (TTX)), inhibition of the Na pump immediately before and
during a voltage pulse did not result in an increase in peak systolic
[Ca2+]i. Abrupt blockade of
INa during a single test pulse with TTX caused a slight decrease in peak [Ca2+]i,
whether the pump was active (9%) or inhibited (10%). With the
reverse-mode Na/Ca exchange inhibited by KB-R 7943, inhibition of the
Na pump failed to increase the magnitude of the peak systolic [Ca2+]i (4 ± 1%; p = NS) when [Na+]pip was 15 mM. When
[Na+]pip was 0 mM, the amplitude of the peak
systolic [Ca2+]i was not altered by abrupt
inhibition of the Na pump immediately before and during a voltage
pulse. These findings in adult mouse ventricular myocytes indicate the
Na pump can modulate the influence of INa on
E-C coupling in a single beat and provide additional evidence for the
existence of Na fuzzy space, where [Na+] can
significantly modulate Ca2+ influx via reverse Na/Ca exchange.
Biophys J, March 2001, p. 1230-1237, Vol. 80, No. 3
© 2001 by the Biophysical Society 0006-3495/01/03/1230/08 $2.00
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