Estimation of intracellular Na concentration and transmembrane Na flux in cardiac Purkynĕ fibres

Effect of metabolic inhibitors and second messengers upon Na(+)-H+ exchange in the sheep cardiac Purkinje fibre

1. Acid extrusion through Na(+)-H+ exchange was studied in the sheep cardiac Purkinje fibre (bathed in Hepes-buffered solution, nominally free of CO2-HCO3-) by examining (i) intracellular pH (pHi) recovery from an intracellular acid load (induced by 20 mM NH4Cl prepulse) and (ii) the rate of rise of intracellular Na+ activity (aiNa) following the ammonium prepulse (used as an estimate of apparent Na+ influx on Na(+)-H+ exchange). The pHi and aiNa were recorded using ion-selective microelectrodes. 2. The pHi recovery and rise of aiNa were both greatly slowed in the presence of 2-deoxyglucose (DOG; glucose-free solution), an inhibitor of glycolysis, indicating inhibition of Na(+)-H+ exchange. 3. Cyanide moderately slowed pHi recovery rate but did not significantly affect the rise of aiNa. Estimates of beta 1 (intracellular buffering power) indicated an increase of approximately 50% in the presence of cyanide; such an increase accounts for most of the observed slowing of pHi recovery. It is concluded that oxidative inhibition with cyanide does not inhibit Na(+)-H+ exchange. 4. Intracellular ATP, measured from luciferin-luciferase luminescence, was reduced by a similar amount (approximately 70%) by either DOG or cyanide. This suggests that, if intracellular ATP (ATPi) reduction is the cause of exchanger inhibition by metabolic inhibitors, then ATPi generated glycolytically is more important for activation of the exchange. 5. 3-Isobutyl-1-methylxanthine (IBMX; a non-specific phosphodiesterase inhibitor which can elevate intracellular [cAMP]) slowed acid extrusion and reduced apparent Na+ influx by a similar amount, whereas addition of sodium nitroprusside (to elevate intracellular [cGMP]) had no effect, suggesting that raising intracellular [cAMP] downregulates Na(+)-H+ exchange, whereas raising intracellular [cGMP] does not. 6. Application of trifluorperazine (TFP; a non-specific calcium-calmodulin inhibitor) completely reversed the inhibitory effects of IBMX upon pHi recovery and aiNa. Under control conditions (no IBMX), TFP had no effect on pHi recovery or upon resting pHi. 7. The phorbol ester 12-O-tetradecanoyl phorbol 13-acetate (TPA) had no significant effect on pHi recovery or apparent Na+ efflux. 8. We conclude that inhibition of glycolysis or elevation of cAMP produces downregulation of Na(+)-H+ exchange in the cardiac Purkinje fibre. Possible reasons for the lack of inhibitory effect of oxidative inhibitors are discussed.

Cardiac dysrhythmias in the acute setting: pathophysiology or anyone can understand cardiac dysrhythmias

Cardiac dysrhythmias are easy. Unlike the lung (which has formidable neuroendocrine, metabolic, and respiratory responsibilities), the heart is simple. It is an innervated muscular pump. A resting Purkinje or ventricular muscle cell membrane maintains a charge of about 90 millivolts. The five phases of a cardiac action potential are similar to the action potential in skeletal muscle, however, the cardiac action potential lasts a hundred times longer. When sodium specific "fast" channels and calcium specific "slow" channels open, positive ions rush into the myocardial cell, thus causing rapid membrane depolarization. In order to produce an action potential, some stimulus must decrease the membrane potential from -90 millivolts to "threshold" or -60 millivolts. Purkinje fibers do not have a stable phase for diastolic potential. These fibers continuously depolarize during diastole. Hypoxemia or hypokalemia may exacerbate this diastolic depolarization, thus promoting "hyperexcitability" or "automatic" ectopy. When myocardium is damaged, characteristically with myocardial ischemia, rapid conduction of cardiac impulses may be slowed dramatically. Very slow impulses may course through muscle such that by the time the activation wave front returns to the initiating site, this origin has had a chance to repolarize. This is the basis for re-entrant dysrhythmias. All cardiac dysrhythmias are automatic, re-entrant or both.

Consequences of specific [3H]ouabain binding to guinea pig left atria and cardiac cell membranes

An analysis of [3H]ouabain binding to electrically stimulated, contracting guinea pig left atria gave the following results. (1) A non-linear Scatchard plot with at least two binding sites: a high-affinity site (KD 1.1 X 10(-6) M) with about 430 receptors/micron2 related to positive inotropy, and a low-affinity site (KD' 2.1 X 10(-4) M) with about 18,000 receptors/micron2, possibly related to (Na+ + K+)ATPase inhibition. A crude left atrial homogenate gave about 530 receptors/micron2. (2) Half-maximal positive inotropic effects occurred at about 4 X 10(-7) M. (3) 86Rb+-uptake was significantly increased at all inotropic ouabain concentrations (10(-7) - 10(-6) M). Toxic concentrations (above 2 X 10(-6) M) inhibited 86Rb+-uptake (half-maximal inhibition at about 5 X 10(-6) M). [3H]Ouabain binding to partly purified guinea pig cardiac cell membranes showed: (a) linear Scatchard plots for (Mg2+, Pi)- and (Na+, ATP, Mg2+)-supported binding (KD 1.18 X 10(-7) M and 1.49 X 10(-7) M, respectively); (b) non-linear Scatchard plots for (Tyrode + ATP)-supported binding (KD 4.7 X 10(-7) M; KD' 6 X 10(-6) M); and (c) half-maximal [3H]ouabain binding occurred at a lower concentration (about 3.2 X 10(-7) M) than half-maximal inhibition of (Na+ + K+)ATPase activity (about 7.2 X 10(-7) M). Thus, we conclude that there may be more than one type of ouabain binding site in guinea pig left atria, and that measurable inhibition of (Na+ + K+)ATPase is not necessarily related to positive inotropy in the guinea pig.

Sodium tracer kinetics and transmembrane flux in tissue-cultured chick heart cells

Considerable difficulty has been encountered in defining the physiological significance of sodium tracer kinetic measurements in cardiac muscle. In this study, 24Na+ efflux experiments were performed by directly monitoring tissue radioactivity during the superfusion of growth-oriented embryonic chick heart cells in tissue cultured. The cellular 24Na+ efflux from contractile preparations exhibited at least two exponential components whereas noncontractile, fibroblastlike preparations had a single efflux component similar in rate to the slower component of the contractile preparations. We concluded that the slow component represents efflux from nonmuscle cells, whereas the faster component reflects the muscle cell compartment. The mean Na+ efflux rate constants for contractile preparations (beating 150 min-1) were 3.1 and 0.35 min-1. Intracellular Na+ concentrations, as determined by isotope uptake and by flame photometry, were 18 and 16 mM for contractile and nonmuscle preparations, respectively. The steady-state, transmembrane fluxes are 98 and 5 pmol . cm-2 . s-1 for muscle and nonmuscle cells, respectively. The Na+ efflux kinetics in 10(-4) M ouabain were reduced by approximately 16% from the control value. These findings indicate that the greater part of the steady-state Na+ efflux in cultured heart cells is due to mechanisms other than the Na+-K+ pump.

Techniques and applications of extracellular space determination in mammalian tissues

This review summarizes the ways in which the extracellular space (ECS) may be estimated in mammalian tissues, and briefly describes some of the uses to which the EC confinement of certain molecules (markers or tracers) may be put in the elucidation of physiological functions. The introductory section is followed by a description of the more commonly used marker molecules and their functional characteristics, and of factors likely to lead to the spurious over- or under-estimation of the ECS. Certain alternative methods are also described, in particular those based on morphological and electrical criteria which seek to demonstrate small, functionally important, changes in the size of specialized regions of the ECS (e.g. lateral cellular interspaces) without necessarily being required to provide a quantitatively precise estimate of their size. Section III describes the results of measurements of ECS in various mammalian tissues (muscle, gastro-intestinal tract, nervous tissue, crystalline lens, placenta, lung and kidney) and some applications of EC markers to investigation of cellular function (e.g. uptake of metabolic substrates and epithelial transport) and, in outline, characterization of capillary permeability. The available literature in this field is very extensive, and in the interests of brevity the reader is, where appropriate, referred to previous reviews covering specialized aspects of ECS determination and related topics.

Induction and removal of inward-going rectification in sheep cardiac Purkinje fibres

1. In sheep cardiac Purkinje fibres superfused with K-free, Na-free medium, the membrane potential can be stable either at a low negative level (-50 mV) or at a high negative level (-100 mV). The mechanism underlying the existence of these two stable potential levels was investigated using the two-micro-electrode voltage-clamp technique.2. By applying a voltage clamp of a certain duration at an appropriate level the membrane potential could be shifted from one stable level to the other. The shift was observed in Cl-free medium, excluding a redistribution of Cl as a possible explanation.3. Currents during and following a voltage step and their change with amplitude and duration of the voltage step could not be explained on the basis of depletion or accumulation of K ions in the narrow extracellular clefts.4. Instantaneous currents determined from the high negative resting level showed a high conductance and a pronounced inward rectification, while measurements from the low negative resting level indicated a low conductance and absence of inward rectification. The steady-state current-voltage relation was dependent on the holding potential and showed memory or hysteresis.5. Estimation of the conductance by superimposed short voltage-clamp pulses showed an increase in conductance during a hyperpolarizing clamp from the low negative level and a decrease in conductance during a depolarizing clamp from the high negative level. The time-dependent current during a hyperpolarizing clamp from the low negative level reversed direction at a potential level corresponding to E(K), assuming a cleft K concentration of about 1 mM. In the presence of 0.1 mM-Ba the time-dependent current was abolished.6. The results suggest that the shift between the two stable levels is due to a time-dependent conductance change in the K inward rectifier channel, i(K1). The existence of memory excludes activation or de-activation only depending on the voltage gradient. Interaction of extracellular K ions with a site in the membrane is proposed as the activating mechanism.

Relation between intracellular Na ion activity and tension of sheep cardiac Purkinje fibers exposed to dihydro-ouabain

The intracellular Na ion activity (aiNa) and the contractile tension (T) of sheep cardiac Purkinje fibers were simultaneously measured employing recessed-tip Na+-selective glass microelectrodes and a mechano-electric transducer. The aiNa of 6.4 +/- 1.6 mM (mean +/- SD, n = 56) was obtained in fibers perfused with normal Tyrode's solution. The changes in aiNa and T were measured during and after the exposure of fibers to a cardiac glycoside, dihydro-ouabain (DHO) in concentrations between 5 X 10(-8) M and 10(-5) M. The exposure time to DHO was 15 min. Both aiNa and T did not change in fibers exposed to 5 X 10(-8) M DHO, and the threshold concentration for the effect of DHO appeared to be around 10(-7) M. In DHO concentrations greater than the threshold, the increases in aiNa and T strongly correlated during the onset of DHO effects. The recoveries of aiNa and T were variable and slow, being dependent on the DHO concentration. In those fibers which recovered from the effects of DHO, the time-course of aiNa recovery was similar to that of T recovery. In fibers exposed to DHO of 5 X 10(-6) M or greater, the apparent toxic effects were observed in both action potential and contraction after an initial increase in T. The fibers manifesting the apparent toxic effects has a aiNa of approximately 30 mM or greater. The results of this study indicate that the increase in aiNa is associated with the positive inotropic action of the cardiac glycoside.

Decrease of K efflux and influx by external Cs ions in cardiac Purkinje and muscle cells

The effect of different external Cs concentrations on 42K efflux in nonstimulated cow Purkinje fibers and guinea-pig auricular preparations was studied in Tyrode solution containing varying amounts of external K (Ke). In some of these conditions also 42K influx and 137Cs influx were estimated. Resting membrane potentials in cow Purkinje fibers were measured by the standard microelectrode technique. Cs ions reduce K efflux and influx in a concentration dependent manner; the effect is due to an interaction of Cs ions with an external site of the membrane. The observed effects on K movement cannot be explained by the accompanying changes in membrane potential, but indicate an important reduction in K conductance. In the presence of 20 mM Cs, which removes most of the inward going rectification (Isenberg, 1976), a substantial K exchange persists and is sensitive to variations in external K concentration and to Cl substitution by acetylglycinate. A reduction of external Na ions does not modify the Cs effect. The results suggest that an important K movement occurs through the outward K rectifier. In the presence of Cs the preparation loses K in exchange for Cs; this Cs influx is substantially reduced by ouabain 10(-6) M and probably occurs through the active pump mechanism.

Ionic basis of transient inward current induced by strophanthidin in cardiac Purkinje fibres

1. Voltage clamp experiements studied the ionic basis of the strophathidin-induced transient inward current (TI) in cardiac Purkinje fibres. 2. The reversal potential of TI (Erev) was determined in the presence of various bathing solutions. Erev averaged --5 m V in the standard modified Tyrode solution (Kass, Lederer, Tsien & Weingart, 1978). Erev was displaced toward more negative potentials when the external Na concentration (NaO) was reduced by replacement of NaCl with Tris Cl, choline Cl or sucrose. 3. A sudden reduction of NaO evoked a temporary increase in TI, followed after a few minutes by a sustained diminution. The initial increase was closely paralleled by an enhanced aftercontraction and could be explained by an indirect effect of NaO on internal Ca. The subsequent fall in TI amplitude could be accounted for by the reduced driving force, E--Erev. 4. Erev was not significantly changed by replacing extracellular Cl with methyl-sulphate, or by limited variations in external Ca (2.7--16.2 mM) or external K (1--8 MM). 5. These results are consistent with an increase in membrane permeability to Na and perhaps K. 6. TI was not directly affected by TTX, which blocks excitatory Na channels, or by Cs, which inhibits inwardly rectifying K channels. TI may be distinguished from the slow inward current by its kinetic, pharmacological and ionic properties. 7. TI might be carried by a pre-existing ionic pathway such as the 'leak' channel which provides inward current underlying normal pace-maker depolarization. Another possibility is that TI reflects Ca extrusion by an electrogenic Ca--Na exchange.

The effects of external cations and ouabain on the intracellular sodium activity of sheep heart Purkinje fibres

1. The intracellular Na activity of sheep heart Purkinje fibres has been measured using recessed-tip Na(+)-sensitive glass micro-electrodes.2. The internal Na activity was 7.2 +/- 2.0 mM (mean +/- S.D., n = 32) at the normal external Na concentration, [Na](o), in these experiments of 140 mM (equivalent to an external Na activity of 105 mM). The equilibrium potential for Na across the fibre membrane was therefore approximately + 70 mV.3. When the [K](o) was altered the internal Na activity changed, reaching a new level within about 20 min. Increasing the [K](o) from 4 to 25 mM decreased the internal Na by approximately 30%, while decreasing the [K](o) from 4 to 1 mM increased internal Na by 20%.4. The removal of external K produced an easily reversible increase in the internal Na with an initial rate equivalent to a concentration change of 0.24 +/- 0.07 m-mole/min (mean +/- S.D., n = 8).5. Ouabain produced increases in the internal Na activity that were only very slowly reversible. The threshold concentration for producing an increase was approximately 10(-7)M.6. When [Na](o) was reduced the internal Na activity fell rapidly with a single exponential time course (time constant 3.3 +/- 0.8 min, mean +/- S.D., n = 16) to a new, relatively stable level. The recovery of internal Na on return to the normal [Na](o) did not have a simple time course. It was normally complete within 10-30 min.7. The relationship of the stabilized level of the internal Na activity to the [Na](o) was approximately linear over the range 140-14 mM-[Na](o). When [Na](o) was reduced from 140 to 14 mM the internal Na activity fell by 72 +/- 5% (mean +/- S.D., n = 21).8. When the [Na](o) was reduced, the decrease in the internal Na activity was partially inhibited by Mn or by removal external Ca.9. When the [Ca](o) was altered over the range 0.2-16 mM the internal Na activity was reduced by approximately 50% for a tenfold increase in the [Ca](o).10. The relationship between internal Na and contractility is discussed.

Effects of Na and K ions on the active Na transport in guinea-pig auricles

1. The effect of Na and K ions on active Na transport was studied in guinea-pig auricles by means of flame photometry. 2. The Na influx into preparations rewarmed in Tyrode's solution after cooling was estimated to be about 1.05 mmole/l fibre water - min (l.f.w.-min) or c. 8 pmole/cm2 - s. Intracellular Na ions enhanced the active Na efflux over a wide range of concentrations. A decrease in the extracellular Na concentration ([Na]o) had no major effect on the active Na efflux. 3. Extracellular K ions initiated an active Na efflux from rewarmed auricles with an elevated [Na[i over a narrow range of K concentrations ([K]o). 4. Assuming Michaelis-Menten kinetics the maximal active Na efflux activated by internal Na ions was calculated to be about 4 mmole/l.f.w. - min (30 pmole/cm2 - s). Half maximal Na efflux occurred at about 22 mmole/l.f.w. [Na]i. The maximal K-activated active - min (28 pmole/cm2 - s) and was half maximal at a [K]o of about 0.2 mM. 5. It is tentatively concluded that the maximal active Na efflux from guinea-pig atria is 3--4 times larger than the physiological flux. Under normal conditions active Na efflux in heart is mainly regulated by variations of [Na]i.

Reconstruction of the electrical activity of cardiac Purkinje fibres

1. The electrical activity of Cardiac Purkinje fibres was reconstructed using a mathematical model of the membrane current. The individual components of ionic curent were described by equations which wee based as closely as possible on previous experiments using the voltage clamp technique. 2. Membrane action potentials and pace-maker activity were calculated and compared with time course of underlying changes in two functionally distinct outeard currents, iX1 and iK2. 3. The repolarization of the theoretical action potential is triggered by the onset of iX1, which becomes activated over the plateau range of potentials. iK2 also activates during the plateau but does not play a controlling role in the repolarization. Hwever, iK2 does govern the slow pace-maker depolarization through its subsequent deactivation at negative potentials. 4. The individual phases of the calculated action potential and their 'experimental' modifications were compared with published records. The upstroke is generated by a Hodgkin-Huxley type sodium conductance (gNa), and rises with a maximum rate of 478 V/sec, somewhat less than experimentally observed values ( up to 800 V/sec). The discrepancy is discussed in relation to experimental attempts at measuring gNa. 5. The ole of the transient outward chloride current (called igr) was studied in calculations of the rapid phase of repolarization and 'notch' configuration...

Movements of labelled sodium ions in isolated rat superior cervical ganglia

1. Isolated rat superior cervical ganglia were incubated in Krebs solution containing (24)Na and carbachol for 4 min at 25 degrees C. They were then washed at 3 degrees C for 15 min to remove extracellular (24)Na and the efflux of residual intracellular (24)Na stimulated by warming to 25 degrees C.2. During the 15 min wash at 3 degrees C desaturation curves became exponential with a rate constant of 0.012 +/- 0.001 min(-1) (n = 24). This was assumed to represent loss of intracellular (24)Na, and initial uptake of (24)Na was calculated therefrom by back-extrapolation to zero wash-time. After 4 min in (24)Na + 180 muM carbachol intracellular [(24)Na] so calculated was 61.6 +/- 3.1 mM (n = 18), representing 83% labelling of intracellular Na. In the absence of carbachol intracellular [(24)Na] was 10.0 +/- 0.5 mM, representing 49% labelling. Extracellular Na was labelled by > 90% after 4 min in (24)Na. The apparent rate constant for washout of extracellular (24)Na was 0.6 min(-1) at 3 degrees C and 0.95 min(-1) at 25 degrees C.3. The loss of the residual intracellular (24)Na during temperature stimulation was interpreted quantitatively in terms of an exponential decline of the bulk of intracellular (24)Na with an extrusion rate constant of 0.39 +/- 0.1 min(-1) (n = 18), efflux being delayed by passage through the extracellular space with an effective rate constant of 0.8-1.2 min(-1).4. The peak rate constant (k(C)) for the desaturation curve at 25 degrees C was 0.35 +/- 0.01 min(-1). An Arrhenius plot of log k(C)/T degrees K(-1) yielded a two-stage linear regression with a transition at 20 degrees C. Activation energies of 8 and 31 kcal. mole(-1) were calculated above and below this transition respectively.5. Omission of K from the 25 degrees C temperature-stimulating solution reduced k(C) by 62%. The K-sensitive component of extrusion rate constant was a hyperbolic function of [K](e) with half-saturation at 5.6 mM-[K](e) and maximum k(C) of 0.58 min(-1).6. Cyanide (2 mM), 2,4-dinitrophenol (1 mM) and ouabain (1.4 mM) reduced k(C) by 50-90%. The half-maximally inhibiting concentration of ouabain was about 60 muM.7. Substitution of sucrose, Li or choline for external Na did not reduce the extrusion rate of (24)Na in either 6 mM-[K](e) or 0 mM-[K](e). Li stimulated (24)Na extrusion in Na-free, K-free solution.8. The properties of the ganglionic Na pump deduced from rates of temperature-stimulated (24)Na extrusion accord with the view that the ganglion hyperpolarization observed after Na loading by exposure to nicotinic depolarizing agents results from electrogenic Na extrusion. A comparable hyperpolarization is observed after temperature stimulation following Na loading.