Smaller Ca transients and systolic dysfunction in heart failure (HF) can be largely explained by reduced total sarcoplasmic reticulum (SR) Ca content ([Ca]SRT). However, it is unknown whether low [Ca]SRT is manifest as reduced: (1) intra-SR free [Ca] ([Ca]SR), (2) intra-SR Ca buffering, or (3) SR volume (as percentage of cell volume). Here we assess these possibilities in a well-characterized rabbit model of nonischemic HF. In HF versus control myocytes, diastolic [Ca]SR is similar at 0.1-Hz stimulation, but the increase in both [Ca]SR and [Ca]SRT as frequency increases to 1 Hz is blunted in HF. Direct measurement of intra-SR Ca buffering (by simultaneous [Ca]SR and [Ca]SRT measurement) showed no change in HF. Diastolic [Ca]SRT changes paralleled [Ca]SR, suggesting that SR volume is not appreciably altered in HF. Thus, reduced [Ca]SRT in HF is associated with comparably reduced [Ca]SR. Fractional [Ca]SR depletion increased progressively with stimulation frequency in control but was blunted in HF (consistent with the blunted force-frequency relationship in HF). By studying a range of [Ca]SR, analysis showed that for a given [Ca]SR, fractional SR Ca release was actually higher in HF. For both control and HF myocytes, SR Ca release terminated when [Ca]SR dropped to 0.3 to 0.5 mmol/L during systole, consistent with a role for declining [Ca]SR in the dynamic shutoff of SR Ca release. We conclude that low total SR Ca content in HF, and reduced SR Ca release, is attributable to reduced [Ca]SR, not to alterations in SR volume or Ca buffering capacity.
- Excitation-ontraction coupling
- Heart failure
- Intra-SR Ca buffering
- Sarcoplasmic reticulum
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine