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Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Adenosine A2A receptors are expressed in human atrial myocytes and modulate spontaneous sarcoplasmic reticulum
Leif Hove-Madsen1, Cristina Prat-Vidal, Anna Llach
1Cell Physiology Laboratory, Cardiology Department, Hospital de la Santa Creu i Sant Pau, Institut Catalá de Ciencies Cardiovasculars, Universitat Autònoma de Barcelona, St Antoni M(a) Claret 167, 08025 Barcelona, Spain. lhove@santpau.es
Background:
Alterations in the cyclic AMP-dependent regulation of the cardiac ryanodine receptor (RyR2) have been proposed to account for increased spontaneous calcium release from the sarcoplasmic reticulum (SR) in patients with heart failure, ventricular tachyarrhythmias and atrial fibrillation. While the adenosine A(2A) receptor (A(2A)R) is known to regulate cyclic AMP levels, expression and function of this receptor in human cardiac myocytes has not been investigated.
Methods:
PCR, western blotting and immunofluorescence were used to identify the A(2A)R, and functional effects of A(2A)R stimulation were measured with confocal calcium imaging and patch-clamp technique.
Results:
The A(2A)R is expressed in the human right atrium and distributed in a banded pattern along the Z-lines, overlapping with the ryanodine receptor. A(2A)R stimulation caused a protein kinase A dependent increase in spontaneous SR calcium release in isolated human atrial myocytes. The A(2A)R agonist CGS21680 increased the frequency of calcium sparks from 0.12+/-0.03 to 0.31+/-0.08 sparks.mum min(-1) (p<0.05) and calcium waves from 0.65+/-0.31 to 5.11+/-1.84 waves.min(-1) (p<0.03). Moreover, spontaneous Na-Ca exchange currents (I(NCX)) increased from 1.19+/-0.17 to 2.50+/-0.42 min(-1) (p<0.001). In contrast, CGS21680 did not alter caffeine inducible calcium release (6.98+/-0.52 vs. 6.82+/-0.57 amol pF(-1), p=0.6) or the spontaneous I(NCX) amplitude (0.32+/-0.05 vs. 0.29+/-0.04 pA pF(-1), p=0.2). Current-voltage relationship and amplitude of the L-type calcium current (1.62+/-0.18 vs. 1.80+/-0.18 pA pF(-1)) were not altered, but calcium release dependent inactivation was faster with CGS21680 (13.4+/-0.7 vs. 15.8+/-1.0 ms, p<0.001).
Conclusions:
Adenosine A(2A) receptors are expressed in the human atrial myocardium and modulate the frequency of spontaneous calcium release from the SR.
Insights
Adenosine A(2A) receptors are present in human heart cells and influence spontaneous calcium release. This finding is crucial for understanding heart rhythm disorders like atrial fibrillation.
Area of Science:
- Cardiology
- Molecular Biology
- Physiology
Background:
- Altered cyclic AMP regulation of cardiac ryanodine receptors (RyR2) is linked to spontaneous calcium release in heart failure and arrhythmias.
- The role of adenosine A(2A) receptors (A(2A)R) in regulating cyclic AMP and their presence in human cardiac myocytes were previously uninvestigated.
Purpose of the Study:
- To determine the expression and function of adenosine A(2A) receptors in human cardiac myocytes.
- To investigate the impact of A(2A)R stimulation on calcium handling in the human atrium.
Main Methods:
- Utilized PCR, western blotting, and immunofluorescence to detect A(2A)R expression.
- Employed confocal calcium imaging and patch-clamp techniques to assess functional effects of A(2A)R stimulation.
Main Results:
- A(2A)R expression was confirmed in the human right atrium, co-localizing with RyR2.
- A(2A)R stimulation significantly increased spontaneous calcium release, calcium sparks, calcium waves, and spontaneous Na-Ca exchange currents (I(NCX)) in atrial myocytes.
- No significant alterations were observed in caffeine-inducible calcium release or L-type calcium current amplitude, though calcium release-dependent inactivation was accelerated.
Conclusions:
- Adenosine A(2A) receptors are expressed in the human atrial myocardium.
- A(2A)R activation modulates the frequency of spontaneous calcium release from the sarcoplasmic reticulum, offering potential therapeutic targets for cardiac arrhythmias.
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