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Updated: Jun 15, 2026

Analyses of Mitochondrial Calcium Influx in Isolated Mitochondria and Cultured Cells
Published on: April 27, 2018
The ups and downs of mitochondrial calcium signalling in the heart
Elinor J Griffiths1, Dirki Balaska, Wendy H Y Cheng
1Department of Biochemistry and Bristol Heart Institute, University of Bristol, School of Medical Sciences, University Walk, Bristol BS8 1TD, UK. Elinor.Griffiths@bristol.ac.uk
Insights
Mitochondrial calcium ([Ca2+]m) regulation is vital for heart function and disease. Ongoing research clarifies its roles in ATP production, cell signaling, and cell death, despite existing controversies.
Area of Science:
- Cardiovascular Physiology
- Mitochondrial Biology
- Cellular Signaling
Background:
- Intramitochondrial free calcium ([Ca2+]m) regulation is crucial for cardiac physiological and pathological processes.
- Despite significant research, controversies persist regarding beat-to-beat mitochondrial calcium transients and their role in whole-cell calcium signaling.
- The involvement of [Ca2+]m in coupling ATP supply and demand, and its role in necrosis and apoptosis, particularly in mitochondrial permeability transition pore formation, remain debated.
Purpose of the Study:
- To summarize the key physiological roles of [Ca2+]m in ATP production and cell Ca2+ signaling in adult and neonatal hearts.
- To highlight current controversies and recent advancements in understanding [Ca2+]m regulation in the heart.
- To briefly discuss the interactions of nitric oxide with [Ca2+]m.
Main Methods:
- Utilized advancements in fluorescent indicators, targeted proteins, and sensitive imaging technology for specific measurement of [Ca2+]m in intact cells and hearts.
- Investigated interactions between mitochondrial calcium transporters (mCU, mNCX) and those of the sarcolemma and sarcoplasmic reticulum.
- Reviewed existing literature to summarize physiological roles and controversies surrounding [Ca2+]m.
Main Results:
- Developments in measurement techniques have revealed intricate interactions of mitochondrial calcium transporters with other cellular calcium handling systems.
- Mitochondrial calcium uptake occurs via the ruthenium red-sensitive calcium uniporter (mCU), and efflux via the Na+/Ca2+ exchanger (mNCX).
- Recent research highlights the role of [Ca2+]m in heart failure and its potential involvement in cell death pathways.
Conclusions:
- Precise measurement of [Ca2+]m has advanced our understanding of its critical, yet elusive, role in cardiac function.
- Further research, including transporter purification, cloning, and inhibitor development, is needed to resolve controversies and fully elucidate [Ca2+]m functions.
- Understanding [Ca2+]m regulation is paramount for addressing cardiac pathologies and improving therapeutic strategies.
Abstract:
Regulation of intramitochondrial free calcium ([Ca2+]m) is critical in both physiological and pathological functioning of the heart. The full extent and importance of the role of [Ca2+]m is becoming apparent as evidenced by the increasing interest and work in this area over the last two decades. However, controversies remain, such as the existence of beat-to-beat mitochondrial Ca2+ transients; the role of [Ca2+]m in modulating whole-cell Ca2+ signalling; whether or not an increase in [Ca2+]m is essential to couple ATP supply and demand; and the role of [Ca2+]m in cell death by both necrosis and apoptosis, especially in formation of the mitochondrial permeability transition pore. The role of [Ca2+]m in heart failure is an area that has also recently been highlighted. [Ca2+]m can now be measured reasonably specifically in intact cells and hearts thanks to developments in fluorescent indicators and targeted proteins and more sensitive imaging technology. This has revealed interactions of the mitochondrial Ca2+ transporters with those of the sarcolemma and sarcoplasmic reticulum, and has gone a long way to bringing the mitochondrial Ca2+ transporters to the forefront of cardiac research. Mitochondrial Ca2+ uptake occurs via the ruthenium red sensitive Ca2+ uniporter (mCU), and efflux via an Na+/Ca2+ exchanger (mNCX). The purification and cloning of the transporters, and development of more specific inhibitors, would produce a step-change in our understanding of the role of these apparently critical but still elusive proteins. In this article we will summarise the key physiological roles of [Ca2+]m in ATP production and cell Ca2+ signalling in both adult and neonatal hearts, as well as highlighting some of the controversies in these areas. We will also briefly discuss recent ideas on the interactions of nitric oxide with [Ca2+]m.
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