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Updated: May 15, 2026

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Calcium movements inside the sarcoplasmic reticulum of cardiac myocytes
Donald M Bers1, Thomas R Shannon
1Department of Pharmacology, University of California, Davis, Davis, CA, USA. dmbers@ucdavis.edu
Insights
Sarcoplasmic reticulum (SR) calcium content ([Ca]SRT) is vital for heart function. Understanding intra-SR free calcium ([Ca]SR) dynamics is key to treating cardiac dysfunction and arrhythmias.
Area of Science:
- Cardiology
- Cell Physiology
- Biophysics
Background:
- Sarcoplasmic reticulum (SR) calcium content ([Ca]SRT) is crucial for normal cardiac function and electrophysiology.
- Pathological alterations in [Ca]SRT contribute to heart failure and arrhythmias.
- Intra-SR free calcium ([Ca]SR) regulates SR calcium release and cardiac excitation-contraction coupling.
Purpose of the Study:
- To discuss methods for measuring [Ca]SR and [Ca]SRT.
- To explain how [Ca]SR regulates calcium release.
- To explore the role of calcium diffusion within the SR and its impact on cardiac function.
Main Methods:
- Review of experimental measurements of [Ca]SR and [Ca]SRT.
- Discussion of mathematical models simulating SR calcium dynamics.
- Analysis of calcium diffusion within the SR network.
Main Results:
- [Ca]SR dictates [Ca]SRT and controls the gating of calcium release channels.
- [Ca]SR regulates the activation and termination of calcium release during excitation-contraction coupling.
- Calcium diffusion within the SR can stabilize local [Ca]SR, but diffusion restrictions can cause spatial inhomogeneities.
Conclusions:
- Accurate measurement and modeling of [Ca]SR dynamics are essential for understanding cardiac function and pathology.
- Further research is needed to resolve existing controversies and advance our understanding of SR calcium handling.
- Insights into SR calcium dynamics can inform therapeutic strategies for cardiovascular diseases.
Abstract:
Sarcoplasmic reticulum (SR) Ca content ([Ca]SRT) is critical to both normal cardiac function and electrophysiology, and changes associated with pathology contribute to systolic and diastolic dysfunction and arrhythmias. The intra-SR free [Ca] ([Ca]SR) dictates the [Ca]SRT, the driving force for Ca release and regulates release channel gating. We discuss measurement of [Ca]SR and [Ca]SRT, how [Ca]SR regulates activation and termination of release, and how Ca diffuses within the SR and influences SR Ca release during excitation-contraction coupling, Ca sparks and Cac waves. The entire SR network is connected and its lumen is also continuous with the nuclear envelope. Rapid Ca diffusion within the SR could stabilize and balance local [Ca]SR within the myocyte, but restrictions to diffusion can create spatial inhomogeneities. Experimental measurements and mathematical models of [Ca]SR to date have greatly enriched our understanding of these [Ca]SR dynamics, but controversies exist and may stimulate new measurements and analysis.
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