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Effects of Ca2+ channel blockers on Ca2+ loading induced by metabolic inhibition and hyperkalemia in cardiomyocytes

T Tang1, R Duffield, A K Ho

  • 1Department of Biomedical and Therapeutic Sciences, University of Illinois College of Medicine at Peoria, 61605, USA.

Insights

Calcium channel blockers like nifedipine and verapamil did not affect NaCN-induced calcium increases in chicken heart cells. However, chronic use of these blockers may alter calcium release mechanisms.

Area of Science:

  • Cardiovascular Physiology
  • Cellular Electrophysiology
  • Pharmacology

Background:

  • Intracellular calcium concentration ([Ca2+]i) is critical for cardiomyocyte function.
  • L-type and T-type calcium channels play roles in regulating [Ca2+]i.
  • Metabolic inhibition (NaCN) and hyperkalemia can alter [Ca2+]i.

Purpose of the Study:

  • To investigate the effects of L-type (nifedipine, verapamil) and T-type (mibefradil) calcium channel blockers on NaCN-induced and hyperkalemia-induced [Ca2+]i increases in chicken cardiomyocytes.
  • To explore the impact of chronic calcium channel blocker pretreatment on these responses and ryanodine-induced calcium release.

Main Methods:

  • Primary chicken cardiomyocytes were used.
  • Fluorescence imaging with Fura-2 measured intracellular Ca2+ concentration ([Ca2+]i).
  • Cells were pretreated with varying concentrations and durations of nifedipine, verapamil, and mibefradil before stimulation with NaCN or high potassium (K+).

Main Results:

  • Short-term (5 min) pretreatment with nifedipine, verapamil, or mibefradil did not affect the [Ca2+]i rise induced by NaCN.
  • Short-term pretreatment with these blockers significantly inhibited the K+-induced increase in [Ca2+]i.
  • Chronic (48 h) pretreatment with nifedipine or verapamil diminished their inhibitory effects on K+-induced [Ca2+]i, while mibefradil did not. Chronic verapamil enhanced ryanodine-induced [Ca2+]i.

Conclusions:

  • The NaCN-induced increase in [Ca2+]i is independent of L-type or T-type calcium channel influx.
  • Chronic inhibition of L-type calcium channels, but not T-type, may enhance ryanodine receptor-mediated Ca2+ release.
  • This enhancement might explain the development of tolerance to the inhibitory effects of chronic L-type channel blockers on K+-induced [Ca2+]i increases.

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