Ca2+-activated Cl− current can be triggered by Na+ current-induced SR Ca2+ release in rabbit ventricle
The Ca2+-activated Cl− current [ I Cl(Ca)] contributes to the repolarization of the cardiac action potential under physiological conditions. I Cl(Ca) is known to be primarily activated by Ca2+release from the sarcoplasmic reticulum (SR). L-type Ca2+ current [ I Ca(L)] represents the major trigger for Ca2+ release in the heart. Recent evidence, however, suggests that Ca2+ entry via reverse-mode Na+/Ca2+exchange promoted by voltage and/or Na+ current ( I Na) may also play a role. The purpose of this study was to test the hypothesis that I Cl(Ca) can be induced by I Na in the absence of I Ca(L). Macroscopic currents and Ca2+transients were measured using the whole cell patch-clamp technique in rabbit ventricular myocytes loaded with Indo-1. Nicardipine (10 μM) abolished I Ca(L)at a holding potential of −75 mV as tested in Na+-free external solution. In the presence of 131 mM external Na+and in the absence of I Ca(L), a 4-aminopyridine-resistant transient outward current was recorded in 64 of 81 cells accompanying a phasic Ca2+ transient. The current reversed at −42.0 ± 1.3 mV ( n = 6) and at +0.3 ± 1.4 mV ( n = 6) with 21 and 141 mM of internal Cl−, respectively, similar to the predicted reversal potential with low intracellular Cl− concentration ([Cl−]i) (−47.8 mV) and high [Cl−]i(−1.2 mV). Niflumic acid (100 μM) inhibited the current without affecting the Ca2+ signal ( n = 8). Both the current and Ca2+ transient were abolished by 10 mM caffeine ( n = 6), 10 μM ryanodine ( n = 3), 30 μM tetrodotoxin ( n = 9), or removal of extracellular Ca2+( n = 6). These properties are consistent with those of I Cl(Ca)previously described in mammalian cardiac myocytes. We conclude that 1) I Cl(Ca) can be recorded in the absence of I Ca(L), and 2) I Na-induced SR Ca2+ release mechanism is also present in the rabbit heart and may play a physiological role in activating the Ca2+-sensitive membrane Cl− conductance.