Title:
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A quantitative analysis of calcium
handling in atrial myocytes
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In addition to its central role in excitation-contraction coupling (ECCl, calcium is
heavily implicated in the genesis of arrhythmias, including atrial fibrillation (AF). In
contrast to ventricular myocytes, there is comparatively little quantitative
information on Ca 2
+ handling in atrial cells. A thorough appreciation of physiological
Ca2
+ handling is necessary to understand fully the pathological significance of
changes leading to AF. The aim of this thesis was to perform a quantitative
assessment of atrial Ca 2
+ handling and report the effects of angiotensin-lion Ca2
+-
current.
Differences in ultrastructure between atrial and ventricular cells are likely to be
significant. The extensiveness of t-tubules was investigated in rabbit and pig atrial
cells in comparison with ventricular cells. No t-tubules were observed in rabbit atrial
cells, however, a subset of pig atrial cells showed a t-tubule network, albeit less
extensive than that of ventricular myocytes.
Ca2
+ transients in rabbit atrial cells were spatio-temporally non-uniform, initiated at
the cell edge and spreading to the cell centre. The importance of CICR in atrial cells
was highlighted by the reduced transient amplitude in the absence of SR and the
high contribution of the SR to Ca2
+ removal. The centripetal spread was not greatly
affected by increasing Ca2
+ influx, or SR ci+ release, possibly due to the buffering
power of atrial cells, which was greater than that of ventricular cells. Surprisingly ECC
gain was not significantly different between atrial and ventricular cells, however it is
suggested that differences in stimulus underlie this result.
Data presented here highlight that not only the differences in ultrastructure, but also
fundamental ci+ handling properties are responsible for atrial-ventricu lar tissue
differences. Initial experiments to investigate the effects of angiotensin-I I suggest
that this does not have a significant impact on ci+ influx, however further work to
fully assess its effects in atrial cells is required.
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