The atrioventricular node (AVN) is normally the only site at which electrical activity can pass from the atria to the ventricles of the heart, so that changes in AVN conduction may be pro-arrhythmic or protective. Previous work has shown that acidosis, which occurs in a number of clinical conditions, slows the rate of action potential conduction through the node (Aberra et al., 2001; Walker et al., 2004). However, although conduction depends critically on ionic currents, little is known about the effects of acidosis on the electrophysiology of the AVN. The aim of the present study was to investigate the effect of acidosis on membrane currents recorded from myocytes isolated from rabbit AVN as described previously (Hancox et al., 1993). Ionic currents were recorded at 37°C using the whole-cell patch-clamp technique. Acidosis was produced by reducing the pH of the HEPES buffered bathing solution from pH 7.4 to pH 6.3; intracellular [Ca2+] and pH were buffered by inclusion of 5 mM BAPTA and 10 mM HEPES respectively in the pipette solution. Membrane potential was held at -40 mV and test pulses applied to a range of voltages between -120 and +50 mV at 5 s intervals. AVN cells could be distinguished from atrial and ventricular cells on the basis of size, small or absent IK1 and high membrane resistance (Hancox et al., 1993): AVN cells had a membrane capacitance of 34.8±1.6 pF (mean±SEM, n=29) and input resistance of 681.8±60.4 MΩ at -40 mV (the approximate zero-current potential). ICa and IKr, identified based on previous work (Howarth et al., 1996), and If were recorded. Acidosis decreased the amplitude of ICa at all potentials (from 17.7±1.8 to 12.5±1.4 pA/pF at 0 mV; p<0.01, paired t-test, n=29), and increased its time to peak (from 3.8±0.3 to 4.8±0.4 ms at 0 mV; p<0.01, n=29). Acidosis also decreased IKr tail current (from 1.7±0.1 to 1.1±0.2 pA/pF at +20 mV; p<0.01, n=19). In 7 cells that exhibited If, this current was unaffected by acidosis (-2.7±0.7 pA/pF at pH 7.4; -2.7±0.7 pA/pF at pH 6.3, recorded at -120 mV; p>0.05). We conclude that If is unlikely to be involved in the response of the AVN to acidosis, but that inhibition of ICa and IKr by acidosis is likely to play a significant role in action potential repolarisation and conduction in the AVN.
Life Sciences 2007 (2007) Proc Life Sciences, PC188
Poster Communications: Acidosis inhibits ICa and IKr, but not If, in myocytes isolated from the rabbit atrioventricular node
H. Cheng1, C. H. Orchard1, G. L. Smith2, J. C. Hancox1
1. Department of Physiology, University of Bristol, Bristol, United Kingdom. 2. Cardiovascular Physiology, University of Glasgow, Glasgow, United Kingdom.
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Where applicable, experiments conform with Society ethical requirements.