Evidence map›Paper›PMID 28339694›Full record

ArticleCardiovascular research2017

Regional acidosis locally inhibits but remotely stimulates Ca2+ waves in ventricular myocytes.

Kerrie L Ford, Emma L Moorhouse, Mario Bortolozzi, Mark A Richards, Pawel Swietach, Richard D Vaughan-Jones

Abstract read
In one paragraph

Article in Cardiovascular research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Association of Acidemia With Short-Term Mortality of Acute Myocardial Infarction: A Retrospective Study Base on MIMIC-III Database.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kerrie L FordBurdon Sanderson Cardiac Science Centre, Department of Physiology, Anatomy and Genetics, Oxford, OX1 3PT, UK.
Emma L MoorhouseBurdon Sanderson Cardiac Science Centre, Department of Physiology, Anatomy and Genetics, Oxford, OX1 3PT, UK.
Mario BortolozziBurdon Sanderson Cardiac Science Centre, Department of Physiology, Anatomy and Genetics, Oxford, OX1 3PT, UK.
Mark A RichardsBurdon Sanderson Cardiac Science Centre, Department of Physiology, Anatomy and Genetics, Oxford, OX1 3PT, UK.
Pawel SwietachBurdon Sanderson Cardiac Science Centre, Department of Physiology, Anatomy and Genetics, Oxford, OX1 3PT, UK.
Richard D Vaughan-JonesBurdon Sanderson Cardiac Science Centre, Department of Physiology, Anatomy and Genetics, Oxford, OX1 3PT, UK.

Funding

British Heart Foundation RG/15/9/31534
6 · The paper itself

Abstract

aimsSpontaneous Ca2+ waves in cardiomyocytes are potentially arrhythmogenic. A powerful controller of Ca2+ waves is the cytoplasmic H+ concentration ([H+]i), which fluctuates spatially and temporally in conditions such as myocardial ischaemia/reperfusion. H+-control of Ca2+ waves is poorly understood. We have therefore investigated how [H+]i co-ordinates their initiation and frequency. METHODS AND

resultsSpontaneous Ca2+ waves were imaged (fluo-3) in rat isolated ventricular myocytes, subjected to modest Ca2+-overload. Whole-cell intracellular acidosis (induced by acetate-superfusion) stimulated wave frequency. Pharmacologically blocking sarcolemmal Na+/H+ exchange (NHE1) prevented this stimulation, unveiling inhibition by H+. Acidosis also increased Ca2+ wave velocity. Restricting acidosis to one end of a myocyte, using a microfluidic device, inhibited Ca2+ waves in the acidic zone (consistent with ryanodine receptor inhibition), but stimulated wave emergence elsewhere in the cell. This remote stimulation was absent when NHE1 was selectively inhibited in the acidic zone. Remote stimulation depended on a locally evoked, NHE1-driven rise of [Na+]i that spread rapidly downstream.

conclusionAcidosis influences Ca2+ waves via inhibitory Hi+ and stimulatory Nai+ signals (the latter facilitating intracellular Ca2+-loading through modulation of sarcolemmal Na+/Ca2+ exchange activity). During spatial [H+]i-heterogeneity, Hi+-inhibition dominates in acidic regions, while rapid Nai+ diffusion stimulates waves in downstream, non-acidic regions. Local acidosis thus simultaneously inhibits and stimulates arrhythmogenic Ca2+-signalling in the same myocyte. If the principle of remote H+-stimulation of Ca2+ waves also applies in multicellular myocardium, it raises the possibility of electrical disturbances being driven remotely by adjacent ischaemic areas, which are known to be intensely acidic.

Indexed as

AcidosisAnimalsCalciumCations, DivalentHeart VentriclesHydrogen-Ion ConcentrationMaleMyocardial ContractionMyocardial IschemiaMyocardial ReperfusionMyocardiumMyocytes, CardiacRats, Sprague-DawleySodiumCalciumCations, DivalentSodiumCalcium cyclingCell signallingIntracellular pHIntracellular sodiumMembrane transport

Identifiers

PMID28339694
PMCPMC5852542

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.