E-C coupling EXCITATION-CONTRACTION COUPLING Marie Nováková DEFINITION Events connecting electrical activity of the heart (depolarization of sarcolemma), EXCITATION and its mechanical response, CONTRACTION Link between these events is Ca2+ FUNCTION • Triggering of contraction • Regulation of contraction force KEY STRUCTURES / ORGANELLES / RECEPTORS • Transverse tubules of sarcolemma (T-tubules) • Sarcoplasmic reticulum (SR) • Calcium channels: DHPR (dihydropyridine receptor) in T-tubules/sarcolemma RYR (ryanodine receptor) in SR SARCOTUBULAR SYSTEM FUNCTIONAL ORGANISATION of SARCOTUBULAR SYSTEM RHABDOMYOCYTE CARDIOMYOCYTE TRIAD DIAD DHPR T-tubuleterminal SR cistern terminal SR cistern T-tubule terminal SR cistern RYR Ca2+ Ca2+Ca2+ RHABDOMYOCYTE DHPR RYR1 (voltage-gated) „Mechanical“ relation between DHPR and RYR sarcolemma AP terminal SR cistern terminal SR cistern Ca2+ Calsequestrin = Ca2+ buffer SERCA SERCA- Sarcoplasmic Endoplasmic Reticular Ca2+-ATPase Ca2+ 10-4M 10-7M [Ca2+]c „Closed system“ of Ca2+ movement CARDIOMYOCYTE DHPR (in sarcolemma and in T-tubules) RYR2 (calcium-gated) AP 10-5M 10-7M [Ca2+]c Calsequestrin = Ca2+ buffer SERCA Ca2+ Ca2+ ICa CICR (calcium-induced-calcium-release) „Open system“ of Ca2+ movement Strong dependence on [Ca2+]e ! ICa ICa Ca2+ ATPase Na+/Ca2+ exchanger