Source:http://linkedlifedata.com/resource/pubmed/id/16686681
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2006-5-11
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pubmed:abstractText |
Work is reviewed which provides evidence for the presence of a subsarcolemmal microdomain, in which the [Na(+)] is influenced by Na(+) influx via the Na(+) channel and the activity of the Na pump. The sarcolemma adjacent to this microdomain, which has been referred to as "Na(+) fuzzy space," appears to include Na-Ca exchangers, and thus alterations of [Na(+)] in this space may influence Ca(2+) influx and efflux, and thus Ca(2+) loading, more directly than do alterations of bulk cytoplasmic [Na(+)]. The degree of Ca(2+) loading is an important determinant of contractility in heart muscle, and therefore alterations in fuzzy space [Na(+)] may be important in mediating the positive inotropic effects of Na pump inhibitors, such as digitalis, and the negative inotropic effects of Na(+) channel blockers such as disopyramide. During ischemia, myocyte Ca(2+) overload can contribute to ATP depletion by activation of Ca(2+)-dependent ATPases and by induction of the mitochondrial permeability transition, and thus is an important contributor to myocyte dysfunction and injury. Hypoxia associated with ischemia can induce Na(+) influx via a persistent opening of the Na(+) channel. It is likely that this Na(+) influx elevates [Na(+)] in the fuzzy space, and thus increases Ca(2+) influx via Na-Ca exchange, and increases Ca(2+) loading. Inhibition of the persistent Na(+) current with a resulting decrease in Ca(2+) loading by drugs such as tetrodotoxin (TTX) and ranolazine may be a mechanism by which these agents produce a cardio-protective effect during ischemia.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
1045-3873
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S43-S46
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16686681-Animals,
pubmed-meshheading:16686681-Fuzzy Logic,
pubmed-meshheading:16686681-Heart,
pubmed-meshheading:16686681-Humans,
pubmed-meshheading:16686681-Ion Channel Gating,
pubmed-meshheading:16686681-Models, Cardiovascular,
pubmed-meshheading:16686681-Models, Chemical,
pubmed-meshheading:16686681-Models, Molecular,
pubmed-meshheading:16686681-Myocardial Contraction,
pubmed-meshheading:16686681-Myocardial Reperfusion Injury,
pubmed-meshheading:16686681-Sodium,
pubmed-meshheading:16686681-Sodium Channels,
pubmed-meshheading:16686681-Structure-Activity Relationship
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pubmed:year |
2006
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pubmed:articleTitle |
Na"Fuzzy space": does it exist, and is it important in ischemic injury?
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pubmed:publicationType |
Editorial,
Comment,
Review,
Research Support, Non-U.S. Gov't
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