Summary
The series of events which couple depolarisation of the cardiac cell membrane to initiation of contraction are known as excitation-contraction coupling (EC-coupling). A key event in EC-coupling is the release of Ca2+ from stores in the sarcoplasmic reticulum (SR). Until recently, it was believed that release of SR Ca2+ in heart could be triggered only by a process called Ca2+-induced Ca2+ release (CICR). However, recent studies have demonstrated an additional separate mechanism which initiates release of SR Ca2+ independently of conventional CICR. This new mechanism, called the voltage-sensitive release mechanism (VSRM), contributes substantially to initiation of contraction and to changes in magnitude of contraction with changes in heart rate. Furthermore, the VSRM is a target for several major signalling pathways, which indicates that it may play a major role in regulation of the strength of cardiac contraction. The VSRM also may play an important role in contractile dysfunction accompanying heart disease, as the VSRM is selectively depressed in at least two models of heart failure. The mechanism by which the VSRM releases Ca2+ from the SR is currently the subject o f experimental research, which may provide new targets for therapeutic actions to improve contractile function in heart disease.
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Howlett, S.E., Ferrier, G.R. (2003). The Role of the Voltage-Sensitive Release Mechanism in Contraction of Normal and Diseased Heart. In: Dhalla, N.S., Hryshko, L.V., Kardami, E., Singal, P.K. (eds) Signal Transduction and Cardiac Hypertrophy. Progress in Experimental Cardiology, vol 7. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0347-7_16
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DOI: https://doi.org/10.1007/978-1-4615-0347-7_16
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