Am J Physiol Renal Physiol 292: F1827-F1845, 2007.
First published February 20, 2007; doi:10.1152/ajprenal.00387.2006
0363-6127/07 $8.00
Modification of cytosolic calcium signaling by subplasmalemmal microdomains
Aurélie Edwards1 and
Thomas L. Pallone2
1Department of Chemical and Biological Engineering, Tufts University, Medford, Massachusetts; and 2Departments of Medicine and Physiology, University of Maryland School of Medicine, Baltimore, Maryland
Submitted 28 September 2006
; accepted in final form 13 February 2007
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ABSTRACT
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To investigate the hypothesis that Na+ concentration in subplasmalemmal microdomains regulates Ca2+ concentrations in cellular microdomains ([Ca]md), the cytosol ([Ca]cyt), and sarcoplasmic reticulum (SR; [Ca]sr), we modeled transport events in those compartments. Inputs to the model were obtained from published measurements in descending vasa recta pericytes and other smooth muscle cells. The model accounts for major classes of ion channels, Na+/Ca2+ exchange (NCX), and the distributions of Na+-K+-ATPase
1- and
2-isoforms in the plasma membrane. Ca2+ release from SR stores is assumed to occur via ryanodine (RyR) and inositol trisphosphate (IP3R) receptors. The model shows that the requisite existence of a significant Na+ concentration difference between the cytosol ([Na]cyt) and microdomains ([Na]md) necessitates restriction of intercompartmental diffusion. Accepting the latter, the model predicts resting ion concentrations that are compatible with experimental measurements and temporal changes in [Ca]cyt similar to those observed on NCX inhibition. An important role for NCX in the regulation of Ca2+ signaling is verified. In the resting state, NCX operates in "forward mode," with Na+ entry and Ca2+ extrusion from the cell. Inhibition of NCX respectively raises and reduces [Ca]cyt and [Na]cyt by 40 and 30%. NCX translates variations in Na+-K+-ATPase activity into changes in [Ca]md, [Ca]sr, and [Ca]cyt. Taken together, the model simulations verify the feasibility of the central hypothesis that modulation of [Na]md can influence both the loading of Ca2+ into SR stores and [Ca2+]cyt variation.
electrochemical model; descending vasa recta; pericytes; ionic currents
CONTRACTILITY OF RESISTANCE vessels is regulated by the variation of intracellular Ca2+ concentration ([Ca2+]cyt) in both endothelium and smooth muscle. Within those cells, spatial and temporal variations of [Ca2+]cyt are tightly controlled by exchanging Ca2+ with both the extracellular space and intracellular storage sites, including endoplasmic/sarcoplasmic reticulum (SR) and mitochondria (4). Free [Ca2+]cyt concentration is also modulated through chelation by proteins such as calmodulin, calsequestrin, and calreticulin. Measurement of [Ca2+]cyt, with Ca2+-sensitive fluorescent probes such as fura 2 and fluo 4, generally leads to the conclusion that globally averaged resting [Ca2+]cyt lies in the range of 50100 nM. It is now recognized that highly localized elevations of Ca2+ concentration that affect functions of enzymes, ion channels, and transporters occur through quantum transport events that require sophisticated optical sectioning and rapid image acquisition to be observed (11, 21). Ca2+-sensitive fluorescent probes may fail to resolve the spatial and temporal details of such signaling if they are not properly targeted, if their Ca2+ affinity differs substantially from microdomain Ca2+ concentrations, or if their detection is contaminated by light from outside the focal plane of interest. It seems likely that some highly localized variations of [Ca2+]cyt cannot be experimentally resolved. We reasoned that mathematical simulations might be used to examine the mechanisms that underlie control of compartmental Ca2+ concentrations within cells and verify the biophysical feasibility of cytoplasmic-microdomain interactions.
It is known that the relationship between Ca2+ stores and [Ca2+]cyt is complex. The extent of filling of Ca2+ stores influences the magnitude of agonist-induced Ca2+ release (3, 34). In turn, regulation of the filling of Ca2+ stores probably occurs in microdomains formed through close association of the SR with the overlying plasma membrane (8, 10). A longstanding hypothesis has been that reduction of microdomain Na+-K+-ATPase activity elevates Na+ concentration near the Na+/Ca2+ exchanger (NCX) to inhibit its function, thereby directing more Ca2+ to fill SR stores, a sequence of events often referred to as the Blaustein hypothesis (6). The
2-
4 isoforms of Na+-K+-ATPase are targeted to the microdomains, whereas the
1-isoform is more diffusely distributed for "housekeeping" functions. In rodents, the former but not the latter is sensitive to endogenous ouabain-like factors (OLF) that influence myocyte contractility (5). A pivotal assumption of that hypothesis is that diffusional exchange of microdomain Na+ with the "bulk" cytoplasm is limited. Inhibition of Ca2+ export by NCX is not the only means through which OLF influence Ca2+ signaling. Xie and colleagues (43, 45) elegantly demonstrated that, independent of Na+ pump function, ouabain binds to Na+-K+-ATPase and stimulates tyrosine phosphorylation through Src kinase. In LLC-PK1 cells, downstream PLC
1 activation was shown to generate inositol trisphosphate (IP3) and induce [Ca2+]cyt elevation (48).
Motivated by the importance of Ca2+ trafficking, we formulated a mathematical simulation of ion concentration changes and IP3 release within the bulk cytoplasm and microdomains. As shown in Fig. 1, the model accounts for the characteristics of the channels and transporters that exchange ions among the plasma membrane, SR stores, and cytosol. We sought to determine which factors are most likely to serve as principal determinants of [Ca2+]cyt and delineate the mechanisms through which the bulk cytosol, microdomains, and SR communicate. Taken together, the simulations verify the feasibility of the central hypothesis that modulation of microdomain Na+ concentration can influence both the loading of Ca2+ into stores and [Ca2+]cyt variation.

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Fig. 1. Diagram of the cell, with its 3 compartments: bulk cytosol (subscript cyt), microdomains (md), and sarcoplasmic reticulum (SR). Ji, diff is the electrodiffusive flux of ion i between the microdomains and the bulk cytosol, where i = K+, Na+, or Ca2+. Not shown are KCa, Kir, KATP, and Kv channels, and the chelating agents calmodulin (CM), troponin (Trpn), and calsequestrin (Calseq). ER, endoplasmic reticulum; IP3R and RyR: inositol trisphosphate and ryanodine receptor, respectively; SERCA, sarcoplasmic-endoplasmic reticulum Ca2+-ATPase; SOC, store-operated, nonselective cation channel.
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MODEL
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Geometric Parameters
We consider three distinct compartments within the cell: the bulk cytosol (subscript or superscript "cyt"), subplasmalemmal microdomains (subscript or superscript "md"), and the SR (subscript or superscript "sr").
The average cell capacitance of the descending vasa recta (DVR) pericyte has been measured as 12.1 ± 0.7 pF (13). Assuming a specific membrane capacity of 1 µF/cm2 (27), the average capacitive membrane surface area is estimated as 1.21 x 105 cm2.
Lee et al. (25) found that in vascular smooth muscle, 14.2% of the membrane is closely associated with the superficial ER, and the average distance between the adjacent membranes is 19 nm. This suggests that the membrane area directly over the microdomains is about (0.142)(1.2 x 105 cm2) = 1.7 x 106 cm2, and that the total volume of the microdomains (volmd) is about (1.7 x 106 cm2)(19 x 107 cm) = 3.2 x 1012 cm3
3 x 103 pl. Based on cellular geometry, we estimate that the intracellular volume of pericytes (volcyt) is
0.5 pl. Using the same volume ratios as Yang et al. (46), we therefore assume that the intracellular volume available to free Ca2+ (volcyt, Ca) is (0.7)(0.5 pl) = 0.35 pl, and that the volume of the entire SR compartment (volsr) is (0.14)(0.5 pl) = 0.07 pl.
Ionic Channel Distributions
Our representative model is shown in Fig. 1. We assume the following distribution of channels, pumps, and exchangers (corresponding currents are denoted in parentheses).
Uniformly distributed over the plasma membrane are inward rectifier potassium channels (IK, ir), delayed rectifier potassium channels (IK, v), ATP-activated potassium channels (IK, ATP), calcium-activated potassium channels (IK, Ca), voltage-activated sodium channels (IVONa), calcium pumps (ICa, P), and L-type voltage-dependent calcium channels (ICa, L).
We assume that the
2-isoforms of Na+-K+-ATPase pumps (INaK,
2) are expressed exclusively in the region of the cell membrane that lies directly above the microdomains (23), whereas the
1-isoforms (INaK,
1) are restricted to the region of the cell membrane directly above the bulk cytosol (10).
We also assume that all the Na+/Ca2+ exchangers (INaCa) are localized above the microdomains (8, 22, 30).
We assume that store-operated, nonselective cation channels (ISOC) are present above both bulk cytosol and microdomains. The SOC channels are assumed to be permeable to both Na+ and Ca2+ ions.
The interfaces between the SR and cytosol and the SR and microdomains are both populated by Ca2+-ATPase pumps (SERCA; ISERCA), ryanodyne receptors (RyR; IRyR), and inositol trisphosphate receptors (IP3R; IIP3R). We assume that the proportion of SERCA pumps at the SR-microdomain interface is 14.2%.
Ionic Currents
We distinguish between the transmembrane potential above the bulk cytosol (Vmcyt) and that over the microdomains (Vmmd) and among the concentrations of potassium, sodium, and calcium in the bulk cytosol and in the microdomains. As described above, we assume that 85.8% of the cell membrane lies directly above the cytosol (i.e., fcyt = 0.858) and 14.2% above the microdomains (i.e., fmd = 0.142). Whenever possible, we use the pericyte data obtained by Pallone and colleagues, and the equations given in the model of Yang et al. (46) as it was developed for vascular smooth muscle cells.
The convention adopted in this study is that the exit of a positive charge from the cell is a positive current. Conversely, the entry of a positive charge into the cell is a negative current.
Background currents for K+, Na+, and Ca2+.
For potassium, sodium, and calcium, the Nernst potential is calculated based on the concentration difference between the extracellular compartment and the cell interior. In each case, the interior ion concentration is that of the compartment where the simulated channels reside:
 | (1) |
The background currents are then calculated as:
 | (2) |
IK, ir.
The current flowing across Kir channels lying above the bulk cytosol and above the microdomains is expressed as (46):
 | (3a) |
 | (3b) |
IK, v.
The current flowing across Kv channels lying above each compartment (j = cyt, md) is calculated as (46):
 | (4) |
 | (5) |
 | (6) |
 | (7) |
 | (8) |
 | (9) |
 | (10) |
where P1 and P2 denote the two exponential components of the channel activation process, and
P1 and
P2 denote the respective time constants. The parameter
Kv, which is voltage dependent, represents the steady-state value of P1 and P2.
IK,ATP.
Since the model of Yang et al. (46) doesn't include KATP channels, we employ the formulation of Shaw and Rudy (40), which does not consider the kinetics of channel opening and closing:
 | (11a) |
 | (11b) |
where PATP is the fraction of KATP channels available at a given ATP concentration and is given by a Hill equation. We assume that the ATP concentration remains fixed, so that PATP is a constant in our model.
IK, Ca.
IK, Ca is taken to depend on the calcium concentration in the compartment where the channels are located. In each compartment (j = cyt, md), IK, Ca is calculated as (46):
 | (12) |
 | (13) |
 | (14) |
 | (15) |
 | (16) |
where PF and PS denote the fast and slow components of the channel activation process, respectively, and
PF and
PS denote the respective time constants. The steady-state open probability of the channel is given by
KCa.
INaK.
As described above, we assume that the
1-isoform of the pump is expressed only in the plasma membrane above the bulk cytosol, whereas the
2-isoform is confined to the membrane region that is above the microdomains. The respective currents are determined as follows (27):
 | (17) |
 | (18) |
 | (19) |
 | (20) |
IVONa.
Based on pericyte experimental data (51), we use a model with a single inactivation time constant:
 | (21) |
 | (22) |
 | (23) |
 | (24) |
 | (25) |
where mVONa and hVONa are the activation and inactivation components (with steady-state values
and
, respectively), and
m and
h are the associated time constants.
INaCa.
As described above, we assume that all Na+/Ca2+ exchangers are preferentially localized in the membrane regions that are close to the SR. We use the equations of Shannon et al. (39), which account for the asymmetric affinities of the exchangers on the internal and external sides of the membrane:
 | (26) |
 | (27) |
 | (28) |
 | (29) |
 | (30) |
ICa, P.
The cytosolic and microdomain ICa, P currents are expressed as (46):
 | (31) |
ICa,L.
The currents flowing across voltage-activated Ca2+ channels are calculated as (46):
 | (32) |
 | (33) |
 | (34) |
 | (35) |
 | (36) |
 | (37) |
 | (38) |
 | (39) |
where dL is the activation variable, fL and fF are inactivation variables, and
d and
f are the time constants for activation and inactivation, respectively; the symbols
L and
L denote the steady-state values of dL and fF.
ISOC.
The general form of the equation for the SOC Ca2+ current is that proposed by LeBeau et al. (24):
 | (40) |
This expression accounts for the fact that a decrease in SR Ca2+ load stimulates SOC activity, as observed experimentally. We assume a Ca:Na permeability ratio PCaSOC/PNaSOC = 8 (2, 15) and use the Goldman-Huxley-Katz current equation (19) to relate the SOC Na+ and Ca2+ currents in compartment j:
 | (41) |
In the absence of experimental measurements, the maximum Ca2+ conductance of cytosolic SOC is taken as 20 pS, so as to yield a three- to fourfold increase in [Ca2+]cyt when all SERCA pumps are inhibited (3). The maximum Ca2+ conductance of microdomain SOC is taken as 3.5 pS to obtain agreement with measurements of microdomain-to-cytosol Na+ concentration gradients (see below).
SR SERCA pumps.
We assume that the SERCA pumps are located at both the cytosol-SR interface and the microdomains-SR interface and that the uptake current depends on concentrations on the internal and external sides of the SR membrane (39):
 | (42) |
RyR.
We distinguish between the RyRs situated at the cytosol-SR interface and those situated at the microdomains-SR interface. We use the Keiser-Levine model as modified by Jafri et al. (20), which takes into account the fact that RyR can be exposed to large [Ca]md values, in excess of 10 µM. We assume four different states of RyRs, two open states (fractions PO1 and PO2, respectively) and two closed states (fractions PC1 and PC2, respectively). The multistate kinetic model of RyR activation yields the following differential equations for each compartment:
 | (43) |
 | (44) |
 | (45) |
 | (46) |
The RyR release current is then given by:
 | (47) |
We assume that the maximum RyR Ca2+ permeability (that is,
RyR, max) is the same at the SR-cytosol and SR-microdomain interfaces.
IP3R.
We use the kinetic model for IP3R developed by De Young and Keiser (16). The model assumes that three equivalent and independent subunits are involved in conduction and that each subunit has one IP3 binding site (denoted as site 1) and two Ca2+ binding sites, one for activation (site 2), the other for inhibition (site 3). The fraction of receptors in state Si1i2i3 is denoted by xi1i2i3(ij equals 0 or 1), where the jth binding site is occupied if ij = 1. All three subunits must be in the state S110 (corresponding to the binding of one IP3 and one activating Ca2+) for the IP3R channel to be open. Assuming that the binding kinetics of IP3 and the activation of the receptors by Ca2+ are fast processes relative to Ca2+ inhibition, the number of receptor subunit states in the model is reduced from eight to four. Accordingly, the conservation equations for the fractions x0i2i3j at the SR-microdomain interface (j = md) or at the SR-cytosol interface (j = cyt) can be written as:
 | (48) |
 | (49) |
 | (50) |
 | (51) |
Assuming rapid equilibrium for IP3 binding,
(where k = 1 if
= 0, and k = 3 if
= 1). In particular, the open probability of IP3R depends on the fraction of receptors in the S110 state:
 | (52) |
To determine the concentration of IP3 in a given compartment j (j = cyt or md), denoted by [IP3]j, we also use the model of De Young and Keizer (16), which includes Ca2+ feedback on the concentration of IP3:
 | (53a) |
where Ir is the rate constant for loss of IP3 (taken as 1 s1),
4 is the maximum rate of IP3 production, and k4 is the dissociation constant (taken as 1.1 µM). If
4 = 0, there is no Ca2+ feedback; the other extreme is
4 = 1. We assume a baseline value
4 = 0.5. Since the value of
4 is given in s1 in the study of De Young and Keiser (16), we have modified the previous equation as follows:
 | (53b) |
where [IP3]eq is the equilibrium concentration of IP3, taken as 240 nM (16). The baseline value of
4 is chosen such that the basal level of IP3 in the cytosol is [IP3]cyt = 240 nM. With
4 = 0.5, this implies that
4 = 1.85 s1.
The IP3R release current in compartment j (j = cyt, md) is calculated as:
 | (54) |
where
IP3R, max is the maximum Ca2+ permeability through the IP3 receptors. In the absence of data, we assume that
IP3R, max is the same at the SR-cytosol and SR-microdomain interfaces.
Calcium Buffers
As in the study of Jafri et al. (20), we account for chelation of Ca2+ by the high- and low-affinity binding sites of troponin in the bulk cytosol, calmodulin in both the microdomains and the cytosol, and calsequestrin in the SR. As described immediately below, rather than relying on rapid buffering approximations, we use full equations to describe the effect of those buffers on free Ca2+ concentration.
We model the binding of calcium to calmodulin in both the bulk cytosol and the microdomains as follows. Let [CM]j tot denote the total concentration of calmodulin binding sites available for Ca2+ binding in compartment j (j = cyt, md), and [CM·Ca]j the concentration of calcium-bound calmodulin sites in that compartment. Assuming that calcium buffering can be described as first-order dynamic processes (46), we have:
 | (55) |
Similarly, let [Ltr]cyttot and [Htr]cyttot denote the total cytosolic concentration of low-affinity site troponin and high-affinity site troponin, respectively. If [Ltr·Ca]cyt and [Htr·Ca]cyt represent the cytosolic concentration of calcium-bound low affinity sites and calcium-bound high-affinity sites, respectively, buffering by troponin can be described by:
 | (56) |
 | (57) |
Last, the buffering of calcium by calsequestrin sites in the SR is modeled as:
 | (58) |
where [Calseq]srtot denotes the total concentration of calsequestrin binding sites available for Ca2+ binding in the SR, and [Calseq·Ca]sr is the concentration of calcium-bound calsequestrin sites in that compartment.
Electrodiffusive Flux from Microdomain to Cytosol
The electrodiffusive flux of ion i (valence zi) is calculated as follows, such that Ji, diff yields a positive current into the cytosol when cations flow down their electrochemical gradient from microdomain to cytosol:
 | (59) |
 | (60) |
 | (61) |
where A is the cross-sectional area at the interface between the microdomains and the cytosol, Di is the diffusivity of ion i, L is the distance from the center of the microdomains to the center of the cytosol, and h is a hindrance factor, which lumps together steric and charge-related effects.
The distance L is estimated as half the width of a DVR pericyte, 0.5 µm. The area A is roughly approximated as (
d)
, where
d is the vessel circumference that is enveloped by the pericyte (d = 13 µm), and
is the gap between the plasmalemma and the superficial SR (19 nm). The whole-cell diffusivity of calcium is taken as 0.3 x 105 cm2/s (35). The sodium-to-calcium and potassium-to-calcium diffusivity ratios are assumed to be equal to 1.33/0.79 and 1.96/0.79, respectively, i.e., the ratios of the diffusivities in dilute solution (19, 36).
Change in Internal Concentrations
 | (62) |
 | (63) |
 | (64) |
 | (65) |
 | (66) |
 | (67) |
 | (68) |
Change in Membrane Potential
The sum of the currents flowing into the bulk cytosol is given by:
 | (69) |
The sum of the currents flowing into the microdomains is given by:
 | (70) |
The time dependence of Vmcyt and Vmmd is given by:
 | (71) |
 | (72) |
Numerical Methods
The complete model consists of 44 state variables, the initial values of which are given in Table 1. Parameters related to cell geometry, ionic currents, and buffers are summarized in Tables 2, 3, and 4, respectively. The system of ordinary differential equations was programmed with MATLAB and solved numerically on a personal computer with an Intel-based processor.
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RESULTS
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The objective of this study was to investigate the main determinants of ion concentrations in the bulk cytosol, microdomains and SR, as well as the mechanisms by which Ca2+ is transferred between those compartments. Our model differs from previous theoretical studies of Ca2+ signaling in that we focus on the role of sequestered microdomains in the modulation of [Ca]cyt signaling and examine the feasibility of the Blaustein hypothesis that interaction between Na+-K+-ATPase and NCX therein modulates SR Ca2+ content and [Ca]cyt (6). The microdomains represent a very small fraction (0.6%) of cell volume and are significantly isolated from the bulk cytosol; we therefore distinguish among the K+, Na+, and Ca2+ concentrations in the cytosol and microdomains. We account for the specific distributions of Na+-K+-ATPase
1- and
2-isoforms and NCX in the plasma membrane. We also simulate Ca2+ release from SR stores via both the RyR and IP3R.
Model Validation
We first sought to validate our model by comparing predictions with available experimental data. As reviewed by Meldolesi and Pottan (29), reported values of [Ca2+]sr vary between 5 µM and 5 mM. In particular, they have been measured as 160 µM in unstimulated myocytes (8), and as 500 µM in hepatocytes (38). Our model predicts an equilibrium value of 258 µM, well within that broad experimental range.
Effect of inhibition of KATP or Kir channels.
To mimic the effect of the KATP blocker glybenclamide (Glb), we simulated the complete inhibition of KATP channels. The predicted effect is to increase Vmcyt by +6.0 mV; the average Glb-induced depolarization measured by Cao et al. (13) in DVR pericytes was +4 mV. Similarly, we simulated the inhibition of Kir channels and predicted a +1.0-mV depolarization. When Cao et al. (14) inhibited Kir channels with 10 and 30 µM Ba2+, DVR pericytes were depolarized from 68 to 63 and 57 mV, respectively. The discrepancy may due to the fact that Ba2+ becomes internalized and substitutes for Ca2+ to affect other cellular processes besides Kir activity.
Depolarization induced by K+ substitution.
We then examined the membrane depolarization induced by K+ substitution. As observed by Pallone et al. (31), an increase in the extracellular K+ concentration from 5 to 100 mM raises the transmembrane potential to a value that is
1 mV below the theoretical Nernst equilibrium potential for the K+ ion (EK). Similarly, our results indicate that increasing [K]out from 5.4 to 100 mM raises Vmcyt from 71.2 to within 2 mV of EKcyt.
Diffusion Between Cytosol and Microdomains
A critical feature of this model is the assumption that Na+ and other ions do not freely diffuse between the microdomains and bulk cytosol. Near-membrane Na+ gradients have been observed in cardiac myocytes by Wendt-Gallitelli et al. (44), verifying that plausibility. The average resting [Na]md was measured as 18 ± 4.5 mM in the subplasmalemmal regions vs. 10.5 ± 4.3 mM in the center of the cell. As described below, without restriction of diffusion, maintenance of such microdomain-to-cytosol Na+ gradients cannot be sustained, and the model fails to predict the interactions between SR stores and [Ca2+]cyt that have been observed experimentally.
If diffusion between the microdomains and the cytosol is not significantly restricted, the hindrance factor h (Eq. 61) should be on the order of unity. Conversely, if microdomains are completely isolated, the hindrance factor is zero.
Table 5 shows predictions of resting concentrations for different values of h. Since microdomain concentrations depend significantly on SOC maximum conductances, whenever possible we adjusted GCa, SOC,mdmax so as to yield [Na]md
15 nM. This was not possible, however, for h
1 x 103.
If h > 102, the model predicts that the difference between [Na]md and [Na]cyt does not exceed 3 mM, independently of the value of GCa, SOC,mdmax (all results not shown). It is only when h
102 that [Na]md becomes significantly larger than [Na]cyt. When h
104, the predicted [Na]cyt is below 5 mM, given that the Na+ electrodiffusive flux is small and there is no NCX above the cytosol. This suggests that the microdomains and the bulk cytosol must be significantly, but not entirely, isolated. To predict a [Na]md-to-[Na]cyt concentration gradient that is consistent with experimental observations (44), the baseline value of h is taken as 2.5 x 103 in the remainder of this study.
Contribution of SERCA Pumps, SR Receptors, and Ion Channels to Resting Values
To understand the specific contribution of the channels, pumps, and receptors involved in Ca2+ signaling, we examined the selective effects of removing each one.
Role of SERCA pumps.
Figure 2 shows the selective effect of eliminating those SERCA pumps located at the SR-cytosol interface. As summarized in Table 1, the resting values in the baseline case (before SERCA inhibition) are Vmcyt = 71.2 mV, Vmmd = 73.0 mV, [K]cyt = 97 mM, [K] md = 104 mM, [Na]cyt = 5.9 mM, [Na] md = 15.1 mM, [Ca]cyt = 92 nM, [Ca]md = 156 nM, and [Ca]sr = 258 µM.
Our model predicts that removing cytosolic SERCA pumps raises [Ca]cyt by a factor of 3.8, and reduces [Ca]sr by
80% (Fig. 2, A and B). [Na]cyt increases because the decrease in [Ca]sr stimulates Na+ entry via SOCs (Fig. 2C). The depletion of SR Ca2+ stores reduces IP3R- and RyR-mediated Ca2+ release into the microdomains, thereby lowering [Ca]md. The NCX current above the microdomains briefly changes sign as NCX transports in "reverse mode," with Ca2+ entry, Na+ export, and consequent reduction in [Na]md. Although the decrease in [Na]md reduces microdomain Na+-K+-ATPase activity (i.e., decreases K+ import and Na+ export), [K]md increases slightly because of membrane hyperpolarization.
The changes in [Na]cyt and [K]cyt occur over
100200 s and are smooth and slow compared with the variations in [Ca]cyt and microdomain concentrations. Indeed, the microdomain-to-cytosol volume ratio is 3:500, so that the currents through cytosolic K+ channels and Na+-K+-ATPase slowly adjust to these variations.
As illustrated in Fig. 2C, Ca2+ release into the cytosol through IP3R decreases with increasing [Ca]cyt. Our model is based on that of De Young and Keiser (16), which describes Ca2+ release via IP3R. Their model predicts a biphasic dependence of IP3R activity on [Ca]. When [Ca] is less than
0.25 µM, [Ca] elevation increases the open probability of IP3R; above 0.25 µM, however, elevating [Ca] decreases the open probability.
Shown in Fig. 2D are the individual fluxes that contribute to [Ca]cyt variations (see Eq. 66). The relaxation times of the buffer reactions (<1 s) are significantly faster than those of the other currents (note the different scale of the x-axis). The sharp peaks corresponding to CICR through IP3R and RyR occur within 2 s following cytosolic SERCA inhibition (Fig. 2B), whereas the other Ca2+ currents reach equilibrium within tens of seconds.
We then investigated the effects of selectively blocking those SERCA pumps located at the SR-microdomain interface. Figure 3 shows that the SERCA inhibition raises [Ca]md from 156 to 321 nM and lowers [Ca]sr by
30%. The resulting stimulation of microdomain NCX and SOC significantly raises [Na]md. The consequent export of [Na]md in exchange for extracellular K+ by Na+-K+-ATPase is not sufficient to raise [K]md above preinhibition levels because of membrane depolarization. The depletion of SR Ca2+ stores also increases Ca2+ and Na+ entry through cytosolic SOCs, thereby raising [Na]cyt.
Numerous studies have shown that addition of nonselective SERCA pump inhibitors (e.g., cyclopiazonic acid, thapsigargin) leads to very large increases in cytoplasmic Ca2+. Our model predicts that blocking both cytosol and microdomain SERCA pumps raises [Ca]cyt to
400 nM, that is, a factor of 4, in general agreement with experimental measurements in vascular smooth muscle and endothelia (2, 3, 33).
Roles of RyR and IP3R.
We then examined the roles of RyR and IP3R at the SR-microdomain and SR-cytosol interfaces. Since the baseline values of IRyRmd and IRyRcyt are small (
0.25 and 0.16 pA, respectively), removing RyR has a negligible effect.
Removing IP3R, however, has significant effects on resting Ca2+ and Na+ concentrations. Removing IP3R at the SR-cytosol interface (Fig. 4A) decreases [Ca]cyt by 15% and raises [Ca]sr by
15%. The [Ca]sr elevation augments RyR- and IP3R-mediated Ca2+ release into the microdomains, thereby raising [Ca]md by
10%. Stimulation of NCX above the microdomains also raises [Na]md.

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Fig. 4. A: effect of inhibiting IP3R at SR-cytosol interface at t = 300 s. B: effect of inhibiting IP3R at SR-microdomain interface at t = 300 s.
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In the absence of IP3R at the SR-microdomain interface (Fig. 4B), the resting value of [Ca]md is about half that in the baseline case, and [Ca]sr is
40% higher. As a consequence, IP3R release more Ca2+ from the SR into the cytosol, raising [Ca]cyt. Reduction of [Ca]md leads to a reduction of the NCX current above the microdomains so that [Na]md falls in parallel.
Inhibition of NCX and SR Ca2+ loading.
Under resting conditions, "forward mode" NCX extrudes Ca2+ stoichometrically coupled to entry of three Na+ ions. Thus inhibiting NCX raises [Ca]cyt and [Ca]md, and lowers [Na]cyt and [Na]md (Fig. 5). It is a central tenant of the Blaustein hypothesis that elevation of [Na]md favors reduction of Ca2+ export by NCX to permit loading of the SR with Ca2+ (6, 9, 10). Figure 5 verifies the feasibility of that contention. Note that [Ca]sr rises as SERCA uptake increases after NCX is blocked.
Effect of lowering [Na]out.
In the simulations shown in Fig. 6, [Na]out is decreased sequentially from 140 to 125, 100, and 50 mM every 150 s. Consequently, the NCX current is sharply reduced, thereby lowering [Na]cyt and [Na]md and increasing [Ca]md and [Ca]cyt (and thus [Ca]sr, via SERCA pumps). The NCX-mediated increase in [Ca]md and [Ca]cyt evokes a rapid CICR via RyR and IP3R, which gives rise to [Ca]md and [Ca]cyt transients. After the initial CICR, SERCA activation partially lowers [Ca]md and [Ca]cyt toward plateau levels that continue to exceed the prior baseline where [Na]out = 140 mM. Such a "peak and plateau" pattern of [Ca]cyt elevation after reduction of [Na]out has been experimentally observed (34).

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Fig. 6. Effect of lowering [Na]out sequentially from 140 to 125, 100, and 50 mM every 150 s, starting at t = 300 s.
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Inhibition of Na+-K+-APTase.
Shown in Fig. 7 are the effects of blocking either the
2-isoform of the Na+-K+-APTase only (Fig. 7A), or both
1- and
2-isoforms (Fig. 7B). Complete inhibition of the microdomain Na+-K+-ATPase (
2) current reduces NCX activity, thereby raising [Ca]md by
20% and subsequently elevating [Ca]cyt by a comparable factor. When the cytosolic Na+-K+-ATPase (
1) is inhibited as well, [Na]cyt rises progressively, leading to a secondary increases in [Na]md (via JNa, diff) and in [Ca]md (via NCX). The subsequent elevation of [Ca]sr raises [Ca]cyt by a factor of
2.3. These simulations support the general contention of the Blaustein hypothesis that blockade of Na+-K+-ATPase translates to changes in intracellular calcium through modulation of NCX activity.

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Fig. 7. Effect of inhibiting (at t = 300 s) microdomain Na+-K+-ATPase (A) or both microdomain and cytosolic Na+-K+-ATPase (B) on NCX current and [Ca]md.
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Role of SOC channels.
The effects of removing store-operated channels from the plasmalemma above the bulk cytosol and the microdomains are illustrated in Fig. 8, A and B, respectively. The model predicts that inhibition of cytosol SOC causes both [Ca]cyt and [Na]cyt to drop, leading to secondary reduction of [Ca]sr via cytosolic SERCA pumps. [Ca]md falls in parallel with [Ca]sr, as the currents across microdomain SERCA pumps, IP3R, and RyR adjust to the variations in SR Ca2+ stores. The decrease in [Na]md is coupled to that in [Ca]md via NCX.

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Fig. 8. A: effect of inhibiting cytosol SOC channels at t = 300 s on resting concentrations. B: effect of inhibiting microdomain SOC channels at t = 300 s on resting concentrations.
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Inhibition of microdomain SOC causes [Ca]md and [Na]md to drop, thereby reducing [Ca]sr via microdomain SERCA pumps (Fig. 8B). As receptor-mediated Ca2+ release into the cytosol is subsequently reduced, [Ca]cyt is lowered by
10%.
Sensitivity Analysis
To determine which parameter variations have the greatest effect on model predictions, we performed a sensitivity analysis, focusing on those most likely to affect Na+ and Ca2+ concentrations. The results are summarized in Table 6.
Important parameters include those that govern the rate of SERCA Ca2+ uptake (Fig. 3), the rate of IP3R-mediated Ca2+ release (Fig. 4), the NCX current (Fig. 5), and the conductance of the SOC channels (Fig. 8). The rate of SERCA Ca2+ uptake is a function of the maximum rate, ISERCA, max, and of the saturation constants Kmf and Kmr and the Hill coefficient H (Eq. 42). Variations in the latter two parameters did not affect intracellular concentrations very significantly (results not shown). However, a factor of 2 increase in Kmf is predicted to lower [Ca]sr by
40%, to raise [Ca]cyt from 92 to 127 nM, and to increase [Na]cyt from 5.9 to 6.9 mM (Table 6). Conversely, a factor of 2 decrease in Kmf reduces [Ca]cyt to 69 nM.
Our simulations suggest that the parameters that determine the rate of IP3R-mediated Ca2+ release also significantly affect Na+ and Ca2+ concentrations. A 100% increase in the equilibrium value of [IP3] ([IP3]eq; see Eq. 53b) is predicted to raise the resting value of [Ca]md by 75% and reduce that of [Ca]sr by
60%. Conversely, a 50% decrease in [IP3]eq reduces [Ca]md by 40% and raises [Ca]sr by
50%. In the baseline case, we assumed that Ca2+ exerts a moderate feedback effect on the production of IP3. By following the approach of De Young and Keiser (16), the parameter that characterizes this interaction is denoted by
4 (see Eq. 53b). To investigate the effects of [Ca] feedback on Ca2+ signaling, we compared the resting [Ca] values when
4 = 0 (no feedback),
4 = 0.5 (baseline case), and
4 = 1 (maximal feedback). The related parameter
4 was adjusted in each case so that the resting value of [IP3]cyt was equal to 240 nM. In the baseline case (
4 = 0.5), [Ca]md is greater than [Ca]cyt, so that the resting value of [IP3]md (250 nM) is higher than that of [IP3]cyt. In the absence of feedback (
4 = 0), [IP3]md = [IP3]cyt = 240 nM, and the flux of Ca2+ released by IP3R receptors at the SR-microdomain interface (IIP3Rmd) is lower than in the baseline case (4.3 vs. 4.6 pA). Consequently, [Ca]md is slightly lower and [Ca]sr is higher than at baseline. When
4 = 1, so that maximal IP3 production is achieved through Ca2+ stimulation, high [Ca]md augments IP3 production in the microdomains more than [Ca]cyt does in the cytosol. As a consequence, the resting value of [Ca]md is predicted to rise by a factor of
9.
In contrast, simulations show that a twofold increase or decrease in maximum Ca2+ permeability of RyR (
RyR, max) does not significantly affect Ca2+ concentrations.
Another essential determinant of intracellular calcium concentrations is the maximum current that can be achieved by Na+-K+-ATPase, INaK, max. Increasing INaK, max enhances Na+ extrusion from the cell, lowering its concentration. This favors an increase in Ca2+ extrusion by NCX, significantly lowering intracellular calcium concentrations. Conversely, decreasing the Na+-K+-ATPase current reduces the NCX current and raises [Ca]md and [Ca]cyt. The Na+-K+-ATPase
2:
1 ratio has not been measured in vascular smooth muscle cells, to the best of our knowledge. Our model suggests that this parameter also affects Na+ and Ca2+ resting concentrations (Table 6), albeit to a lesser extent than INaK, max.
Literature estimates of the maximum current through NCX, INaCa, max, vary by several orders of magnitude; Luo and Rudy (27) use a value of 2,000 µA/µF, whereas the corresponding parameter in the study of Shannon et al. (39) is equal to 14.1 µA/µF. We therefore assumed an intermediate value, 200 µA/µF. Our simulations indicate that resting concentrations and INaCa are relatively insensitive to variations in INaCa, max (Table 6). A 10-fold increase has no significant effect, whereas a 10-fold decrease lowers [Na] and raises [Ca] by <510%. Analysis of each of the terms in Eq. 26 reveals that these slight changes in [Na] and [Ca] are nevertheless sufficient to increase the numerator on the right-hand side of the equation by a factor of
6, which partly compensates for the 10-fold decrease in INaCa, max. We also performed simulations in which we assumed that some fraction of NCX is expressed above the bulk cytosol. As expected, [Na]cyt and [Ca]cyt are then predicted to be higher and lower, respectively, than in the baseline (Table 6).
The distribution and maximum conductance of SOC have not been determined experimentally in DVR pericytes. A 100% increase in GSOC, Ca, maxcyt is predicted to raise [Na]cyt from 5.9 to 7.2 mM and [Ca]cyt from 92 to 118 nM. The subsequent elevation in [Ca]sr allows [Ca]md to rise as well, which stimulates NCX and increases Na+ import into the microdomains (Table 6). A 100% increase in the SOC Na:Ca permeability ratio raises the concentrations of not only Na+ but also Ca2+, by reducing the activity of NCX (INaCa = 0.70 pA in the baseline, and 0.52 pA if PNaSOC:PCaSOC is doubled).
Equally uncertain is the distribution of SERCA pumps. In the baseline case, we assumed that the fraction of SERCA pumps at the SR-microdomain interface is 14.2% (i.e., the fractional membrane area above the microdomains). As shown in Table 6, this parameter has a significant effect on [Ca]md, and therefore on [Na]md: a 50% decrease is predicted to raise [Ca]md by >20%. However, corresponding variations in [Ca]cyt and [Ca]sr remain smaller.
We also varied the fractional membrane area above the microdomains (and adjusted the microdomain volume accordingly). Our simulations suggest that an increase in fmd reduces Vmmd (i.e., Vmmd becomes more negative), thereby lowering [Ca]md. The subsequent reduction in NCX activity lowers [Na]md as well as the microdomain-to-cytosol Na+ electrodiffusive flux (JNa, diff); hence the [Na]cyt reduction. Conversely, a decrease in fmd raises both Vmmd (from 73.0 to 72.2 mV) and [Ca]md. As [Na]md subsequently increases via NCX, the driving force for JNa, diff is significantly augmented, and [Na]cyt increases, too (Table 6).
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DISCUSSION
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Cardiotonic steroids such as digitalis and ouabain inhibit transport by Na+-K+-ATPase by binding to the first extracellular NH2-terminal loop of the
-subunit. The observation that the ouabain binding site is conserved in evolution, and that ouabain enhances myocyte contractility, prompted Blaustein and colleagues (6, 9, 10) to hypothesize that inhibition of Na+ export is coupled to elevation of intracellular Ca2+ through NCX. The demonstration that endogenous ouabain-like factors (OLF) are synthesized by the adrenal gland and hypothalamus and circulate in nanomolar concentration lent credence to the existence of an important physiological role (18, 47). An observation that complicated acceptance of the hypothesis is that the
1-isoform of Na+-K+-ATPase, which performs a general housekeeping function in rodents, is ouabain insensitive. In contrast, other rodent isoforms (
2
4) retain ouabain sensitivity but are less abundant (5, 10, 26). That paradox was explained by postulating that the ouabain-sensitive isoforms are targeted to cellular microdomains that accommodate Ca2+ trafficking between the plasma membrane and cellular stores. Colocalization of
2 Na+ pumps with SR protrusions that abut the plasma membrane supports that contention (7, 10). More recently, the existence of an NH2-terminal sorting motif that tethers
2 Na+ pumps to microdomains has been defined (42).
Much functional evidence tends to confirm that Ca2+ signaling is modulated through
2
4 isoforms of Na+-K+-ATPase. Their inhibition or reduction of expression enhances agonist-induced Ca2+ release from cellular stores in smooth muscle and endothelium (3, 34) and increases resting [Ca]cyt and myogenic tone in isolated mesenteric arterioles (50). A hurdle to acceptance of the hypothesis that reduction of Na+-K+-ATPase activity leads to inhibition of Ca2+ export from myocytes is the need for Na+ concentration to rise near the cytoplasmic face of NCX. Stated another way, the putative microdomain within which
2 Na+ pumps associate with NCX must be sequestered in such a manner that diffusional exchange of Na+ and other ions with the bulk cytoplasm is severely limited (7, 10). Accepting that the latter can occur, we felt it relevant to mathematically simulate the putative system associated with the Blaustein hypothesis (6, 9), based on cellular geometry and the known characteristics of channels, transporters, and Ca2+ binding proteins, to assess its feasibility. The model strongly supports the concept that changes in NCX activity and [Na]md affect loading of SR stores with Ca2+ and that [Ca]sr changes can modulate both resting and agonist-stimulated levels of [Ca]cyt.
To generate the model, we incorporated the seminal approaches of prior investigators (27, 40), several of whom considered transport events in small subspaces (sometimes referred to as clefts) under the plasma membrane (20, 39). To test the Blaustein hypothesis, we carried that further to severely restrict diffusional exchange between microdomain and cytosol, except through interactions with the SR (Fig. 1). The precise cellular substructure that might facilitate such compartmental isolation is uncertain; however, several possibilities exist. The distance between SR and overlying plasma membrane that envelopes the putative microdomain volume has been measured as
19 nm (25). Within that region, cytoskeletal elements, binding proteins, channels, and transporters must be present in high concentration so that water is partially excluded and a high density of fixed charges on amino acid residues exists. Those factors alone might be sufficient to limit lateral diffusion. It is also possible that close apposition or fusion of the lipid bilayer of the SR and plasmalemma near the border with the cytosol prevents the escape of diffusible solutes from microdomains. Whatever the explanation, it is clear that the model will not predict control of [Ca]cyt via changes in the microdomains unless there is a high degree of isolation that restricts diffusive equilibration with the cytosol. Stated another way, isolation of microdomains is a fundamental premise that enables a cogent model to predict ion concentrations that are significantly different from those present in the bulk cytosol. As described in association with Table 6, a pivotal parameter, poorly defined in the literature, is the conductance of SOC channels. When the latter was chosen to yield [Na]md [Na]cyt
8 mM, to agree with measurements obtained by electron probe in myocytes (44), we predict that [Ca]md equals 156 nM (vs. 92 in the bulk cytosol), and [K]md 104 mM (vs. 97 in the bulk cytosol).
An additional feature of interest concerns the need for nonzero fluxes of K+ and Na+ ions between microdomains and cytosol to obtain realistic predictions. Given the absence of cytosolic NCX (8, 22, 30), simulations suggest that [Na]cyt would remain below 5 mM if the microdomain-to-cytosol Na+ electrodiffusive flux (JNa, diff) were negligible (Table 5). Hence, while the model predicts the need for diffusional sequestration so that [Na]md can significantly exceed [Na]cyt, limited trafficking of Na+ and K+ between the microdomains and the bulk cytosol is nevertheless required.
To obtain inputs for the model, we used recent measurements of cell geometry and membrane conductance from contractile DVR pericytes of the renal medulla (13, 14, 31) and studies of cerebrovascular (46) and other vascular smooth muscle cells (20, 27, 39). A limitation of our model stems from the fact that the kinetics and [Ca]sr dependence of SOC currents have not been entirely defined (1, 12, 28). Consequently, the equations characterizing the Ca2+ flux through SOC in this study were taken from the neuronal model of LeBeau et al. (24). This model assumes that SOC conductance is regulated by ER/SR subcompartments, as observed experimentally. However, it does not include gating kinetics, nor does it account for possible activation of SOC via direct coupling with IP3 receptors (24). In addition, stretch-sensitive ion channels have not been included in our model. Finally, we have not included equations that account for anion, particularly chloride, movement. Experiments have shown that pericytes and other smooth muscle cells possess Cl channels. However, little information is available to fully account for the combined entry and exit pathways utilized to achieve homeostasis. Changes in [Ca]cyt modulate conductance of Ca2+-activated Cl channels but, due to voltage dependence, their contribution is small near the resting potential.
The release of Ca2+ via IP3R was modeled using the model of De Young and Keiser (16). A more recent model of IP3R-mediated Ca2+ release was developed by Sneyd and Dufour (41). Using the IIP3R equations given in the latter study, the [Ca]cyt profile predicted following
2 inhibition was inconsistent with experimental observations, and the model predicted an enormous [Ca]md peak following NCX inhibition (
200 µM), which seemed unrealistic.
Measurements by Blaustein et al. (8) suggest that vascular smooth muscle cell SR Ca2+ stores are organized into compartments, which release calcium in response to cyclopiazonic acid (IP3R), caffeine (RyR), or both. Given that the density of RyR and IP3R at each interface (microdomain-SR and bulk cytosol-SR) is unknown, we assumed that the time constants for Ca2+ release through RyR and IP3R, respectively, are identical at both interfaces. Similarly, the number of SERCA pumps at each interface is unknown, and our sensitivity analysis shows it to be a significant determinant of [Ca]md (Table 6).
Despite these limitations, some confidence is derived from comparison of our predictions with trends in experimental data. Resting [Ca]cyt of
100 nM and [Na]cyt of
6 mM are reasonable, as is the prediction of [Ca]sr,
260 µM. It is also encouraging that experimentally observed biphasic elevations of [Ca]cyt are predicted to occur on inhibition of NCX-mediated Ca2+ export through reduction of [Na]out (Fig. 6) (34). This model supports CICR as the explanation for the peak phase transients of the associated [Ca]cyt responses.
In summary, this study describes a mathematical simulation designed to test feasibility of the hypothesis that transport events in sequestered cellular microdomains regulate Ca2+ loading in the SR and Ca2+ signaling in the cytosol. The model predicts resting ion concentrations that are compatible with experimental measurements and predicts temporal changes in [Ca]cyt that have been observed with NCX inhibition. Our results show the relative importance of microdomain transporters in the setting of [Ca]md. In the absence of current through microdomain SERCA pumps or NCX, the resting value of [Ca]md would increase by >50%. Simulations also suggest that cytosolic and microdomain SERCA pumps, IP3R, Na+-K+-ATPase, NCX, and SOC are important determinants of [Ca]sr. [Ca]sr is generally predicted to be 200400 µM, but would fall below 100 µM if SERCA pumps were removed from the SR-cytosol interface. Our sensitivity analysis also suggests that relative variations in [Ca]cyt are generally smaller than those in [Ca]md (Table 6), in part because the volume of the cytosol is much larger than that of the microdomains.
The small microdomain-to-cytosol volume ratio (equal to 3:500) also explains why microdomain concentration changes are predicted to occur rapidly compared with the cytosol. The cytosolic concentrations of Na+ and K+ in particular are predicted to adjust to step changes over several minutes, whereas microdomain concentrations generally equilibrate within 60 s (Fig. 6).
Simulations indicate that a rapid increase in [Ca]md or [Ca]cyt, such as that following a reduction in Ca2+ extrusion through NCX, triggers a rapid burst of Ca2+ release via RyR and IP3R, (i.e., CICR) as long as [Ca]sr is not simultaneously decreasing (see Figs. 5 and 6). As a result, [Ca]md or [Ca]cyt peaks within a few seconds, then drops significantly as the current through IP3R and RyR decreases.
Our results also suggest an important role of NCX in Ca2+ signaling. In the resting state, NCX is predicted to operate in "forward mode," with Na+ entry and Ca2+ extrusion from the cell. As shown in Fig. 5, complete inhibition of NCX is predicted to raise [Ca]md from 156 to 248 nM, [Ca]cyt from 92 to 138 nM, and to lower [Na]md from 15.1 to 5.6 mM, and [Na]cyt from 5.9 to 4.0 mM. In addition, NCX translates variations in Na+-K+-ATPase current into variations of [Ca]md, [Ca]sr, and [Ca]cyt (see Fig. 7 and Table 6), supporting feasibility of the Blaustein hypothesis (6, 10). We conclude that a pivotal supposition necessary for modulation of Ca2+ signaling by transport events in subplasmalemmal microdomains is a high level of sequestration from the cytosol.
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GRANTS
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This work was supported by National Institutes of Health Grants DK-53775 (A. Edwards), DK-42495, HL-78870, and DK-67621 (T. Pallone).
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ACKNOWLEDGMENTS
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We thank the reviewers, whose helpful comments led to many improvements in this manuscript.
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FOOTNOTES
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Address for reprint requests and other correspondence: A. Edwards, Dept. of Chemical and Biological Engineering, Tufts Univ., 4 Colby St., Medford, MA 02155 (e-mail: aurelie.edwards{at}tufts.edu)
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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