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Ca_channels.tex
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%%
%% Voltage-gated_Ca.tex
%% Login : <hoang-trong@hoang-trong-laptop>
%% Started on Sun May 31 00:41:54 2009 Hoang-Trong Minh Tuan
%% $Id$
%%
%% Copyright (C) 2009 Hoang-Trong Minh Tuan
%%
%\chapter{\texorpdfstring{\ce{Ca^{2+}} channels (VDCC)}{Voltage-gated Ca2+
%channels (VGCC)} }
\chapter{Voltage-gated Ca2+ channels (VGCC)}
\label{chap:voltage-gated-ceca2+}
\label{chap:VDCC_Intro}
\label{sec:VGCC}
In the previous chapters, we have studied some voltage-gated channels, e.g.
potassium and sodium channels. In this chapter, we will study {\bf voltage-gated
calcium channels} (or calcium channels for short).
In Hodgkin Huxley model, \ce{Na+} and \ce{K+} are major agents for action
potential (AP) in squid giant axon (Sect.\ref{sec:hh-model}).
In myocytes, there is another ion: \ce{Ca^2+} which is not only in maintaining
AP but also is an important second-messenger. It is recommended to read
Chapter~\ref{chap:myocyt-muscle-cells} for basic knowledge in myocytes. In nerve
cells, $\Ca$ channels also play an important role in synaptic plasticity
(Sect.\ref{sec:synaptic_plasticity}).
Single channels and whole-cell voltage clamp recordings have revealed more
detail in the $\Ca$ channels. There are different types of $\Ca$ channels, yet
they are all voltage-dependent, so called $V_m$-dependent $\Ca$ channels (VDCC).
This chapter will answer such questions: what is the structure of a $\Ca$
channel? how many types of $\Ca$ channels? how they are named?
\section{Structure}
\label{sec:structure-1}
\begin{figure}[htb]
\centerline{\includegraphics[height=7cm]{./images/Ca-channel-structure.eps}}
\caption{Cartoon of the structure of a \ce{Ca^2+}
channel\footnote{\url{http://www.sinc.sunysb.edu/Stu/glho/symptoms_clip_image002.jpg}}}\label{fig:ca_channel_structure}
\end{figure}
A calcium channel is in fact a complex transmembrane protein composed of 4 or 5
subunits, each is encoded by multiple
genes\footnote{\url{http://www.iuphar-db.org/IC/FamilyMenuForward?familyId=11}}.
$\alpha$ is the pore-forming subunit, and the others are auxiliary subunits.
\begin{enumerate}
\item {\bf $\alpha_1$ subunit} (Sect\ref{sec:alpha-1-subunit-VDCC}) : the largest subunit
(190-250kDa). $\alpha_1$ subunit contains DHP binding site and most
importantly form the pore of \ce{Ca^2+} channel.
This is the reason why $\Ca$ channel is aka DHPR (dihydropyridines receptor).
\item $\beta$ subunit (52kDa) (Sect.\ref{sec:beta-subunit-VDCC}): is the
intracellular subunit that regulate the activity of $\alpha_1$ subunit.
\item $\alpha_2\delta$ (160kDa) (Sect.\ref{sec:alpha-2-delta-subunit-VDCC}): is a transmembrane,
disulfide-linked complex ($\alpha_2$ subunit + $\delta$ subunit)
\item $\gamma$ subunit (32kDa) (Sect.\ref{sec:gamma-subunit-VDCC}): found mainly
in skeletal muscle cells, not in cardiac cells.
\end{enumerate}
\subsection[alpha-1 subunit]{$\alpha_1$ subunit}
\label{sec:alpha-1-subunit-VDCC}
Even though there are different subunits, however, the pharmacological and
electrophysiological diversity of \ce{Ca^2+} channels primarily arise from the
existence of multiple forms of the $\alpha_1$ subunit. Thus one way to classify
$\Ca$ channel is based on $\alpha_1$ subunit
(Sect.\ref{sec:calcium-channel-classification-alpha-subunit}).
An $\alpha_1$ subunit is
encoded by at least 10 distinct genes.
As shown in Fig.~\ref{fig:ca_channel_structure},
the subunit is organized in 4 homologous domain
(domain I - domain IV) , and 5 large intracellular
segments: N terminus (NT), C terminus (CT), and loops (L1,L2,L3) to links the
domains.
Each domain contains 6 trans-membrane $\alpha$ helix segments (S1-S6) and a
re-entrant $p$-loop that is thought to contain the amino acids that line the
pore and form the selectivity filter \citep{catterall2005iup} with
\textcolor{red}{segment S4 is the voltage sensor}.
There are also a large number of short intracellular linkers between
transmembrane segments within each domain.
\begin{figure}[htb]
\centerline{\includegraphics[height=7cm]{./images/Ca_subunit_structure.eps}}
\caption{Subunit structure of Ca$_v1$ channels}\label{fig:ca_subunit}
\end{figure}
\subsection[beta subunit]{$\beta$ subunit}
\label{sec:beta-subunit-VDCC}
The $\beta$ subunit is the only calcium channel subunit for
which there is crystal structure information.
\begin{itemize}
\item core of this subunit is homologous to membrane-associated guanylate
kinases (MAGUKs), with a conserved interacting SH3 and guanylate kinase (GK)
domains.
Electrophysiological data showed that the co-expression of SH3 and GK domains
is critical as either one of the regions along is incapable of regulating
$\Ca$ channel activitity, i.e. showing the functional significance of the
intramolecular SH3-GK interaction.
\item residues on GK domain form a hydrophobic groove for high-affinity
binding of HVA calcium channels.
\end{itemize}
\textcolor{red}{The mammalian brain expresses 4 different types of $\beta$
subunit}: $\beta_1$ through $\beta_4$, which can undergo alternate splicing.
They share a similar structural arrangement with two highly conserved regions
(C1 and C2) of high overall sequence homology (75\% and 85\%, respectively),
separated and flanked by 3 variable regions (V1 through V3) of much lower
homology (35-55\%).
A $\beta$ subunit physically binds to $\alpha_1$ subunit at
\begin{itemize}
\item a region within the $\alpha_1$ subunit domain I-II linker, highly
conserved among HVA $\Ca$ channels. So they are called alpha interaction domain (AID).
Binding of the $\beta$ subunit to AID region is critically dependent on
functional association of the SH3 and GK region.
\item report of a second calcium channel $\beta$ subunit interaction site
within the C-terminus of $\alpha_1$ subunit, but the role of this site remain
unclear.
\end{itemize}
Depending the subtype of $\beta$ subunit, it affects $\Ca$ channels kinetics,
and current densities. However, this is controversy as a recent study showed
that the calcium channel $\alpha_1$ subunit can give rise to robust current
activity even when expressed alone \citep{yasuda2004}.
The most obvious affect of $\beta$ subunit is on regulating channel {\bf
inactivation rates}
\begin{itemize}
\item $\beta_{2a}$: dramatically slowing inactivation
\item $\beta_{3}, \beta_{1b}$: accelerate inactivation
\end{itemize}
(Review: \citep{kisilevsky2008})
\subsection[alpha-2-delta subunit]{$\alpha_2\delta$ subunit}
\label{sec:alpha-2-delta-subunit-VDCC}
There are four different types of calcium channel $\alpha_2-\delta$ subunit,
each is encoded by a single gene, and the two peptides $\alpha_2$ and $\delta$
are linked via a disulfide bond.
\subsection[gamma subunit]{$\gamma$ subunit}
\label{sec:gamma-subunit-VDCC}
The skeletal muscle L-type calcium channel complex also contains a $\gamma$
subunit ($\gamma_1$) which is a four transmembrane helix with cytoplasmic N- and
C-termini.
Seven additional potential candidates for neuronal calcium channel $\gamma$
subunits have been identified; however, it is not clear if these are bona fide
calcium channel subunits.
\begin{itemize}
\item The association of $\gamma_2$ and $\gamma_3$ to neuronal $\Ca$ channels
\citep{kang2001, letts1998}
The neuronal $\Ca$ channel $\gamma_2$ subunit (stargazin) has also been linked
to AMPA receptor trafficking and pharmacology. Stargazin functions as a
chaperon protein for proper folding and
surface expression of AMPA receptors (Sect.\ref{sec:AMPAR}).
Stargazin also involves
in the synaptic targeting of AMPA receptors through its interaction
with PSD95, a scaffolding protein enriched in postsynaptic
density (PSD).
\item
\end{itemize}
\section{Nomenclature}
\label{sec:nomenclature-Cav-channels}
We use the parallel nomenclature for ion channel called UCL/HGNC/HUGO Human Gene
Nomenclature symbols which is developped in conjunction with the human genome
project (reference: Sect.\ref{sec:nomenclature-K_channel},
Sect.\ref{sec:nomenclature-Na-channel}) - review: Trimmer, Rhodes (2004).
However, the scenario for $\Ca$ channels are more disorganized and more complex
\begin{enumerate}
\item Cav1.1 (need $\alpha_{1S}$) is CACNA1S
\item Cav3.1 (need $\alpha_{1G}$) is CACNA1G
\end{enumerate}
\subsection{Based on alpha-subunit ($\alpha$-1S, $\alpha$-1A, $\alpha-$1B,
$\alpha-$1F)}
\label{sec:calcium-channel-classification-alpha-subunit}
\label{sec:alpha-subunit-Ca2+channel}
Historically, there are various names given to the corresponding gene products
$\alpha_1$. In 1994, a unified nomenclature was adopted - $\alpha_1$ subunits
were referred to as
\begin{itemize}
\item $\alpha_{1S}$ for the original skeletal muscle isoform (S=skeletal)
\item $\alpha_{1A}$ to $\alpha_{1E}$ for those discovered subsequently.
% \begin{itemize}
% \item $\alpha_{1C}, \alpha_{1E}$: found in cardiac cells
%
% \end{itemize}
\item Since then, there are 4 new $\alpha_1$ subunits have been identified,
i.e. $\alpha_{1F}$, $\alpha_{1G}, \alpha_{1H}, \alpha_{1L}$.
\end{itemize}
\subsection{Based on numerical system (Cav1, Cav2, Cav3)}
\label{sec:Cav1.x}
\label{sec:Cav2.x}
\label{sec:Cav3.x}
As $\alpha_1$ is the pore-forming subunit, the genes encoding this subunit is
often used to classify the ion channel. The genes encoding $\alpha_1$ subunits
fall into 3 families using numerical system, Fig.\ref{fig:Ca_channel_info}:
\begin{itemize}
\item Cav1 (Ca$_v$1): encode 4 different L-type $\Ca$ channel isoforms
(Cav1.1-1.4) - Sect.\ref{sec:L-type-Ca2+}.
In mammal, Cav1.1-1.4 are encoded by $\alpha$1 subunit genes CACNA1S, CACNA1C,
CACNA1D, and CACNA1F respectively.
Cav1-type calcium channels are sensitive to dihydropyridine (DHP) antagonists
such as nifedipine or nimodipine, or to phenylalkylamines like verapamil; so
they are aka DHPR channels in cardiac cell. They are thus aka DHPR, i.e.
DHP-receptor.
\item Cav2 (Ca$_v$2): encode three different (intermediate)-threshold
activated calcium channels: N-type, splice variant P/Q-type, and R-type $\Ca$
channels.
At the neuronal synapse: P/Q-type (Cav2.1), N-type (Cav2.2), R-type (Cav2.3) -
Sect.\ref{sec:R-type_Ca-channel}
\item Cav3 (Ca$_v$3): encode 3 different low-threshold activated calcium
channels T-type $\Ca$ channel isoforms: T-type (Cav3.1-3.3) = LVA
(low-voltage activated)
\end{itemize}
Except T-type, all other types are HVA (high-voltage activated) -
Sect.\ref{sec:HVA_Ca2+}.
\begin{figure}[hbt]
\centerline{\includegraphics[height=6cm,
angle=0]{./images/Ca_channel_info.eps}}
\caption{Classification and inactivation profiles of $\Ca$ channels}
\label{fig:Ca_channel_info}
\end{figure}
In 2000, a rational nomenclature was adopted based on the well-defined $\alpha$
subunit of potassium channels \citep{Ertel2000Nomenclature}
(Chap.\ref{chap:potassium-channels}). This nomenclature uses a
numerical system (Ca$_v1.1$, Ca$_v2.1$,Ca$_v3.1$, etc.) to define families and subfamilies of
\ce{Ca^{2+}} channels based on similarities in amino acid sequences,
as shown in Fig.~\ref{fig:ca_channel_phylogeny}
\citep{catterall2005iup}.
\begin{figure}[htb]
\centerline{\includegraphics[height=5cm]{./images/Ca_channel_nomenclature.eps}}
\caption{Phylogeny of \ce{Ca^2+} channels $\alpha_1$ subunits}
\label{fig:ca_channel_phylogeny}
\end{figure}
\subsection{Based on voltage-dependent (LVA, HVA)}
\label{sec:LVA_Ca2+}
\label{sec:HVA_Ca2+}
Remembering that the movement of ions cause an electrical current.
Correspondingly, the flow of \ce{Ca^2+} through a \ce{Ca^2}-channel on the
plasma membrane cause an electrical current $I_{\Ca}$ whose magnitude can be used
to represent a calcium ion channel. Hence, an alternate naming system ($I_{\Ca}$)
is used based on the level of depolarization of voltage:
\begin{itemize}
\item {\it low-voltage-activated calcium channels} (LVA): display rapid
gating kinetics, exhibit a small unitary conductance, and play a major role in
neuronal pacemaker activity (T-type $\Ca$ channels) -
Sect.\ref{sec:T-type_Ca-channels} (Akaike, 1991; Huguenard 1996).
\item {\it high-voltage-activated calcium channels} (HVA): require more
positive membrane depolarization in order to open and can be further
categorized, based on their functional characteristics, into N-, P-, Q-, R-,
and L-types (see next classification scheme). - Sect.\ref{sec:HVA_Ca2+} (Bean,
1989).
HVA is classified into
\begin{enumerate}
\item HTS = high-threshold sustained component
\item HTI = high-threshold inactivating component
\end{enumerate}
\end{itemize}
\subsection{-- HVA: HTS, HTI}
\label{sec:HTS-HVA-Ca2+-current}
\label{sec:HTI-HVA-Ca2+-current}
Chirchill, MacVicar (1998)
\subsection{Based on alphabetical system (L-type, P/Q-type, R-type, T-type)}
\label{sec:calcium-channels-classification-alphabet}
\label{sec:L-type-Ca2+}
\label{sec:P/Q-type-Ca2+}
\label{sec:T-type-Ca2+}
\label{sec:CaL-type}
Finally, the third nomenclature is to use an alphabetical system.
\begin{itemize}
\item L-type: LCC = L-type $\Ca$ channels (L=long-lasting (i.e. the channel
activate later and last longer)) - Sect.\ref{sec:DHPR-Ca2+channel}
There are 4 different L-type $\Ca$ channels; encoded by $\alpha_{1C}$ and
$\alpha_{1D}$ genes (Sect.\ref{sec:alpha-subunit-Ca2+channel}).
$\alpha_{1D}$ is expressed at relatively high levels in pacemaker cells.
In ventricular myocytes, L-type \ce{Ca^2+} channel ($I_{Ca,L}$) derived from
$\alpha_{1C}$ is dominant and is the main concern.
$I_{Ca,L}$ derived from $\alpha_{1D}$ activates at an intermediate potential
($V_m$) between that for $I_{Ca,T}$ and $I_{Ca,L}$ derived from $\alpha_{1C}$.
Eventually, $I_{Ca,L}$ and $I_{Ca,T}$ serve different functional role.
\item N-type (`N' for Neural-type): found mainly pre-synaptic terminals and
involve in neurotransmitter release. Strong depolarization by an AP causes
these channels to open and allow influx of \ce{Ca^2+}, initiating vesicle
fusion and release of stored neurotransmitter.
N-type is encoded by Cav2.1 gene ($\alpha$1A subunit), which can be identified
using Cav2.1 antibody.
\begin{mdframed}
NOTE: $\alpha_\text{1C}$ is the pore-forming subunits of L-type; while
$\alpha_\text{1A},\alpha_{1B}$ are the pore-forming subunits of P/Q-type and
N-type, respectively.
\end{mdframed}
\item P-type (`P' for Purkinje cells): found mainly in Purkinje fibers in the
electrical conduction system in the heart. They functions as N-type channels
P/Q-type is encoded by Cav2.2 gene ($\alpha$1B subunit), which can be identified
using Cav2.2 antibody.
\item Q-type: poorly understood. They has a high threshold of
activation and relatively slow kinetics.
\item R-type: poorly understood. They has a high threshold of
activation and relatively slow kinetics.
\item T-type: produce pacemaker potential in the SA node of the heart.
(T = transient (i.e. the channel activate early and inactivate soon after
that))
T-type channels are encoded by $\alpha_{1G}$ and $\alpha_{1H}$ genes
(Sect.\ref{sec:alpha-subunit-Ca2+channel}).
T-type means transient low-threshold voltage activated $\Ca$ current, activated
at potential ranging -50mV to -30mV and display fast inactivation.
\end{itemize}
\subsection{-- T-type (Cav3.1, Cav3.2, Cav3.3)}
\label{sec:T-type_Ca-channels}
In the heart, T-type $\Ca$ channel was detected in atrial \citep{bean1985} and
ventricular \citep{nilius1985}. This channel activate and inactivate at the potential
($<-50$mV) far negative below the range for activating L-type $\Ca$ channels.
\textcolor{red}{T-type channels activate earlier than L-type and also
inactivate completely at $V_m < -50$mV} \citep{hess1984}.
\begin{framed}
T-type channels activate at a more negative potential and also
inactivates more rapidly than L-type channels. T-type channels resides
mainly at conducting system (His bundle, Purkinje cells) and pacemaker
cells, while L-type channels are dominant in non-pacemaker cells, e.g.
myocardial cells (ventricular myocytes). The only exception with which
$I_{Ca,T}$ is found in ventricular myocytes is adolescent with
immature and developing hearts~\citep{chen2007afh}; yet the current is
still small compared with $I_{Ca,L}$.
\textcolor{red}{Hence, it is clear that L-type (from $\alpha_{1C}$) is
responsible for EC coupling in cardiac myocytes.}
\end{framed}
\subsection{-- L-type ($I_{Ca,L}$)}
\label{sec:L-type_Ca-channels}
L-type means long-lasting and later-activated, i.e. high-threshold voltaged
$\Ca$ current. Its first detected blocker is dihydropyrinidine (i.e.
nifedipine), so the channel is also known as {\bf dihydropyrinidine receptor
(DHPR)} \citep{reuter1985}. Other blockers: cadmium (\ce{Cd^2+}) so the current
is aka called $\Cd$-sensitive $\Ca$ current.
$I_{Ca,L}$ involves in contraction of heart muscle, gene expression in
neurons, hormone secretion, etc.
\textcolor{red}{So, whenever we're talking about $I_{Ca,L}$, it is
about L-type from $\alpha_{1C}$}.
In {\bf cardiac cells}, LCC (expressed by $\alpha$-1C gene) is an essential
transmembrane ion channel that serves 2 main functions: (1) trigger the
initiation of excitation contraction (EC) process, (2) generate the prolonged
depolarization characteristic of cardiac AP.
In {\bf neurons}, LCC is accepted that voltage-dependent facillitation is
PKA-dependent as it's sensitive to $\beta$-adrenergic stimulation
\citep{hadley1991} (Sect.\ref{sec:beta-adrenergic_stimulation}), not G
protein-dependent.
However, there was evidence that G$\beta\gamma$ can also reduce current, though
the physiological role was unclear \citep{ivanina2000}.
The data by \citep{hoogland2004} suggested that LCC are functionally present in
dendritic spines of CA1 pyramidal neurons, contribute to spine Ca2+ influx, and
can be modulated by the $\beta_2$ adrenergic receptor through PKA in a highly
compartmentalized manner.
\subsection{Based on the inhibitor (DHPR)}
\label{sec:DHPR-Ca2+channel}
Another less common use to distinguish \ce{Ca^2+} channels are based
on their inhibitors.
\begin{itemize}
\item L-type \ce{Ca^2+} channels is blocked selectively by some
antagonist, e.g. 1,4-dihydropyridines (DHPs), phenylalkylamines,
and benzothiazepines.
\textcolor{red}{L-type channels on T-tubules of the cardiac
myocytes are blocked by DHP, and thus are called DHP receptors
(DHPR).}
Even though N-type, P/Q-type and R-type calcium channels are all
HVA calcium channels, they are relatively unaffected by L-type calcium channel
antagonist drugs, as described above, but are blocked by specific toxins from
snails and spider venoms (see below).
\item N-type \ce{Ca^2+} channels generated by Ca$_v2.2$ is block selectively
by $\omega-$conotoxin GVIA, MVIIA, and CVID.
\item P- and Q-type channels are differentially sensitive to $\omega$-agatoxin
IVA.
\item R-type channels have shown to be potently inhibited by the spider toxin
SNX-482.
\item T-type calcium channels are classified as LVA, i.e. weak
depolarization and are transient. They are resistant to both organic
antagonists and to the snake and spider toxins as described above.
\end{itemize}
\section{Distribution of $\Ca$ channels}
\label{sec:calcium-channels-distribution}
So, we have learnt different types of \ce{Ca^2+} channels and
different naming systems. In addition, different types of
voltage-gated calcium channels are spatially distributed differently
in variety types of cells.
\begin{itemize}
\item L-type \ce{Ca^2+} from $\alpha_{1C}$ is mainly found in cardiac
myocytes, smooth muscle cells, endocrine cells, neuronal cell bodies
(support $\Ca$-dependent gene transcription) and proximal dendrites.
As the ventricles are the chambers that are major component of EC coupling, it
is L-type \ce{Ca^2+} from $\alpha_{1C}$ that mediate EC coupling in skeletal,
cardiac and smooth muscles.
\textcolor{red}{Later on, when referring to L-type channels, it
means L-type \ce{Ca^2+} channels from $\alpha_{1C}$.}
\item L-type \ce{Ca^2+} from $\alpha_{1D}$ is
present in cardiac atrial myocytes, pacemaker cells, endocrine cells, neuronal
cell bodies and dendrites.
\item N-, P/Q- type \ce{Ca^{2+}} channels (Sect.\ref{sec:N-and-P/Q-type}) are
expressed prominently in neurons, particularly presynaptic nerve terminals
(control evoked neurotransmitter release).
On the presynaptic nerve terminal, strong depolarization by an action potential
causes these channels to open and allow influx of Ca2+, initiating vesicle
fusion and release of stored neurotransmitter.
\begin{enumerate}
\item N-type are found in soma, dendrites and a subpopulation of dendritic
spines (tested on CA1 region of rat hippocampal slices \citep{mills1994})
\item P/Q-type are found in Purkinje fiber with two distinct patterns
(scatter and clustered) \citep{indriati2013}:
scater = increasing 2.5-fold from soma to distal dendrites, clustered (74-fold
higher density than the scattered particles) = on the P-face of soma and
primary dendrites.
The clustered P/Q-type were found virtually colocalize with 2 types of
calcium-activated potassium channels, BK and SK2, with the nearest neighbor
distance of $\sim$ 40 nm.
\end{enumerate}
\item R-type (Sect.\ref{sec:R-type_Ca-channel}) have been found to play a role
in evoked neurotransmitter release in certain synapses
N-type ($\alpha_\text{1B}$) and P/Q-type
($\alpha_\text{1A}$)) , and other cells (R-types
- ).
\item T-type calcium channels can be found in a wide variety of cell
types, where they are involved in shaping the AP and controlling
patterns of repetitive firing.
Single-channel recordings from guinea pigs suggest that T-type channels are
particularly abundant on hippocampal CA3 pyramidal neurons, as compared with
neurons from area CA1 or the dentate gyrus (Fisher et al., 1990).
\end{itemize}
\textcolor{red}{In heart, we often see Ca$_v1.2$} ($\alpha_{1C}$, L-type) and
\textcolor{red}{Ca$_v2.3$.} ($\alpha_{1E}$, R-type); while Ca$_v1.1$
($\alpha_{1S}$) is found in skeletal muscle.
In cardiac myocytes, calcium channels are particularly abundant in the
transverse (T)-tubule system and they are L-type Ca channels (LCCs)
which are also classified as HVA, is generated by Ca$_v1.2$ ($\alpha_{1C}$) or
Ca$_v1.3$ ($\alpha_{1D}$). Guinea pig ventricular cells show 2 distinct types of $\Ca$
channel: L-type and T-type. L-type ($\alpha_\text{1C}$) is dominant in
ventricular myocytes.
% L-type DHPR channels is a type of voltage-gated \ce{Ca^2+} channels
% found mainly in cardiac myocytes and mediate calcium influx in
% response to membrane depolarization. However, the low-level entry
% \ce{Ca^2+} is not enough to cause contraction in myocytes. It is the
% release of \ce{Ca^2+} from intracellular stores \citep{bassani1995fsr},
% in which the elementary event is termed
% {\bf
% \ce{Ca^2+}-sparks}\footnote{\ce{Ca^2+}-sparks
% is a large transient increase of localized internal [\ce{Ca^2+}]
% from a group of RyRs and will be discussed in detail in
% Chap.~\ref{chap:calcium-signalling}}. The free \ce{Ca^2+} in the
% myoplasm then regulate intracellular
% processes\footnote{
% {\it e.g. excitation-contraction coupling (ECC),
% excitation-secretion coupling, neurotransmission},
% and {\it gene expression}, depending on the types of cells}.
%
%
% \section{T-type vs. L-type}
% \label{sec:T-and-L-type_Ca-channels}
% \label{sec:calcium-current}
%
% L-type calcium current refers to the transportation of \ce{Ca^2+}
% through the ventricular sarcolemma (plasma membrane of ventricular
% myocytes) via L-type calcium channels. $I_{Ca,T}$ is LVA
% (low-voltage-activated) while $I_{Ca,L}$ is HVA. Hence, $I_{Ca,T}$ is
% more independent of \ce{Ca^2+} influx.
%
% while
%\subsection{L-type}
\section{L-type, Cav1.2 ($\alpha$)}
\label{sec:CaLv1.2-channel}
Unlike CaLv1.3 channel, CaLv1.2 is a HVA calcium channel
(Sect.\ref{sec:HVA_Ca2+}).
\subsection{$I_{Ca,L}$ activation}
\label{sec:i_ca-l-activation}
\begin{figure}[htb]
\centerline{\includegraphics[height=5.5cm]{./images/Ca_cycling.eps}}
\caption{\ce{Ca^2+} cycling}\label{fig:Ca_cycling}
\end{figure}
In addition to the $V_m$-dependent activation of L-type current, in
cardiac myocytes, the facilitation for $I_{Ca,L}$ is found to depends
on {\bf \ce{Ca^2+}/CaM-dependent protein kinase II}
(CaMKII)\footnote{\url{http://openwetware.org/wiki/BIO254:CaMKII}}.
CaMKII is activated when the complex \ce{Ca^2+}/CaM bind to it. The activation
of CaMKII can facilitate the activation of \ce{Ca^2+} channels. This happens
over a longer timescale (from one beat to the next) and as a result increase
$I_{Ca,L}$ amplitude.
\textcolor{red}{The molecular mechanism is not fully resolved}.
\subsection{$I_{Ca,L}$ inactivation}
\label{sec:calcium-inactivation}
Opposing to the activation process, there is a process that decreases
$I_{\ce{Ca},L}$.
\textcolor{red}{During AP, $I_{Ca,L}$ turnoff is mediated by both
voltage- and \ce{Ca^2+}-dependent inactivation, yet the latter is by
far predominant}~\citep{bers2001ecc}.
Indeed, the \ce{Ca^2+}-dependent inactivation is expressed via
{\bf calmodulin} (CaM), the classical \ce{Ca^2+} receptor protein
inside cells. Several studies concluded that {\bf calmodulin} (CaM)
mediates both inactivation and
facilitation~\citep{lee1999calm, zuhlke1999calm}.
\textcolor{red}{However, the question is how CaM act to inactivate
LCC},
e.g. it binds directly to the LCC or indirectly by interacting with
some protein kinases or phosphatases to regulate the LCC?.
~\citep{ehlers1999calm} proposed 3 models,
Fig.~\ref{fig:calmodulin_hyp}, with a tether site (IQ-motif) for CaM
constitutively bound under resting condition, as well as a
CaM-effector site through which \ce{Ca^2+}-associated CaM
(\ce{Ca^2+}/CaM) modulate channel gating.
\begin{figure}[hbt]
\centerline{\includegraphics[height=7cm,
angle=0]{./images/calmodulin_inactivation.eps}}
\caption{Three different models for Calmodulin (CaM) inactivation of
voltage-gated calcium channels (VGGC): (A) IQ-motif acts as both
tether and effector, (B) IQ-motif acts as effector only, (C) tether only}
\label{fig:calmodulin_hyp}
\end{figure}
With an increase in $[\ce{Ca^2+}]_{ds}$ (owing to the influx of
calcium or release from SR), it triggers the activation of CaM - a
protein activated when bind with \ce{Ca^2+}. Activated CaM - known as
Ca2+/CaM complex, can associate with the C terminus of the $\alpha_{1C}$
protein ({\it read a Chapter in Cardiology book}). Precisely, Ca2+/CaM
binds to an IQ-like motif (isoleucine-glutamine) (or EF-hand) on the
carboxyl tail on the main
$\alpha_{1C}$-subunit~\citep{zuhlke1999calm}.
\begin{framed}
An IQ motif is an extremely basic unit (23 amino acids) that serves
as a binding site for different EF-hand proteins (e.g. myosin light
chain, CaM, CaM-like proteins). Many IQ motif are protein kinase C
(PKC) phosphorylation sites.
\end{framed}
The electrical stimuli will depolarize the membrane voltage difference
$V_m$ at the T-tubules of cardiomyocytes. The depolarization will open
some LCCs. When the potential difference passes a threshold, it can
trigger/cause/activate enough number of LCCs from which the Ca influx
can induces the release of Ca form internal calcium storage (SR) via
RyR channels. This is a process known as CICR and the transient
increase in internal [Ca] lead to the transient depolarization in
membrane potential. The transient increase in myoplasmic [Ca] can
trigger some subcellular events (an action), hence we call this
transient depolarization in membrane potential is an
{\bf action potential} (AP).
In summary, the \ce{Ca^2+}-dependent $I_{Ca,L}$ inactivation may
function as a negative feedback system to limit \ce{Ca^2+} influx
under conditions in which \ce{Ca^2+} influx and SR \ce{Ca^2} release
is high. This can be a protection against cellular \ce{Ca^2+}
overload, which can cause arrhythmias and cell death. $I_{Ca,L}$
facilitation may serve to offset the negative effect of increased
frequency on \ce{Ca^2+} channel availability. Lastly, the amount of
\ce{Ca^2+} influx via $I_{Ca,L}$ during AP varies among cell types.
\section{L-type, Cav1.3 ($\alpha$)}
\label{sec:CaLv1.3-channel}
CaLv1.3 channels is a LVA calcium channel (Sect.\ref{sec:LVA_Ca2+})
\section{N-type and P/Q type}
\label{sec:N-and-P/Q-type}
N-type and P/Q-type are neuronal voltage-dependent $\Ca$ channels.
P/Q- and N-type channels trigger synaptic transmission in the majority of
neurons of the central nervous system.
However, whether and under which conditions both channel types act cooperatively
or independently is still insufficiently understood.
A recent study suggested a more direct coupling of P/Q type to synaptic release
compared to N-type \citep{nimmervoll2013}.
These channels are inhibited by neurotransmitters (a voltage-independent
pathway) and voltage-repolarization.
\begin{itemize}
\item In the voltage-independent pathway, the channels are
usually inhibited by G protein-coupled receptors
(Sect.\ref{sec:G-protein-coupled-receptor} via several second messenger
pathways.
\item The voltage-dependent mechanism of N-type and P/Q type is G protein-dependent,
which is the result of a direct binding of G$\beta\gamma$ subunit G protein to
the channel.
G-beta-gamma (G$\beta\gamma$) complex is a dimeric protein complex which is
cleaved from the G$\alpha\beta\gamma$ complex upon the activation of G-protein
coupled receptor. This allow the G-alpha (G$\alpha$) to function as a messenger
in signal transduction (Sect.\ref{sec:G-protein}). As the matter of fact, the
role of G$\beta\gamma$ is to inhibit G$\alpha$ subunit. However, the free
G$\beta\gamma$ has also found to play a role in other cellular activities; one
of that is L-type calcium channel \citep{dupre2009}.
\end{itemize}
\section{R-type $\Ca$ channels}
\label{sec:R-type_Ca-channel}
The R-type calcium channel is a type of voltage-dependent calcium channel
(Sect.\ref{sec:calcium-channels-classification-alphabet}), and is strongly
expressed in cortex, hippocampus, striatum, amygdala and interpeduncular nucleus
of the brain.
They have a high threshold of activation and relatively slow kinetics.
They are poorly understood, but like Q-type calcium channels, they appear to be
present in cerebellar granule cells.
\section{Reconstituted $\Ca$ channels}
\label{sec:reconstitute_LCC}
To study single channel kinetics, it's important to extract the protein from the
media. Since 1989, the LCC channel was purified from rabbit skeletal muscle
T-tubules and then incorporated into phospholipid bilayer membranes at the tip
of glass patch pipettes~\citep{mcdonald1989}. The solution on both sides of the
bilayer contained (in mM): \ce{BaCl2} 90, HEPES 5, TTX 0.02 (pH 7.3 at
20-23$^\circ$C).
\section{$\Ca$ current on}
\label{sec:calcium-current-on}
\subsection{Squid giant axon }
\label{sec:calcium-current-on-axon}
$\Ca$ entry through squid axon membrane has been shown as 2 components
\begin{itemize}
\item early component as a leak of $\Ca$ ions through TTX-sensitive $\Na$
channels
\item a late component which is not affected by TTX
\end{itemize}
The amount of Ca entering the fibre is very small, i.e. 0.08 pM/cm$^2$ per AP
with 112 mM $\Ca$ in external solution (represents a charge transfer 0.02
$\mu$C/cm$^2$), compared to net $\Na$ entry 3-4 pM/cm$^2$ (represents a charge
transfer 0.3-0.4 $\mu$C/cm$^2$) \citep{meves1973cic}.
In squid giant axon, the calcium current was activated at about -40 mV and it
peaked at about 0 mV. The peak inward current was 3 microA/cm2 when external Ca
was 80 mM and 0.9 microA/cm2 in 8 mM Ca \citep{dipolo1983}.
In 80 mM Ca, the calcium current is turned on in less than 10 msec, and it does
not decay appreciably for pulses up to 70 msec in duration.
Barium can replace calcium, and cadmium blocks the calcium current
(Sect.\ref{sec:cadmium}).
\section{Signal detection}
Early efforts of measuring $I_\CaL$ {\it in vivo} using optical imaging
techniques involved using aequorin (Sect.\ref{sec:aequorin}). Voltage-clamped
protocol is often used to measure $I_\CaL$, with the ability to control the
level and duration of membrane depolarization, which cannot be obtained using
action potential (AP). The interpretation of aequorin signal can be complicated
as the elevation of aequorin signal can be the result of $I_\CaL, I_\NCX$ or the
release of $\Ca$ from calcium internal storage.
\begin{enumerate}
\item Aequorin signals were sampled at 0.5ms interval; then filtered with an
exponential filter of 2ms. The final output is the average of about 100
aequorin signals \citep{wier1982}.
\end{enumerate}
\begin{figure}[hbt]
\centerline{\includegraphics[height=5cm]{./images/LCC_current_Purkinje.eps}}
\caption{Purkinje fibre (from top to bottom): Membrane potential, LCC current
and tension (derived from \citep{wier1982}). The peak tension reached at 140ms after the
starting of voltage clamp depolarization; relaxation starts after 400ms}
\label{fig:LCC_current_Purkije_Wier82}
\end{figure}
Read more: Sect.\ref{sec:unit-i_cal-curr}, Sect.\ref{sec:IcaL_macroscopic}
\subsection{Density}
Early estimate of LCC density shown that about 0.5-5 channels/$\mum^2$
\citep{reuter1984}. Based on whole-cell current, it's estimated about
$10^4-10^5$ channels per cell (of medium size or total capacitance $C_m\sim
150$pF).
\subsection{$P_o$}
\begin{figure}[hbt]
\centerline{\includegraphics[height=5cm,
angle=0]{./images/LCC_Po_Sun2000.eps}}
\caption{The opening probability $P_o$ at different voltage clamp using $\Ba$
as charge carriers, $[\Ba]_o=100$mM \citep{sun2000mlc}}
\label{fig:LCC_Po}
\end{figure}
The probability of opening $P_o$, Fig.\ref{fig:LCC_Po} are estimated using
different methods:
\begin{enumerate}
\item with high $[\Ba]_o$, substituting for $\Ca$, as unitary $\Ca$ current
with $\Ca$ as charge carrier is small ($\sim 0.33$ (pA) at +20mV with 160mM
external $\Ca$ \citep{yue1990}) while using $\Ba$ yield 3-fold larger in unitary
current\citep{imredy1994mcs}. However, the problem of using $\Ba$ is that
$\Ca$-dependent inactivation is not observed.
\item assuming $P_o$ reaches 1.0 at positive potential
\item defining $P_o$ as the probability that the channel opens at
least once at a given potential (i.e. channel ``availability'')
\item the ratio of total open time over the total recording time
during a given voltage step, which indeed yields average $p_\avg$
during the entire duration of step, not the peak $P_o$. So, $P_o$ is
low for rapid inactivation.
\item to assess peak $P_o$, a more accurate formula is using ensemble
average current
\begin{equation}
\label{eq:1423}
P_o = \frac{I}{N.i_\ca}
\end{equation}
with $I$ is peak ensemble average current, $N_i$ is the number of
functional channel in the patch, and $i_\ca$ is unitary current
amplitude at the test potential~\citep{josephson2010pgp}
(Sect.~\ref{sec:josephson-et-al-1}).
\end{enumerate}
The mean open time at 0mV and +20mV is 0.65ms and 1.4ms, respectively by
\citep{fenwick1982}. Other experimental data show $P_o$ increase from nearly
zero at -30mV to 0.6 at +30 mV \citep{reuter1982}. See: \citep{sun2000mlc}.
\begin{framed}
Experimental results with two-pulse protocol shown that
positive prepulse (+10mV) not only fail to produce significant $\Ca$
entry, but also do not produce significant $\Ca$ release (from SR)
\citep{lee1985icc}. However, using very strong depolarization prepulse
(+110mV), there was an increased activity of LCCs, with an enhancement
in the number of long-duration (mode 2) \citep{josephson2002mgu} and
larger conductance than mode 1 \citep{josephson2002mcu}
(Sect.~\ref{sec:josephson-et-al}).
\end{framed}
L-type $\Ca$ channels open very briefly (0.2 ms) and extremely infrequently
($P_o=0.04$ at the time of maximal macroscopic current) \citep{mazzanti1990,
rose1992}. During this brief opening, the current is constant. Near the mouth of
the channels, $[\Ca]$ can rise quickly to levels of severals hundred of mM when
the channel opens, but falls quickly (less than 1ms) when the channels closes
\citep{bers1991}.
\subsection{Macroscopic current}
\label{sec:IcaL_macroscopic}
Using aequorin and Voltage-clamp (from -45mV holding potential to -15mV for
duration 500ms, frequency=every 2.5s), the net inward current was 100nA in
Purkinje fibre \citep{wier1982}. The macroscopic current get the highest value
at +10mV with peak current density 4.7 nA/nF \citep{rose1992}.
The relation between single channel current i($V_m$) can be related to
whole-cell macroscopic current $I^*(V_m)$ as follows
\begin{equation}
I^*(V_m)=P(V_m).N.i(V_m)
\end{equation}
with $P(V_m)$ is the probability of a channel opening near resting potential
(which is very small) and is an important factor in determining the average
current amplitude. $i(V_m)$ is single channel current, and $N$ is the total
number of channels in the cell. The sigmoidal relation between I and $V_m$ can
be described by the equation
\begin{equation}
P(V_m) = \frac{1}{1+ \exp\left((V_h-V_m)/k \right)}
\end{equation}
with $V_h=-12$ mV, $V_m$ is the normalized voltages ($V_\text{peak}+V_m$), and
$k=7$mV is the slope factor.
If we use the formula
\begin{equation}
P(V_m) = \frac{1}{1+ \exp\left((V_m-V_h)/k \right)}
\end{equation}
then the fitted parameters are $V_h=-33$mV, and $k=7$ mV \citep{mcdonald1986}.
\subsection{Tail currents}
\label{sec:tail_current-Ca2+-channel}
{\bf Tail current}: Tail current refers to the activation of DHPR under large
depolarization ($V_m>40$ mV) and then a sudden repolarization occur
(Sect.\ref{sec:tail-current}).
Models that discuss this effect are Sect.\ref{sec:LCC_Sun2000}.
\subsection{Unitary $I_\CaL$ current}
\label{sec:unit-i_cal-curr}
Using membrane patches of ventricular myocytes, efforts to measure single
channel current started on neonatal rat \citep{reuter1982}, adult guinea pig
\citep{cavalie1983, hess1984, trautwein1985}. In early 1990s, as $\Ca$ current
is small, other charges carriers were used to derive current through the
channel, e.g. $\Ba$ as charge carrier increase the single channel events to
3-fold \citep{yue1990}. So, in early days, where current via L-type $\Ca$
channels was measured using $\Ba$ or monovalent cation as charge carriers,
$\Ca$-sensitive inactivation was not able to be detected.
In chick dorsal root ganglion neurons, Weber et al. estimated values of 0.24 pA
(CaV1), 0.33 pA (CaV2) and 0.2 pA (CaV3), at a membrane potential of -65 mV and
an extracellular calcium conc entration of 2 mM, by direct single-channel
recording and extrapolating from measurements at more elevated calcium
concentrations. Such a small amplitude makes it extremely challenging to
resolve and e stimate accurately.
Single calcium channels are therefore studied almost exclusivel y in high
extracellular barium solutions (e.g. Fox et al., 1987 a ), since barium
($\Ba$) permeates CaV1 and CaV2 channels at higher rates than does
calcium (as $\Ba$ has no inactivation effect on the channel, but $\Ca$ also
creates inactivation on the calcium channel), giving much larger, detectable
channel current amplitudes close to 1.0 pA in size.
Unitary currents were measured when putting the channel in an artificial bilayer
under a control condition that often underestimate the level of multiple ions
present in the physiological solutions. So, the unitary $\Ca$ currents measured,
even though small ($\approx$0.33 pA at +20 mV with $[\Ca]_o$=160 mM
\citep{yue1990}), it's still larger than unitary RyR current ($\approx$ 0.1pA).
\citep{wang2001} measured single channel current $\approx 0.3$ pA, which
translates to a rate of $10^6$ (s$^{-1}$).
To generate large-enough single channel currents of resolvable amplitude,
20-110mM $\Ba$ was bathed in the membrane patches. To keep intracellular
divalent cation concentration at low leve, 10mM EGTA was added as buffer and
132mM $\Cs$ to minimize outward currents \citep{mcdonald1986}. To avoid the
effect of $\Na$ current, holding potential was use with -50mV, and 20$\muM$
tetrodotoxin was added.
Under different concentration of $\Ba$ or using either $\Ca$ or $\Ba$ as ions
in the solution, it may shift the I-V curve to the left/right,
Fig.\ref{fig:ICaL_McDonald1986}(A). The current peak is maximized at voltage
pulse +10mV, Fig.\ref{fig:ICaL_McDonald1986} (B). There was little difference in
time to peak compared between 3.6mM $\Ba$ and 3.6 mM $\Ca$ in solution,
Fig.\ref{fig:ICaL_McDonald1986} (C).
\begin{figure}[hbt]
\centerline{\includegraphics[height=5cm,
angle=0]{./images/ICaL_McDonald1986.eps}; \includegraphics[height=5cm,
angle=0]{./images/ICaL_time2peak_McDonald1986.eps}}
\caption{Using holding potential -50mV: (A) I-V curve at 3.6mM $\Ca$
($\circ$); 3.6mM $\Ba$ (black circle), and 90mM $\Ba$ (filled triangle). (B)
currents recorded during 300ms pulse using pulse at -15mV or +10mV bathed in
3 different solutions conditions as described previously. (C) time to peak}
\label{fig:ICaL_McDonald1986}
\end{figure}
The activity of ion channels can be measured at molecular level since
1994 using patch-clamp \citep{mcdonald1994}. As opening of a single
LCC channel can trigger the $\Ca$ spark
(Chap.~\ref{chap:sparkology-study-ca}), to help modeling, it's
important to have an accurate native, unitary current measured at
physiological condition, i.e. in the absence of LCC agonist and
physiological concentration of calcium ions $[\Ca]_o$.
Under physiological condition, the measured $I_\CaL$ is quite small (0.1-0.2 pA
with $[\Ca]_o =2$mM) \citep{church1996,guia1999,rubart1996,yue1990}. The
background noise is about 0.2-0.3 pA root-mean-square (RMS). So, it's hard to
distinguish the single channel current from noise. To increase signal-to-noise
ratio, there are 2 options:
\begin{enumerate}
\item some tried to use a large
concentration of $[\Ca]_o$~\citep{imredy1994mcs}. However, it could potentially
change the kinetics of the channel. A
solution is to use an alternate divalent ions, e.g. $\Ba$ (typically 70-110mM)
\citep{pietrobon1990,hirano1999} which yields higher unitary current by
increasing the amplitude; yet it raised the problem that the kinetics of the
channel, e.g. $\Ca$-dependent inactivation, is bypassed.
\item prolong the opening of the channel usings some agonists
(Sect.\ref{sec:DHPR_agonists}). A further complication is that the short unitary current ($\sim$ 1ms)
limits the amount of filtering that can be applied to remove the
background noise. To avoid this, a common strategy is to prolong the
opening of the channel using agonists like CGP28392, Bay K 8644, and
FPL64176 \citep{mcdonald1994,yue1990,imredy1994mcs, fan2000} to prolong the
duration of the channel opening. However, these agonist also change
$V_m$-dependent, amplitude and conductance of the channel as well,
e.g. in
heart \citep{kokubun1984,hess1986ccs,handrock1998,