דר' יעל יניב
The clocks that make our heart tick
Cells within the sinoatrial node, the heart’s pacemaker, generate
spontaneous action potentials (APs) that are conducted to the ventricle
and excite ventricular myocyte contraction.
For several decades, the prevailing viewpoint on the heart’s pacemaker
activity has related heart rate and rhythm only to the surface membrane,
suggesting that activity is driven only by voltage-and time-dependent ion
channels (membrane clock). My recent experimental studies, however,
have shown discovered that the pacemaker membrane clock is tightly
coupled to the intracellular dynamics on a beat-to-beat basis. Moreover,
the mitochondria dynamically buffer cytosolic affecting the sarcoplasmic
reticulum load. The change in sarcoplasmic reticulum load translates into
change in the AP firing rate.
In my talk, I will present bioenergetics and systems biology perspectives
of the new coupled-clock pacemaker paradigm.