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    Characterization of the slowly inactivating sodium current INa2 in canine cardiac single Purkinje cells

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    The aim of our experiments was to investigate by means of a whole cell patch-clamp technique the characteristics of the slowly inactivating sodium current (INa2) found in the plateau range in canine cardiac Purkinje single cells. The INa2 was separated from the fast-activating and -inactivating INa (labelledhere INa1)by applying a two-step protocol.Thefirst step, froma holding potential (Vh) of −90 or −80 mV to −50 mV, led to the quick activation and inactivation of INa1. The second step consisted of depolarizations of increasing amplitude from−50 mV to less negative values, which led to the quick activation and slow inactivation of INa2. The INa2 was fittedwith a double exponential functionwith time constants of tens and hundreds milliseconds, respectively. After the activation and inactivation of INa1 at−50 mV, the slope conductance was very small and did not change with time. Instead, during INa2, the slope conductance was larger and decreased as a function of time. Progressively longer conditioning steps at−50 mVresulted in a progressive decrease in amplitude of INa2 during the subsequent test steps. Gradually longer hyperpolarizing steps (increments of 100 ms up to 600 ms) from Vh −30 mV to −100 mV were followed on return to −30 mV by a progressively larger INa2, as were gradually more negative 500 ms steps from Vh −30 mV to−90 mV. At the end of a ramp to−20 mV, a sudden repolarization to approximately−35 mV fully deactivated INa2. The INa2 was markedly reduced by lignocaine (lidocaine) and by low extracellular [Na+], but it was little affected by low and high extracellular [Ca2+]. At negative potentials, the results indicate that there was little overlap between INa2 and the transient outward current, Ito, as well as the calcium current, ICa. In the absence of Ito and ICa (blocked by means of 4-aminopyridine and nickel, respectively), INa2 reversed at 60mV. In conclusion, INa2 is a sodium current that can be initiated after the inactivation of INa1 and has characteristics that are quite distinct from those of INa1. The results have a bearing on the mechanisms underlying the long plateau of Purkinje cell action potential and its modifications in different physiological and pathological conditions

    A slowly inactivating sodium current (INa2) in the plateau range in canine cardiac purkinje single cells.

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    The action potential of Purkinje fibres is markedly shortened by tetrodotoxin, suggesting the possibility that a slowly inactivating sodium current might flow during the plateau. The aim of the present experiments was to investigate, in canine cardiac Purkinje single cells by means of a whole cell patch clamp technique, whether a sodium current slowly inactivates at less negative potentials and (if so) some of its distinctive characteristics. The results showed that a 500 ms depolarizing step from a holding potential of −90 mV to −50 mV induced the fast inward current INa (labelled here INa1).With steps to−40 mV or less negative values, a slowly decaying component (tentatively labelled here INa2) appeared, which peaked at −30 to −20 mV and decayed slowly and incompletely during the 500 ms steps. The INa2 was present also during steps to −10 mV, but then the transient outward current (Ito) appeared.When the holding potential (Vh) was decreased to−60 to−50 mV, INa2 disappeared even if a small INa1 might still be present. Tetrodotoxin (30 μM), lignocaine (100 μM) and cadmium (0.2mM; but not manganese, 1mM) blocked INa2. During fast depolarizing ramps, the rapid inactivation of INa1 was followed by a negative slope region. During repolarizing ramps, a region of positive slope was present,whereas INa1 was absent. At less negative values of Vh, the amplitude of the negative and positive slopes became gradually smaller.Gradually faster ramps increased the magnitude of the negative slope, and tetrodotoxin (30 μM) reduced or abolished it. Thus, Purkinje cells have a slowly decaying inward current owing to Na+ entry (INa2) that is different in several ways from the fast INa1 and that appears important for the duration of the plateau
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