T-Type and Tetrodotoxin-Sensitive Ca 2+ Currents Coexist in Guinea Pig Ventricular Myocytes and Are Both Blocked by Mibefradil

Abstract
—Under Na+-free conditions, low-voltage–activated Ca2+ currents in cardiomyocytes from various species have been described either as Ni2+-sensitive T-type Ca2+ current (ICa(T)) or as tetrodotoxin (TTX)-sensitive Ca2+ current (ICa(TTX)). So far, coexistence of the 2 currents within the same type of myocyte has never been reported. We describe experimental conditions under which ICa(T) and ICa(TTX) can be separated and studied in the same cell. Rat and guinea pig ventricular myocytes were investigated with the whole-cell voltage-clamp technique in Na+-free solutions. Whereas rat myocytes lack ICa(T) and exhibit ICa(TTX) only, guinea pig myocytes possess both of these low-voltage–activated Ca2+ currents, which are separated pharmacologically by superfusion with TTX or Ni2+. ICa(T) and ICa(TTX) were of similar amplitude but significantly differed in their electrophysiological properties: ICa(TTX) activated at more negative potentials than did ICa(T), the potential for half-maximum steady-state inactivation was more negative, and current deactivation and recovery from inactivation were faster. ICa(TTX) but not ICa(T) increased after membrane rupture (“run-up”). Isolation of ICa(TTX) by application of the bivalent cation Ni2+ is critical because of possible shifts in voltage dependence. Therefore, we investigated whether the T-type Ca2+ channel blocker mibefradil (10 μmol/L) is a suitable tool for the study of ICa(TTX). However, mibefradil not only blocked ICa(T) by 85±2% but also decreased ICa(TTX) by 48±8%. We conclude that under Na+-free conditions ICa(T) and ICa(TTX) coexist in guinea pig ventricular myocytes and that both currents are sensitive to mibefradil. Future investigations of ICa(T) will have to consider the TTX-sensitive current component to avoid possible interference.