Interaction of the Na+‐K+ pump and Na+‐Ca2+ exchange via [Na+]i in a restricted space of guinea‐pig ventricular cells

Abstract
The whole‐cell Na+‐K+ pump current (INa‐K) and Na+‐Ca2+ exchange current (INa‐Ca) were recorded in guinea‐pig ventricular myocytes to study the interaction between the two Na+ transport mechanisms. I Na‐K was isolated as an external K+‐induced current, and INa‐Ca as an external Ca2+‐ induced or Ni2+‐sensitive current. The experimental protocol used for one ion carrier did not affect the other. The amplitude of INa‐K decreased to 54 ± 17 % of the initial peak during continuous application of K+ with 20 mM Na+ in the pipette. The outward INa‐Ca, which was intermittently activated by brief applications of Ca2+, decreased during activation of INa‐K, and recovered after cessation of INa‐K activation. These findings revealed a dynamic interaction between INa‐K and INa‐Ca via a depletion of Na+ under the sarcolemma. To estimate changes in Na+ concentration ([Na+]i) under the sarcolemma, the reversal potential (Vrev) of INa‐Ca was measured. Unexpectedly, Vrev hardly changed during activation of INa‐K. However, when INa‐Ca was blocked by Ni2+ at the same time that INa‐K was activated, Vrev changed markedly, maximally by +100 mV, immediately after the removal of Ni2+ and K+. Subsarcolemmal [Na+]i was calculated from the Vrev of INa‐Ca on the assumption that the subsarcolemmal Ca2+ concentration ([Ca2+]i) was fixed with EGTA, and mean [Na+]i was calculated from both the time integral of INa‐K and the cell volume. The subsarcolemmal [Na+]i was about seven times greater than the mean [Na+]i. The interaction between the Na+‐K+ pump and Na+‐Ca2+ exchange was well simulated by a diffusion model, in which Na+ diffusion was restricted to one‐seventh (14 %) of the total cell volume.