The contribution of Na and K ions to the pacemaker current in sheep cardiac Purkinje fibres

Abstract
The ionic components of the pacemaker current are quantitatively analysed in sheep cardiac Purkinje fibres by simultaneous measurements of the intracellular Na activity (a Na i ) and the membrane current under voltage clamp. The pacemaker current is operationally defined as the Cs inhibited membrane current (I Cs) in Ba containing media at clamp potentials negative to −60 mV. At these potentials solutions containing CsCl (0.2–5 mM) shift the holding membrane current into the outward direction and simultaneously decreasea Na i . The Cs effects on membrane current anda Na i display a similar voltage dependence. A Cs inhibited Na influx contributes toI Cs. The ratioI Cs/(Cs inhibited Na influx in electrical units) is 1 at potentials negative toE K. The ratio is close to 1 atE K suggesting Na ions to be the only carriers of the current atE K whereas K ions contribute toI Cs at potentials different fromE K. The effects of Cs on the Cs inhibited Na influx andI Cs show a very similar dose dependence. The effect is half maximum at ∼0.2 mM CsCl (in 21.6 mM K; clamp potential: −85 mV). An increase of the external K concentration augmentsI Cs and the Cs inhibited Ca influx. Na and K ions carryingI Cs probably cross the membrane via an identical channel. The permeability of the channel for K+ is about 10–20 times larger than for Na+. TheI Cs reversal potential of a fibre bathed in a medium containing 5.4 mM K is estimated to be −50 to −60 mV.