Published paper: Where energy compartments shape communication in heart cells

paper

The location of energetic compartments affects energetic communication in cardiomyocytes

Rikke Birkedal, Martin Laasmaa, Marko Vendelin

Front Physiol, 2014; 5: 376.

Significance

Heart cells must continuously match energy production to the changing demands of every beat. This paper explains how the cell's internal layout may help achieve that control. It proposes that close contacts between mitochondria, which produce energy, and the sarcoplasmic reticulum, which handles calcium signals, form compartments that guide energy-related molecules and calcium where they are needed. This arrangement could coordinate mitochondrial energy supply with contraction while protecting cells from harmful calcium overload. Understanding these local energy pathways helps explain why disrupting the creatine kinase energy-transfer system often has only modest effects in resting hearts.

Abstract

The heart relies on accurate regulation of mitochondrial energy supply to match energy demand. The main regulators are Ca(2+) and feedback of ADP and Pi. Regulation via feedback has intrigued for decades. First, the heart exhibits a remarkable metabolic stability. Second, diffusion of ADP and other molecules is restricted specifically in heart and red muscle, where a fast feedback is needed the most. To explain the regulation by feedback, compartmentalization must be taken into account. Experiments and theoretical approaches suggest that cardiomyocyte energetic compartmentalization is elaborate with barriers obstructing diffusion in the cytosol and at the level of the mitochondrial outer membrane (MOM). A recent study suggests the barriers are organized in a lattice with dimensions in agreement with those of intracellular structures. Here, we discuss the possible location of these barriers. The more plausible scenario includes a barrier at the level of MOM. Much research has focused on how the permeability of MOM itself is regulated, and the importance of the creatine kinase system to facilitate energetic communication. We hypothesize that at least part of the diffusion restriction at the MOM level is not by MOM itself, but due to the close physical association between the sarcoplasmic reticulum (SR) and mitochondria. This will explain why animals with a disabled creatine kinase system exhibit rather mild phenotype modifications. Mitochondria are hubs of energetics, but also ROS production and signaling. The close association between SR and mitochondria may form a diffusion barrier to ADP added outside a permeabilized cardiomyocyte. But in vivo, it is the structural basis for the mitochondrial-SR coupling that is crucial for the regulation of mitochondrial Ca(2+)-transients to regulate energetics, and for avoiding Ca(2+)-overload and irreversible opening of the mitochondrial permeability transition pore.

Keywords: ADP; calcium; cardiomyocytes; creatine kinase; energetic compartments; mitochondria; oxidative phosphorylation; regulation.