Using45 Ca, indol, and quin2, calcium uptake was measured in isolated quiescent adult rat heart cells under different metabolic conditions. Exposure of cells in a medium containing 1 mM CaCl 2 to rotenone and uncoupler resulted in adenosine triphosphate (ATP) depletion from 17.08 ± 2.26 to 0.63 ±0.11 nmol/mg within 8 minutes, and the cells went into contracture. In this time, the cells lost 1.65 ± 0.1 nmol Ca/mg of total rapidly exchangeable cellular calcium, and the level of free cytosolic calcium as measured by indol rose from 47.4 ± 16.3 nM to 79.8 ± 27.6 nM. The subsequent rate of rise of intracellular free calcium concentration was just 4 nM/min for at least 40 minutes. Therefore, we investigated the effect of ATP depletion on the rate of calcium entry. In cells loaded with sodium by ouabain treatment without calcium, the initial rate of calcium influx on calcium addition was inhibited by 82-84% when cellular ATP was depleted, as measured by 45 Ca or indol. Quin2 also showed a strong inhibition of calcium influx by ATP depletion, but itself also caused a strong inhibition of calcium influx. The rate of calcium influx declined even further in ATP-depleted cells after the initial influx: Between 1 and 12 minutes after calcium addition, the residual
4SCa uptake rate of the first minute was inhibited by an additional 90%. We conclude that ATP depletion per se does not quickly elevate cytoplasmic free calcium and that such an elevation is prevented by a very strong inhibition of the rate of calcium entry. (Circulation Research 1987;60:586-594) C ellular calcium overload is thought to be a contributing and perhaps decisive factor in heart cell necrosis under a variety of pathologic conditions including hypoxia, ischemia, catecholamine-induced damage, and cardiomyopathy.1 " 3 Therefore, it is desirable to understand how calcium fluxes across the sarcolemma are controlled, and especially how changes in cellular high-energy phosphates affect these fluxes since in many of the above pathologic conditions cellular high-energy phosphates are depleted. Data on this question at present appear to conflict. ATP depletion had no effect on the initial rate of cellular calcium uptake. These results suggest that intracellular calcium levels could rise on ATP depletion, perhaps as a result of an inhibition of energy-dependent calcium efflux or sequestration. On the other hand, rabbit ventricular tissue exposed to hypoxia showed an inhibited rate of 47 Ca influx at the time when hypoxic contracture was induced.9 With aequorin, little or no increase in the level of intracellular free calcium has been found in whole tissue 10 and single cells" when contracture was induced by anoxia or metabolic inhibitors. Anoxic contracture is paralleled by an ATP loss in whole tissue 12 and in isolated adult heart cells' 3 consistent with contracture being caused by a calcium-independent process that is activated by extremely low levels (<100 (xM) of ATP. Thus, these results suggest that very low levels of calcium can be maintained in the face of...