T ransverse-tubules (t-ts) are invaginations of the plasma membrane, which in cardiac muscle facilitate transmission of the action potential from the exterior to interior of the cell. Dyads or couplons are formed along regions of the t-ts by the close apposition of the junctional portion of the sarcoplasmic reticulum (jSR). It is within the compartment formed by these 2 structures, the dyadic cleft, that the contractile function in the heart is regulated by the interplay between the L-type voltage-gated Ca 2+ channel (LTCC) localized to the t-ts and the ryanodine receptor (RyR2) anchored in the jSR.1 Critical to this regulation is the arrangement of the jSR and t-t membranes, which are held in a precise geometric organization 2 separated by a gap of 12 to 15 nm. Changes to the microanatomy between the 2 membranes, and hence the spatial relationship between the LTCCs and RyR2s, are associated with Ca 2+ handling abnormalities and impaired contractile function, 3 although the effect on systolic Ca 2+ remains equivocal. 4 Our current understanding of the 3-dimensional (3D) organization of t-ts is mainly derived from studies using confocal microscopy. [5][6][7] Elegant experiments have revealed that the t-ts form regular arrays with a periodicity that correlates to the position of the Z-lines. 8 The dimensions and branching patterns are varied and species-dependent. For example, rat myocytes are shown to have a more geometrically complex arrangement compared with the human t-t system, which has a radial distribution within the cell, akin to the spokes of a wheel. 9 Recently, the development of stimulated emission depletion microscopy has pushed the resolution frontier to ≈60 nm in the focal plane, providing ultrastructural details of the t-t system in control and failing rat hearts showing Rationale: The organization of the transverse-tubular (t-t) system and relationship to the sarcoplasmic reticulum (SR) underpins cardiac excitation-contraction coupling. The architecture of the SR, and relationship with the t-ts, is not well characterized at the whole-cell level. Furthermore, little is known regarding changes to SR ultrastructure in heart failure.Objective: The aim of this study was to unravel interspecies differences and commonalities between the relationship of SR and t-t networks within cardiac myocytes, as well as the modifications that occur in heart failure, using a novel high-resolution 3-dimensional (3D) imaging technique.
Methods and Results:Using serial block face imaging coupled with scanning electron microscopy and image analysis, we have generated 3D reconstructions of whole cardiomyocytes from sheep and rat left ventricle, revealing that the SR forms a continuous network linking t-ts throughout the cell in both species. In sheep, but not rat, the SR has an intimate relationship with the sarcolemma forming junctional domains. 3D reconstructions also reveal details of the sheep t-t system. Using a model of tachypacing-induced heart failure, we show that there are populations of swollen and collap...