A simulation study on the role of mitochondria‐sarcoplasmic reticulum Ca2+ interaction in cardiomyocyte energetics during exercise.

Key points Previous studies demonstrated that the mitochondrial Ca2+ uniporter MCU and the Na+‐Ca2+ exchanger NCLX exist in proximity to the sarcoplasmic reticulum (SR) ryanodine receptor RyR and the Ca2+ pump SERCA, respectively, creating a mitochondria‐SR Ca2+ interaction. However, the physiological relevance of the mitochondria‐SR Ca2+ interaction has remained unsolved. Furthermore, although mitochondrial Ca2+ has been proposed to be an important factor regulating mitochondrial energy metabolism, by activating NADH‐producing dehydrogenases, the contribution of the Ca2+‐dependent regulatory mechanisms to cellular functions under physiological conditions has been controversial. In this study, we constructed a new integrated model of human ventricular myocyte with excitation‐contraction‐energetics coupling and investigated systematically the contribution of mitochondria‐SR Ca2+ interaction, especially focusing on cardiac energetics during dynamic workload transitions in exercise. Simulation analyses revealed that the spatial coupling of mitochondria and SR, particularly via mitochondrial Ca2+ uniport activity‐RyR, was the primary determinant of mitochondrial Ca2+ concentration, and that the Ca2+‐dependent regulatory mechanism facilitated mitochondrial NADH recovery during exercise and contributed to the stability of NADH in the workload transition by about 40%, while oxygen consumption rate and cytoplasmic ATP level were not influenced. We concluded that the mitochondria‐SR Ca2+ interaction, created via the uneven distribution of Ca2+ handling proteins, optimizes the contribution of the mitochondrial Ca2+‐dependent regulatory mechanism to stabilizing NADH during exercise. The mitochondrial Ca2+ uniporter protein MCU and the Na+‐Ca2+ exchanger protein NCLX are reported to exist in proximity to the sarcoplasmic reticulum (SR) ryanodine receptor RyR and the Ca2+ pump SERCA, respectively, creating a mitochondria‐SR Ca2+ interaction in cardiomyocytes. Mitochondrial Ca2+ (Ca2+mit) has been proposed to be an important factor regulating mitochondrial energy metabolism, by activating NADH‐producing dehydrogenases. Here we constructed an integrated model of a human ventricular myocyte with excitation‐contraction‐energetics coupling and investigated the role of the mitochondria‐SR Ca2+ interaction in cardiac energetics during exercise. Simulation analyses revealed that the spatial coupling particularly via mitochondrial Ca2+ uniport activity‐RyR is the primary determinant of Ca2+mit concentration, and that the activation of NADH‐producing dehydrogenases by Ca2+mit contributes to NADH stability during exercise. The mitochondria‐SR Ca2+ interaction optimizes the contribution of Ca2+mit to the activation of NADH‐producing dehydrogenases. [ABSTRACT FROM AUTHOR]