This study was performed to determine whether long-chain acylcarnitines, specifically
palmitoylcarnitine, could account for the increase in intracellular Na+ ([Na+]i) during
ischemia eliciting a secondary increase in intracellular Ca2+ ([Ca2+]i). Accordingly, whole cell voltage-clamp procedures and Na(+)-sensitive
electrode recordings were employed simultaneously in isolated adult rabbit ventricular myocytes to assess the relationship between activation of a slow-inactivating Na+ current [INa(s)] and a potential increase in [Na+]i. The [Na+]i increased progressively from 8.4 +/- 1.2 to 22.5 +/- 1.8 mM (n = 8, P < 0.01) on exposure to
palmitoylcarnitine (10 microM) accompanied by the activation of INa(s); both effects were reversible. Inhibition of INa(s) by
tetrodotoxin (TTX, 10 microM) inhibited the increase in [Na+]i. Increasing [Na+]i to 20 mM without
ethylene glycol-bis(beta-aminoethyl
ether)-N,N,N',N'-tetraacetic
acid (
EGTA) to mimic effects measured with
palmitoylcarnitine consistently elicited the transient inward current (Iti) and delayed afterdepolarizations (DADs). The percent inhibition (12.9 +/- 2.8%) of the Na(+)-K(+)-
adenosinetriphosphatase pump activity by
palmitoylcarnitine (10 microM) was much smaller than that induced by
ouabain (10 microM, 90.5 +/- 2.5%), suggesting that this modest effect of
palmitoylcarnitine on the pump is unlikely to account for the increase in [Na+]i induced by
palmitoylcarnitine. Thus
palmitoylcarnitine induces the INa(s) leading to an increase in [Na+]i, which elicits an increase in [Ca2+]i probably via the Na+/Ca2+ exchanger, thereby leading to the development of Iti and DADs.