Part 4 · Chapter 4.4
Excitation-Contraction Coupling
Excitation-contraction coupling (EC coupling) is the mechanism by which membrane depolarisation is transduced into mechanical contraction. Skeletal, cardiac, and smooth muscle each use a different mechanism. Skeletal is mechanical coupling; cardiac is Ca-induced Ca release (CICR, Fabiato 1985); smooth is pharmacomechanical and Ca-sensitising.
1. Skeletal EC Coupling
Action potentials propagate down the t-tubule membrane. Voltage sensor DHPR (L-type Cav1.1) in the t-tubule is mechanically linked to RyR1 in the apposed SR membrane. DHPR voltage-induced conformational change directly opens RyR1 — no Ca2+ trigger needed. SR Ca2+ pours into cytosol, rising from ~100 nM to ~10 µM in <10 ms. Ca2+ binds troponin C, displaces tropomyosin, exposes actin-binding sites on myosin heads, cross-bridges cycle.
2. Cardiac EC Coupling — CICR
In cardiomyocytes, L-type Ca2+ (Cav1.2) in the t-tubule admits a small Ca2+ flux. This trigger Ca2+ encounters RyR2 in the junctional SR across a ~12 nm dyadic cleft. Each RyR2 is highly Ca2+-sensitive (open probability rises sharply above ~1 µM). A single Ca2+ spark opens ~10 RyR2s; summation of sparks across thousands of dyads gives the whole-cell Ca2+ transient. The process is graded — stronger Cav1.2 influx recruits more RyR2 clusters (Bers 2002).
\[ \text{I}_{Ca} \to \text{Ca}^{2+}_{\text{dyad}} \to \text{RyR2 open} \to \text{Ca}^{2+}\text{ spark} \to \Sigma\text{ sparks} = \text{transient} \]
Simulation: Skeletal vs Cardiac EC Coupling
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3. Smooth-Muscle EC Coupling
Smooth muscle uses multiple Ca2+ sources: L-type Cav1.2 on plasma membrane (voltage-dependent), IP3R on SR (receptor-operated from Gq), and store-operated Ca2+ entry (SOCE) via STIM-Orai. No troponin; regulation is via MLCK phosphorylation of myosin (M4.3). Pharmacomechanical coupling — force changes without membrane voltage change — is routine and characteristic.
4. Pathologies of EC Coupling
Malignant hyperthermia: gain-of-function RYR1 mutation, anaesthetic halothane triggers massive Ca2+ release, fatal hyperthermia + rhabdomyolysis. Catecholaminergic polymorphic ventricular tachycardia (CPVT): RYR2 gain-of-function causes Ca2+ leak in diastole, afterdepolarisations, arrhythmias. Heart failure: downregulation of SERCA2a prolongs Ca2+ transient decay, impairs contraction–relaxation coupling.
Key References
• Fabiato, A. (1985). “Time and calcium dependence of activation and inactivation of calcium-induced release of calcium from the sarcoplasmic reticulum.” J. Gen. Physiol., 85, 247–289.
• Bers, D. M. (2002). “Cardiac excitation-contraction coupling.” Nature, 415, 198–205.
• Cheng, H. & Lederer, W. J. (2008). “Calcium sparks.” Physiol. Rev., 88, 1491–1545.