Part 7 Β· Chapter 7.3

Calcium Pumps

After a Ca2+ transient, cytosolic Ca2+ must be cleared back to resting 100 nM. Three systems act in parallel: SERCA (SR/ER reuptake), PMCA (plasma-membrane extrusion), and NCX (Na/Ca exchange). MCU (mitochondrial Ca uniporter) buffers on a slower timescale. The mix differs across cell types.

1. SERCA

Sarco/Endoplasmic Reticulum Ca2+-ATPase: P-type ATPase pumping 2 Ca2+/ATP into the ER/SR against a ~1000Γ— gradient. Isoforms SERCA1 (skeletal), SERCA2a (cardiac/slow-skel), SERCA2b (ubiquitous), SERCA3. Inhibited by thapsigargin (research) and SERCA2a downregulation is central to heart failure. Phospholamban (PLN) inhibits SERCA2a; PKA phosphorylation of PLN relieves the inhibition, accelerating Ca2+ uptake during Ξ²-adrenergic stimulation.

2. PMCA

Plasma-Membrane Ca2+-ATPase: P-type ATPase pumping 1 Ca2+/ ATP out to extracellular space. Four isoforms (PMCA1-4), most ubiquitously expressed. Low capacity, high affinity β€” responsible for fine tuning resting [Ca2+]. Ca2+/CaM activates PMCA auto-regulatorily. Contributes modestly to clearance after large transients but critical for steady-state balance.

3. NCX

Na/Ca exchanger: 3 Na+ in / 1 Ca2+ out, driven by Na+gradient. Electrogenic (net +1 inward current). Reversal potential:

\[ V_{rev} \;=\; 3 E_{Na} - 2 E_{Ca} \]

At rest NCX extrudes Ca2+; during depolarisation or elevated [Na+] (e.g., digoxin-induced Na/K ATPase block), NCX runs reverse and brings Ca2+in. High capacity, low affinity; dominant Ca2+ extruder in cardiomyocytes (25% of cardiac clearance).

Simulation: Pump Kinetics & Tissue Contributions

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4. Mitochondrial Uniporter (MCU)

Inner-mitochondrial-membrane Ca2+ channel (MCU complex, De Stefani 2011). Driven by mitochondrial membrane potential (~180 mV). Activated only above ~1 Β΅M cytosolic Ca2+, so buffers large transients. Matrix Ca2+ activates TCA dehydrogenases, matching ATP supply to metabolic demand. MCU overload contributes to ischaemia-reperfusion cell death through the mitochondrial permeability transition pore (mPTP).

Key References

β€’ MacLennan, D. H. & Kranias, E. G. (2003). β€œPhospholamban: a crucial regulator of cardiac contractility.” Nat. Rev. Mol. Cell Biol., 4, 566–577.

β€’ Blaustein, M. P. & Lederer, W. J. (1999). β€œSodium/calcium exchange: its physiological implications.” Physiol. Rev., 79, 763–854.

β€’ De Stefani, D. et al. (2011). β€œA forty-kilodalton protein of the inner membrane is the mitochondrial calcium uniporter.” Nature, 476, 336–340.

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