Optical Mapping of Intra-Sarcoplasmic Reticulum Ca2+ and Transmembrane Potential in the Langendorff-perfused Rabbit Heart

Sarcoplasmic reticulum (SR) Ca²⁺ handling plays a key role in normal excitation-contraction coupling and aberrant SR Ca²⁺ handling is known to play a significant role in certain types of arrhythmia. Because arrhythmias are spatially distinct, emergent phenomena, they must be investigated at the tissue level. However, methods for directly probing SR Ca²⁺ in the intact heart remain limited. This article describes the protocol for dual optical mapping of transmembrane potential (V_m) and free intra-SR [Ca²⁺] ([Ca²⁺]_SR) in the Langendorff-perfused rabbit heart. This approach takes advantage of the low-affinity Ca²⁺ indicator Fluo-5N, which has minimal fluorescence in the cytosol where intracellular [Ca²⁺] ([Ca²⁺]_i) is relatively low but exhibits significant fluorescence in the SR lumen where [Ca²⁺]_SR is in the millimolar range. In addition to revealing SR Ca²⁺ characteristics spatially across the epicardial surface of the heart, this approach has the distinct advantage of simultaneous monitoring of V_m, allowing for investigations into the bidirectional relationship between V_m and SR Ca²⁺ and the role of SR Ca²⁺ in arrhythmogenic phenomena.