Figure 12.

Schematic summary of acidosis effects on ICa,L. Extracellular acidosis decreases peak ICa,L by directly blocking the channel pore and by shifting current activation toward less negative potentials. It also reduces late Ca2+ entry during an AP. In contrast, intracellular acidosis stimulates peak ICa,L by shifting activation toward more negative potentials. This stimulatory effect is blunted by the H+-induced rise of diastolic Ca2+, which promotes channel inactivation. Intracellular acidosis also enhances late Ca2+ entry during an AP. A mixed response of ICa,L occurs when pHi and pHo changes are imposed simultaneously.

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