M04.04.021 Resting membrane potential – Non-nodal cells

Learning Objective

Explain why the resting membrane potential (RMP) of ventricular, atrial, and Purkinje cells is close to the potassium equilibrium potential, and describe the roles of ungated K⁺ channels and inward-rectifier K⁺ channels (IK₁) in stabilizing the RMP.


Ventricular, atrial, and Purkinje myocytes all share a common electrical characteristic: very high potassium conductance at rest. Because potassium permeability dominates, the resting membrane potential (~ –85 to –90 mV) lies close to the K⁺ equilibrium potential (~ –95 mV).

This high resting K⁺ conductance comes from two major channel types:

  • Ungated (Leak) K⁺ Channels
  • Inward-Rectifying K⁺ Channels (IK₁)

Together, they stabilize the RMP and prevent spontaneous depolarization, distinguishing non-nodal cells from pacemaker tissues.


Ungated Potassium Channels (“Leak channels”)

  • Always open at rest
  • Permit continuous K⁺ efflux because the intracellular K⁺ concentration is high
  • Continue to carry current unless membrane potential becomes equal to Eₖ (~ –95 mV)
  • Their constant outward K⁺ leak is a major determinant of the negative RMP

Key Point: Leak K⁺ channels maintain a steady outward potassium movement that pulls the membrane potential toward Eₖ.


Activity


Inward-Rectifying Potassium Channels (IK₁)

IK₁ channels behave differently from typical voltage-gated channels:

  • Open at rest → large K⁺ conductance stabilizes RMP
  • Close with depolarization
    • This closure reduces K⁺ efflux during phase 0 and phase 2 of the action potential
  • Reopen during late repolarization
    • Help return the membrane potential to Eₖ
    • Contribute strongly to phase 3 repolarization

Concept: IK₁ channels “rectify” by allowing more K⁺ flow at negative potentials (rest) and less flow at positive potentials (depolarization).


Activity


Functional Significance

  • Prevents spontaneous depolarization → non-nodal cells do not exhibit automaticity
  • Keeps RMP stable and negative
  • Helps shape the plateau and repolarization phases of the ventricular AP
  • Ensures electrical stability and coordinated contraction

Activity


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