Beat-locked ATP microdomains in the sinoatrial node map a Ca(2+)-timed energetic hierarchy and regional pacemaker roles.

Pacemaker myocytes of the sinoatrial (SA) node initiate each heartbeat through coupled voltage and Ca(2+) oscillators, but whether ATP supply is regulated on a beat-by-beat schedule in these cells has been unclear. Using genetically encoded sensors targeted to the cytosol and mitochondria, we tracked beat-resolved ATP dynamics in intact mouse SA node and isolated myocytes. Cytosolic ATP rose transiently with each Ca(2+) transient and segregated into high- and low-gain phenotypes defined by the Ca(2+)-ATP coupling slope. Mitochondrial ATP flux adopted two stereotyped waveforms-Mode-1 "gains" and Mode-2 "dips." Within Mode-1 cells, ATP gains mirrored the cytosolic high/low-gain dichotomy; Mode-2 dips scaled linearly with Ca(2+) load and predominated in slower-firing cells. In the intact node, high-gain/Mode-1 phenotypes localized to superior regions and low-gain/Mode-2 to inferior regions, paralleling gradients in rate, mitochondrial volume, and capillary density. Pharmacology placed the Ca(2+) clock upstream of ATP production: the HCN channel blocker ivabradine slowed the ATP cycle without changing amplitude, whereas the SERCA pump inhibitor thapsigargin or the mitochondrial uncoupler FCCP abolished transients. Mode-2 recovery kinetics indicate slower ATP replenishment that would favor low-frequency, fluctuation-rich firing in a subset of cells. Together, these findings reveal beat-locked metabolic microdomains in which the Ca(2+) clock times oxidative phosphorylation under a local O(2) ceiling, unifying vascular architecture, mitochondrial organization, and Ca(2+) signaling to coordinate energy supply with excitability. This energetic hierarchy helps explain why some SA node myocytes are more likely to set rate whereas others may widen bandwidth.