Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice

Brugada syndrome (BrS) is associated with ventricular tachycardia originating particularly in the right ventricle (RV). We explore electrophysiological features predisposing to such arrhythmic tendency and their possible RV localization in a heterozygotic Scn5a+/− murine model. Nav1.5 mRNA and prote...

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Main Authors: Martin, Claire A., Siedlecka, Urszula, Kemmerich, Kristin, Lawrence, Jason, Cartledge, James, Guzadhur, Laila, Brice, Nicola, Grace, Andrew A., Schwiening, Christof, Terracciano, Cesare M., Huang, Christopher L.-H.
Format: Online
Language:English
Published: The Royal Society 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390792/
id pubmed-3390792
recordtype oai_dc
spelling pubmed-33907922012-07-06 Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice Martin, Claire A. Siedlecka, Urszula Kemmerich, Kristin Lawrence, Jason Cartledge, James Guzadhur, Laila Brice, Nicola Grace, Andrew A. Schwiening, Christof Terracciano, Cesare M. Huang, Christopher L.-H. Research Brugada syndrome (BrS) is associated with ventricular tachycardia originating particularly in the right ventricle (RV). We explore electrophysiological features predisposing to such arrhythmic tendency and their possible RV localization in a heterozygotic Scn5a+/− murine model. Nav1.5 mRNA and protein expression were lower in Scn5a+/− than wild-type (WT), with a further reduction in the RV compared with the left ventricle (LV). RVs showed higher expression levels of Kv4.2, Kv4.3 and KChIP2 in both Scn5a+/− and WT. Action potential upstroke velocity and maximum Na+ current (INa) density were correspondingly decreased in Scn5a+/−, with a further reduction in the RV. The voltage dependence of inactivation was shifted to more negative values in Scn5a+/−. These findings are predictive of a localized depolarization abnormality leading to slowed conduction. Persistent Na+ current (IpNa) density was decreased in a similar pattern to INa. RV transient outward current (Ito) density was greater than LV in both WT and Scn5a+/−, and had larger time constants of inactivation. These findings were also consistent with the observation that AP durations were smallest in the RV of Scn5a+/−, fulfilling predictions of an increased heterogeneity of repolarization as an additional possible electrophysiological mechanism for arrhythmogenesis in BrS. The Royal Society 2012-06 /pmc/articles/PMC3390792/ /pubmed/22773948 http://dx.doi.org/10.1098/rsob.120072 Text en http://creativecommons.org/licenses/by/3.0/ © 2012 The Authors. Published by the Royal Society under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0/, which permits unrestricted use, provided the original author and source are credited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Martin, Claire A.
Siedlecka, Urszula
Kemmerich, Kristin
Lawrence, Jason
Cartledge, James
Guzadhur, Laila
Brice, Nicola
Grace, Andrew A.
Schwiening, Christof
Terracciano, Cesare M.
Huang, Christopher L.-H.
spellingShingle Martin, Claire A.
Siedlecka, Urszula
Kemmerich, Kristin
Lawrence, Jason
Cartledge, James
Guzadhur, Laila
Brice, Nicola
Grace, Andrew A.
Schwiening, Christof
Terracciano, Cesare M.
Huang, Christopher L.-H.
Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice
author_facet Martin, Claire A.
Siedlecka, Urszula
Kemmerich, Kristin
Lawrence, Jason
Cartledge, James
Guzadhur, Laila
Brice, Nicola
Grace, Andrew A.
Schwiening, Christof
Terracciano, Cesare M.
Huang, Christopher L.-H.
author_sort Martin, Claire A.
title Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice
title_short Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice
title_full Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice
title_fullStr Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice
title_full_unstemmed Reduced Na+ and higher K+ channel expression and function contribute to right ventricular origin of arrhythmias in Scn5a+/− mice
title_sort reduced na+ and higher k+ channel expression and function contribute to right ventricular origin of arrhythmias in scn5a+/− mice
description Brugada syndrome (BrS) is associated with ventricular tachycardia originating particularly in the right ventricle (RV). We explore electrophysiological features predisposing to such arrhythmic tendency and their possible RV localization in a heterozygotic Scn5a+/− murine model. Nav1.5 mRNA and protein expression were lower in Scn5a+/− than wild-type (WT), with a further reduction in the RV compared with the left ventricle (LV). RVs showed higher expression levels of Kv4.2, Kv4.3 and KChIP2 in both Scn5a+/− and WT. Action potential upstroke velocity and maximum Na+ current (INa) density were correspondingly decreased in Scn5a+/−, with a further reduction in the RV. The voltage dependence of inactivation was shifted to more negative values in Scn5a+/−. These findings are predictive of a localized depolarization abnormality leading to slowed conduction. Persistent Na+ current (IpNa) density was decreased in a similar pattern to INa. RV transient outward current (Ito) density was greater than LV in both WT and Scn5a+/−, and had larger time constants of inactivation. These findings were also consistent with the observation that AP durations were smallest in the RV of Scn5a+/−, fulfilling predictions of an increased heterogeneity of repolarization as an additional possible electrophysiological mechanism for arrhythmogenesis in BrS.
publisher The Royal Society
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3390792/
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