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Erschienen in: Basic Research in Cardiology 1/2016

01.01.2016 | Original Contribution

Persistent increases in Ca2+ influx through Cav1.2 shortens action potential and causes Ca2+ overload-induced afterdepolarizations and arrhythmias

verfasst von: Xiaoying Zhang, Xiaojie Ai, Hiroyuki Nakayama, Biyi Chen, David M. Harris, Mingxin Tang, Yuping Xie, Christopher Szeto, Yingxin Li, Ying Li, Hongyu Zhang, Andrea D. Eckhart, Walter J. Koch, Jeffery D. Molkentin, Xiongwen Chen

Erschienen in: Basic Research in Cardiology | Ausgabe 1/2016

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Abstract

Persistent elevation of Ca2+ influx due to prolongation of the action potential (AP), chronic activation of the β-adrenergic system and molecular remodeling occurs in stressed and diseased hearts. Increases in Ca2+ influx are usually linked to prolonged myocyte action potentials and arrhythmias. However, the contribution of chronic enhancement of Cav1.2 activity on cardiac electrical remodeling and arrhythmogenicity has not been completely defined and is the subject of this study. Chronically increased Cav1.2 activity was produced with a cardiac specific, inducible double transgenic (DTG) mouse system overexpressing the β2a subunit of Cav (Cavβ2a). DTG myocytes had increased L-type Ca2+ current (ICa-L), myocyte shortening, and Ca2+ transients. DTG mice had enhanced cardiac performance, but died suddenly and prematurely. Telemetric electrocardiograms revealed shortened QT intervals in DTG mice. The action potential duration (APD) was shortened in DTG myocytes due to significant increases of potassium currents and channel abundance. However, shortened AP in DTG myocytes did not fully limit excess Ca2+ influx and increased the peak and tail ICa-L. Enhanced ICa promoted sarcoplasmic reticulum (SR) Ca2+ overload, diastolic Ca2+ sparks and waves, and increased NCX activity, causing increased occurrence of early and delayed afterdepolarizations (EADs and DADs) that may contribute to premature ventricular beats and ventricular tachycardia. AV blocks that could be related to fibrosis of the AV node were also observed. Our study suggests that increasing ICa-L does not necessarily result in AP prolongation but causes SR Ca2+ overload and fibrosis of AV node and myocardium to induce cellular arrhythmogenicity, arrhythmias, and conduction abnormalities.
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Metadaten
Titel
Persistent increases in Ca2+ influx through Cav1.2 shortens action potential and causes Ca2+ overload-induced afterdepolarizations and arrhythmias
verfasst von
Xiaoying Zhang
Xiaojie Ai
Hiroyuki Nakayama
Biyi Chen
David M. Harris
Mingxin Tang
Yuping Xie
Christopher Szeto
Yingxin Li
Ying Li
Hongyu Zhang
Andrea D. Eckhart
Walter J. Koch
Jeffery D. Molkentin
Xiongwen Chen
Publikationsdatum
01.01.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Basic Research in Cardiology / Ausgabe 1/2016
Print ISSN: 0300-8428
Elektronische ISSN: 1435-1803
DOI
https://doi.org/10.1007/s00395-015-0523-4

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