Silva Jonathan, Rudy Yoram
Cardiac Bioelectricity and Arrhythmia Center, Washington University, St Louis, MO 63130-4899, USA.
Circulation. 2005 Sep 6;112(10):1384-91. doi: 10.1161/CIRCULATIONAHA.105.543306. Epub 2005 Aug 29.
The role of IKs, the slow delayed rectifier K+ current, in cardiac ventricular repolarization has been a subject of debate.
We develop a detailed Markov model of IKs and its alpha-subunit KCNQ1 and examine their kinetic properties during the cardiac ventricular action potential at different rates. We observe that interaction between KCNQ1 and KCNE1 (the beta-subunit) confers kinetic properties on IKs that make it suitable for participation in action potential repolarization and its adaptation to rate changes; in particular, the channel develops an available reserve of closed states near the open state that can open rapidly on demand.
Because of its ability to form an available reserve, IKs can function as a repolarization reserve when IKr, the rapid delayed rectifier, is reduced by disease or drug and can prevent excessive action potential prolongation and development of arrhythmogenic early afterdepolarizations.
缓慢延迟整流钾电流(IKs)在心室复极化中的作用一直存在争议。
我们构建了IKs及其α亚基KCNQ1的详细马尔可夫模型,并研究了它们在不同心率下心室动作电位期间的动力学特性。我们观察到,KCNQ1与KCNE1(β亚基)之间的相互作用赋予了IKs动力学特性,使其适合参与动作电位复极化及其对心率变化的适应性;特别是,该通道在开放状态附近形成了一个可利用的关闭状态储备,可根据需要迅速开放。
由于能够形成可利用的储备,当快速延迟整流钾电流(IKr)因疾病或药物作用而降低时,IKs可作为复极化储备发挥作用,并可防止动作电位过度延长和致心律失常性早期后除极的发生。