Department of Physiology, Jichi Medical University, Tochigi, Japan.
Circ J. 2010 Nov;74(12):2712-9. doi: 10.1253/circj.cj-10-0652. Epub 2010 Oct 30.
It has been previously reported that the transgenic mouse expressing the dominant negative mutant of the neuron restrictive silencing factor (dnNRSF) in the heart died from lethal arrhythmia, so the present study aimed to clarify the electrophysiological alteration of the ventricular myocyte isolated from the dnNRSF mouse.
The action potential (AP) and membrane currents were recorded using the whole-cell patch-clamp method. Intracellular Ca(2+) was measured with Indo-1AM. The AP of dnNRSF myocytes exhibited reduction of resting membrane potential, prolongation of AP duration, and frequent early afterdepolarization (EAD). The EAD was completely inhibited by SEA0400, a specific blocker of the Na(+)-Ca(2+) exchanger (NCX). The most notable alteration of membrane current was a reduction in the inward rectifier K(+) current (I(K1)) density. In addition to re-expression of fetal type cardiac ion channels, a Na(+)-permeable, late inward current was observed in a small population of dnNRSF myocytes. The diastolic intracellular Ca(2+) concentration was also raised in dnNRSF myocytes, and spontaneous Ca(2+) oscillation was induced by β-adrenergic stimulation.
In dnNRSF myocytes, the "repolarization reserve" of the AP was significantly reduced by specific alterations in membrane currents. Under these conditions, the amplitude of EAD generated by the inward NCX current might be enlarged, thereby increasing the cells' vulnerability to ventricular arrhythmia.
先前有报道称,在心脏中表达神经元限制沉默因子(dnNRSF)显性负突变体的转基因小鼠死于致命性心律失常,因此本研究旨在阐明从 dnNRSF 小鼠分离的心室肌细胞的电生理变化。
使用全细胞膜片钳方法记录动作电位(AP)和膜电流。用 Indo-1AM 测量细胞内 Ca(2+)。dnNRSF 心肌细胞的 AP 表现为静息膜电位降低、AP 持续时间延长和频繁的早期后除极(EAD)。SEA0400(一种 Na(+)-Ca(2+)交换体(NCX)的特异性阻断剂)完全抑制 EAD。膜电流最显著的改变是内向整流钾电流(I(K1))密度降低。除了重新表达胎儿型心脏离子通道外,在一小部分 dnNRSF 心肌细胞中还观察到一种 Na(+)通透性的晚期内向电流。dnNRSF 心肌细胞的细胞内舒张 Ca(2+)浓度也升高,β-肾上腺素能刺激可诱导 Ca(2+)自发振荡。
在 dnNRSF 心肌细胞中,AP 的“复极储备”由于膜电流的特异性改变而显著降低。在这些条件下,由内向 NCX 电流产生的 EAD 幅度可能会增大,从而增加细胞发生室性心律失常的脆弱性。