Goodyer William R, Wu Sean M
Cardiovascular Institute, Stanford University, Stanford, CA, USA.
Division of Pediatric Cardiology, Department of Pediatrics, Lucille Packard Children's Hospital, Palo Alto, CA, USA.
Pediatr Cardiol. 2018 Aug;39(6):1090-1098. doi: 10.1007/s00246-018-1869-9. Epub 2018 Mar 28.
The cardiac conduction system is a network of distinct cell types necessary for the coordinated contraction of the cardiac chambers. The distal portion, known as the ventricular conduction system, allows for the rapid transmission of impulses from the atrio-ventricular node to the ventricular myocardium and plays a central role in cardiac function as well as disease when perturbed. Notably, its patterning during embryogenesis is intimately linked to that of ventricular wall formation, including trabeculation and compaction. Here, we review our current understanding of the underlying mechanisms responsible for the development and maturation of these interdependent processes.
心脏传导系统是一个由不同细胞类型组成的网络,对于心脏各腔室的协调收缩至关重要。其远端部分,即心室传导系统,可使冲动从房室结快速传导至心室心肌,在心脏功能以及受到干扰时的疾病发生过程中都起着核心作用。值得注意的是,其在胚胎发育过程中的模式形成与心室壁的形成密切相关,包括小梁化和致密化。在此,我们综述了目前对这些相互依存过程的发育和成熟所涉及的潜在机制的理解。