Deletion of Alters the Function of the Na1.5 Channel in Murine Cardiac Myocytes.

Transient receptor potential melastatin member 4 (TRPM4) encodes a Ca-activated, non-selective cation channel that is functionally expressed in several tissues, including the heart. Pathogenic mutants in have been reported in patients with inherited cardiac diseases, including conduction blockage and Brugada syndrome. Heterologous expression of mutant channels in cell lines indicates that these mutations can lead to an increase or decrease in TRPM4 expression and function at the cell surface. While the expression and clinical variant studies further stress the importance of TRPM4 in cardiac function, the cardiac electrophysiological phenotypes in knockdown mouse models remain incompletely characterized. To study the functional consequences of deletion on cardiac electrical activity in mice, we performed perforated-patch clamp and immunoblotting studies on isolated atrial and ventricular cardiac myocytes and surfaces, as well as on pseudo- and intracardiac ECGs, either in vivo or in Langendorff-perfused explanted mouse hearts. We observed that TRPM4 is expressed in atrial and ventricular cardiac myocytes and that deletion of unexpectedly reduces the peak Na currents in myocytes. Hearts from mice presented increased sensitivity towards mexiletine, a Na channel blocker, and slower intraventricular conduction, consistent with the reduction of the peak Na current observed in the isolated cardiac myocytes. This study suggests that TRPM4 expression impacts the Na current in murine cardiac myocytes and points towards a novel function of TRPM4 regulating the Na1.5 function in murine cardiac myocytes.