在成年老鼠心脏中的表达调节心肌细胞中的钠离子内流,并揭示了钠离子内流与舒张功能之间的机制联系。

expression in the adult mouse heart modulates Na influx in myocytes and reveals a mechanistic link between Na entry and diastolic function.

机构信息

Department of Physiology, New York Medical College, Valhalla, New York.

Department of Pathology, Microbiology and Immunology, New York Medical College, Valhalla, New York.

出版信息

Am J Physiol Heart Circ Physiol. 2022 Jun 1;322(6):H975-H993. doi: 10.1152/ajpheart.00465.2021. Epub 2022 Apr 8.

Abstract

Voltage-gated sodium channels (VGSCs) are macromolecular assemblies composed of a number of proteins regulating channel conductance and properties. VGSCs generate Na current () in myocytes and play fundamental roles in excitability and impulse conduction in the heart. Moreover, VGSCs condition mechanical properties of the myocardium, a process that appears to involve the late component of . Variants in the gene , encoding the VGSC β1- and β1B-subunits, result in inherited neurological disorders and cardiac arrhythmias. But the precise contributions of β1/β1B-subunits and VGSC integrity to the overall function of the adult heart remain to be clarified. For this purpose, adult mice with cardiac-restricted, inducible deletion of (conditional knockout, cKO) were studied. Myocytes from cKO mice had increased densities of fast (+20%)- and slow (+140%)-inactivating components of , with respect to control cells. By echocardiography and invasive hemodynamics, systolic function was preserved in cKO mice, but diastolic properties and ventricular compliance were compromised, with respect to control animals. Importantly, inhibition of late with GS967 normalized left ventricular filling pattern and isovolumic relaxation time in cKO mice. At the cellular level, cKO myocytes presented delayed kinetics of Ca transients and cell mechanics, defects that were corrected by inhibition of . Collectively, these results document that VGSC β1/β1B-subunits modulate electrical and mechanical function of the heart by regulating, at least in part, Na influx in cardiomyocytes. We have investigated the consequences of deletion of , the gene encoding voltage-gated sodium channel β1-subunits, on myocyte and cardiac function. Our findings support the notion that expression controls properties of Na influx and Ca cycling in cardiomyocytes affecting the modality of cell contraction and relaxation. These effects at the cellular level condition electrical recovery and diastolic function in vivo, substantiating the multifunctional role of β1-subunits in the physiology of the heart.

摘要

电压门控钠通道(VGSCs)是由调节通道电导和特性的多种蛋白质组成的大分子组装体。VGSCs 在心肌细胞中产生钠电流(),并在心电兴奋性和冲动传导中发挥基本作用。此外,VGSCs 调节心肌的机械性能,这一过程似乎涉及。编码 VGSC β1-和 β1B-亚基的基因突变导致遗传性神经疾病和心律失常。但 β1/β1B-亚基和 VGSC 完整性对成年心脏整体功能的确切贡献仍有待阐明。为此,研究了心脏特异性诱导型基因缺失的成年小鼠(条件性敲除,cKO)。与对照细胞相比,cKO 小鼠的心肌细胞中快(+20%)和慢(+140%)失活成分的密度增加。通过超声心动图和侵入性血液动力学检查,cKO 小鼠的收缩功能保持不变,但舒张功能和心室顺应性受损。重要的是,用 GS967 抑制晚期可使 cKO 小鼠的左心室充盈模式和等容舒张时间正常化。在细胞水平上,cKO 心肌细胞的钙瞬变和细胞力学动力学延迟,这些缺陷可通过抑制来纠正。综上所述,这些结果证明 VGSC β1/β1B-亚基通过调节心肌细胞中的钠内流至少部分调节心脏的电和机械功能。我们研究了基因缺失对心肌细胞和心脏功能的影响。我们的研究结果支持这样一种观点,即表达控制心肌细胞中钠内流和 Ca 循环的特性,从而影响细胞收缩和松弛的方式。这些细胞水平上的影响调节体内电恢复和舒张功能,证实了β1-亚基在心脏生理学中的多功能作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e96a/9076421/aa8d227ce9bd/ajpheart.00465.2021_f001.jpg

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