scholarly journals Cardiac Transmembrane Ion Channels and Action Potentials: Cellular Physiology and Arrhythmogenic Behavior

2020 ◽  
Author(s):  
András Varró ◽  
Jakub Tomek ◽  
Norbert Nagy ◽  
Laszlo Virag ◽  
Elisa Passini ◽  
...  
Keyword(s):  
Ion Channel ◽  
Action Potentials ◽  
Cardiac Electrophysiology ◽  
Current Knowledge ◽  
Animal Experiments ◽  
Cardiac Cells ◽  
Cellular Mechanisms ◽  
Electrophysiological Properties ◽  
Channel Expression ◽  
Ionic Mechanisms

Cardiac arrhythmias are among the leading causes of mortality. They often arise from alterations in the electrophysiological properties of cardiac cells, and their underlying ionic mechanisms. It is therefore critical to further unravel the patho-physiology of the ionic basis of human cardiac electrophysiology in health and disease. In the first part of this review, current knowledge on the differences in ion channel expression and properties of the ionic processes that determine the morphology and properties of cardiac action potentials and calcium dynamics from cardiomyocytes in different regions of the heart are described. Then the cellular mechanisms promoting arrhythmias in congenital or acquired conditions of ion channel function (electrical remodelling) are discussed. The focus is human relevant findings obtained with clinical, experimental and computational studies, given that interspecies differences make the extrapolation from animal experiments to the human clinical settings difficult. Deepening the understanding of the diverse patholophysiology of human cellular electrophysiology will help developing novel and effective antiarrhythmic strategies for specific subpopulations and disease conditions.

scholarly journals Co-expression of calcium channels and delayed rectifier potassium channels protects the heart from proarrhythmic events

2019 ◽  
Author(s):  
Sara Ballouz ◽  
Melissa M Mangala ◽  
Matthew D Perry ◽  
Stewart Heitmann ◽  
Jesse A Gillis ◽  
...  
Keyword(s):  
Ion Channel ◽  
Cardiac Electrophysiology ◽  
Meta Analysis ◽  
Surrogate Marker ◽  
Induced Pluripotent Stem Cell ◽  
Delayed Rectifier ◽  
Cardiac Electrical Activity ◽  
Channel Expression ◽  
Induced Pluripotent ◽  
Electrical Signaling

AbstractCardiac electrical activity is controlled by the carefully orchestrated activity of more than a dozen different ion conductances. Yet, there is considerable variability in cardiac ion channel expression levels both within and between subjects. In this study we tested the hypothesis that variations in ion channel expression between individuals are not random but rather there are modules of co-expressed genes and that these modules make electrical signaling in the heart more robust.Meta-analysis of 3653 public RNA-Seq datasets identified a strong correlation between expression of CACNA1C (L-type calcium current, ICaL) and KCNH2 (rapid delayed rectifier K+ current, IKr), which was verified in mRNA extracted from human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM). In silico modeling, validated with functional measurements in hiPSC-CM, indicates that the co-expression of CACNA1C and KCNH2 limits the variability in action potential duration and reduces susceptibility to early afterdepolarizations, a surrogate marker for pro-arrhythmia.Impact StatementCoexpressed levels of potassium and calcium ion channel genes in the heart encode more robust cardiac electrophysiology and provide insights into genetic basis of arrhythmic risk

Genesis and Regulation of the Heart Automaticity

2008 ◽  
Vol 88 (3) ◽  
pp. 919-982 ◽  
Author(s):  
Matteo E. Mangoni ◽  
Joël Nargeot
Keyword(s):  
Ion Channels ◽  
Current Knowledge ◽  
Genetically Engineered ◽  
Cardiac Cells ◽  
Mouse Strains ◽  
Cellular Mechanisms ◽  
Cardiac Pacemaking ◽  
Intracellular Ca ◽  
Cardiac Automaticity

The heart automaticity is a fundamental physiological function in higher organisms. The spontaneous activity is initiated by specialized populations of cardiac cells generating periodical electrical oscillations. The exact cascade of steps initiating the pacemaker cycle in automatic cells has not yet been entirely elucidated. Nevertheless, ion channels and intracellular Ca2+ signaling are necessary for the proper setting of the pacemaker mechanism. Here, we review the current knowledge on the cellular mechanisms underlying the generation and regulation of cardiac automaticity. We discuss evidence on the functional role of different families of ion channels in cardiac pacemaking and review recent results obtained on genetically engineered mouse strains displaying dysfunction in heart automaticity. Beside ion channels, intracellular Ca2+ release has been indicated as an important mechanism for promoting automaticity at rest as well as for acceleration of the heart rate under sympathetic nerve input. The potential links between the activity of ion channels and Ca2+ release will be discussed with the aim to propose an integrated framework of the mechanism of automaticity.

Dynamic of Ion Channel Expression at the Plasma Membrane of Cardiomyocytes

2012 ◽  
Vol 92 (3) ◽  
pp. 1317-1358 ◽  
Author(s):  
Elise Balse ◽  
David F. Steele ◽  
Hugues Abriel ◽  
Alain Coulombe ◽  
David Fedida ◽  
...  
Keyword(s):  
Ion Channels ◽  
Ion Channel ◽  
Cardiac Myocytes ◽  
Cardiac Myocyte ◽  
Membrane Lipids ◽  
Current Knowledge ◽  
Small Gtpases ◽  
Molecular Organization ◽  
Cardiac Sarcolemma ◽  
Channel Expression

Cardiac myocytes are characterized by distinct structural and functional entities involved in the generation and transmission of the action potential and the excitation-contraction coupling process. Key to their function is the specific organization of ion channels and transporters to and within distinct membrane domains, which supports the anisotropic propagation of the depolarization wave. This review addresses the current knowledge on the molecular actors regulating the distinct trafficking and targeting mechanisms of ion channels in the highly polarized cardiac myocyte. In addition to ubiquitous mechanisms shared by other excitable cells, cardiac myocytes show unique specialization, illustrated by the molecular organization of myocyte-myocyte contacts, e.g., the intercalated disc and the gap junction. Many factors contribute to the specialization of the cardiac sarcolemma and the functional expression of cardiac ion channels, including various anchoring proteins, motors, small GTPases, membrane lipids, and cholesterol. The discovery of genetic defects in some of these actors, leading to complex cardiac disorders, emphasizes the importance of trafficking and targeting of ion channels to cardiac function. A major challenge in the field is to understand how these and other actors work together in intact myocytes to fine-tune ion channel expression and control cardiac excitability.

scholarly journals Cellular Mechanisms Underlying Spontaneous Firing in Rat Suprachiasmatic Nucleus: Involvement of a Slowly Inactivating Component of Sodium Current

1997 ◽  
Vol 78 (4) ◽  
pp. 1811-1825 ◽  
Author(s):  
C.M.A. Pennartz ◽  
M. A. Bierlaagh ◽  
A.M.S. Geurtsen
Keyword(s):  
Suprachiasmatic Nucleus ◽  
Action Potentials ◽  
Sodium Current ◽  
Calcium Currents ◽  
Spontaneous Firing ◽  
Cellular Mechanisms ◽  
Current Clamp Mode ◽  
Ionic Mechanisms ◽  
Spontaneous Action ◽  
Spontaneous Action Potentials

Pennartz, C.M.A., M. A. Bierlaagh, and A.M.S. Geurtsen. Cellular mechanisms underlying spontaneous firing in rat suprachiasmatic nucleus: involvement of a slowly inactivating component of sodium current. J. Neurophysiol. 78: 1811–1825, 1997. Neurons constituting the pacemaker of circadian rhythms, located in the suprachiasmatic nucleus, generate spontaneous firing patterns that change across the day-night cycle. Their average spontaneous firing rate is considered an important functional marker of clock activity because it is highest during daytime and low at night. In this study we investigate the ionic mechanisms underlying spontaneous firing in acutely prepared slices and dissociated neurons of the suprachiasmatic nucleus. In current-clamp mode, spontaneous action potentials were consistently preceded by depolarizing ramps. These ramps were Na+ dependent, were sensitive to tetrodotoxin (TTX), and disappeared on hyperpolarization. Ramps and associated spikes were not abolished by blockers of the H current (1 mM cesium) or calcium currents (50 μM nickel or 200 μM cadmium). In voltage-clamped neurons in slices or dissociated neurons, TTX-sensitive and Na+-dependent inward current was observed to activate well below firing threshold (−60 to −50 mV). The low-threshold component of Na+ current inactivated slowly as compared with the fast component that mediates action potentials. However, its inactivation proceeded more rapidly than has been reported for the persistent Na+ current in cortical structures. Persistent Na+ current was generally absent or small in amplitude. The voltage dependence and kinetics of the slowly inactivating component of Na+ current are consistent with the hypothesis that it is partially deinactivated during spike afterhyperpolarizations and contributes significantly to subsequent depolarizing ramps. These observations implicate the slowly inactivating component of Na+ current in ionic mechanisms governing spontaneous firing in suprachiasmatic nucleus neurons.

scholarly journals Voltage-activated currents in identified giant interneurons isolated from adult crickets gryllus bimaculatus

1998 ◽  
Vol 201 (17) ◽  
pp. 2529-2541 ◽  
Author(s):  
P Kloppenburg ◽  
M Hörner
Keyword(s):  
Action Potentials ◽  
Gryllus Bimaculatus ◽  
Selective Labeling ◽  
Electrophysiological Properties ◽  
Giant Interneurons ◽  
Whole Cell Patch Clamp ◽  
Unequivocal Identification ◽  
Ionic Mechanisms ◽  
K Currents

The electrophysiological properties of cultured giant interneurons isolated from the terminal ganglion of adult crickets (Gryllus bimaculatus) were investigated using whole-cell patch-clamp techniques. To allow for unequivocal identification of these interneurons in cell culture, a protocol for fast and selective labeling of their cell bodies was established. Prior to cell dissociation, the giant interneurons were backfilled through their axons in situ with a fluorescent dye (dextran tetramethylrhodamine). In primary cell cultures, the cell bodies of giant interneurons were identified among a population of co-cultured neurons by their red fluorescence. Action potentials were recorded from the cell bodies of the cultured interneurons suggesting that several types of voltage-activated ion channels exist in these cells. Using voltage-clamp recording techniques, four voltage-activated currents were isolated and characterized. The giant interneurons express at least two distinct K+ currents: a transient current that is blocked by 4-aminopyridine (4x10(-3 )mol l-1) and a sustained current that is partially blocked by tetraethylammonium (3x10(-2 )mol l-1) and quinidine (2x10(-4 )mol l-1). In addition, a transient Na+ current sensitive to 10(-7 )mol l-1 tetrodotoxin and a Ca2+ current blocked by 5x10(-4 )mol l-1 CdCl2 have been characterized. This study represents the first step in an attempt to analyze the cellular and ionic mechanisms underlying plasticity in the well-characterized and behaviorally important giant interneuron pathway in insects.

Ion Channel Remodelling in Atrial Fibrillation

2011 ◽  
Vol 7 (2) ◽  
pp. 97 ◽  
Author(s):  
Niels Voigt ◽  
Dobromir Dobrev ◽  
◽  
Keyword(s):  
Atrial Fibrillation ◽  
Ion Channel ◽  
Antiarrhythmic Drugs ◽  
Current Knowledge ◽  
Bleeding Complications ◽  
Large Size ◽  
Cardiovascular Morbidity And Mortality ◽  
Number Of Patients ◽  
Life Threatening ◽  
Underlying Mechanisms

Atrial fibrillation (AF) is the most common arrhythmia and is associated with substantial cardiovascular morbidity and mortality, with stroke being the most critical complication. Present drugs used for the therapy of AF (antiarrhythmics and anticoagulants) have major limitations, including incomplete efficacy, risks of life-threatening proarrhythmic events and bleeding complications. Non-pharmacological ablation procedures are efficient and apparently safe, but the very large size of the patient population allows ablation treatment of only a small number of patients. These limitations largely result from limited knowledge about the underlying mechanisms of AF and there is a hope that a better understanding of the molecular basis of AF may lead to the discovery of safer and more effective therapeutic targets. This article reviews the current knowledge about AF-related ion-channel remodelling and discusses how these alterations might affect the efficacy of antiarrhythmic drugs.

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