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Publication : Reciprocal myocardial-endocardial interactions pattern the delay in atrioventricular junction conduction.

First Author  Bressan M Year  2014
Journal  Development Volume  141
Issue  21 Pages  4149-57
PubMed ID  25273084 Mgi Jnum  J:217496
Mgi Id  MGI:5614173 Doi  10.1242/dev.110007
Citation  Bressan M, et al. (2014) Reciprocal myocardial-endocardial interactions pattern the delay in atrioventricular junction conduction. Development 141(21):4149-57
abstractText  Efficient blood flow depends on two developmental processes that occur within the atrioventricular junction (AVJ) of the heart: conduction delay, which entrains sequential chamber contraction; and valve formation, which prevents retrograde fluid movement. Defects in either result in severe congenital heart disease; however, little is known about the interplay between these two crucial developmental processes. Here, we show that AVJ conduction delay is locally assigned by the morphogenetic events that initiate valve formation. Our data demonstrate that physical separation from endocardial-derived factors prevents AVJ myocardium from becoming fast conducting. Mechanistically, this physical separation is induced by myocardial-derived factors that support cardiac jelly deposition at the onset of valve formation. These data offer a novel paradigm for conduction patterning, whereby reciprocal myocardial-endocardial interactions coordinate the processes of valve formation with establishment of conduction delay. This, in turn, synchronizes the electrophysiological and structural events necessary for the optimization of blood flow through the developing heart.
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