| First Author | Lemoine MD | Year | 2011 |
| Journal | Cardiovasc Res | Volume | 92 |
| Issue | 1 | Pages | 67-74 |
| PubMed ID | 21672931 | Mgi Jnum | J:191708 |
| Mgi Id | MGI:5462335 | Doi | 10.1093/cvr/cvr166 |
| Citation | Lemoine MD, et al. (2011) Arrhythmogenic left atrial cellular electrophysiology in a murine genetic long QT syndrome model. Cardiovasc Res 92(1):67-74 |
| abstractText | AIMS: Increasing evidence indicates that congenital long QT syndromes (LQTSs) promote atrial fibrillation. The atrial action potential (AP) has a short plateau, and whether LQTS atrial cardiomyocytes generate triggered activity via early afterdepolarizations (EADs) is unclear. Atrial cellular arrhythmia mechanisms have not been defined in congenital LQTS. Therefore, we studied atrial cardiomyocyte electrophysiology in mice with an LQTS3 SCN5A inactivation-impairing mutation (DeltaKPQ heterozygotes). METHODS AND RESULTS: Peak and late Na(+) current (I(NaP) and I(NaL)) were measured with whole-cell patch clamp in left atrial (LA) cardiomyocytes. APs were recorded in multicellular LA preparations with floating microelectrodes. I(NaL) was increased by 110% in LA cardiomyocytes of DeltaKPQ mice, whereas I(NaP) was unchanged. AP duration (APD) was prolonged over all frequencies in DeltaKPQ mice, but particularly at lower frequencies [e.g. APD(90) at 0.5 Hz: 197 +/- 8 ms vs. wild-type (WT) 82 +/- 2 ms, P< 0.001]. EADs occurred at 0.5 Hz in 10/18 DeltaKPQ (56%) vs. 1/10 WT (10%) atria (P< 0.05). EADs immediately preceded premature APs in other LA regions, suggesting triggered activity. Ranolazine preferentially inhibited I(NaL) (50% inhibitory concentration: 12.5 vs. 151.8 microM for I(NaP)) in DeltaKPQ myocytes. At 10 microM, ranolazine shortened APD (e.g. APD(90) at 0.5 Hz to 122 +/- 4 ms, P= 0.01) without changing APD in WT and suppressed EAD occurrence and triggered activity (from 10/18 to 1/9 preparations, 11%, P< 0.05). CONCLUSION: This study implicates increased I(NaL) in excessive atrial APD prolongation and arrhythmic EAD occurrence in a congenital LQTS3 mouse model. Our observations provide the first direct demonstration of atrial EADs and triggered activity in a genetically defined animal model of human LQTS and have potential clinically-relevant mechanistic and therapeutic implications. |
