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Publication : The Role of the L-Type Ca<sup>2+</sup> Channel in Altered Metabolic Activity in a Murine Model of Hypertrophic Cardiomyopathy.

First Author  Viola HM Year  2016
Journal  JACC Basic Transl Sci Volume  1
Issue  1-2 Pages  61-72
PubMed ID  30167506 Mgi Jnum  J:307854
Mgi Id  MGI:6726019 Doi  10.1016/j.jacbts.2015.12.001
Citation  Viola HM, et al. (2016) The Role of the L-Type Ca(2+) Channel in Altered Metabolic Activity in a Murine Model of Hypertrophic Cardiomyopathy. JACC Basic Transl Sci 1(1-2):61-72
abstractText  Heterozygous mice (alphaMHC(403/+) ) expressing the human disease-causing mutation Arg403Gln exhibit cardinal features of hypertrophic cardiomyopathy (HCM) including hypertrophy, myocyte disarray, and increased myocardial fibrosis. Treatment of alphaMHC(403/+) mice with the L-type calcium channel (ICa-L) antagonist diltiazem has been shown to decrease left ventricular anterior wall thickness, cardiac myocyte hypertrophy, disarray, and fibrosis. However, the role of the ICa-L in the development of HCM is not known. In addition to maintaining cardiac excitation and contraction in myocytes, the ICa-L also regulates mitochondrial function through transmission of movement of ICa-L via cytoskeletal proteins to mitochondrial voltage-dependent anion channel. Here, the authors investigated the role of ICa-L in regulating mitochondrial function in alphaMHC(403/+) mice. Whole-cell patch clamp studies showed that ICa-L current inactivation kinetics were significantly increased in alphaMHC(403/+) cardiac myocytes, but that current density and channel expression were similar to wild-type cardiac myocytes. Activation of ICa-L caused a significantly greater increase in mitochondrial membrane potential and metabolic activity in alphaMHC(403/+) . These increases were attenuated with ICa-L antagonists and following F-actin or beta-tubulin depolymerization. The authors observed increased levels of fibroblast growth factor-21 in alphaMHC(403/+) mice, and altered mitochondrial DNA copy number consistent with altered mitochondrial activity and the development of cardiomyopathy. These studies suggest that the Arg403Gln mutation leads to altered functional communication between ICa-L and mitochondria that is associated with increased metabolic activity, which may contribute to the development of cardiomyopathy. ICa-L antagonists may be effective in reducing the cardiomyopathy in HCM by altering metabolic activity.
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