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Publication : Increased late sodium current contributes to long QT-related arrhythmia susceptibility in female mice.

First Author  Lowe JS Year  2012
Journal  Cardiovasc Res Volume  95
Issue  3 Pages  300-7
PubMed ID  22562703 Mgi Jnum  J:202661
Mgi Id  MGI:5520165 Doi  10.1093/cvr/cvs160
Citation  Lowe JS, et al. (2012) Increased late sodium current contributes to long QT-related arrhythmia susceptibility in female mice. Cardiovasc Res 95(3):300-7
abstractText  AIMS: Female gender is a risk factor for long QT-related arrhythmias, but the underlying mechanisms remain uncertain. Here, we tested the hypothesis that gender-dependent function of the post-depolarization 'late' sodium current (I(Na-L)) contributes. METHODS AND RESULTS: Studies were conducted in mice in which the canonical cardiac sodium channel Scn5a locus was disrupted, and expression of human wild-type SCN5A cDNA substituted. Baseline QT intervals were similar in male and female mice, but exposure to the sodium channel opener anemone toxin ATX-II elicited polymorphic ventricular tachycardia in 0/9 males vs. 6/9 females. Ventricular I(Na-L) and action potential durations were increased in myocytes isolated from female mice compared with those from males before and especially after treatment with ATX-II. Further, ATX-II elicited potentially arrhythmogenic early afterdepolarizations in myocytes from 0/5 male mice and 3/5 female mice. CONCLUSION: These data identify variable late I(Na) as a modulator of gender-dependent arrhythmia susceptibility.
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