Káliumáramok vizsgálata izolált szívizom-preparátumokon és klónozott csatornákon = Study of potassium currents in isolated cardiac preparation and cloned channels

A jelen kutatás célja a kardiális betegségekhez (ritmuszavarok, szívelégtelenség és hirtelen szívhalál) kialakulásban szereplő ioncsatornák rendellenes működésének (elektromos remodeling) vizsgálata volt. A vizsgálat során feltérképeztük a kamrai repolarizációt meghatározó főbb ionáramok molekuláris összetevőit, hogy megállapítsuk melyik alegységek játszanak szerepet az adott ionáram tulajdonságaiban (kinetika, gyógyszerérzékenység, stb). Ezenfelül új vizsgálati eljárást dolgoztunk, amely magalapozza a primer szívizomsejt kultúrában történő csendesítés technikáját. A következő kutatási eredményeket értük el: a) Új herpeszvírus alapú génbeviteli eljárás dolgoztunk ki primer kutya szívizomsejt kultúrában. b) Megállapítottuk, hogy a késői egyenirányító káliumáram gyengülése játszik szerepe a repolarizáció megnyújtásában alloxán diabétesz nyúlmodellben. c) Megállapítottuk, hogy akciós potenciál fordított frekvenciafüggő megnyúlása a kamrai szívizomzat intrinszik tulajdonsága, és ebben nem játszanak közvetlen szerepet a meghatározó transzmembrán káliumionáramok frekvenciafüggő tulajdonságai. D). Megállapítottuk, hogy a befelé egyenirányító káliumáramnak kisebb a repolarizációban játszott szerepe és a proaritmia készsége kutyában mind humán kamrai szívizomzatban. | The aim of the present research project was to investigate the properties of the transmembrane ionic currents related to cardiac diseases as arrhythmias, heart failure or sudden cardiac death. During our investigation we have revealed the of the molecular structure of the main currents involved in cardiac repolarization to determine which subunits play the most important role in the main properties of the corresponding current (kinetics, drug sensitivity, etc). Moreover, we have developed a new method that can be apply in the gene silencing technique in a primer myocytes culture. We have reached the following results: a) We have performed a new herpesvirus based gene transfer technique in a primer canine ventricular myocytes culture. b) We have reported that the downregulation of the slow delayed rectifier potassium current plays an important role in the repolarization lengthening in an alloxan induced diabetes mellitus model. c) We have demonstrated that the reverse frequency dependence is an intrinsic property of the ventricular myocardium, and is independent from the frequency dependent properties of the main repolarizing potassium currents. d) We have shown that the inward rectifier potassium current have weaker role to cardiac repolarization and thereby less proarrhythmia inducing effect in dog compared to human heart

The G protein-gated potassium current I(K,ACh) is constitutively active in patients with chronic atrial fibrillation

Background— The molecular mechanism of increased background inward rectifier current (IK1) in atrial fibrillation (AF) is not fully understood. We tested whether constitutively active acetylcholine (ACh)-activated IK,ACh contributes to enhanced basal conductance in chronic AF (cAF). Methods and Results— Whole-cell and single-channel currents were measured with standard voltage-clamp techniques in atrial myocytes from patients with sinus rhythm (SR) and cAF. The selective IK,ACh blocker tertiapin was used for inhibition of IK,ACh. Whole-cell basal current was larger in cAF than in SR, whereas carbachol (CCh)-activated IK,ACh was lower in cAF than in SR. Tertiapin (0.1 to 100 nmol/L) reduced IK,ACh in a concentration-dependent manner with greater potency in cAF than in SR (−logIC50: 9.1 versus 8.2; P<0.05). Basal current contained a tertiapin-sensitive component that was larger in cAF than in SR (tertiapin [10 nmol/L]-sensitive current at −100 mV: cAF, −6.7±1.2 pA/pF, n=16/5 [myocytes/patients] versus SR, −1.7±0.5 pA/pF, n=24/8), suggesting contribution of constitutively active IK,ACh to basal current. In single-channel recordings, constitutively active IK,ACh was prominent in cAF but not in SR (channel open probability: cAF, 5.4±0.7%, n=19/9 versus SR, 0.1±0.05%, n=16/9; P<0.05). Moreover, IK1 channel open probability was higher in cAF than in SR (13.4±0.4%, n=19/9 versus 11.4±0.7%, n=16/9; P<0.05) without changes in other channel characteristics. Conclusions— Our results demonstrate that larger basal inward rectifier K+ current in cAF consists of increased IK1 activity and constitutively active IK,ACh. Blockade of IK,ACh may represent a new therapeutic target in AF

Atrial remodeling in permanent atrial fibrillation : Mechanisms and pharmacological implications

Atrial fibrillation (AF), the most prevalent rhythm disorder in clinical practice, is currently significantly contributing to morbidity and mortality of the ageing population. In the past decades, a tremendous amount of research resulted in valuable insights into AF pathophysiology, with a primary focus on atrial remodeling. Defined as a persistent change in atrial function and structure, remodeling has the intrinsic properties to enhance the probability of focal (ectopic) and/or re-entrant pursuits, thus supporting AF persistence. The hallmark of structural remodeling is represented by atrial fibrosis, a multifactorial process involving an interaction between neurohormonal and cellular mediators. This paper provides a brief summary of the recent knowledge with respect to electrical and structural remodeling and novel insights into the pathogenesis of atrial fibrosis. Since current drug options for AF treatment are far from being optimal we also discuss the therapeutic principles and current alternatives for counteracting atrial fibrosis, and thus preventing arrhythmia recurrence

Functional modulation of the transient outward current Ito by KCNE beta-subunits and regional distribution in human non-failing and failing hearts

Objectives: The function of Kv4.3 (KCND3) channels, which underlie the transient outward current I,, in human heart, can be modulated by several accessory subunits such as KChIP2 and KCNE1-KCNE5. Here we aimed to determine the regional expression of Kv4.3, KChIP2, and KCNE mRNAs in non-failing and failing human hearts and to investigate the functional consequences of subunit coexpression in heterologous expression systems. Methods: We quantified mRNA levels for two Kv4.3 isoforms, Kv4.3-S and Kv4.3-L, and for KChIP2 as well as KCNE1-KCNE5 with real-time RT-PCR. We also studied the effects of KCNEs on Kv4.3 + KChIP2 current characteristics in CHO cells with the whole-cell voltage-clamp method. Results: In non-failing hearts, low expression was found for KCNE1, KCNE3, and KCNE5, three times higher expression for KCNE2, and 60 times higher for KCNE4. Transmural gradients were detected only for KChIP2 in left and right ventricles. Compared to non-failing tissue, failing hearts showed higher expression of Kv4.3-L and KCNE1 and lower of Kv4.3-S, KChIP2, KCNE4, and KCNE5. In CHO cells, Kv4.3 + KChIP2 currents were differentially modified by co-expressed KCNEs: time constants of inactivation were shorter with KCNE1 and KCNE3-5 while time-to-peak was decreased, and V-0.5 of steady-state inactivation was shifted to more negative potentials by all KCNE subunits. Importantly, KCNE2 induced a unique and prominent 'overshoot' of peak current during recovery from inactivation similar to that described for human I-to while other KCNE subunits induced little (KCNE4,5) or no overshoot. Conclusions: All KCNEs are expressed in the human heart at the transcript level. Compared to It. in native human myocytes, none of the combination of KChIP2 and KCNE produced an ideal congruency in current characteristics, suggesting that additional factors contribute to the regulation of the native I-to channel

Restricting excessive cardiac action potential and QT prolongation: a vital role for IKs in human ventricular muscle

Background - Although pharmacological block of the slow, delayed rectifier potassium current (I-Ks) by chromanol 293B, L-735,821, or HMR-1556 produces little effect on action potential duration (APD) in isolated rabbit and dog ventricular myocytes, the effect of IKs block on normal human ventricular muscle APD is not known. Therefore, studies were conducted to elucidate the role of IKs in normal human ventricular muscle and in preparations in which both repolarization reserve was attenuated and sympathetic activation was increased by exogenous dofetilide and adrenaline. Methods and Results - Preparations were obtained from undiseased organ donors. Action potentials were measured in ventricular trabeculae and papillary muscles using conventional microelectrode techniques; membrane currents were measured in ventricular myocytes using voltage-clamp techniques. Chromanol 293B (10 mu mol/L), L-735,821 (100 nmol/L), and HMR-1556 (100 nmol/L and 1 mu mol/L) produced a < 12-ms change in APD while pacing at cycle lengths ranging from 300 to 5000 ms, whereas the I-Kr blockers sotalol and E-4031 markedly lengthened APD. In voltage-clamp experiments, L- 735,821 and chromanol 293B each blocked IKs in the presence of E-4031 to block IKr. The E-4031-sensitive current (I-Kr) at the end of a 150-ms-long test pulse to 30 mV was 32.9 +/- 6.7 pA (n = 8); the L-735,821-sensitive current (I-Ks) magnitude was 17.8 +/- 2.94 pA (n = 10). During a longer 500-ms test pulse, IKr was not substantially changed (33.6 +/- 6.1 pA; n = 8), and I-Ks was significantly increased (49.6 +/- 7.24 pA; n = 10). On application of an "action potential-like" test pulse, I-Kr increased as voltage became more negative, whereas I-Ks remained small throughout all phases of the action potential - like test pulse. In experiments in which APD was first lengthened by 50 nmol/L dofetilide and sympathetic activation was increased by 1 mu mol/L adrenaline, 1 mu mol/L HMR-1556 significantly increased APD by 14.7 +/- 3.2% (P < 0.05; n = 3). Conclusions - Pharmacological IKs block in the absence of sympathetic stimulation plays little role in increasing normal human ventricular muscle APD. However, when human ventricular muscle repolarization reserve is attenuated, IKs plays an increasingly important role in limiting action potential prolongation

A szív repolarizációs folyamatának celluláris szintű élettani, kórélettani és farmakológiai vizsgálata = Physiological, pathophysiological and pharmacological study of the cardiac repolarization

Kísérleteink során a szívizom repolarizációjával és a repolarizációs rezerv szerepével foglalkoztunk. Vizsgálataink szerint az IKs kulcsfontosságú szerepe van a repolarizációs rezerv kialakításában. Bizonyítottuk, hogy experimentális diabéteszben az IKs és Ito káliumáramok downregulációja miatt a repolarizációs rezerv beszűkül, és ennek vélhetően megnövekedett proaritmiás kockázat lehet a következménye. Új in vivo módszert dolgoztunk ki, amely lehetővé teszi a csökkent repolarizációs rezerv megítélést és alkalmas lehet a kórfolyamatok és gyógyszer proaritmiás hatásainak előrejelzésére. Molekuláris biológiai kísérleteink szerint emberi szívizomban az Ito áram kialakításában az eddigi vélekedésektől eltérően más alfa egységek is meghatározzák. Ezen munkánkat 9 in extenzo angol nyelvű közleményben foglaltuk össze, melyek kummulatív impakt faktora 34.61. | We studied the nature of cardiac repolarization and the function of the repolarization reserve in cellular. In spite of IKs plays little role on normal repolarization it has a key role establishing the repolarization reserve. In experimental diabetes due to downregulation of IKs and Ito the repolarization reserve decreased which probably is associated with increased proarrhythmic risk. We developed a new in vivo method which is suitable to investigate the repolarization reserve and to predict the possible increased proarrhythmic risk in pathophysiological situation or after drug applications. Our molecular biological experiments rereated that in addition to the knew proteins other previously unrecognized alfa subunits contribute to the transmembrane ion channels conducting Ito. The results obtained during the granting period was published in 9 English papers (IF= 34.61)