Adrenergic regulation of a key cardiac potassium channel can contribute to atrial fibrillation: evidence from an IKs transgenic mouse
Adrenergic regulation of a key cardiac potassium channel can contribute to atrial fibrillation: evidence from an IKs transgenic mouse
Inherited gain‐of‐function mutations of genes coding for subunits of the heart slow potassium (IKs) channel can cause familial atrial fibrillation (AF). Here we consider a potentially more prevalent mechanism and hypothesize that β‐adrenergic receptor (β‐AR)‐mediated regulation of the IKs channel, a natural gain‐of‐function pathway, can also lead to AF. Using a transgenic IKs channel mouse model, we studied the role of the channel and its regulation by β‐AR stimulation on atrial arrhythmias. In vivo administration of isoprenaline (isoproterenol) predisposes IKs channel transgenic mice but not wild‐type (WT) littermates that lack IKs to prolonged atrial arrhythmias. Patch‐clamp analysis demonstrated expression and isoprenaline‐mediated regulation of IKs in atrial myocytes from transgenic but not WT littermates. Furthermore, computational modelling revealed that β‐AR stimulation‐dependent accumulation of open IKs channels accounts for the pro‐arrhythmic substrate. Our results provide evidence that β‐AR‐regulated IKs channels can play a role in AF and imply that specific IKs deregulation, perhaps through disruption of the IKs macromolecular complex necessary for β‐AR‐mediated IKs channel regulation, may be a novel therapeutic strategy for treating this most common arrhythmia.
- St Mary's Hospital United Kingdom
- Columbia University Medical Center United States
- Imperial College Healthcare NHS Trust United Kingdom
- Imperial College London United Kingdom
Male, Patch-Clamp Techniques, Isoproterenol, Mice, Transgenic, Adrenergic beta-Agonists, Electrophysiology, Electrocardiography, Mice, Potassium Channels, Voltage-Gated, Atrial Fibrillation, Receptors, Adrenergic, beta, Animals, Computer Simulation, Female, Myocytes, Cardiac
Male, Patch-Clamp Techniques, Isoproterenol, Mice, Transgenic, Adrenergic beta-Agonists, Electrophysiology, Electrocardiography, Mice, Potassium Channels, Voltage-Gated, Atrial Fibrillation, Receptors, Adrenergic, beta, Animals, Computer Simulation, Female, Myocytes, Cardiac
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