Interventricular differences in sodium current and its potential role in Brugada syndrome

Physiological Reports
Kirstine CalloeJonathan M Cordeiro

Abstract

Brugada syndrome (BrS) is an inherited disease associated with ST elevation in the right precordial leads, polymorphic ventricular tachycardia (PVT), and sudden cardiac death in adults. Mutations in the cardiac sodium channel account for a large fraction of BrS cases. BrS manifests in the right ventricle (RV), which led us to examine the biophysical and molecular properties of sodium channel in myocytes isolated from the left (LV) and right ventricle. Patch clamp was used to record sodium current (INa ) in single canine RV and LV epicardial (epi) and endocardial (endo) myocytes. Action potentials were recorded from multicellular preparations and single cells. mRNA and proteins were determined using quantitative RT-PCR and Western blot. Although LV wedge preparations were thicker than RV wedges, transmural ECG recordings showed no difference in the width of the QRS complex or transmural conduction time. Action potential characteristics showed RV epi and endo had a lower Vmax compared with LV epi and endo cells. Peak INa density was significantly lower in epi and endo RV cells compared with epi and endo LV cells. Recovery from inactivation of INa in RV cells was slightly faster and half maximal steady-state inactivation was more ...Continue Reading

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Citations

Oct 17, 2019·Biomolecules·Eric CortadaMarcel Verges
Jul 28, 2020·International Journal of Molecular Sciences·Jérôme ClatotCharles Antzelevitch

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Methods Mentioned

BETA
PCR
Protein Assay

Software Mentioned

Clampfit
pClamp
Spike
SigmaStat

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