Remodeling of the peripheral cardiac conduction system in response to pressure overload

Autor: Harinath Kasiganesan, Brett S. Harris, Lucile Miquerol, Daniel Gros, Mary S. Rackley, Terrence X. O'Brien, Dimitri Scholz, Rupak Mukherjee, Nicole Haghshenas, Catalin F. Baicu
Přispěvatelé: Institut de Biologie du Développement de Marseille (IBDM), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Physiology
MESH: Constriction
Action Potentials
Fluorescent Antibody Technique
Connexin
MESH: Myocytes
Cardiac

Cell Count
030204 cardiovascular system & hematology
Left ventricular hypertrophy
Connexins
Muscle hypertrophy
MESH: Cyclic Nucleotide-Gated Cation Channels
MESH: Heart Conduction System
Electrocardiography
Mice
Integrative Cardiovascular Physiology and Pathophysiology
0302 clinical medicine
Hyperpolarization-Activated Cyclic Nucleotide-Gated Channels
Image Processing
Computer-Assisted

MESH: Microscopy
Confocal

Myocytes
Cardiac

MESH: Animals
MESH: Fluorescent Antibody Technique
MESH: Action Potentials
MESH: Cell Size
0303 health sciences
Microscopy
Confocal

Ventricular Remodeling
MESH: Real-Time Polymerase Chain Reaction
Gap junction
MESH: Purkinje Fibers
Constriction
MESH: Image Processing
Computer-Assisted

humanities
ErbB Receptors
medicine.anatomical_structure
Echocardiography
Cardiology
Female
Electrical conduction system of the heart
Cardiology and Cardiovascular Medicine
MESH: Pressure
medicine.medical_specialty
MESH: Hemodynamics
Purkinje fibers
MESH: Mice
Transgenic

Blotting
Western

Cyclic Nucleotide-Gated Cation Channels
Cardiomegaly
Mice
Transgenic

MESH: Ventricular Remodeling
MESH: Receptor
Epidermal Growth Factor

[SDV.BC]Life Sciences [q-bio]/Cellular Biology
Biology
Real-Time Polymerase Chain Reaction
Purkinje Fibers
03 medical and health sciences
Heart Conduction System
Physiology (medical)
Internal medicine
Pressure
medicine
Animals
MESH: Blotting
Western

Ventricular remodeling
MESH: Mice
Cell Size
030304 developmental biology
Pressure overload
MESH: Cell Count
Hemodynamics
medicine.disease
MESH: Electrocardiography
MESH: Connexins
MESH: Echocardiography
MESH: Cardiomegaly
MESH: Female
Zdroj: AJP-Heart and Circulatory Physiology
AJP-Heart and Circulatory Physiology, American Physiological Society, 2012, 302 (8), pp.H1712-25. ⟨10.1152/ajpheart.00621.2011⟩
AJP-Heart and Circulatory Physiology, 2012, 302 (8), pp.H1712-25. ⟨10.1152/ajpheart.00621.2011⟩
ISSN: 0363-6135
1522-1539
DOI: 10.1152/ajpheart.00621.2011⟩
Popis: How chronic pressure overload affects the Purkinje fibers of the ventricular peripheral conduction system (PCS) is not known. Here, we used a connexin (Cx)40 knockout/enhanced green fluorescent protein knockin transgenic mouse model to specifically label the PCS. We hypothesized that the subendocardially located PCS would remodel after chronic pressure overload and therefore analyzed cell size, markers of hypertrophy, and PCS-specific Cx and ion channel expression patterns. Left ventricular hypertrophy with preserved systolic function was induced by 30 days of surgical transaortic constriction. After transaortic constriction, we observed that PCS cardiomyocytes hypertrophied by 23% ( P < 0.05) and that microdissected PCS tissue exhibited upregulated markers of hypertrophy. PCS cardiomyocytes showed a 98% increase in the number of Cx40-positive gap junction particles, with an associated twofold increase in gene expression ( P < 0.05). We also identified a 50% reduction in Cx43 gap junction particles located at the interface between PCS cardiomyocytes and the working cardiomyocyte. In addition, we measured a fourfold increase of an ion channel, hyperpolarization-activated cyclic nucleotide-gated channel (HCN)4, throughout the PCS ( P < 0.05). As a direct consequence of PCS remodeling, we found that pressure-overloaded hearts exhibited marked changes in ventricular activation patterns during normal sinus rhythm. These novel findings characterize PCS cardiomyocyte remodeling after chronic pressure overload. We identified significant hypertrophic growth accompanied by modified expression of Cx40, Cx43, and HCN4 within PCS cardiomyocytes. We found that a functional outcome of these changes is a failure of the PCS to activate the ventricular myocardium normally. Our findings provide a proof of concept that pressure overload induces specific cellular changes, not just within the working myocardium but also within the specialized PCS.
Databáze: OpenAIRE