Аннотация
OBJECTIVE: A naturally-occurring mutation in cardiac calsequestrin
(CASQ2) at amino acid 307 was discovered in a highly inbred family
and hypothesized to cause Catecholaminergic Polymorphic Ventricular
Tachycardia (CPVT). The goal of this study was to establish a causal
link between CASQ2(D307H) and the CPVT phenotype using an in vivo
model. METHODS AND RESULTS: Cardiac-specific expression of the CASQ2(D307H)
transgene was achieved using the alpha-MHC promoter. Multiple transgenic
(TG) mouse lines expressing CASQ2(D307H) from 2- to 6-fold possess
structurally normal hearts without any sign of hypertrophy. The hearts
displayed normal ventricular function. Myocytes isolated from TG
mice had diminished I(Ca)-induced Ca2+ transient amplitude and duration,
as well as increased Ca2+ spark frequency. These myocytes, when exposed
to isoproterenol and caffeine, displayed disturbances in their rhythmic
Ca2+ oscillations and membrane potential, and delayed afterdepolarizations.
ECG monitoring revealed that TG mice challenged with isoproterenol
and caffeine developed complex ventricular arrhythmias, including
non-sustained polymorphic ventricular tachycardia. CONCLUSIONS: The
findings of the present study demonstrate that expression of mutant
CASQ2(D307H) in the mouse heart results in abnormal myocyte Ca2+
handling and predisposes to complex ventricular arrhythmias similar
to the CPVT phenotype observed in human patients.
- agents,
- animal;
- animals;
- caffeine,
- calcium
- calcium,
- calsequestrin,
- cardiac,
- cardiotonic
- confocal;
- death,
- electrocardiography;
- etiology;
- genetics/metabolism/pathology
- genetics;
- isoproterenol,
- metabolism/pathology;
- metabolism;
- mice,
- mice;
- microscopy,
- missense;
- models,
- mutation,
- myocytes,
- pharmacology;
- reticulum,
- sarcoplasmic
- signaling;
- sudden,
- tachycardia,
- transgenic;
- ventricular,
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