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1 Department of Medicine and
2 Research Center,
Thyroid hormone is known to exert important
effects on cardiac repolarization, but the underlying mechanisms are
poorly understood. We investigated the electrophysiological mechanisms
of differences in repolarization between control guinea pigs and
hypothyroid animals (thyroidectomy plus 5-propyl-2-thiouracil).
Hypothyroidism significantly prolonged the rate-corrected Q-T interval
in vivo and action potential duration (APD) of isolated ventricular
myocytes. Whole cell voltage-clamp studies showed no change in current
density or kinetics of L-type Ca2+
current, inward rectifier K+
current, or Na+ current in
hypothyroid hearts. Dofetilide-resistant current
(IKs) step
current densities were smaller by ~65%, and tail current densities
were reduced by 80% in myocytes from hypothyroid animals compared with
controls. The ratio of delayed rectifier step current at +50 mV to tail
current at
40 mV was significantly larger in hypothyroid cells
for test pulses from 60- to 4,200-ms duration, reflecting a smaller
IKs.
Dofetilide-sensitive current
(IKr) densities were not significantly changed.
IKs
half-activation voltage shifted to more positive voltages in
hypothyroidism (29.5 ± 2.2 vs. 21.3 ± 2.7 mV in control,
P < 0.01), whereas
IKr voltage
dependence was unchanged. We conclude that hypothyroidism delays
repolarization in the guinea pig ventricle by decreasing
IKs, a novel and
potentially important mechanism for thyroid regulation of cardiac electrophysiology.
electrocardiogram; action potential; biophysics; cardiac arrhythmias; antiarrhythmic drugs; ion channels
This article has been cited by other articles:
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L. Sen, Y. Sakaguchi, and G. Cui G protein modulates thyroid hormone-induced Na+ channel activation in ventricular myocytes Am J Physiol Heart Circ Physiol, November 1, 2002; 283(5): H2119 - H2129. [Abstract] [Full Text] [PDF] |
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