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Am J Physiol Heart Circ Physiol 290: H2098-H2107, 2006. First published December 9, 2005; doi:10.1152/ajpheart.00097.2005
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Electrical remodeling of cardiac myocytes from mice with heart failure due to the overexpression of tumor necrosis factor-{alpha}

Polina S. Petkova-Kirova,1 Erdal Gursoy,2 Haider Mehdi,2 Charles F. McTiernan,2 Barry London,2 and Guy Salama1

1Department of Cell Biology and Physiology and 2Cardiovascular Institute, University of Pittsburgh, Pittsburgh, Pennsylvania

Submitted 1 February 2005 ; accepted in final form 9 November 2005

Mice that overexpress the inflammatory cytokine tumor necrosis factor-{alpha} in the heart (TNF mice) develop heart failure characterized by atrial and ventricular dilatation, decreased ejection fraction, atrial and ventricular arrhythmias, and increased mortality (males > females). Abnormalities in Ca2+ handling, prolonged action potential duration (APD), calcium alternans, and reentrant atrial and ventricular arrhythmias were previously observed with the use of optical mapping of perfused hearts from TNF mice. We therefore tested whether altered voltage-gated outward K+ and/or inward Ca2+ currents contribute to the altered action potential characteristics and the increased vulnerability to arrhythmias. Whole cell voltage-clamp recordings of K+ currents from left ventricular myocytes of TNF mice revealed an ~50% decrease in the rapidly activating, rapidly inactivating transient outward K+ current Ito and in the rapidly activating, slowly inactivating delayed rectifier current IK,slow1, an ~25% decrease in the rapidly activating, slowly inactivating delayed rectifier current IK,slow2, and no significant change in the steady-state current Iss compared with controls. Peak amplitudes and inactivation kinetics of the L-type Ca2+ current ICa,L were not altered. Western blot analyses revealed a reduction in the proteins underlying Kv4.2, Kv4.3, and Kv1.5. Thus decreased K+ channel expression is largely responsible for the prolonged APD in the TNF mice and may, along with abnormalities in Ca2+ handling, contribute to arrhythmias.

ion currents; ion channel expression; electrophysiology; cytokines



Address for reprint requests and other correspondence: G. Salama, Univ. of Pittsburgh School of Medicine, Dept. of Cell Biology and Physiology, S314 Biomedical Science Tower, 3500 Terrace St., Pittsburgh, PA 15261 (e-mail: gsalama{at}pitt.edu)




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