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Am J Physiol Heart Circ Physiol 295: H667-H676, 2008. First published June 13, 2008; doi:10.1152/ajpheart.00111.2008
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Molecular identity of the late sodium current in adult dog cardiomyocytes identified by Nav1.5 antisense inhibition

Victor A. Maltsev,1 John W. Kyle,2 Sudhish Mishra,1 and Abertas Undrovinas1

1Department of Internal Medicine, Henry Ford Hospital System, Detroit, Michigan; and 2Section of Cardiology, Department of Medicine, University of Chicago, Illinois

Submitted 1 February 2008 ; accepted in final form 2 June 2008

Late Na+ current (INaL) is a major component of the action potential plateau in human and canine myocardium. Since INaL is increased in heart failure and ischemia, it represents a novel potential target for cardioprotection. However, the molecular identity of INaL remains unclear. We tested the hypothesis that the cardiac Na+ channel isoform (Nav1.5) is a major contributor to INaL in adult dog ventricular cardiomyocytes (VCs). Cultured VCs were exposed to an antisense morpholino-based oligonucleotide (Nav1.5 asOligo) targeting the region around the start codon of Nav1.5 mRNA or a control nonsense oligonucleotide (nsOligo). Densities of both transient Na+ current (INaT) and INaL (both in pA/pF) were monitored by whole cell patch clamp. In HEK293 cells expressing Nav1.5 or Nav1.2, Nav1.5 asOligo specifically silenced functional expression of Nav1.5 (up to 60% of the initial INaT) but not Nav1.2. In both nsOligo-treated controls and untreated VCs, INaT and INaL remained unchanged for up to 5 days. However, both INaT and INaL decreased exponentially with similar time courses ({tau} = 46 and 56 h, respectively) after VCs were treated with Nav1.5 asOligo without changes in 1) decay kinetics, 2) steady-state activation and inactivation, and 3) the ratio of INaL to INaT. Four days after exposure to Nav1.5 asOligo, INaT and INaL amounted to 68 ± 6% (mean ± SE; n = 20, P < 0.01) and 60 ± 7% (n = 11, P < 0.018) of those in VCs treated by nsOligo, respectively. We conclude that in adult dog heart Nav1.5 sodium channels have a "functional half-life" of ~35 h (0.69{tau}) and make a major contribution to INaL.

sodium channel functional half-life; antisense inhibition; patch clamp



Address for reprint requests and other correspondence: A. Undrovinas, Henry Ford Hospital, Cardiovascular Research, Education & Research Bldg. Rm. 4015, 2799 West Grand Blvd., Detroit, MI 48202-2689 (e-mail: aundrov1{at}hfhs.org)







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