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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 (
= 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
) and make a major contribution to INaL.
sodium channel functional half-life; antisense inhibition; patch clamp
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