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1 Physiology and Biophysics, University of Calgary, Calgary, Alberta, Canada
* To whom correspondence should be addressed. E-mail: shimoni{at}ucalgary.ca.
The autocrine modulation of cardiac K+ currents was compared in ventricular (V) and atrial (A) cells from type1 diabetic rats. K+ currents were measured using whole cell voltage clamp. Angiotensin II (ANG II) was measured by ELISA and immunofluorescent labeling. Oxidative stress was assessed by immunofluorescent labeling with dihydroethidium (DHE), a measure of superoxide ions. In V cells, K+ currents are attenuated following activation of the renin-angiotensin system (RAS) and the resulting ANG II-mediated oxidative stress. In striking contrast, these currents are not attenuated in A cells. Inhibition of the angiotensin-converting enzyme (ACE) also has no effect, in contrast to current augmentation in V cells. ANG II levels are enhanced in V, but not in A cells. However, the high basal ANG II levels in A cells suggest that ANG II-mediated pathways are suppressed, rather than ANG II formation. Concordantly, superoxide ion levels are lower in diabetic A than V cells. Several findings indicate that high atrial natriuretic peptide (ANP) levels in A cells inhibit RAS activation: In male diabetic V cells, in vitro ANP (300 nM - 1 µM, >5h) decreases oxidative stress and augments K+ currents, but not when excess ANG II is present. ANP has no effect on ventricular K+ currents when the RAS is not activated, as in control males, in diabetic males treated with ACE inhibitor, and in diabetic females. In conclusion, the modulation of K+ currents and oxidative stress is significantly different in A and V cells in diabetic rat hearts. The evidence suggests that this is largely due to inhibition of RAS activation and/or action by ANP in atrial cells. These results may underlie chamber-specific arrhythmogenic mechanisms.
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A. Nygren, M. L. Olson, K. Y. Chen, T. Emmett, G. Kargacin, and Y. Shimoni Propagation of the cardiac impulse in the diabetic rat heart: reduced conduction reserve J. Physiol., April 15, 2007; 580(2): 543 - 560. [Abstract] [Full Text] [PDF] |
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