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L-type calcium channels and neuropsychiatric diseases: Insights into genetic risk variant-associated genomic regulation and impact on brain development. l型钙通道与神经精神疾病:遗传风险变异相关的基因组调控及其对大脑发育的影响
Pub Date : 2023-12-01 DOI: 10.1080/19336950.2023.2176984
Madelyn R Baker, Andrew S Lee, Anjali M Rajadhyaksha

Recent human genetic studies have linked a variety of genetic variants in the CACNA1C and CACNA1D genes to neuropsychiatric and neurodevelopmental disorders. This is not surprising given the work from multiple laboratories using cell and animal models that have established that Cav1.2 and Cav1.3 L-type calcium channels (LTCCs), encoded by CACNA1C and CACNA1D, respectively, play a key role in various neuronal processes that are essential for normal brain development, connectivity, and experience-dependent plasticity. Of the multiple genetic aberrations reported, genome-wide association studies (GWASs) have identified multiple single nucleotide polymorphisms (SNPs) in CACNA1C and CACNA1D that are present within introns, in accordance with the growing body of literature establishing that large numbers of SNPs associated with complex diseases, including neuropsychiatric disorders, are present within non-coding regions. How these intronic SNPs affect gene expression has remained a question. Here, we review recent studies that are beginning to shed light on how neuropsychiatric-linked non-coding genetic variants can impact gene expression via regulation at the genomic and chromatin levels. We additionally review recent studies that are uncovering how altered calcium signaling through LTCCs impact some of the neuronal developmental processes, such as neurogenesis, neuron migration, and neuron differentiation. Together, the described changes in genomic regulation and disruptions in neurodevelopment provide possible mechanisms by which genetic variants of LTCC genes contribute to neuropsychiatric and neurodevelopmental disorders.

最近的人类遗传学研究将CACNA1C和CACNA1D基因的各种遗传变异与神经精神和神经发育障碍联系起来。这并不奇怪,因为多个实验室使用细胞和动物模型进行的研究已经证实,分别由CACNA1C和CACNA1D编码的Cav1.2和Cav1.3 L型钙通道(LTCCs)在各种神经元过程中发挥着关键作用,而这些过程对正常大脑发育、连接和经验依赖性可塑性至关重要。在报告的多种遗传异常中,全基因组关联研究(GWAS)已经在CACNA1C和CACNA1D中发现了内含子中存在的多个单核苷酸多态性(SNPs),这与越来越多的文献一致,这些文献证实了大量与复杂疾病(包括神经精神障碍)相关的SNPs,存在于非编码区域内。这些内含子SNPs如何影响基因表达一直是个问题。在这里,我们回顾了最近的研究,这些研究开始揭示神经精神相关的非编码基因变体如何通过基因组和染色质水平的调节影响基因表达。我们还回顾了最近的研究,这些研究揭示了通过LTCC改变的钙信号如何影响一些神经元发育过程,如神经发生、神经元迁移和神经元分化。总之,所描述的基因组调控的变化和神经发育的破坏提供了LTCC基因的遗传变异导致神经精神和神经发育障碍的可能机制。
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引用次数: 0
A systemic analysis of monocarboxylate transporters in ovarian cancer and possible therapeutic interventions. 卵巢癌症中单羧酸转运蛋白的系统分析及可能的治疗干预措施。
Pub Date : 2023-12-01 Epub Date: 2023-11-07 DOI: 10.1080/19336950.2023.2273008
Priti Chatterjee, Debaleena Bhowmik, Sib Sankar Roy

Monocarboxylate transporters (MCTs) play an immense role in metabolically active solid tumors by regulating concentration-dependent transport of different important monocarboxylates including pyruvate and lactate and are encoded by the SLC16A family of genes. Given the vast array of functions, these transporters play in oncogenesis, our objective was to look into the association of MCT1 (SLC16A1), MCT2 (SLC16A7), MCT3 (SLC16A8), and MCT4 (SLC16A3) with Epithelial ovarian cancer (EOC) pathophysiology by exploiting various publicly available databases and web resources. Few of the in silico findings were confirmed via in vitro experiments in EOC cell lines, SKOV3 and OAW-42. MCT1 and MCT4 were found to be upregulated at the mRNA level in OC tissues compared to normal. However, only higher level of MCT4 mRNA was found to be associated with poor patient survival. MCT4 was positively correlated with gene families responsible for invasion, migration, and immune modification, proving it to be one of the most important MCTs for therapeutic intervention. We compared the effects of MCT1/2 blocker SR13800 and a broad-spectrum MCT blocker α-Cyano Hydroxy Cinnamic Acid (α-CHCA) and discovered that α-CHCA has a greater effect on diminishing the invasive behavior of the cancer cells than MCT1/2 blocker SR13800. From our study, MCT4 has emerged as a prospective marker for predicting poor patient outcomes and a potential therapeutic target.

单羧酸转运蛋白(MCTs)通过调节包括丙酮酸盐和乳酸盐在内的不同重要单羧酸盐的浓度依赖性转运,在代谢活性实体瘤中发挥着巨大作用,并由SLC16A基因家族编码。鉴于这些转运蛋白在肿瘤发生中发挥着广泛的功能,我们的目标是通过利用各种公开的数据库和网络资源,研究MCT1(SLC16A1)、MCT2(SLC16A 7)、MCT3(SLC16 A8)和MCT4(SLC16C3)与癌症上皮癌(EOC)病理生理学的关系。通过在EOC细胞系SKOV3和OAW-42中的体外实验,很少有计算机模拟结果得到证实。发现与正常人相比,OC组织中MCT1和MCT4在mRNA水平上调。然而,只有较高水平的MCT4 mRNA被发现与患者生存率低有关。MCT4与负责侵袭、迁移和免疫修饰的基因家族呈正相关,证明它是治疗干预中最重要的MCTs之一。我们比较了MCT1/2阻断剂SR13800和广谱MCT阻断剂α-氰基羟基肉桂酸(α-CHA)的作用,发现α-CHA在减少癌症细胞侵袭行为方面比MCT1/2拮抗剂SR1380具有更大的作用。根据我们的研究,MCT4已成为预测不良患者预后的前瞻性标志物和潜在的治疗靶点。
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引用次数: 0
Advances in CaV1.1 gating: New insights into permeation and voltage-sensing mechanisms. CaV1.1门控的新进展:渗透和电压传感机制的新见解。
Pub Date : 2023-12-01 DOI: 10.1080/19336950.2023.2167569
Hugo Bibollet, Audra Kramer, Roger A Bannister, Erick O Hernández-Ochoa

The CaV1.1 voltage-gated Ca2+ channel carries L-type Ca2+ current and is the voltage-sensor for excitation-contraction (EC) coupling in skeletal muscle. Significant breakthroughs in the EC coupling field have often been close on the heels of technological advancement. In particular, CaV1.1 was the first voltage-gated Ca2+ channel to be cloned, the first ion channel to have its gating current measured and the first ion channel to have an effectively null animal model. Though these innovations have provided invaluable information regarding how CaV1.1 detects changes in membrane potential and transmits intra- and inter-molecular signals which cause opening of the channel pore and support Ca2+ release from the sarcoplasmic reticulum remain elusive. Here, we review current perspectives on this topic including the recent application of functional site-directed fluorometry.

CaV1.1电压门控Ca2+通道携带L型Ca2+电流,是骨骼肌兴奋-收缩(EC)耦合的电压传感器。EC耦合领域的重大突破往往紧跟着技术进步。特别地,CaV1.1是第一个被克隆的电压门控Ca2+通道,第一个测量其门控电流的离子通道,以及第一个具有有效无效动物模型的离子通道。尽管这些创新提供了关于CaV1.1如何检测膜电位变化并传递分子内和分子间信号的宝贵信息,这些信号导致通道孔打开并支持Ca2+从肌浆网释放,但仍然难以捉摸。在这里,我们回顾了当前对这一主题的看法,包括功能位点导向荧光测定法的最新应用。
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引用次数: 0
Voltage gated sodium and calcium channels: Discovery, structure, function, and Pharmacology. 电压门控钠钙通道:发现、结构、功能和药理学。
Pub Date : 2023-12-01 Epub Date: 2023-11-20 DOI: 10.1080/19336950.2023.2281714
William A Catterall

Voltage-gated sodium channels initiate action potentials in nerve and muscle, and voltage-gated calcium channels couple depolarization of the plasma membrane to intracellular events such as secretion, contraction, synaptic transmission, and gene expression. In this Review and Perspective article, I summarize early work that led to identification, purification, functional reconstitution, and determination of the amino acid sequence of the protein subunits of sodium and calcium channels and showed that their pore-forming subunits are closely related. Decades of study by antibody mapping, site-directed mutagenesis, and electrophysiological recording led to detailed two-dimensional structure-function maps of the amino acid residues involved in voltage-dependent activation and inactivation, ion permeation and selectivity, and pharmacological modulation. Most recently, high-resolution three-dimensional structure determination by X-ray crystallography and cryogenic electron microscopy has revealed the structural basis for sodium and calcium channel function and pharmacological modulation at the atomic level. These studies now define the chemical basis for electrical signaling and provide templates for future development of new therapeutic agents for a range of neurological and cardiovascular diseases.

电压门控钠通道启动神经和肌肉的动作电位,电压门控钙通道将质膜的去极化与细胞内事件(如分泌、收缩、突触传递和基因表达)联系起来。在这篇综述和展望的文章中,我总结了早期的工作导致鉴定、纯化、功能重构和确定的蛋白质亚基的钠和钙通道的氨基酸序列,并表明他们的孔隙形成亚基密切相关。通过抗体作图、定点诱变和电生理记录等数十年的研究,我们绘制出了与电压依赖性激活和失活、离子渗透和选择性以及药理学调节有关的氨基酸残基的详细二维结构-功能图谱。最近,通过x射线晶体学和低温电子显微镜的高分辨率三维结构测定揭示了钠钙通道功能和原子水平药理调节的结构基础。这些研究现在确定了电信号的化学基础,并为未来开发一系列神经和心血管疾病的新治疗药物提供了模板。
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引用次数: 0
Structural basis of properties, mechanisms, and channelopathy of cyclic nucleotide-gated channels. 环状核苷酸门控通道的性质、机制和通道病的结构基础。
Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI: 10.1080/19336950.2023.2273165
Zhengshan Hu, Jian Yang

Recent years have seen an outpouring of atomic or near atomic resolution structures of cyclic nucleotide-gated (CNG) channels, captured in closed, transition, pre-open, partially open, and fully open states. These structures provide unprecedented molecular insights into the activation, assembly, architecture, regulation, and channelopathy of CNG channels, as well as mechanistic explanations for CNG channel biophysical and pharmacological properties. This article summarizes recent advances in CNG channel structural biology, describes key structural features and elements, and illuminates a detailed conformational landscape of activation by cyclic nucleotides. The review also correlates structures with findings and properties delineated in functional studies, including nonselective monovalent cation selectivity, Ca2+ permeation and block, block by L-cis-diltiazem, location of the activation gate, lack of voltage-dependent gating, and modulation by lipids and calmodulin. A perspective on future research is also offered.

近年来,环核苷酸门控(CNG)通道的原子或近原子分辨率结构大量涌现,这些通道以闭合、过渡、预开放、部分开放和完全开放状态捕获。这些结构为CNG通道的激活、组装、结构、调节和通道病提供了前所未有的分子见解,并对CNG通道的生物物理和药理学特性提供了机制解释。本文综述了CNG通道结构生物学的最新进展,描述了关键的结构特征和元件,并阐明了环状核苷酸激活的详细构象景观。该综述还将结构与功能研究中描述的发现和性质联系起来,包括非选择性单价阳离子选择性、Ca2+渗透和阻断、L-顺式二氮杂酶阻断、激活门的位置、缺乏电压依赖性门控以及脂质和钙调素的调节。并对未来的研究提出了展望。
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引用次数: 0
Cycling matters: Sex hormone regulation of vascular potassium channels. 循环问题:血管钾通道的性激素调节。
Pub Date : 2023-12-01 DOI: 10.1080/19336950.2023.2217637
Samuel N Baldwin, Thomas A Jepps, Iain A Greenwood

Sex hormones and the reproductive cycle (estrus in rodents and menstrual in humans) have a known impact on arterial function. In spite of this, sex hormones and the estrus/menstrual cycle are often neglected experimental factors in vascular basic preclinical scientific research. Recent research by our own laboratory indicates that cyclical changes in serum concentrations of sex -hormones across the rat estrus cycle, primary estradiol, have significant consequences for the subcellular trafficking and function of KV. Vascular potassium channels, including KV, are essential components of vascular reactivity. Our study represents a small part of a growing field of literature aimed at determining the role of sex hormones in regulating arterial ion channel function. This review covers key findings describing the current understanding of sex hormone regulation of vascular potassium channels, with a focus on KV channels. Further, we highlight areas of research where the estrus cycle should be considered in future studies to determine the consequences of physiological oscillations in concentrations of sex hormones on vascular potassium channel function.

性激素和生殖周期(啮齿动物的发情期和人类的月经期)对动脉功能有已知的影响。尽管如此,在血管基础临床前科学研究中,性激素和发情/月经周期往往是被忽视的实验因素。我们实验室最近的研究表明,在整个大鼠发情周期中,性激素(原代雌二醇)血清浓度的周期性变化对KV的亚细胞运输和功能具有重要影响。包括KV在内的血管钾通道是血管反应性的重要组分。我们的研究代表了越来越多的文献领域的一小部分,这些文献旨在确定性激素在调节动脉离子通道功能中的作用。这篇综述涵盖了描述目前对性激素调节血管钾通道的理解的关键发现,重点是KV通道。此外,我们强调了在未来的研究中应考虑发情周期的研究领域,以确定性激素浓度的生理振荡对血管钾通道功能的影响。
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引用次数: 0
Association of respiratory failure with inhibition of NaV1.6 in the phrenic nerve. 膈神经中NaV1.6抑制与呼吸衰竭的关系。
Pub Date : 2022-12-01 DOI: 10.1080/19336950.2022.2122309
Rebecca M Klein, Mark E Layton, Hillary Regan, Christopher P Regan, Yuxing Li, Tracey Filzen, Matt Cato, Michelle K Clements, Jixin Wang, Raul Sanoja, Thomas J Greshock, Anthony J Roecker, Joseph E Pero, Ron Kim, Christopher Burgey, Christopher T John, Ying-Hong Wang, Neetesh Bhandari, Arie Struyk, Richard L Kraus, Darrell A Henze, Andrea K Houghton

As part of a drug discovery effort to identify potent inhibitors of NaV1.7 for the treatment of pain, we observed that inhibitors produced unexpected cardiovascular and respiratory effects in vivo. Specifically, inhibitors administered to rodents produced changes in cardiovascular parameters and respiratory cessation. We sought to determine the mechanism of the in vivo adverse effects by studying the selectivity of the compounds on NaV1.5, NaV1.4, and NaV1.6 in in vitro and ex vivo assays. Inhibitors lacking sufficient NaV1.7 selectivity over NaV1.6 were associated with respiratory cessation after in vivo administration to rodents. Effects on respiratory rate in rats were consistent with effects in an ex vivo hemisected rat diaphragm model and in vitro NaV1.6 potency. Furthermore, direct blockade of the phrenic nerve signaling was observed at exposures known to cause respiratory cessation in rats. Collectively, these results support a significant role for NaV1.6 in phrenic nerve signaling and respiratory function.

作为鉴定治疗疼痛的NaV1.7有效抑制剂的药物发现工作的一部分,我们观察到抑制剂在体内产生意想不到的心血管和呼吸作用。具体来说,给啮齿动物施用抑制剂会产生心血管参数和呼吸停止的变化。我们试图通过体外和离体实验研究化合物对NaV1.5、NaV1.4和NaV1.6的选择性来确定体内不良反应的机制。与NaV1.6相比,缺乏足够NaV1.7选择性的抑制剂与啮齿动物体内给药后的呼吸停止有关。对大鼠呼吸频率的影响与离体半切大鼠膈肌模型和体外NaV1.6效价的影响一致。此外,在已知会导致大鼠呼吸停止的暴露中观察到膈神经信号的直接阻断。总之,这些结果支持NaV1.6在膈神经信号传导和呼吸功能中的重要作用。
{"title":"Association of respiratory failure with inhibition of NaV1.6 in the phrenic nerve.","authors":"Rebecca M Klein,&nbsp;Mark E Layton,&nbsp;Hillary Regan,&nbsp;Christopher P Regan,&nbsp;Yuxing Li,&nbsp;Tracey Filzen,&nbsp;Matt Cato,&nbsp;Michelle K Clements,&nbsp;Jixin Wang,&nbsp;Raul Sanoja,&nbsp;Thomas J Greshock,&nbsp;Anthony J Roecker,&nbsp;Joseph E Pero,&nbsp;Ron Kim,&nbsp;Christopher Burgey,&nbsp;Christopher T John,&nbsp;Ying-Hong Wang,&nbsp;Neetesh Bhandari,&nbsp;Arie Struyk,&nbsp;Richard L Kraus,&nbsp;Darrell A Henze,&nbsp;Andrea K Houghton","doi":"10.1080/19336950.2022.2122309","DOIUrl":"https://doi.org/10.1080/19336950.2022.2122309","url":null,"abstract":"<p><p>As part of a drug discovery effort to identify potent inhibitors of NaV1.7 for the treatment of pain, we observed that inhibitors produced unexpected cardiovascular and respiratory effects in vivo. Specifically, inhibitors administered to rodents produced changes in cardiovascular parameters and respiratory cessation. We sought to determine the mechanism of the in vivo adverse effects by studying the selectivity of the compounds on NaV1.5, NaV1.4, and NaV1.6 in in vitro and ex vivo assays. Inhibitors lacking sufficient NaV1.7 selectivity over NaV1.6 were associated with respiratory cessation after in vivo administration to rodents. Effects on respiratory rate in rats were consistent with effects in an ex vivo hemisected rat diaphragm model and in vitro NaV1.6 potency. Furthermore, direct blockade of the phrenic nerve signaling was observed at exposures known to cause respiratory cessation in rats. Collectively, these results support a significant role for NaV1.6 in phrenic nerve signaling and respiratory function.</p>","PeriodicalId":72555,"journal":{"name":"Channels (Austin, Tex.)","volume":"16 1","pages":"230-243"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10686089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Small molecule targeting NaV1.7 via inhibition of the CRMP2-Ubc9 interaction reduces pain in chronic constriction injury (CCI) rats. 通过抑制CRMP2-Ubc9相互作用靶向NaV1.7的小分子可减轻慢性收缩损伤(CCI)大鼠的疼痛。
Pub Date : 2022-12-01 DOI: 10.1080/19336950.2021.2023383
Jiahe Li, Harrison J Stratton, Sabina A Lorca, Peter M Grace, Rajesh Khanna

The voltage-gated sodium channel isoform NaV1.7 is a critical player in the transmission of nociceptive information. This channel has been heavily implicated in human genetic pain disorders and is a validated pain target. However, targeting this channel directly has failed, and an indirect approach - disruption of interactions with accessory protein partners - has emerged as a viable alternative strategy. We recently reported that a small-molecule inhibitor of CRMP2 SUMOylation, compound 194, selectively reduces NaV1.7 currents in DRG neurons across species from mouse to human. This compound also reversed mechanical allodynia in a spared nerve injury and chemotherapy-induced model of neuropathic pain. Here, we show that oral administration of 194 reverses mechanical allodynia in a chronic constriction injury (CCI) model of neuropathic pain. Furthermore, we show that orally administered 194 reverses the increased latency to cross an aversive barrier in a mechanical conflict-avoidance task following CCI. These two findings, in the context of our previous report, support the conclusion that 194 is a robust inhibitor of NaV1.7 function with the ultimate effect of profoundly ameliorating mechanical allodynia associated with nerve injury. The fact that this was observed using both traditional, evoked measures of pain behavior as well as the more recently developed operator-independent mechanical conflict-avoidance assay increases confidence in the efficacy of 194-induced anti-nociception.

电压门控钠通道异构体NaV1.7在伤害性信息的传递中起着关键作用。该通道与人类遗传疼痛疾病密切相关,是一种有效的疼痛靶点。然而,直接靶向该通道失败了,而间接方法-破坏与辅助蛋白伙伴的相互作用-已经成为一种可行的替代策略。我们最近报道了一种CRMP2 summoylation的小分子抑制剂,化合物194,选择性地降低了从小鼠到人类的DRG神经元中的NaV1.7电流。该化合物还能逆转神经损伤和化疗诱导的神经性疼痛模型中的机械性异常痛。在这里,我们展示了口服194在慢性收缩损伤(CCI)神经性疼痛模型中逆转机械异常性疼痛。此外,我们发现口服194逆转了CCI后机械性冲突回避任务中跨越厌恶障碍的延迟增加。这两项发现,在我们之前的报道背景下,支持了194是NaV1.7功能的强大抑制剂的结论,其最终效果是深刻改善与神经损伤相关的机械性异常性痛。事实上,这是通过传统的疼痛行为诱发测量以及最近开发的操作者独立的机械冲突避免测定来观察到的,这增加了对194诱导的抗伤害性效果的信心。
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引用次数: 7
Cardiogenic shock due to yew poisoning rescued by VA-ECMO: case report and literature review. VA-ECMO抢救红豆杉中毒心源性休克1例并文献复习。
Pub Date : 2022-12-01 DOI: 10.1080/19336950.2022.2104886
Nikolaus Schreiber, Martin Manninger, Sascha Pätzold, Alexander C Reisinger, Stefan Hatzl, Gerald Hackl, Christoph Högenauer, Philipp Eller

Ingestion of leaves of the European yew tree (Taxus baccata) can result in fatal cardiac arrhythmias and acute cardiogenic shock. This cardiotoxicity derives from taxine alkaloids that block cardiac voltage-gated sodium and calcium channels. Prompt initiation of venoarterial extracorporeal membrane oxygenation is essential to bridge these critically ill patients to recovery, as there is no antidote available. We here report a 39-year old patient with toxic cardiogenic shock after yew poisoning, who was successfully rescued by venoarterial extracorporeal membrane oxygenation and had a full neurological recovery. This report emphasizes the role of intoxications as reversible causes of cardiac arrest and adds further evidence to the body of existing literature thus encouraging the early use of venoarterial extracorporeal membrane oxygenation in patients with yew poisoning and cardiogenic shock.

摄入欧洲紫杉(Taxus baccata)的叶子可导致致命的心律失常和急性心源性休克。这种心脏毒性来自于计程车生物碱阻断心脏电压门控钠和钙通道。由于没有解毒剂,及时开始静脉动脉体外膜氧合对于这些危重患者的康复至关重要。我们在此报告一位39岁的红豆杉中毒后中毒性心源性休克患者,经静脉动脉体外膜氧合成功抢救,神经系统完全恢复。该报告强调了中毒作为心脏骤停的可逆原因的作用,并为现有文献提供了进一步的证据,从而鼓励在红豆杉中毒和心源性休克患者中早期使用静脉体外膜氧合。
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引用次数: 3
Mechanism of carvedilol induced action potential and calcium alternans. 卡维地洛诱导动作电位和钙离子交换的机制。
Pub Date : 2022-12-01 DOI: 10.1080/19336950.2022.2055521
Elizabeth Martinez-Hernandez, Giedrius Kanaporis, Lothar A Blatter

Carvedilol is a nonspecific β-blocker clinically used for the treatment of cardiovascular diseases but has also been shown to have profound effects on excitation-contraction coupling and Ca signaling at the cellular level. We investigate the mechanism by which carvedilol facilitates Ca transient (CaT) and action potential duration (APD) alternans in rabbit atrial myocytes. Carvedilol lowered the frequency threshold for pacing-induced CaT alternans and facilitated alternans in a concentration-dependent manner. Carvedilol prolonged the sarcoplasmic reticulum (SR) Ca release refractoriness by significantly increasing the time constant τ of recovery of SR Ca release; however, no changes in L-type calcium current recovery from inactivation or SR Ca load were found after carvedilol treatment. Carvedilol enhanced the degree of APD alternans nearly two-fold. Carvedilol slowed the APD restitution kinetics and steepened the APD restitution curve at the pacing frequency (2 Hz) where alternans were elicited. No effect on the CaT or APD alternans ratios was observed in experiments with a different β-blocker (metoprolol), excluding the possibility that the carvedilol effect on CaT and APD alternans was determined by its β-blocking properties. These data suggest that carvedilol contributes to the generation of CaT and APD alternans in atrial myocytes by modulating the restitution of CaT and APD.

卡维地洛是临床上用于治疗心血管疾病的非特异性β受体阻滞剂,但也被证明对细胞水平上的兴奋-收缩耦合和Ca信号传导有深远的影响。我们研究了卡维地洛促进兔心房肌细胞钙瞬态(CaT)和动作电位持续时间(APD)交替的机制。卡维地洛降低了起搏诱导的CaT交替的频率阈值,并以浓度依赖的方式促进了交替。卡维地洛通过显著提高肌浆网Ca释放恢复的时间常数τ延长了肌浆网Ca释放的耐火度;然而,卡维地洛处理后,l型钙电流从失活或SR钙负荷恢复没有变化。卡维地洛使APD交替程度提高近2倍。卡维地洛减缓了APD恢复动力学,并使交替引起的起搏频率(2hz)下APD恢复曲线变陡。在不同β阻断剂(美托洛尔)的实验中,没有观察到对CaT和APD交替比率的影响,排除了卡维地洛对CaT和APD交替的影响是由其β阻断特性决定的可能性。这些数据表明,卡维地洛通过调节CaT和APD的恢复,有助于心房肌细胞中CaT和APD交替的产生。
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引用次数: 4
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Channels (Austin, Tex.)
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