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Ion channel subunit expression changes in cardiac Purkinje fibers: a potential role in conduction abnormalities associated with congestive heart failure

Circ Res. 2009 May 8;104(9):1113-22. doi: 10.1161/CIRCRESAHA.108.191809. Epub 2009 Apr 9.

Abstract

Purkinje fibers (PFs) play key roles in cardiac conduction and arrhythmogenesis. Congestive heart failure (CHF) causes well-characterized atrial and ventricular ion channel subunit expression changes, but effects on PF ion channel subunits are unknown. This study assessed changes in PF ion channel subunit expression (real-time PCR, immunoblot, immunohistochemistry), action potential properties, and conduction in dogs with ventricular tachypacing-induced CHF. CHF downregulated mRNA expression of subunits involved in action potential propagation (Nav1.5, by 56%; connexin [Cx]40, 66%; Cx43, 56%) and repolarization (Kv4.3, 43%, Kv3.4, 46%). No significant changes occurred in KChIP2, KvLQT1, ERG, or Kir3.1/3.4 mRNA. At the protein level, downregulation was seen for Nav1.5 (by 38%), Kv4.3 (42%), Kv3.4 (57%), Kir2.1 (26%), Cx40 (53%), and Cx43 (30%). Cx43 dephosphorylation was indicated by decreased larger molecular mass bands (pan-Cx43 antibody) and a 57% decrease in Ser368-phosphorylated Cx43 (phospho-specific antibody). Immunohistochemistry revealed reduced Cx40, Cx43, and phospho-Cx43 expression at intercalated disks. Action potential changes were consistent with observed decreases in ion channel subunits: CHF decreased phase 1 slope (by 56%), overshoot (by 32%), and phase 0 dV/dt(max) (by 35%). Impulse propagation was slowed in PF false tendons: conduction velocity decreased significantly from 2.2+/-0.1 m/s (control) to 1.5+/-0.1 m/s (CHF). His-Purkinje conduction also slowed in vivo, with HV interval increasing from 35.5+/-1.2 (control) to 49.3+/-3.4 ms (CHF). These results indicate important effects of CHF on PF ion channel subunit expression. Alterations in subunits governing conduction properties may be particularly important, because CHF-induced impairments in Purkinje tissue conduction, which this study is the first to describe, could contribute significantly to dyssynchronous ventricular activation, a major determinant of prognosis in CHF-patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials
  • Animals
  • Cardiac Pacing, Artificial
  • Connexins / genetics
  • Connexins / metabolism*
  • Disease Models, Animal
  • Dogs
  • Electrocardiography
  • Heart Failure / etiology*
  • Heart Failure / metabolism
  • Heart Failure / physiopathology
  • Hemodynamics
  • Phosphorylation
  • Potassium Channels / genetics
  • Potassium Channels / metabolism*
  • Protein Subunits
  • Purkinje Fibers / metabolism*
  • Purkinje Fibers / physiopathology
  • RNA, Messenger / metabolism
  • Sodium Channels / genetics
  • Sodium Channels / metabolism*
  • Tachycardia, Ventricular / complications
  • Tachycardia, Ventricular / metabolism*
  • Tachycardia, Ventricular / physiopathology
  • Time Factors

Substances

  • Connexins
  • Potassium Channels
  • Protein Subunits
  • RNA, Messenger
  • Sodium Channels