Molecular Architecture of the Human Sinus Node : Insights Into the Function of the Cardiac Pacemaker

Although we know much about the molecular makeup of the sinus node (SN) in small mammals, little is known about it in humans. The aims of the present study were to investigate the expression of ion channels in the human SN and to use the data to predict electrical activity. Quantitative polymerase c...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2009-03, Vol.119 (12), p.1562-1575
Hauptverfasser: CHANDLER, Natalie J, GREENER, Ian D, BILLETER, Rudolf, SHARMA, Vinod, SIGG, Daniel C, BOYETT, Mark R, DOBRZYNSKI, Halina, TELLEZ, James O, INADA, Shin, MUSA, Hanny, MOLENAAR, Peter, DIFRANCESCO, Dario, BARUSCOTTI, Mirko, LONGHI, Renato, ANDERSON, Robert H
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container_end_page 1575
container_issue 12
container_start_page 1562
container_title Circulation (New York, N.Y.)
container_volume 119
creator CHANDLER, Natalie J
GREENER, Ian D
BILLETER, Rudolf
SHARMA, Vinod
SIGG, Daniel C
BOYETT, Mark R
DOBRZYNSKI, Halina
TELLEZ, James O
INADA, Shin
MUSA, Hanny
MOLENAAR, Peter
DIFRANCESCO, Dario
BARUSCOTTI, Mirko
LONGHI, Renato
ANDERSON, Robert H
description Although we know much about the molecular makeup of the sinus node (SN) in small mammals, little is known about it in humans. The aims of the present study were to investigate the expression of ion channels in the human SN and to use the data to predict electrical activity. Quantitative polymerase chain reaction, in situ hybridization, and immunofluorescence were used to analyze 6 human tissue samples. Messenger RNA (mRNA) for 120 ion channels (and some related proteins) was measured in the SN, a novel paranodal area, and the right atrium (RA). The results showed, for example, that in the SN compared with the RA, there was a lower expression of Na(v)1.5, K(v)4.3, K(v)1.5, ERG, K(ir)2.1, K(ir)6.2, RyR2, SERCA2a, Cx40, and Cx43 mRNAs but a higher expression of Ca(v)1.3, Ca(v)3.1, HCN1, and HCN4 mRNAs. The expression pattern of many ion channels in the paranodal area was intermediate between that of the SN and RA; however, compared with the SN and RA, the paranodal area showed greater expression of K(v)4.2, K(ir)6.1, TASK1, SK2, and MiRP2. Expression of ion channel proteins was in agreement with expression of the corresponding mRNAs. The levels of mRNA in the SN, as a percentage of those in the RA, were used to estimate conductances of key ionic currents as a percentage of those in a mathematical model of human atrial action potential. The resulting SN model successfully produced pacemaking. Ion channels show a complex and heterogeneous pattern of expression in the SN, paranodal area, and RA in humans, and the expression pattern is appropriate to explain pacemaking.
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The aims of the present study were to investigate the expression of ion channels in the human SN and to use the data to predict electrical activity. Quantitative polymerase chain reaction, in situ hybridization, and immunofluorescence were used to analyze 6 human tissue samples. Messenger RNA (mRNA) for 120 ion channels (and some related proteins) was measured in the SN, a novel paranodal area, and the right atrium (RA). The results showed, for example, that in the SN compared with the RA, there was a lower expression of Na(v)1.5, K(v)4.3, K(v)1.5, ERG, K(ir)2.1, K(ir)6.2, RyR2, SERCA2a, Cx40, and Cx43 mRNAs but a higher expression of Ca(v)1.3, Ca(v)3.1, HCN1, and HCN4 mRNAs. The expression pattern of many ion channels in the paranodal area was intermediate between that of the SN and RA; however, compared with the SN and RA, the paranodal area showed greater expression of K(v)4.2, K(ir)6.1, TASK1, SK2, and MiRP2. Expression of ion channel proteins was in agreement with expression of the corresponding mRNAs. The levels of mRNA in the SN, as a percentage of those in the RA, were used to estimate conductances of key ionic currents as a percentage of those in a mathematical model of human atrial action potential. The resulting SN model successfully produced pacemaking. Ion channels show a complex and heterogeneous pattern of expression in the SN, paranodal area, and RA in humans, and the expression pattern is appropriate to explain pacemaking.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>19289639</pmid><doi>10.1161/CIRCULATIONAHA.108.804369</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete
subjects Biological and medical sciences
Blood and lymphatic vessels
Blood. Blood coagulation. Reticuloendothelial system
Cardiac Electrophysiology
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Heart Atria - chemistry
Heart Conduction System - physiology
Humans
Ion Channels - analysis
Ion Channels - genetics
Ion Channels - physiology
Medical sciences
Models, Cardiovascular
Myocardium - chemistry
Pharmacology. Drug treatments
RNA, Messenger - analysis
Sinoatrial Node - chemistry
Sinoatrial Node - physiology
Tissue Distribution
title Molecular Architecture of the Human Sinus Node : Insights Into the Function of the Cardiac Pacemaker
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