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1 Department of Physiology, UCLA, Los Angeles, California, United States; Los Angeles, California, United States
2 Department of Physiology, UCLA, Los Angeles, California, United States
3 UCLA, Los Angeles, California, United States; Department of Physiological Sciences, UCLA, Los Angeles, California, United States
4 Los Angeles, California, United States; Department of Physiology, UCLA, Los Angeles, California, United States
5 Department of Physiological Sciences, UCLA, Los Angeles, California, United States
6 Department of Cardiology, UCLA, Los Angeles, California, United States; 10833 Le Conte Avenue, Los Angeles, California, 90024, United States
* To whom correspondence should be addressed. E-mail: kphilipson{at}mednet.ucla.edu.
In cardiac-specific Na+-Ca2+ exchanger (NCX) knockout (KO) mice, the ventricular action potential (AP) is shortened. This, along with as a decrease of the L-type Ca2+ current (ICa), provides a critical mechanism for the maintenance of Ca2+-homeostasis and contractility in the absence of NCX (Pott et al., 2005, Circ Res,97,1288). To investigate the mechanism that underlies the accelerated AP repolarization, we recorded the transient outward current (Ito) in patch-clamped myocytes isolated from wildtype (WT) and NCX-KO mice. Peak Ito was increased by 78% and decay kinetics were slowed in KO versus WT. Consistent with increased Ito, electrocardiograms (ECG) from KO mice exhibited shortened QT-intervals. Expression of the Ito-generating K+ channel subunit Kv4.2 and the K+-channel-interacting-protein (KChip) were increased in KO. We used a computer model of the murine AP (Bondarenko et al.,2004, Am J Physiol,287,1378) to determine the relative contributions of increased Ito, reduced ICa, and reduced Na+-Ca2+ exchange current (INCX) on the shape and kinetics of the AP. Reduction of ICa and elimination of INCX had relatively small effects on the duration of the AP in the computer model. In contrast, AP repolarization was substantially accelerated when Ito was increased in the computer model. Thus, the increase in Ito, and not the reduction of ICa or INCX, is likely to be the major mechanism of AP shortening in KO myocytes. The upregulation of Ito may comprise an important regulatory mechanism to limit Ca2+ influx via a reduction of AP-duration, thus preventing Ca2+-overload in situations of reduced myocyte Ca2+ extrusion capacity.
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