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Molecular and Functional Relevance of Na<sub>V</sub>1.8-Induced Atrial Arrhythmogenic Triggers in a Human <i>SCN10A</i> Knock-Out Stem Cell Model
oleh: Nico Hartmann, Maria Knierim, Wiebke Maurer, Nataliya Dybkova, Gerd Hasenfuß, Samuel Sossalla, Katrin Streckfuss-Bömeke
Format: | Article |
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Diterbitkan: | MDPI AG 2023-06-01 |
Deskripsi
In heart failure and atrial fibrillation, a persistent Na<sup>+</sup> current (I<sub>NaL</sub>) exerts detrimental effects on cellular electrophysiology and can induce arrhythmias. We have recently shown that Na<sub>V</sub>1.8 contributes to arrhythmogenesis by inducing a I<sub>NaL</sub>. Genome-wide association studies indicate that mutations in the <i>SCN10A</i> gene (Na<sub>V</sub>1.8) are associated with increased risk for arrhythmias, Brugada syndrome, and sudden cardiac death. However, the mediation of these Na<sub>V</sub>1.8-related effects, whether through cardiac ganglia or cardiomyocytes, is still a subject of controversial discussion. We used CRISPR/Cas9 technology to generate homozygous atrial <i>SCN10A</i>-KO-iPSC-CMs. Ruptured-patch whole-cell patch-clamp was used to measure the I<sub>NaL</sub> and action potential duration. Ca<sup>2+</sup> measurements (Fluo 4-AM) were performed to analyze proarrhythmogenic diastolic SR Ca<sup>2+</sup> leak. The I<sub>NaL</sub> was significantly reduced in atrial <i>SCN10A</i> KO CMs as well as after specific pharmacological inhibition of Na<sub>V</sub>1.8. No effects on atrial APD<sub>90</sub> were detected in any groups. Both <i>SCN10A</i> KO and specific blockers of Na<sub>V</sub>1.8 led to decreased Ca<sup>2+</sup> spark frequency and a significant reduction of arrhythmogenic Ca<sup>2+</sup> waves. Our experiments demonstrate that Na<sub>V</sub>1.8 contributes to I<sub>NaL</sub> formation in human atrial CMs and that Na<sub>V</sub>1.8 inhibition modulates proarrhythmogenic triggers in human atrial CMs and therefore Na<sub>V</sub>1.8 could be a new target for antiarrhythmic strategies.