scholarly journals A novel transgenic rabbit model with reduced repolarization reserve: long QT syndrome caused by a dominant-negative mutation of theKCNE1gene

2016 ◽  
Vol 173 (12) ◽  
pp. 2046-2061 ◽  
Author(s):  
Péter Major ◽  
István Baczkó ◽  
László Hiripi ◽  
Katja E. Odening ◽  
Viktor Juhász ◽  
...  

2011 ◽  
Vol 650 (1) ◽  
pp. 309-316 ◽  
Author(s):  
Jürgen Biermann ◽  
Kezhong Wu ◽  
Katja E. Odening ◽  
Stefan Asbach ◽  
Gideon Koren ◽  
...  


2009 ◽  
Vol 587 (19) ◽  
pp. 4661-4680 ◽  
Author(s):  
Ohad Ziv ◽  
Eduardo Morales ◽  
Yoon-kyu Song ◽  
Xuwen Peng ◽  
Katja E. Odening ◽  
...  


2007 ◽  
Vol 16 (4) ◽  
pp. 416-412 ◽  
Author(s):  
Theresa A. Beery ◽  
Kerry A. Shooner ◽  
D. Woodrow Benson

A 4-day-old girl with ventricular tachyarrhythmias, sinus bradycardia, and 2:1 atrioventricular block had prolongation of the QT interval. She was symptomatic with arching, gasping, and cyanosis presumably due to a life-threatening ventricular tachyarrhythmia such as torsades de pointes. Molecular genetic studies indicated a heterozygous, de novo, dominant negative mutation in hERG, a gene that encodes a protein in a potassium ion channel. The parents do not have the mutation. The patient’s clinical scenario was produced by the convergence of 3 events: a de novo mutation occurred in hERG, the mutation was dominant negative, and the action of the mutation resulted in neonatal long QT syndrome. The child was treated aggressively and is doing well at age 6 years.



Heart Rhythm ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 220-228 ◽  
Author(s):  
Tae Yun Kim ◽  
Yukiko Kunitomo ◽  
Zachary Pfeiffer ◽  
Divyang Patel ◽  
Jungmin Hwang ◽  
...  


2020 ◽  
Vol 13 (8) ◽  
Author(s):  
Jungmin Hwang ◽  
Tae Yun Kim ◽  
Dmitry Terentyev ◽  
Mingwang Zhong ◽  
Anatoli Y. Kabakov ◽  
...  

Background: Long QT syndrome has been associated with sudden cardiac death likely caused by early afterdepolarizations (EADs) and polymorphic ventricular tachycardias (PVTs). Suppressing the late sodium current (I NaL ) may counterbalance the reduced repolarization reserve in long QT syndrome and prevent EADs and PVTs. Methods: We tested the effects of the selective I NaL blocker GS967 on PVT induction in a transgenic rabbit model of long QT syndrome type 2 using intact heart optical mapping, cellular electrophysiology and confocal Ca 2+ imaging, and computer modeling. Results: GS967 reduced ventricular fibrillation induction under a rapid pacing protocol (n=7/14 hearts in control versus 1/14 hearts at 100 nmol/L) without altering action potential duration or restitution and dispersion. GS967 suppressed PVT incidences by reducing Ca 2+ -mediated EADs and focal activity during isoproterenol perfusion (at 30 nmol/L, n=7/12 and 100 nmol/L n=8/12 hearts without EADs and PVTs). Confocal Ca 2+ imaging of long QT syndrome type 2 myocytes revealed that GS967 shortened Ca 2+ transient duration via accelerating Na + /Ca 2+ exchanger (I NCX )-mediated Ca 2+ efflux from cytosol, thereby reducing EADs. Computer modeling revealed that I NaL potentiates EADs in the long QT syndrome type 2 setting through (1) providing additional depolarizing currents during action potential plateau phase, (2) increasing intracellular Na + (Na i ) that decreases the depolarizing I NCX thereby suppressing the action potential plateau and delaying the activation of slowly activating delayed rectifier K + channels (I Ks ), suggesting important roles of I NaL in regulating Na i . Conclusions: Selective I NaL blockade by GS967 prevents EADs and abolishes PVT in long QT syndrome type 2 rabbits by counterbalancing the reduced repolarization reserve and normalizing Na i . Graphic Abstract: A graphic abstract is available for this article.



2012 ◽  
Vol 102 (3) ◽  
pp. 539a-540a
Author(s):  
Tae Yun Kim ◽  
Paul Jeng ◽  
Chantel Taylor ◽  
JungMin Hwang ◽  
Xuwen Peng ◽  
...  


2011 ◽  
Vol 27 (Supplement) ◽  
pp. OP60_3
Author(s):  
Jie Wu ◽  
Nobu Naiki ◽  
Wei-Guang Ding ◽  
Hiroshi Matsuura ◽  
Minoru Horie


2013 ◽  
Vol 104 (2) ◽  
pp. 294a-295a
Author(s):  
Tae Yun Kim ◽  
Jung Min Hwang ◽  
Zachary Pfeiffer ◽  
Yukiko Kunitomo ◽  
Xuwen Peng ◽  
...  






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