Stress-induced excessive activation of the adrenergic system or changes
in estrogen levels promote the occurrence of arrhythmias. Sodium
channel, a responder to β-adrenergic stimulation, is involved in
stress-induced cardiac electrophysiological abnormalities. However, it
has not been established whether estrogen regulates sodium channels
during acute stress. Our study aimed to explore whether voltage-gated
sodium channels play roles in the rapid regulation of various
concentrations of estrogen in stressed human induced pluripotent stem
cell-derived cardiomyocytes (hiPSC-CMs), and reveal the possible
mechanism of estrogen signaling pathway modulating stress. An
isoproterenol-induced stress model of hiPSC-CMs was pre-incubated with
β-Estradiol at different concentrations (0.01 nmol/L, 1 nmol/L, and 100
nmol/L). Action potential (AP) and sodium currents were detected by
patch clamp. The G protein-coupled estrogen receptor (GPER)-specific
effect was determined with agonists G1, antagonists G15 and small
interfering RNA. β-Estradiol at concentrations of 0.01 nmol/L, 1 nmol/L,
and 100 nmol/L increased the peak sodium current and prolonged AP
duration (APD) at 1 nmol/L. Stress increased peak sodium current, late
sodium current, and shortened APD. The effects of stress on sodium
currents and APD were eliminated by β-Estradiol. Activation of GPER by
G1 exhibited similar effects as β-Estradiol, while inhibition of GPER
with G15 and small interfering RNA ameliorated estrogenic actions.
Estrogen, antagonized the stress-related abnormal electrical activity,
and through GPER alleviated sodium channel dysfunctions in stress state
in hiPSC-CMs. These results provide a novel mechanism through which
estrogenic rapid signaling against stress by regulating ion channels.