心力衰竭中心室肌细胞的离子通道重构与电活动的稳态调节Remodeling and homeostasis of ion channels in ventricular myocytes in heart failure
宁菲菲,杨丹丹,白鸿远,马爱群
摘要(Abstract):
心力衰竭是多种心血管疾病的最终结局。心力衰竭时存在心脏器官水平的结构重构和细胞、离子通道分子水平的心电重构。心脏的离子通道重构最初是在病理状态下维持心功能的适应性反应,但持续存在的病理状态导致的重构本身也可以引起疾病的发生,与心力衰竭中心律失常的发生密切相关。心力衰竭时心室肌细胞多种离子通道的表达和功能发生变化,如IK1、Ito、IKs、ICa-L、IK、INaL、INa+/Ca2+等,导致心室肌细胞的静息电位和动作电位的各期均发生从细微到显著的变化,存在离子通道的重构与心肌细胞电活动的稳态调节。从整体上逆转离子通道重构,以所有离子通道的稳态调节为目标进行治疗,可能是改善心力衰竭时心电重构的关键。
关键词(KeyWords): 心力衰竭;离子通道;稳态调节;心律失常
基金项目(Foundation): 国家自然科学基金(30830051)
作者(Author): 宁菲菲,杨丹丹,白鸿远,马爱群
参考文献(References):
- [1]Sartiani L,Stillitano F,Cerbai E,et al.Electrophysiologic changes in heart failure:focus on pacemaker channels[J].Can J Physiol Pharmacol,2009,87(2):84-90.
- [2]Nass RD,Aiba T,Tomaselli GF,et al.Mechanisms of disease:ion channel remodeling in the failing ventricle[J].Nat Clin Pract Cardiovasc Med,2008,5(4):196-207.
- [3]De Mello WC,Cherry RC,Manivannan S.Electrophysiologic and morphologic abnormalities in the failing heart:effect of enalapril on the electrical properties[J].J Card Fail,1997,3(1):53-61.
- [4]Wakisaka Y,Niwano S,Niwano H,et al.Structural and electrical ventricular remodeling in rat acute myocarditis and subsequent heart failure[J].Cardiovasc Res,2004,63(4):689-699.
- [5]Nattel S,Maguy A,Le Bouter S,et al.Arrhythmogenic ionchannel remodeling in the heart:heart failure,myocardial infarction,and atrial fibrillation[J].Physiol Rev,2007,87(2):425-456.
- [6]Rosati B,McKinnon D.Regulation of ion channel expression[J].Circ Res,2004,94(7):874-883.
- [7]MacLachlan MC,Sundnes J,Skavhaug O,et al.A linear system of partial differential equations modeling the resting potential of a heart with regional ischemia[J].Math Biosci,2007,210(1):238-252.
- [8]Chilton L,Ohya S,Freed D,et al.K+currents regulate the resting membrane potential,proliferation,and contractile responses in ventricular fibroblasts and myofibroblasts[J].Am J Physiol Heart Circ Physiol,2005,288(6):H2931-H2939.
- [9]Salle L,Kharche S,Zhang H,et al.Mechanisms underlying adaptation of action potential duration by pacing rate in rat myocytes[J].Prog Biophys Mol Biol,2008,96(1-3):305-320.
- [10]Fernandez-Velasco M,Ruiz-Hurtado G,Delgado C.I K1and I f in ventricular myocytes isolated from control and hypertrophied rat hearts[J].Pflugers Arch,2006,452(2):146-154.
- [11]Li GR,Lau CP,Ducharme A,et al.Transmural action potential and ionic current remodeling in ventricles of failing canine hearts[J].Am J Physiol Heart Circ Physiol,2002,283(3):H1031-H1041.
- [12]Kaab S,Nuss HB,Chiamvimonvat N,et al.Ionic mechanism of action potential prolongation in ventricular myocytes from dogs with pacing-induced heart failure[J].Circ Res,1996,78(2):262-273.
- [13]McLerie M,Lopatin AN.Dominant-negative suppression of I(K1)in the mouse heart leads to altered cardiac excitability[J].J Mol Cell Cardiol,2003,35(4):367-378.
- [14]Baczko I,Giles WR,Light PE.Resting membrane potential regulates Na(+)-Ca2+exchange-mediated Ca2+overload during hypoxia-reoxygenation in rat ventricular myocytes[J].J Physiol,2003,550(Pt 3):889-898.
- [15]Spindler AJ,Noble SJ,Noble D,et al.The effects of sodium substitution on currents determining the resting potential in guinea-pig ventricular cells[J].Exp Physiol,1998,83(2):121-136.
- [16]Petkova-Kirova PS,Gursoy E,Mehdi H,et al.Electrical remodeling of cardiac myocytes from mice with heart failure due to the overexpression of tumor necrosis factor-alpha[J].Am J Physiol Heart Circ Physiol,2006,290(5):H2098-H2107.
- [17]Janse MJ.Electrophysiological changes in heart failure and their relationship to arrhythmogenesis[J].Cardiovasc Res,2004,61(2):208-217.
- [18]Gao G,Xie A,Huang SC,et al.Role of RBM25/LUC7L3 in abnormal cardiac sodium channel splicing regulation in human heart failure[J].Circulation,2011,124(10):1124-1131.
- [19]Hesse M,Kondo CS,Clark RB,et al.Dilated cardiomyopathy is associated with reduced expression of the cardiac sodium channel Scn5a[J].Cardiovasc Res,2007,75(3):498-509.
- [20]Remme CA,Bezzina CR.Sodium channel(dys)function and cardiac arrhythmias[J].Cardiovasc Ther,2010,28(5):287-94.
- [21]Shang LL,Pfahnl AE,Sanyal S,et al.Human heart failure is associated with abnormal C-terminal splicing variants in the cardiac sodium channel[J].Circ Res,2007,101(11):1146-1154.
- [22]Hardziyenka M,Campian ME,Verkerk AO,et al.Electrophysiologic remodeling of the left ventricle in pressure overloadinduced right ventricular failure[J].JACC,2012,59(24):2193-2202.
- [23]Zicha S,Maltsev VA,Nattel S,et al.Post-transcriptional alterations in the expression of cardiac Na+channel subunits in chronic heart failure[J].J Mol Cell Cardiol,2004,37(1):91-100.
- [24]Casini S,Verkerk AO,van Borren MM,et al.Intracellular calcium modulation of voltage-gated sodium channels in ventricular myocytes[J].Cardiovasc Res,2009,81(1):72-81.
- [25]Ashpole NM,Herren AW,Ginsburg KS,et al.Ca2+/calmodulindependent protein kinase II(CaMKII)regulates cardiac sodium channel NaV 1.5 gating by multiple phosphorylation sites[J].J Biol Chem,2012,287(24):19856-19869.
- [26]Suzuki T,Shioya T,Murayama T,et al.Multistep ion channel remodeling and lethal arrhythmia precede heart failure in a mouse model of inherited dilated cardiomyopathy[J].PloS one,2012,7(4):e35353.
- [27]Schulte JS,Seidl MD,Nunes F,et al.CREB critically regulates action potential shape and duration in the adult mouse ventricle[J].Am J Physiol Heart Circ Physiol,2012,302(10):H1998-H2007.
- [28]Tsuji Y,Zicha S,Qi XY,et al.Potassium channel subunit remodeling in rabbits exposed to long-term bradycardia or tachycardia:discrete arrhythmogenic consequences related to differential delayed-rectifier changes[J].Circulation,2006,113(3):345-355.
- [29]Bassani RA.Transient outward potassium current and Ca2+homeostasis in the heart:beyond the action potential[J].Braz J Med Biol Res,2006,39(3):393-403.
- [30]Iyer V,Heller V,Armoundas AA.Altered spatial calcium regulation enhances electrical heterogeneity in the failing canine left ventricle:implications for electrical instability[J].J Appl Physiol,2012,112(6):944-955.
- [31]Alvin Z,Laurence GG,Coleman BR,et al.Regulation of L-type inward calcium channel activity by captopril and angiotensin II via the phosphatidyl inositol 3-kinase pathway in cardiomyocytes from volume-overload hypertrophied rat hearts[J].Can J Physiol Pharmacol,2011,89(3):206-215.
- [32]Xu M,Welling A,Paparisto S,et al.Enhanced expression of L-type Cav1.3 calcium channels in murine embryonic hearts from Cav1.2-deficient mice[J].J Biol Chem,2003,278(42):40837-40841.
- [33]Chen X,Piacentino V,Furukawa S,et al.L-type Ca2+channel density and regulation are altered in failing human ventricular myocytes and recover after support with mechanical assist devices[J].Circ Res,2002,91(6):517-524.
- [34]Kashihara T,Nakada T,Shimojo H,et al.Chronic receptormediated activation of Gi/o proteins alters basal t-tubular and sarcolemmal L-type Ca(2)(+)channel activity through phosphatases in heart failure[J].Am J Physiol Heart Circ Physiol,2012,302(8):H1645-1654.
- [35]Michael G,Xiao L,Qi XY,et al.Nattel S.Remodelling of cardiac repolarization:how homeostatic responses can lead to arrhythmogenesis[J].Cardiovasc Res,2009,81(3):491-499.
- [36]Xiao L,Xiao J,Luo X,et al.Feedback remodeling of cardiac potassium current expression:a novel potential mechanism for control of repolarization reserve[J].Circulation,2008,118(10):983-992.
- [37]Sossalla S,Maier LS.Role of ranolazine in angina,heart failure,arrhythmias,and diabetes[J].Pharmacol Ther,2012,133(3):311-323.
- [38]Yao L,Fan P,Jiang Z,et al.Nav1.5-dependent persistent Na+influx activates CaMKII in rat ventricular myocytes and N1325S mice[J].Am J Physiol Cell Physiol,2011,301(3):C577-586.
- [39]Trenor B,Cardona K,Gomez JF,et al.Simulation and mechanistic investigation of the arrhythmogenic role of the late sodium current in human heart failure[J].PloS one,2012,7(3):e32659.
- [40]Xi Y,Wu G,Yang L,et al.Increased late sodium currents are related to transcription of neuronal isoforms in a pressureoverload model[J].Eur J Heart Fail,2009,11(8):749-757.
- [41]Maltsev VA,Reznikov V,Undrovinas NA,et al.Modulation of late sodium current by Ca2+,calmodulin,and CaMKII in normal and failing dog cardiomyocytes:similarities and differences[J].Am J Physiol Heart Circ Physiol,2008,294(4):H1597-H1608.
- [42]McMurray JJ,Adamopoulos S,Anker SD,et al.ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012:The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology.Developed in collaboration with the Heart Failure Association(HFA)of the ESC[J].Eur Heart J,2012,33(14):1787-1847.
- [43]Rook MB,Evers MM,Vos MA,et al.Biology of cardiac sodium channel Nav1.5 expression[J].Cardiovasc Res,2012,93(1):12-23.
- [44]Julian DG,Camm AJ,Frangin G,et al.Randomised trial of effect of amiodarone on mortality in patients with leftventricular dysfunction after recent myocardial infarction:EMIAT.European Myocardial Infarct Amiodarone Trial Investigators[J].Lancet,1997,349(9053):667-74.
- [45]Jost A,Rauch B,Hochadel M,et al.Beta-blocker treatment of chronic systolic heart failure improves prognosis even in patients meeting one or more exclusion criteria of the MERITHF study[J].Eur Heart J,2005,26(24):2689-2697.
- [46]Furberg CD,Wright JT,Davis BR,et al.Major outcomes in high-risk hypertensive patients randomized to angiotensinconverting enzyme inhibitor or calcium channel blocker vs diuretic-The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial(ALLHAT)[J].JAMA,2002,288(23):2981-2997.
- [47]李溪,马爱群,任京婷.比索洛尔对心力衰竭兔心房肌细胞钾通道表达的影响[J].山西医科大学学报,2011,4(210):787-792.
- [48]任京婷,王贺,王亭忠,等.卡托普利对心衰大鼠左心室钾通道表达的影响[J].西安交通大学学报(医学版),2013,34(1):50-53,63.