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- W2162445663 abstract "Background Atrial fibrillation is the most common sustained cardiac arrhythmia in adults. We hypothesized that gain-of-function KCNQ1 mutations previously associated with familial atrial fibrillation have distinct pharmacological properties that may enable targeted inhibition. Methods and Results Wild-type (WT) KCNQ1 or the familial atrial fibrillation mutation KCNQ1-S140G was heterologously coexpressed with KCNE1 to enable electrophysiological recording of the slow delayed rectifier current ( I Ks ) and investigation of pharmacological effects of the I Ks selective blocker HMR-1556. Coexpression of KCNQ1-S140G with KCNE1 generated potassium currents (S140G- I Ks ) that exhibited greater sensitivity to HMR-1556 than WT- I Ks . Enhanced HMR-1556 sensitivity was also observed for another gain-of-function atrial fibrillation mutation, KCNQ1-V141M. Heteromeric expression of KCNE1 with both KCNQ1-WT and KCNQ1-S140G generated currents (HET- I Ks ) with gain-of-function features, including larger amplitude, a constitutively active component, hyperpolarized voltage dependence of activation, and extremely slow deactivation. A low concentration of HMR-1556, which had little effect on WT- I Ks but was capable of inhibiting the mutant channel, reduced both instantaneous and steady state HET- I Ks to levels that were not significantly different from WT- I Ks and attenuated use-dependent accumulation of the current. In cultured adult rabbit left atrial myocytes, expression of S140G- I Ks shortened action potential duration compared with WT- I Ks . Application of HMR-1556 mitigated S140G- I Ks –induced action potential duration shortening and did not alter action potential duration in cells expressing WT- I Ks . Conclusions The enhanced sensitivity of KCNQ1 gain-of-function mutations for HMR-1556 suggests the possibility of selective therapeutic targeting, and, therefore, our data illustrate a potential proof of principle for genotype-specific treatment of this heritable arrhythmia." @default.
- W2162445663 created "2016-06-24" @default.
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- W2162445663 date "2013-10-01" @default.
- W2162445663 modified "2023-10-18" @default.
- W2162445663 title "Selective Targeting of Gain-of-Function KCNQ1 Mutations Predisposing to Atrial Fibrillation" @default.
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- W2162445663 doi "https://doi.org/10.1161/circep.113.000439" @default.
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