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Perinatal Loss of Nkx2-5 Results in Rapid Conduction and Contraction Defects

2008/08/09 by Laura E. Briggs, Morihiko Takeda, Adolfo E. Cuadra +16 · 26 citations
Biochemistry, Genetics and Molecular Biology · Medicine · #Congenital heart defects research #Cardiac electrophysiology and arrhythmias #Ion channel regulation and function

paper · pdf · doi:10.1161/circresaha.108.171835

Abstract

Homeobox transcription factor Nkx2-5, highly expressed in heart, is a critical factor during early embryonic cardiac development. In this study, using tamoxifen-inducible Nkx2-5 knockout mice, we demonstrate the role of Nkx2-5 in conduction and contraction in neonates within 4 days after perinatal tamoxifen injection. Conduction defect was accompanied by reduction in ventricular expression of the cardiac voltage-gated Na+ channel pore-forming alpha-subunit (Na(v)1.5-alpha), the largest ion channel in the heart responsive for rapid depolarization of the action potential, which leads to increased intracellular Ca2+ for contraction (conduction-contraction coupling). In addition, expression of ryanodine receptor 2, through which Ca2+ is released from sarcoplasmic reticulum, was substantially reduced in Nkx2-5 knockout mice. These results indicate that Nkx2-5 function is critical not only during cardiac development but also in perinatal hearts, by regulating expression of several important gene products involved in conduction and contraction.

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