Constitutively active adenosine monophosphate-activated protein kinase regulates voltage-gated sodium channels in ventricular myocytes.
BACKGROUND: Some PRKAG2 mutations in the human gene encoding for the gamma-subunit of the adenosine monophosphate- activated protein kinase ( AMPK) recently have been shown to cause rhythm disturbances (often fatal) in affected patients. METHODS AND RESULTS: Rat ventricular myocytes were infected with an adenoviral vector designed to express a truncated constitutively active mutant (T172D) of the AMPK alpha1-subunit (CA- AMPK). The human cardiac sodium channel hH1 and CA- AMPK were also coexpressed in a mammalian cell line. Patch-clamp techniques were used to measure myocyte action potentials and recombinant hH1 sodium channel currents. Our results demonstrate that action potential duration is significantly prolonged in myocytes expressing the CA- AMPK construct, leading to the production of potentially arrhythmogenic early afterdepolarizations. Recombinant sodium channel current analysis revealed that expression of CA- AMPK significantly slowed open-state inactivation and shifted the voltage-activation curve in a hyperpolarizing direction. CONCLUSIONS: We propose that sodium channels may be substrates for AMPK, possibly contributing to the observed arrhythmogenic activity in patients with some PRKAG2 mutations.[1]References
- Constitutively active adenosine monophosphate-activated protein kinase regulates voltage-gated sodium channels in ventricular myocytes. Light, P.E., Wallace, C.H., Dyck, J.R. Circulation (2003) [Pubmed]
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