Genetic control of sodium channel function

被引:126
作者
Tan, HL
Bezzina, CR
Smits, JPP
Verkerk, AO
Wilde, AAM
机构
[1] Acad Med Ctr, Dept Cardiol, Expt & Mol Cardiol Grp, NL-1100 DE Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Clin Genet, NL-1012 WX Amsterdam, Netherlands
关键词
arrhythmia mechanisms; long QT syndrome; Na-channel; sudden death; ventricular arrhythmias;
D O I
10.1016/S0008-6363(02)00714-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sodium ion (Na) influx through cardiac Na channels triggers the action potential in cells of the working myocardium and the specialized conduction system. Na channels thus act as key molecular determinants of cardiac excitability and impulse propagation. Na channel dysfunction may cause life-threatening arrhythmias. Here, we review the ways in which Na channel function can be aberrant due to genetic changes. We discuss how biophysical studies of mutant Na channels combined with precise clinical phenotyping may improve our understanding of Na channel function in health and disease and may be useful as a model from which to derive improved treatment strategies for common disease. (C) 2003 European Society of Cardiology. Published by Elsevier Science B.V. All rights reserved.
引用
收藏
页码:961 / 973
页数:13
相关论文
共 144 条
[1]   Novel arrhythmogenic mechanism revealed by a Long-QT syndrome mutation in the cardiac Na+ channel [J].
Abriel, H ;
Cabo, C ;
Wehrens, XHT ;
Rivolta, I ;
Motoike, HK ;
Memmi, M ;
Napolitano, C ;
Priori, SG ;
Kass, RS .
CIRCULATION RESEARCH, 2001, 88 (07) :740-745
[2]   Postmortem molecular analysis of SCN5A defects in sudden infant death syndrome [J].
Ackerman, MJ ;
Siu, BL ;
Sturner, WQ ;
Tester, DJ ;
Valdivia, CR ;
Makielski, JC ;
Towbin, JA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2001, 286 (18) :2264-2269
[3]   A novel SCN5A mutation associated with idiopathic ventricular fibrillation without typical ECG findings of Brugada syndrome [J].
Akai, J ;
Makita, N ;
Sakurada, H ;
Shirai, N ;
Ueda, K ;
Kitabatake, A ;
Nakazawa, K ;
Kimura, A ;
Hiraoka, M .
FEBS LETTERS, 2000, 479 (1-2) :29-34
[4]   INCREASED RISK OF DEATH AND CARDIAC-ARREST FROM ENCAINIDE AND FLECAINIDE IN PATIENTS AFTER NON-Q-WAVE ACUTE MYOCARDIAL-INFARCTION IN THE CARDIAC-ARRHYTHMIA SUPPRESSION TRIAL [J].
AKIYAMA, T ;
PAWITAN, Y ;
GREENBERG, H ;
KUO, CS ;
REYNOLDSHAERTLE, RA .
AMERICAN JOURNAL OF CARDIOLOGY, 1991, 68 (17) :1551-1555
[5]   Brugada syndrome - Clinical data and suggested pathophysiological mechanism [J].
Alings, M ;
Wilde, A .
CIRCULATION, 1999, 99 (05) :666-673
[6]   Quinidine induced electrocardiographic normalization in two patients with Brugada syndrome [J].
Alings, M ;
Dekker, L ;
Sadée, A ;
Wilde, A .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2001, 24 (09) :1420-1422
[7]   Lidocaine block of LQT-3 mutant human Na+ channels [J].
An, RH ;
Bangalore, R ;
Rosero, SZ ;
Kass, RS .
CIRCULATION RESEARCH, 1996, 79 (01) :103-108
[8]   Novel LQT-3 mutation affects Na+ channel activity through interactions between α- and β1-subunits [J].
An, RH ;
Wang, XL ;
Kerem, B ;
Benhorin, J ;
Medina, A ;
Goldmit, M ;
Kass, RS .
CIRCULATION RESEARCH, 1998, 83 (02) :141-146
[9]   The Brugada syndrome: Ionic basis and arrhythmia mechanisms [J].
Antzelevitch, C .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2001, 12 (02) :268-272
[10]   INACTIVATION OF SODIUM CHANNEL .2. GATING CURRENT EXPERIMENTS [J].
ARMSTRONG, CM ;
BEZANILLA, F .
JOURNAL OF GENERAL PHYSIOLOGY, 1977, 70 (05) :567-590